After raising a cat, the goddess doctor became popular in the interstellar

Chapter 440 The Only Possible Way

The video continues to play.

Tao Le's hands were light and fast, and soon exposed the neck of the huge aneurysm and the parent artery.

The picture is fixed here, leaving time for the experts to think.

Director Le of the Third Hospital of Beijing thought about it for a while, and then said:
"It's too big, and simple clipping will definitely not do it. The tumor is in the anterior cerebral artery. Is it feasible to block the proximal end of the tumor and perform in situ intracranial vessel bypass surgery?"

This seems to be an extremely appropriate plan, and the experts present were all deep in thought, but soon, Hao Jun shook his head:
"You forgot the vascular variation of the anterior cerebral artery in the child." He reminded: "Two A1s merge into one A2, and the parent artery is the common A[-]."

As soon as this sentence came out, many people immediately reacted.

Isn't it true, the two blood vessels have merged into one, do you still need to build a bridge, so that you can enter and exit by yourself?

"Indeed, because of this vascular variation, if the simple clipping fails, the opportunity for in situ intracranial vascular bypass surgery will also be lost." Director Le sighed himself: "This way, it won't work."

Director Fang of Haishi No. [-] Hospital also said, "Actually, recently, our hospital tried to use a blood flow diversion device to treat the huge aneurysm at this location, and it also achieved good results."

"Oh? I've heard of this. By intervening a dense mesh stent, that is, a blood flow guiding device, to reshape the local blood flow, the aneurysm at the A[-] segment of the anterior brain can be treated without craniotomy."

Director Liang of the Third Hospital of Ning City said a little enviously: "I didn't expect you to have already started trying."

Staring at the big screen all the time, Tony, who had been silent all this time, also spoke at this moment: "The emergence of the blood flow guiding device has indeed changed the concept of aneurysm treatment."

"We have been carrying out this kind of surgery for a while. After the implantation of dense mesh stents, the overall aneurysm is completely occluded within one year, reaching more than 1%. The success rate is quite high."

"It's just a pity that this operation is not suitable for this child." He shrugged regretfully.

"Why?" Director Liang immediately asked.

"It's very simple." Director Fang explained on his behalf: "The child is too small, and the blood vessels are still developing, so it is not suitable to be placed in the dense mesh - this is only one aspect of the problem."

"More critically, the aneurysm is too large. It has formed an obvious mass effect, compressing the brain tissue of the right frontal lobe."

"You should know that the intervention of the blood flow diversion device only changes the direction of blood flow and causes the occlusion of the tumor itself, so as not to rupture and bleed—but it will always exist."

"That's why I'm curious." He turned to Hou Bo: "What was the operation plan you made before?"

As the director of the department, although Hou Bo did not participate in the pre-operative discussion, he had personally reviewed the notice for such a major operation, so he still had the impression in his mind.

"It's an aneurysm isolation operation." He admitted directly: "It depends on the situation to decide whether to perform side-to-side anterior cerebral artery anastomosis."

"Aneurysm isolation?" Hao Jun said: "Isolate first, and then use suction to shrink the aneurysm and reduce the pressure?"

"Yes," replied Hope.

"With all due respect, this method may not be satisfactory." Tony said: "The huge aneurysms we have encountered in the past are not so large in size, and there will be a large number of blood clots in the aneurysm."

The blood clot cannot be drawn out.

Hou Bo also figured it out: "Aspiration has little significance in reducing the volume of the aneurysm, and it cannot solve the problem of space occupation and compression."

When Gu Jiale heard this, he immediately interjected: "So the next step should be to follow the established plan step by step, right?"

His implication was obvious, that there was nothing more to be concerned about.

Indeed, now that the imperfect ending has been known in advance, all the amazing expectations before have gradually faded away.

The video continued to play, and most people were not as focused on it as before.

"Mr. Tony." Hao Jun turned his head and said, "If you were to design this operation, what method would you choose?"

"I personally prefer to cut it off directly." Tony said, his eyes still fell on the big screen and did not move away: "But the specifics need to go through the team's overall design, modeling, and consideration of various situations before making a plan."

"Resection?" Hao Jun thought about it, and felt that it was feasible: "If it is resected, the space-occupying problem will be perfectly solved. The only thing that needs to be considered is whether the vascular compensation function is good after the parent artery is cut off." question."

This time, Tony didn't respond to his words.

He jumped up straight from his seat and exclaimed loudly: "Well done!"

This exclamation drew everyone's attention to the big screen.

It turned out that at some point, the huge aneurysm had left the child's brain and was lying on the tray.

The exclamation sounded instantly:
"His!"

"Is this - cut directly?"

"I didn't go according to the plan at all! Is it okay to make up your own mind?"

"God! How could it be so fast!"

Many people are dizzy.Not only because Tao Le changed the operation plan, but also because the progress was really too fast.

From the time the video continued to play until now, it took less than 3 minutes in total. How come such a large tumor has already been cut off?
Replay, it must be replayed, and it still has to be played frame by frame as before-this is the voice of the crowd!

When it was played back again, everyone's gaps were made up.

Only then did they realize that the work that Tao Le was supposed to do was just as easy, but the speed was different multiples faster than everyone present.

The neck of the aneurysm was clamped to confirm that it did not cause stenosis of the parent artery and that there was no residual aneurysm.

The aneurysm was punctured with a 1ML empty needle, and there was no obvious non-coagulant blood outflow when withdrawn—this confirmed Tony's judgment just now that most of the huge aneurysm was blood clots, that is, thrombus.

These thrombi flow with the blood and are likely to enter the parent artery, causing occlusion of the artery, which is extremely dangerous.

In the eyes of everyone in the conference room, it was precisely because of this temptation that Tao Le temporarily changed the operation method.

Without any hesitation, she identified the main blood vessels supplying the aneurysm with lightning speed and blocked them one by one.

Next, the entire aneurysm body and the merged malformed blood vessels were cut off from the neck of the aneurysm.

The whole set of movements is stable and accurate, like flowing clouds and flowing water, clean and neat.

So there was the scene that everyone had seen before.

The video didn't stop and continued to play downwards.The unexpected happened again.

(End of this chapter)