Chapter 1035: 【1035】Endless Dispute
After considering so key points of the surgery and thinking about trying it, it must play a role during the operation, not just serve as a preoperative check, which is different in nature from her grandfather’s situation.
Director Tang had approved this case during the Hepatobiliary Surgery eting initially, but ultimately, whether the surgery could be done, Shi Xu and Tan Kelin had conservative opinions on the way back. Having determination is good, but when it cos to actually performing the surgery, it will definitely not be easy, and they might opt to give up after further discussion.
Such surgery requires multiple discussions.
Could it be that they in Hepatobiliary Surgery have found a new breakthrough due to this TEE?
The discussion spread from the corner where the Guoxie mbers were sitting to the entire audience of the conference seminar.
“Now that it is confird to be this disease, their use of TEE for intraoperative monitoring during such surgery must be sowhat related to this patient’s cardiovascular condition. As for exactly how they are going to perform it—”
Due to never having seen such intraoperative use before, the remarks from the doctors in the audience tended toward increased rigor. It also fully showed that this topic had greatly piqued the interest of their peers.
The atmosphere in the conference room surged, and the speaker continued to remain silent.
In fact, back then, Xie Wanying only gave Teacher Lu a brief introduction and did not discuss in detail how to use it in surgery, leaving Qiu Ruiyun completely confused and already sweating profusely.
Guo Yiping and his colleagues finally got through and spoke.
In the operating room, He Jiuliang communicated on behalf of Tao Zhijie, hearing the question and responding: “Yes, after you left, the Chief Surgeon decided to add it on the fly.”
“Based on Xie Wanying’s suggestion?”
“Yes, Teacher Tao and Doctor Fu accepted her proposal.”
“What should we say during our presentation?” asked Guo Yiping, only to see Qiu Ruiyun on stage looking like he had a dead expression.
Speaking of this, He Jiuliang had to confess the details they were unaware of: “Song Xueling only wrote a note yesterday, didn’t discuss it.”
It was his school junior who had put him in this spot. Qiu Ruiyun understood instantly.
“It’s hard for you to speak now, wait for Teacher Tao to go up during the Q&A session to answer them,” He Jiuliang suggested a way out for them.
For the ti being, that’s all they could do.
The speaker on stage was firm on staying silent, leaving the colleagues below stage to ponder the surgical scenario on their own.
“Do they plan to establish Extracorporeal circulation?”
Doctors who have perford similar surgeries certainly haven’t done traditional surgeries with Laparoscopic, but they both know that the choice doctors have to make on this matter is the sa—they must decide whether to establish Extracorporeal circulation.
Various studies and papers on this subject had long been published in dical journals, with endless debates within the industry.
Establishing Extracorporeal circulation has its benefits. The experience of doctors who had perford such surgeries in the past was that performing deep hypothermic anesthesia and stopping blood circulation to make incisions could achieve bloodless resection. This is of significant importance for patients with Budd-Chiari syndro.
“It seems like they don’t have this plan. If they wanted to establish Extracorporeal circulation, they would at least have to make related preparations,” an experienced doctor speculated about the surgery team’s future actions from the surgical video.
“If that’s the case, I estimate it will be challenging for them to proceed. With Budd-Chiari syndro, one characteristic is that it has a relatively slow onset. Once the typical symptoms appear in a patient, the collateral circulation will be fully established, and the peripheral blood flow will be very rich. Any accidental bleeding can be terrifyingly severe. That’s also why most surgical teams eventually prefer to establish Extracorporeal circulation. So, it’s not very related to whether it’s PIVCLMS or not.”
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