My Medical Skills Give Me Experience Points

Chapter 1286: Chapter 507: The Neural Center Remains a Forbidden Zone, Terrifying Live Broadcast Effects_2

"I’ve already reviewed the scans and examination reports. If you feel that the risk of replacing the aorta is too high, there’s another surgical plan that’s worth trying, although it is quite complex. However, no one has attempted this procedure yet, and it carries many uncertain risks. I can explain it to you first."

Zhou Can did not conceal anything.

When talking to someone of higher status, it’s best to speak honestly.

"Oh, please go ahead!"

The man was delighted to hear that Zhou Can had quickly come up with a surgical plan that did not require replacing the aorta.

His face involuntarily showed joy.

Zhou Can didn’t dilly-dally; he explained the surgical concept thoroughly with illustrations.

The surgical plan is not overly complex.

Compared to the straightforward method of replacing the aorta, it is certainly quite complex.

After listening to Zhou Can’s introduction to the whole surgical plan, the man did not immediately express his opinion.

Instead, he fell into thought.

"Can you tell me the advantages and disadvantages of doing this?"

After a long time, the man raised his head and looked at Zhou Can.

"The advantage is that the heart does not need to stop beating, so there’s no worry about ischemia causing paralysis or organ failure. The surgical incision is much smaller than replacing the entire aorta. Also, your aorta doesn’t need much alteration; once the bridge is constructed, a custom long stent can be placed directly. The downside is that the surgery is relatively complex and has never been attempted, at least to my knowledge. No doctor has tried this surgical plan, and it carries many uncertain factors."

After some thought, Zhou Can continued, "Furthermore, replacing the aorta only requires one artificial blood vessel. However, this procedure involves constructing a bridge, with a main vessel extending from the end of the aorta, then at least five branch vessels need to be grafted to five different locations."

Artificial blood vessels are ultimately foreign substances.

Despite advanced manufacturing techniques and excellent materials, risks do exist.

If they are used for a long time and rupture, it would be disastrous.

Additionally, artificial blood vessels have a minimal rejection response, but no matter how skillful the surgeon is or how perfect the anastomosis is, they can’t truly merge with the body’s blood vessels.

No matter how long, it won’t work.

If using a human blood vessel for the bridge, this problem doesn’t exist.

As long as the surgery is successful, the blood vessel can become viable.

In contrast, artificial blood vessels are essentially lifeless and will remain so.

The difference between the two is quite significant.

This is why, in extensive aortic repair surgeries, doctors prefer not to use artificial blood vessels and instead make a greater effort to extract the great saphenous vein from the leg for vascular repair.

Because one’s own vessels, whether in terms of rejection or long-term stability, are much better than artificial ones.

Of course, in theory, the lifespan of an artificial blood vessel far exceeds that of a human being.

Basically, there’s no need to worry about the vessel deteriorating while the patient is still alive.

"Dr. Zhou’s surgical plan is very unique and innovative. I think it’s worth taking some risks. When can we schedule this surgery for me?"

After careful consideration, the man showed great interest in Zhou Can’s surgical plan.

He was strongly inclined to undergo the surgery.

For doctors, all they can do is provide appropriate treatment recommendations to patients. How they choose is up to them.

"Since this is a Level 4 major surgery, I have to discuss it with the cardiothoracic surgery department’s chief surgeons before giving you an answer. If you wish, you can also seek out doctors in Shanghai who can perform this procedure. Generally, those who can perform traditional aortic replacement surgery can handle this surgery as well."

Zhou Can was tactfully suggesting that the patient consider other options.

This wasn’t really defensive medicine, but rather due to it being a Level 4 surgery, beyond his capacity.

If it were to be performed, it would require involvement from Director Xue or Director Le.

Zhou Can didn’t mind taking some risks himself. However, due to his insufficient professional rank, he wasn’t qualified to assume this risk.

The ultimate risk would be borne by the doctor in charge of the surgery.

Not everyone would be willing to take responsibility for that.

Referring the patient back to local treatment in Shanghai is a viable approach.

"No, no, no, I want to be treated here. How about this, you go and ask the cardiothoracic department’s chief surgeons, and I’ll wait for your news."

The man insisted on being treated at Tuya Hospital.

Perhaps he was somewhat influenced by yesterday’s live broadcast. In his mind, Tuya Hospital was superior to other hospitals in the field of cardiothoracic surgery.

Once they reach a certain level, many people tend to become ’stubborn’.

Because they are used to all kinds of unwritten rules and routines.

They prefer to trust their own judgments based on actual observation.

"Thank you for your trust in our hospital. I’ll go inquire for you!"

"I’ll go with you to save you the trips! Don’t worry, I’ll wait outside while you ask questions, I won’t follow you into the office."

The man considered Zhou Can’s time, which made Zhou Can feel favorable towards him.

Zhou Can had to postpone his rounds and dinner.

He would first inquire about the situation for this patient.

"Zhou!"

A voice called out.

Zhou Can turned his head to see Su Qianqian standing not far away with a thermal food container. She had come to bring him dinner.