Section 35

The angiography clearly showed the aneurysms attached to the blood vessel wall.

One of the largest aneurysms grew near the intersection of the left cerebral branch artery and the vertebral basilar artery.

Xu Chang frowned as he looked at the aneurysm.

"First of all, the patient's most serious problem is the aneurysm."

"Aneurysms can be fatal at any time, but brain atrophy will not."

"So we have to solve the aneurysm problem first."

"How many times did you try 3D virtualization yesterday?"

"Well... five times." The director of the provincial hospital replied.

Xu Chang frowned and continued: "In the case of extremely high risks of craniotomy, I still recommend interventional treatment and insert the needle from the carotid artery."

The boss spoke, and all the other doctors nodded frequently like the younger brother.

The old expert from the Magic City naturally has weight in his words.

But.

A young voice suddenly rang out.

"Professor Xu, I don't agree with your opinion. I think the craniotomy should still be performed."

The conference room is very large. After this voice came out, the directors present were still looking for the source of the voice.

Until everyone's eyes were cast to Yang Pingwei's side.

Everyone knows Yang Pingwei, the deputy director of Tianhe Municipal Health Bureau.

He is a high-ranking official.

But who is the young man next to him?

He doesn't seem to be from the provincial hospital, right?

He looks unfamiliar.

"You are..."

The ICU director was afraid of offending Yang Pingwei, so he asked politely.

"My name is Zhang Yi, and I am a doctor at Tianhe People's Hospital."

Yang Pingwei looked at everyone and explained: "He is the doctor I invited to help Director He perform surgery."

"What?!"

"What is Director Yang talking about?!"

"Puff... Director Yang... You are too unkind, aren't you?"

When everyone heard this, their jaws almost dropped!

If Director He wants to have surgery, you should at least find a serious old expert to come.

Why did you find a doctor from Tianhe City?

Is Tianhe City Hospital a place with great medical resources and level?

Besides, this guy is still so young!

For a moment, everyone didn't know what to say to Yang Pingwei.

Yang Pingwei was also a little embarrassed.

He did make a hasty decision to ask Zhang Yi to come.

But Zhang Yi's skills were really good...

For a moment, he didn't know how to explain it to everyone.

People might not believe this kind of thing even if he told them.

Zhang Yi knew that Yang Pingwei was in a very embarrassing situation because of him.

He immediately stood up and continued his thoughts.

"First, let me tell you why I recommend craniotomy."

"The surgical plan I envisioned is completely different from Professor Xu's."

"First, this operation not only requires craniotomy, but also requires the removal of the atrophic left hemisphere."

"Second, after removing the atrophic left hemisphere, the surgical field will be clearer, and the aneurysm can be clipped directly outside the body."

"Although the patient is 73 years old, if the operation is done well, he can live at least a few years or ten years, or even longer."

"But if only interventional treatment is done, the problem of brain atrophy will become more and more serious. If epilepsy is not resolved, it will not last long with drugs alone."

"If you are unlucky, you may not live more than a year!"

"So I suggest a left hemisphere resection plus external aneurysm clipping."

Zhang Yi finished speaking.

The whole audience was silent!

A group of bigwigs looked at Zhang Yi with shocked and incredible eyes...

Chapter 33 Left brain parenchyma resection plus extracorporeal aneurysm clipping

"What is this kid talking about..."

"Left...left hemisphere resection plus extracorporeal aneurysm clipping?!"

"Resection of brain parenchyma? The risk of resection of brain parenchyma for a 73-year-old patient is too great!"

After a long while, the conference room was filled with discussions from the directors.

However, many directors glared at Zhang Yi while talking.

Do you have a say in this?

All the people present are bigwigs!

You have crossed more bridges than you have walked, and you have eaten more salt than you have eaten rice!

Is it your turn as a young doctor from Tianhe City to express your opinion?

And Xu Chang, who was sitting in the middle, was thinking about something with his eyes half closed.

He felt that what the young man said made sense.

Thinking carefully, the risk of brain parenchyma resection is indeed high.

And it also tests the doctor's skills more.

But this is better than failing again and again in virtual surgery.

Xu Chang looked up at the young face standing opposite him.

His face was filled with determination and confidence, just like his younger self.

"Your name is Zhang Yi?"

Zhang Yi nodded: "Yes."

"The plan you mentioned is not impossible."

After Xu Chang said this, the director of neurosurgery at the provincial hospital objected:

"Professor Xu, I think he is too young, and his suggestions are not referenceable."

"Yes, even if Director Yang invited him to help, I have never seen such a young neurosurgeon."

Xu Chang understood everyone's concerns.

After all, this is a neurosurgery operation, not an ordinary appendectomy.

But, how can you deny a good surgical plan just because the doctor is too young?

"I don't think that being young can be a reason to reject this surgical plan."

"Rejecting a surgical plan can be because it has shortcomings, is imperfect, or is not good for the patient itself."

"But it can't be because the person who proposed this plan is too young."

"On the contrary, I think this young man is very courageous, and I think the suggestions he put forward are very feasible."

"All the plans you discussed before suggested retaining the atrophied left brain. But as this young man said, after retaining the left brain, not only is the surgical field not clear enough, but the subsequent epilepsy problem is not solved."

"The patient is relatively old, and if the epilepsy worsens, he may not live for a year."

After hearing what Xu Chang said, the directors around him were silent.

You are the boss, so listen to you.

But when the family members heard this, they became scared.

Xu Chang looked at the family members and gave them two choices.

"First, listen to this young man and perform a left hemispherectomy plus an extracorporeal aneurysm clipping operation. Although the risk is high, the recovery will be very good after success."