My Medical Skills Give Me Experience Points

Chapter 1333: Chapter 526: Challenging a Top-Level Difficult Surgery, A Flash of Insight (Part 2)

For example, after surgery in the thoracic cavity, some people often feel chest tightness and shortness of breath, which is a postoperative complication.

It can’t be treated, and it will basically accompany them for life.

Doctors who are experienced and technically skilled often try to avoid disturbing other tissues and organs during thoracic and abdominal surgery, only addressing the lesions.

Of course, the idea is ideal, but in actual operations, doctors have no choice.

For instance, how can you perform an appendectomy in the abdominal cavity without pulling out the intestine?

Just finding the appendix requires quite a bit of effort.

"Maintaining this surgical space should be sufficient."

Zhou Can, after gesturing, showed a somewhat satisfied expression this time.

"I must state beforehand that repairing this blood vessel will inevitably cause certain damage to some of the tissue on the upper left side. However, I believe that exchanging damage to these less lethal, non-disabling brain tissues for smooth vascular repair is worthwhile. The body’s self-healing ability is very strong, and I believe that within ten days or half a month, these damages will basically return to normal."

To avoid startling Director Wu and Director Ming Xin and others, Zhou Can proactively gave them a heads-up.

The surgical approach requires versatility and adaptation.

Operating within such a small space to repair arteries is almost an impossible challenge, equating to turning a car around on a narrow dead-end road only two meters wide.

An ordinary driver simply cannot complete this task.

If someone possesses exceptional driving skills, they might just complete this seemingly impossible task.

The challenge Zhou Can faces now is to successfully accomplish the nearly impossible vascular repair task within an extremely limited space.

"Can the risk be controlled?"

Director Wu listened but still didn’t dare to turn his head or shift his gaze.

"Other unknown risks are difficult to say, but at least I can assure you that inflicting some damage on the brain tissue within this scope is neither lethal nor disabling."

Zhou Can truthfully replied.

No one dares to make any commitment or guarantee.

Even a level one surgery involves risks, let alone this intracranial endoscopic surgery.

"Dr. Zhou’s plan has a high feasibility!"

Surprisingly, Director Ming Xin supported Zhou Can’s risky move at this moment.

Her words carry significant weight.

With her support, Director Wu Yongming did not hesitate further and directly agreed, saying "You may begin the surgery! Don’t burden your mind too much. Be bold yet meticulous."

"Understood! Thank you!"

Zhou Can nodded in agreement while again thanking the two chief physicians.

Without their strong support, he wouldn’t have had this surgical opportunity.

He attempted to manipulate the endoscope arm to begin debridement, then to anastomose the ruptured blood vessel. The whole process was extremely slow, not merely steady but also possessing a strong composure that only top-level doctors have.

This composure was somewhat akin to commanding thousands of soldiers in battle, sitting firmly in the main tent facing powerful enemy forces and a complex battlefield environment.

[Suturing Skill Experience Points Reward +100, Ligation Skill Experience Points Reward +100...]

He received an abundance of experience point rewards.

Moreover, every time the reward was in hundreds.

As the anastomosis was nearing completion, it was necessary to eliminate any air and accumulated blood inside since Director Wu needed to stabilize that part of the brain tissue while Zhou Can performed the operation, a task that was indeed quite difficult.

After all, a person only has two hands, trying to accomplish the work of four or even six hands poses imaginable difficulty.

"No, if air remains inside the anastomosed blood vessel, it’s troublesome."

Zhou Can deeply understood that air inside blood vessels, especially intracranial vessels, could easily form a thrombus, a ticking time bomb.

If Director Wu doesn’t move, should they drill another hole to insert another endoscope arm?

Not only would it cause immense harm to the patient, but they also didn’t have the necessary instruments and equipment.

Originally, it was a minor problem during the anastomosis process, but Zhou Can was stumped.

"Not being able to completely eliminate air indeed poses a significant hazard."

Wu Yongming, looking at the soon-to-be successful surgery, felt unsatisfied.

Completing the surgery carelessly was definitely not an option.

Everyone in the field of surgery are top-notch experts, paying exceptional attention to surgical details.

Each person racked their brains, thinking of solutions.

"Perhaps there is a method worth trying. I’ll leave the final stitching knot undone for now. Director Wu, when the time comes, don’t bother with the right-sided brain tissue, directly free up your hands to help me eliminate air inside the blood vessel, then I’ll perform the knotting, completing the final anastomosis of the blood vessel wall."

Zhou Can proposed a solution.

Suturing the blood vessel requires more operating space, but he is confident in completing the final knotting within the limited space.

At most, it will cause slight damage to the left-sided brain tissue.

This method is hardly optional.

The left brain tissue has already suffered some damage; adding a bit more won’t matter.

"Good idea."

Wu Yongming nodded in agreement after listening.

Following Zhou Can’s designed surgical approach, they completed the final step.

The final knotting was more difficult than expected.

However, with Zhou Can’s Level 6 Ligation Skill, it was ultimately completed smoothly.

[Ligation Skill Experience Points +1, Bonus Experience Points 1000. Anastomosis Experience Points +1, Bonus Experience Points 10000. Pathological Diagnosis Experience Points Reward +10000.]

Looking at the massive reward after the surgery, Zhou Can was momentarily stunned.

Soon, he gained some insight.

It seems innovation during surgery, or conceiving entirely new surgical approaches under extremely harsh conditions and successfully implementing them.

All these could yield massive pathological diagnosis experience point rewards.

The last time he devised a method for an aortic dissection patient that didn’t require aortic replacement, Zhou Can also received an extraordinary pathological diagnosis experience point reward.

This also made him realize one thing, whether it be internal medicine or surgery, they ultimately converge.

Both can enhance Zhou Can’s pathological diagnosis level.

Put simply, pathological diagnosis equates to a doctor’s diagnostic level and treatment mindset standard.

Pharmacological differentiation and various surgical techniques are tantamount to two sharp swords for treatment.

They are weapons for vanquishing disease.

Undeniably, no matter how powerful the weapon is, if one doesn’t know how to use it, it’s unlikely to show its efficacy.

Can a sharp blade in the hands of a three-year-old kill a chicken or duck?

Without knowing how to use it, they might harm themselves instead.

If it falls into the hands of a strong man, it’s enough to kill ordinary beasts.

If it falls into the hands of a martial arts expert, it’s phenomenal. It could directly slay fierce tigers or even dragons.

Therefore, the improvement of pathological diagnosis level is more crucial than pharmacological differentiation and surgical skills.

One is level of thinking, one is weapon.

After Zhou Can’s pathological diagnosis reached Level 6, progressing further became incredibly challenging.

A million experience points, nearly impossible to achieve in a lifetime.

But with such additions of ten thousand each, reaching one million doesn’t seem too difficult.

Moreover, he has demonstrated the usefulness of pathological diagnosis through numerous clinical trials. Level 6, compared to level 5, is entirely different. He is now at Level 6, equivalent to chief level; whether it be in consultations, case reviews, or surgery, his level is already capable of competing equally with those powerful chief physicians.

This indicates enhancing medical skills through the Experience Points system isn’t entirely superficial.

If one day, he advances pathological diagnosis to Level 7, he might be among the nation’s elite experts.

Currently, he is only at ordinary chief level.

Barely considered an expert.

After the final vascular anastomosis, blood flow test shows everything normal.

"Good! The patient’s condition has significantly stabilized. If there are no issues, the surgery can be concluded, and the patient can be sent to the recovery room for observation."

Director Ming Xin said.

Once the endoscope is retracted and the incision is sutured, sealing the cranial cavity.

Good news spread again.

"The patient’s brain waves show apparent positive changes."

Director Ming Xin stated with some delight.

For comatose patients, brain recovery is critical.