Chapter 300
Chapter 298: Chapter 150: Surgery was a Great Success, the Most Difficult Cranial Base Brain Tumor Surgery_3
Results will be available in twenty minutes.
Ordinary pathology tests require queuing and often the results won’t be available until the next day.
About twenty-four or twenty-five minutes later, the pathology test results came out.
Malignant!
Everyone was stunned by the result.
This was the outcome the doctors least wanted to face.
Such a young girl, suffering from a malignant tumor.
“But there is also good news; the pathology test found that the tumor’s edges are clear and it likely hasn’t spread to the surrounding tissues. As long as it is completely removed, the patient should be able to recover her health.”
Looking at the pathology test results, Director Wen was troubled.
The remaining last layer of the tumor wall was too difficult to remove.
“Let’s all brainstorm to see if there is a better way to solve this?”
Director Wen asked everyone.
Anything can happen during surgery, it’s full of changes.
Before surgery, there is no way to do a pathology test, and no one knows whether it’s benign or malignant.
Now that the results are out, this is a very cruel outcome for the patient.
If the surgery is not clean, the cancer cells will definitely spread quickly in her body.
By then, death is almost certain.
Director Wen’s hesitation was due to the life-and-death fate of this young girl.
To save her, certainly, we want to save her.
But how?
Several doctors offered their suggestions, but Director Wen rejected them one by one.
None of these plans were practical.
“Could we prepare for both possibilities, take a section of a vein and be ready for vascular anastomosis at any time? Then try to surgically separate this remaining piece of the tumor wall.”
Zhou Can had learned a lot of similar surgical knowledge from Dr. Xu.
The teacher produces a capable disciple, and the solution he proposed should be one of the more viable options.
He did not propose using synthetic blood vessels. That’s because the patient is only 24 years old. Although artificial blood vessel technology is already quite good, how long they actually last is unclear to anyone.
Even if they last thirty years, it’s a huge hidden danger for this female patient.
Using other parts of the patient’s own vein for the repair, though troublesome, will not have any rejection reactions. The success rate of the surgery is high.
There are no subsequent hidden dangers.
“Taking a vein to repair this section of the vessel faces several difficulties. Firstly, it requires anastomosis of two ends, which will take a considerable length of time. The brain’s ischemic tolerance time is about three minutes. Even with my level of anastomosis, it takes at least twenty minutes just to anastomose the two ends, and this is if the vein is prepared in advance. Secondly, there are rich nerve tissues around this central cerebral artery, and to anastomose it, it must first be separated, at least 3cm or more, which also bears a very high risk.”
Surgery for a skull base meningioma is known as one of the most difficult surgeries among meningiomas.
The removal of sphenoid ridge meningiomas is the most challenging surgery amongst skull base meningioma operations.
Difficulties upon difficulties, it indeed lives up to its reputation.
The entire surgery is fraught with various unforeseeable risks.
“To address the problem of blood supply during the time of surgically anastomosing the artery, there is a method that can solve it, which is bypass grafting.”
Zhou Can came up with another solution.
“Isn’t this just making trouble for yourself?”
Director Wen gave a wry smile, but he rather admired the young man’s audacity.
“I’ve researched; this artery branch supplies blood largely to the scalp. Diverting from it to this artery, even if the central cerebral artery is blocked for an hour or two, won’t be a big problem.”
The solution offered by Zhou Can was to ensure the blood supply of the crucial brain tissues while the central artery was being anastomosed during surgery.
Diverting from that arterial branch, there might be insufficient blood supply.
But as it’s merely to buy time for the anastomosis of the central artery, as long as the brain tissue doesn’t necrose due to ischemia, it’s enough.
Director Wen fell into deep thought.
“Dr. Zhou’s proposed solution, although troublesome and high-risk, does have some feasibility. My feeling is that it requires various preparations in advance, and once everything is ready, the battle to encircle the city can begin.”
Dr. Zou actually exceptionally supported the surgery plan provided by Zhou Can.
To be honest, he greatly admired Zhou Can.
A resident to have such clear and precise surgical thought, probably only he is capable of that in the whole Tu Ya.
If he knew Zhou Can’s mentor was once the internationally famous ‘Quick Knife’ Xu Yidao, he probably wouldn’t think this way.
The teacher produces a capable disciple.
Could the disciples taught by Xu Yidao be anything less than excellent?
Dr. Xu truly spared no effort teaching Zhou Can.
Jin Mingxi enjoyed far less of such treatment.
“This plan is indeed feasible. Communicate with the family, if they are willing to accept it, we will implement this plan. If not, we can only leave it as it is, clean up the surgical wound, and suture directly.”
Director Wen made the decision.