The Wife of Wife: The President of the Star

"I know, I know! But the patient's situation is more complicated. I hope he can solve the problems of intestinal obstruction, colon tumor and liver metastases at the same time with only one operation! So I think we can discuss a more secure plan after we discuss it. surgery."

Lu Yan had her reasons, and Pei Zhanzhan also had her worries.

Immediate surgery now can relieve intestinal obstruction as quickly as possible, and delaying it will indeed be life-threatening. However, due to the poor general condition of the patients, this kind of emergency surgery cannot carry out complete preoperative preparations including bowel preparations. Therefore, the possibility of infection and anastomotic leakage during and after surgery will be much higher, and the mortality rate of surgery is much higher than that of elective surgery.

More importantly, this emergency operation is only to relieve the complications caused by the tumor. Compared with radical surgery, it can only be regarded as a palliative operation.

Since it is only a palliative operation, radical surgery for colon cancer and resection of metastases will definitely be required in the future.However, judging from the results of the previous two examinations, the cancer cells in Gu Mingxi's body grew rapidly and metastasized rapidly.Now his liver metastases can still be surgically resected, but by the time he finishes the emergency surgery and his physical condition is ready for a second surgery, it is very likely that his liver metastases have developed to the point where no further surgery can be performed.

Therefore, Pei Zhanzhan had to carefully consider the timing of his operation and the choice of the operation plan.

Lu Yan was still yelling at her dissatisfied: "I understand what you said! But the most urgent thing for him now is to relieve the obstruction! I don't want my patients to delay their treatment or even lose their lives because of our hesitation! If you really want to delay the rescue in time, you will have no time to regret it!"

"Of course I don't want it anymore! I also know that he has strangulated obstruction. Generally speaking, surgery must be performed immediately, and there is no delay! But there are also about 20% of patients with strangulated obstruction who have relieved their symptoms through conservative treatment. !"

Lu Yan sneered: "You put your hope on this 20%?"

"As long as the symptoms can be relieved, we can buy time for elective surgery. And even if strangulated obstruction is diagnosed, it can be treated non-surgically and observed for 4-6 hours! During this period, we can also prepare for emergency surgery at the same time. , if the symptoms do not relieve or even worsen within 4-6 hours, we will have time for surgery immediately!"

Lu Yan didn't want to take risks, she emphasized: "Anyway, I am Gu Mingxi's attending doctor!"

"Because you are the attending doctor, you must consider the most comprehensive and appropriate consideration for the patient!"

The chief resident doctor saw that the two were in a tense situation, stomped his feet and said, "Stop arguing! Call Director Bai! Let him decide!"

The two looked at each other for a moment, reached an agreement, and called Director Bai.

Director Bai listened to the introduction of the condition, pondered for a moment and said: "Just follow Zhan Zhan's plan, first treat conservatively, and at the same time make preparations for surgery, and closely observe the patient's indicators, and operate immediately if the momentum is not good. I also Go to see his medical records as soon as possible, and if possible, formulate a surgical plan as soon as possible, and strive to solve all problems in one operation! By the way, you must explain these situations clearly to the patient's family members, and the family members must sign if they should sign, so as not to Unnecessary trouble arises."

Lu Yan glared at Pei Zhanzhan angrily: "Let's go! Go and ask his family's contact information!"