Signing in at the hospital, the first operation shocked the whole country!
The first operation shocked the whole country!Section 464
High precision, precise positioning, precise design and precise positioning of the [-]D treatment planning system are also called precision radiotherapy in clinical practice.
The most important thing is that it is non-invasive, safe, reliable in curative effect, less in pain for patients, and shorter in hospital stay.
Compared with conventional radiation therapy, normal tissue receives less dose, which improves the local control rate and the patient's quality of life.
However, the current domestic SRT is more suitable for treating hypothalamic hamartomas and has the best effect on tumors smaller than 2cm.
If the tumor exceeds 2 cm, a second targeted radiation is usually performed.
But this is prone to a dangerous problem, the secondary radiation can cause damage to the peripheral nerves.
"But if it's a routine operation, even with an endoscope, it's extremely difficult and dangerous."
Pan Hai then said,
"Director Qin, what do you think?"
Seeing Pan Hai and Sun Wenhong looking at him at the same time, Qin Feng also expressed his thoughts.
"Both directors, in fact, for this kind of hamartoma, SRT is indeed the current international treatment method.
But what Director Sun said just now is not unreasonable, after all, the size of this tumor is difficult to destroy in one go.
If secondary damage is performed, the risk is actually not much different from surgical resection. "
"I personally prefer endoscopic resection."
After finishing speaking, Director Pan Hai slightly nodded in agreement.
In fact, there are only these two surgical options that can be chosen at present, it just depends on which surgical method is more suitable for the patient.
"However, if we choose endoscopic surgery, are we sure?"
Hearing this, everyone fell silent.
indeed!
The biggest advantage of SRT is that the requirements for the surgeon are not strict, because the damaged electrode can be accurate to 0.5mm, and only the damaged tumor body needs to be placed.
And if it is an endoscopic surgery, it will be an extremely severe challenge for the chief surgeon!
This requires the surgeon to have a super high level of surgery, after all, the hypothalamus is the most important organ of the human brain.
Even if there is a slight error, it will cause serious sequelae to the patient.
And it's for life!
"Director Sun, can you complete the endoscopic surgery?"
Pan Hai immediately looked at Sun Wenhong.
"This... is really difficult."
Director Sun sighed, it was definitely a difficult challenge for her.
"The risk of internal medicine is too great, even our surgery department can't guarantee it."
Pan Hai also shook his head helplessly.
The connection between the tumor and the surrounding hypothalamus is too tight, and there is a slight error in the dissociation, which is all medical malpractice.
"Director Qin, you are a recognized surgical talent in our hospital, do you think we can do it?
If it doesn't work, then just give up. "
Sun Wenhong seemed a little disappointed, because even they were not sure about this operation.
too difficult!
As long as the tumor is small, it can be destroyed by SRT, and the hospital has this condition.
Qin Feng looked at the complex expressions of the two and showed a faint smile.
"Both directors, I can do this endoscopy, but in the end it is up to the family to choose whether to do it or not."
"Really?"
Hearing this, Sun Wenhong froze for a moment, and then a look of joy appeared in her eyes.
Qin Feng can actually be the main sword!
Chapter 346 Family Consent, Three Departments Combined Surgery
"Since Director Qin can be the chief surgeon, the danger of secondary damage to the SRT can be avoided."
Director Pan Hai was also really surprised, but he immediately reacted and nodded in agreement.
He is 45 years old this year, and he is also a knife in neurosurgery.
As for Qin Feng's record as one of the most important departments of surgery, the directors of several of their departments are quite familiar with it, so although they were shocked at the moment, they did not fluctuate so much.
Because, judging from the surgeries that Qin Feng has completed in Xiehe Hospital over the past six months, he is not weaker than these surgical directors at all.
It's just because of age, it's a little hard to accept.
Yes!
The blow has arrived!
I think that when I was 28 years old, I hadn't even graduated with a Ph.D.
The first assistant who followed his professor's ass all day and was doing second-level surgery. When he was on stage to perform the surgery for the first time, even the hand holding the knife trembled slightly.
As for Qin Feng,
Graduated from a bachelor's degree at the age of 23, and completed the establishment of an independent department of a tertiary hospital at the age of 25, and successfully performed hundreds of level-four and super-difficult general operations.
Even if you turn Huaxia over, you won't be able to find a second monster like this!
Therefore, when Qin Feng said that he could be the main knife, Pan Hai felt a little sour for some reason.
That kind of frustration comes from a knife in neurosurgery in a top tertiary hospital in the country, the administrative director, a distinguished professor of Peking Union Medical College, and a first-level researcher in national neurosurgery.
Of course, there are also comforts.
Perhaps, only such talents have the opportunity to lead China's modern medicine beyond the West, and see the opportunity to dominate the global medical community.
"Okay, then I'll ask the patient's parents to come over and talk. If there's nothing wrong, I'd like to invite the two of you to perform this operation with me."
Seeing that both of them agreed, Qin Feng nodded and smiled.
"I'm OK."
Director Sun Wenhong agreed immediately, such an opportunity is rare.
"Okay, I'll arrange the time and free up the surgery."
Pan Hai also nodded in agreement.
Because the chances of combined neurosurgery and emergency surgery are actually relatively few compared with other departments, let alone two directors meet together.
Pan Hai had seen the video of Qin Feng's surgery before, and it was really shocking. This time he had the opportunity to be there, and he definitely couldn't let it go.
"Then I would like to thank the two directors first."
Qin Feng got up with a smile and sent the two away.
Suddenly, Pan Hai stopped, turned around and walked back.
Seeing this scene, Qin Feng took the initiative to step forward.
"Director Pan, is there anything else?"
"Director Qin, it's like this. There will be a neurosurgery seminar in Beijing in two months. I happen to be one of the leaders of this seminar."
Pan Hai said with a smile,
"This neurosurgery symposium is national in nature. Several major hospitals in Guangchuan and Sichuan have come back, so I would like to invite you to participate together. I wonder if you are interested?"
"seminar?"
Qin Feng was a little curious.
"Well, there will be some cases this time, including difficult neurosurgery, which will also be discussed. If you are lucky, you should have a chance of surgery."
Pan Hai nodded, then explained.
"Okay, as long as I have time, I will definitely participate."
Qin Feng's eyes lit up when he heard that there was an operation.
How could such an opportunity be missed?
Every operation has a reward, the harder the better for him.
As long as the world has appeared and been resolved, he can handle it!
"Okay, then I will notify you in advance."
Seeing that he agreed, Pan Hai smiled and left.
......
conference room,
Xu Chenchen's parents were invited over, and Qin Feng brought along the emergency doctor Yang Feng to perform the operation together.
Yang Feng is also a very capable attending doctor in the emergency department. His learning and main direction is Shenwai, but it is a pity that he did not get into Xiehe Shenwai, and finally came to the emergency department.
He was also selected by Qin Feng. If the family members agreed to the operation, Yang Feng would be the candidate for the second assistant.
"Director Qin, is my daughter in danger?"
As soon as my father entered the room, he immediately asked.
"Sit down first, both of you. We have already figured out the situation. I came here to ask for your decision, and I will explain to you about some surgeries."
Qin Feng nodded and motioned for the two to sit down.
"It's like this. We have discussed your daughter's condition before. I also discussed the surgery with the directors of several other departments, and finally confirmed the surgery plan."
......
Immediately, Qin Feng explained the specific operation plan and the husband and wife carefully.
Including the operation process, the risks of the operation, etc...
After listening, the couple's faces were a little ugly.
"Director Qin, is there no other way besides this?"
The mother's tears fell indefinitely, which made people feel very distressed.
Qin Feng can also understand, he also wants to give the other party an affirmative answer, but according to the rules, he can't say it.
Because this is not only related to myself, but also to the hospital.
If there is any problem, because of any word of the doctor, it may cause irreparable economic loss and reputation loss.
After all, surgery is risky, even the best surgeon in the world cannot guarantee that every operation will be without accident.
"At the moment, endoscopic resection is the best option."
Qin Feng nodded,
"Although srt surgery can also be performed, and if SRT can be performed, whether it is us or Xiangya, which is the best in the country, there will be no problem.
But now this hamartoma has exceeded the range that can be damaged at one time, so my personal suggestion is endoscopic surgery and direct resection.
And this cost is also the lowest, and in our opinion, it is also the safest. "
"We get it."
The child's father nodded.
Qin Feng has said enough, I hope they can understand what he means.
"Director Qin, let's do it!"
Afterwards, the father wiped away his tears, and said in a firm voice,
"Please save her, she is only 8 years old."
"Whoo~"
Hearing this, Qin Feng breathed a sigh of relief, and a smile rose from the corner of his mouth.
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