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Chapter 13 Tumors connecting the brain, very high-risk surgery

Wang Fan looked quite helpless.

But Xu Qiu on the other side seriously inquired about his condition.

He lifted the blanket covering the patient's legs and found that the patient's lower limbs had begun to atrophy.

Not optimistic...

Xu Qiu looked a little more serious and said: "Basically, it is confirmed that it is a tumor. Let's go for an MRI. In addition, I will give you a lumbar puncture and a biopsy to determine what kind of tumor it is."

The middle-aged woman thanked her repeatedly, patted her knees, stood up, pushed the person and left again.

Wang Fan returned to the computer, opened the two examinations, and said: "Doctor Xu, should I transfer the patient to neurosurgery?"

Xu Qiu shook his head: "No, let's check the type and grade of the tumor first."

"okay."

Wang Fan agreed, transferred the patient to Xu Qiu, and then returned to the outpatient department.

The rest of the people also returned to their respective workstations and started busy again.





In the afternoon.

The middle-aged woman came over with the inspection report.

Xu Qiu turned over it carefully.

Tumors in the spinal cord can be roughly divided into gliomas, ependymoma, astrocytoma, hemangioma and lipoma.

The pathological biopsy of patient Yue Hongliang showed that he had a relatively common type of ependymoma.

This type of tumor is well differentiated, has a pseudocapsule, mostly expands in growth, and has relatively few blood vessels, which is considered a good result.

Moreover, the tumors seemed to have stopped growing.

If we consider it purely from the perspective of resection, the deputy director of neurosurgery can easily win.

but……

The problem is that although Yue Hongliang’s tumor is well differentiated, its location is awkward!

It grows in a relatively rare part of the neck, and by chance it is connected to the brain.

This alone directly raised the risk value of this operation to the highest level!

Ding ding ding——

Just then, the office phone rang.

"Emergency department? The imaging department called at noon and said you have a patient with high spinal ependymoma?"

Xu Qiu responded, "Yes."

The other party said: "Our director has seen the film. We also discussed it at noon. The location of this patient's tumor is too tricky and the risk of surgery is extremely high!"

At present, the tumor has stopped growing...so there will be no greater damage.

Our suggestion is to treat it conservatively so that the patient can live longer."

Xu Qiu was silent for a moment.

The neurosurgery's judgment cannot be said to be wrong.

In fact, this is the safest and most reasonable solution.

For patients,

Surgery is too risky!

If you give up the resection, the tumor will not develop in a short period of time and it is unlikely to be life-threatening.

In short - trade your atrophic lower limbs for a longer life.

After hanging up the phone, Xu Qiu took a deep breath.

Despite his masterful spinal tumor resection,

But taking a knife to the brain is like playing with fire in a fireworks factory.

Even if he has great abilities, the patient's life cannot be used as a tool to show off his skills.

After thinking of this, Xu Qiu handed over the results of the discussion at the neurosurgery department intact to mother and son.

Finally, he said: "I also recommend conservative treatment.

Ependymoma is less malignant and has stopped growing and will not spread to other places.

In other words, even though he is holding his head up to the sky, he is only paralyzed in his lower limbs and will not be life-threatening in the short term."

The middle-aged woman was stunned for a moment, and then said: "Will it affect the birth of children?"

Xu Qiu shook his head: "At present, the tumor has no compressive conductive nerves and will not affect his fertility."

After saying this, the middle-aged woman opposite breathed a sigh of relief.

Just when Xu Qiu thought he had been persuaded,

The patient in the wheelchair suddenly became restless, and said with a ferocious expression: "Doctor, do the surgery on me, I don't want to be a cripple!"

The middle-aged woman's expression changed, and she quickly bent down to comfort her, saying: "Liangliang, listen to your mother, the doctor has said that the risk is very high! This thing won't grow up anyway, and at worst it won't have legs anymore! I'll let you do it later.

Sister, just take care of you!"

Hearing the word "sister", Yue Hongliang's reaction became even more intense.

He shook the wheelchair vigorously, his whole face trembling.

Xu Qiu pressed the wheel and said, "If the movement is too large and the position of the tumor shifts, I can't guarantee what nerves the tumor will compress."

The middle-aged woman's face turned pale. She immediately compromised, spread her hands and said, "Okay, Mom agrees to it!"



meeting room.

In addition to Xu Qiu, the patient, and the patient's family, He Hai, deputy director of the emergency department, also participated in the preoperative conversation.

After all, spinal cord tumor resection is a major surgery, and at least a deputy chief physician is required to be qualified to perform it.

Therefore, if Xu Qiu wants to be the surgeon, he must have He Hai's authorization.

In the main seat, He Hai read Yue Hongliang's medical records, then glanced at the diagnostic recommendations from the Neurosurgery Department and the Imaging Department, with an unprecedented serious expression.

He lowered his voice and said: "Xu Qiu, can you do this...?"

Xu Qiu nodded: "Okay."

He has mastered the removal of spinal cord tumors...

Let alone Linhai No. 1 Shenwai, few people in the country can reach his height!

But the doubts on He Hai's face were still not eliminated.

Don’t blame him, Xu Qiu’s words are too outrageous!ъìqυgΕtv.℃ǒΜ

A resident doctor in his twenties who can perform bone reconstruction is already very impressive.

To be honest, Xu Qiu's orthopedic surgery skills alone are enough to be regarded as a big boss and be offered by major hospitals!

Now he said he could do a spinal cord resection.

Even the director of neurology thinks that the risk is extremely high and surgery is not recommended for tumors near the brain...

If it weren't for Xu Qiu in front of him, He Hai would have scolded him for overestimating his abilities!

However, facing Xu Qiu's calm and confident expression, He Hai hesitated a little.

"This surgery... at least, I can't do it."

After saying this, he gritted his teeth, slapped the table and said: "If you are really sure, I can guarantee you... But, I have to call you the deputy director of Shenwai to calm down the situation!"

It was just a few people, but Xu Qiu didn't care, so he immediately agreed.

Half an hour later, the preoperative conversation ended.

When the patient was pushed back to the ward, Xu Qiu caught a relaxed smile on his face.

Xu Qiu didn't understand this.

Is he waiting for death, or has he already expected that his operation will be successful?





The third day.

Yue Hongliang's spinal cord tumor removal surgery officially began.

neurosurgery.

Resident doctor Shen Shanyou followed Deputy Director Zhao to the emergency department.

On the way, Shen Shanyou said doubtfully: "Director Zhao, are you being called for a consultation from the emergency department?"

Deputy Director Zhao smiled and said: "They have a patient over there who needs surgery. I guess it has something to do with our neurosurgery department, so they asked me to check it out."

Shen Shanyou had no expression.

Deputy Director Zhao glanced at it and said casually: "Not interested? The surgeon is the legendary Dr. Xu!"

Chen Shanyou's eyes were immediately filled with energy.

Deputy Director Zhao put his hands behind his back and said: "Let's go, haven't you always had psychological shadow? I will take you to see it today!
Chapter completed!
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