area51novel Chapter 485 - 355: Reporting and Qin Feng’s Training
Chapter 485 - 355: Reporting and Qin Feng’s Training
Qin Feng was helpless; he actually knew it too.
The complexity and difficulty of this surgery were really beyond imagination.
It should be said that the surgery wasn’t impossible to perform, the question was whether the patient could survive.
If they forced their way onto the table, the chance of the patient coming off alive was not high; even he couldn’t guarantee a 20% survival rate.
Not only that, the most critical part of the whole thing was the postoperative period!
The patient’s danger period would be even more treacherous than the surgery itself; even if he made it off the table alive, and that was in a top-tier Class-A tertiary hospital like Peking Union Medical College Hospital, in the country’s number one intensive care unit.
The probability of surviving after surgery was probably only about 10%!
On top of that, there was recovery during rehabilitation, all kinds of complications, postoperative quality of life, and so on...
All things considered, the odds were only between 1% and 5%, far too slim.
"Old Xu, is there really nothing we can do with this surgery at all?"
The deputy director of cardiac surgery, Liu Guofeng, pondered for a moment and then spoke.
"Old Liu, it’s not that I don’t want to do it or that I can’t do it, but there’s a big chance the patient will die on the table."
Director Xu gave a wry smile at that.
"To be honest, this surgery really can’t be done."
This wasn’t doing surgery; this was dancing ballet on the tip of a knife!
Hearing this, Liu Guofeng swallowed the words he’d been about to say.
For the segment of the heart invaded by the hydatid, he believed he had the ability to deal with it, because the depth of invasion was not yet enough to be fatal.
The hardest part should be that blocked vein from the right kidney to the right atrium; if they wanted to address it, there were still ways.
But if hepatobiliary surgery couldn’t deal with the other hydatid lesions, then even a god wouldn’t be able to turn things around.
"So what do we do now?"
Seeing this, Director Sun from ICU took the initiative to ask,
"The patient is still with us now, so everyone, give me an idea?
Director Qin, Director Xu, what do you think we should do?"
"Why don’t we report it to the hospital first? If it really doesn’t work, we go with conservative treatment; maybe he can live a bit longer.
If we operate now, he could go at any moment."
Director Xu thought for a bit and asked tentatively, then looked toward the main seat.
As the words fell, Qin Feng noticed that everyone’s eyes had shifted onto him.
After all, the patient had come in through the emergency department, and as the lead of the consultation, he still had to say something.
Qin Feng understood their predicament; in fact, if it were up to him, he might make the same decision as Director Xu.
For a patient with less than a 5% chance of survival, if you operate he might die now; if you don’t, he’ll just die in a few months—most doctors would choose to give up.
If they don’t operate, no one bears responsibility.
Once you go up on the table, then the hospital and the doctors are completely tied to the outcome.
With a surgery this difficult, this complex, this high-risk, who has that kind of confidence?
Who even dares to get on the stage?
Though Peking Union Medical College Hospital has excellent skills, they care even more about their reputation.
The incident at Jiangcheng City First Hospital was still fresh in everyone’s mind; if this surgery failed, the family wouldn’t just let it go.
If it succeeds, everyone’s happy, and the honors and commendations get shared around.
If it fails, someone has to step out and take responsibility, take the blame.
They were all veteran doctors who had fought their way up for decades; none of them wanted to stain their record with a black mark that was almost certain to end in death.
"How about this—our emergency department will report this to the hospital, but I still hope that everyone, especially Director Xu, can come up with a surgical plan."
Qin Feng thought for a while and then said,
"We’ll submit the surgical plan and the specific situation together for filing; the final decision will be made by the hospital administration.
What do you all think of that?"
When he finished, everyone let out a sigh of relief.
"Alright."
"I think we should do it this way."
"I agree."
"No problem for me either."
Hearing the four directors, Qin Feng nodded.
"Okay then, we’ll leave it at that for now. Director Xu, sorry to trouble you, let’s draft a surgical plan and I’ll try to submit it tomorrow."
"Alright."
Director Xu nodded in agreement.
"Director Sun, I’ll have to trouble you with the patient; you must keep him alive and try to stabilize his physiological parameters as much as possible."
Qin Feng turned to Director Sun from intensive care.
"Don’t worry about that. You know better than anyone what we ICU folks can do—King Yama himself can’t call someone away from us."
Director Sun’s lips curled up.
"Heh~"
At that, everyone couldn’t help but chuckle.
It sounded like a joke, but it was true!
The strongest ICU department in the country might not have other abilities, but keeping the dead alive a bit longer was absolutely not a problem.
As long as the hospital administration agreed and the medical office had it on record, then even if something happened during surgery, the hospital would take responsibility, and there would be no pressure on everyone else.
After they left,
The on-call doctors in the office were all busy admitting patients and doing rounds.
Qin Feng sat alone at the desk, carefully going through all the patient’s tests and CT images.
Judging from the current condition, the hope really was very slim. Even after he dredged up every hydatid liver case in his mind, among patients with end-stage hepatic echinococcosis worldwide, the overall survival rate was only about 5%.
Given the patient’s current situation, if they absolutely had to operate, the best option would be a liver transplant; that approach still offered a shot.
Use a new liver to directly replace the hydatid-invaded liver, then clean up the other organs one by one.
But right now the patient was in shock, and several major blood vessels had been invaded and blocked. They’d need vascular surgery to reconstruct them first before there would be any chance to proceed with the operation.
This was something Director Xu had also brought up in the consultation just now.
He figured that Director Xu’s surgical plan would probably be the same.
This was also their greatest hope at the moment!
The only thing they could do now was drag it out—drag things out until a liver source became available.
But there was another risk in all this: the cysts in the patient’s body.