Check-in at the Hospital: The First Surgery Shocked the Nation!

Chapter 484 - 354: Admission and Preparation of Surgical Plan

"The three directors are all present."

Qin Feng opened the door and spoke first.

"Director Qin is here."

"Director Qin."

"Director Qin."

The three directors stood up, nodded, and smiled in greeting upon hearing Qin Feng’s entrance.

"Please, Directors, don’t be so formal. Thank you for coming over for a consultation so late at night."

Qin Feng said politely,

"Please have a seat. I just received the news and have a general understanding of the situation. Do any of you have any thoughts?"

Seeing the three refer to him as Director, he felt a bit embarrassed, but he accepted it nonetheless.

With Qin Feng’s arrival, the consultation officially began.

"Based on the examination results from Inner Mongolia First People’s Hospital, the patient is currently in grave danger. If surgery is not performed, the patient has an estimated survival of only three months to half a year at most."

The conclusion came from Director Xu of the Hepatobiliary Surgery department after discussion,

"My suggestion is to first admit the patient to critical care to stabilize the physiological indicators. If they can meet surgical standards, proceed with the surgery as soon as possible."

"Our critical care unit certainly has no issues, but is there an effective surgical plan in place?"

Director Sun questioned with a frown upon hearing this.

There was skepticism in his words, as the patient’s condition was indeed severe.

And critical care, as everyone knows, is a costly place, with daily expenses ranging from thousands to tens of thousands. Forcefully preserving life would be astronomically burdensome.

The patient’s family conditions were also known to them; they were ordinary herders.

"We still need to discuss the surgical plan; given the current situation, I can’t provide any guarantees."

Director Xu shook his head.

Currently, the portal vein being compromised is the most challenging part of all difficulties.

What can be confirmed is that the patient will need to undergo a combined thoracoabdominal resection to complete the surgery. Since it involves the portal vein, there’s a high likelihood that a vascular surgery team will need to be involved in a multidisciplinary operation.

The risk of TIPS surgery is well-known to any hepatobiliary surgeon.

Even a slight mishap during the portal vein shunt surgery could be fatal!

Whether it’s hepatic echinococcosis or other malignant hepatobiliary tumors, once the portal vein is invaded, the risk and difficulty increase exponentially.

"Director Qin, what’s your view?"

At this moment, Director Xu suddenly shifted the topic.

"Huh?"

Qin Feng, who was still meticulously studying the report, was taken aback but promptly shared his thoughts,

"Here’s the thing, I think this patient still has a chance for surgery, but from what I’ve seen of these examination reports, it’s not comprehensive yet.

So, I agree with Director Xu’s opinion. Director Sun, let’s first admit this patient into critical care.

Regarding the surgical plan, as soon as the patient arrives, we will conduct a comprehensive examination and then decide on the surgical approach."

Upon hearing this, everyone nodded in agreement.

"Moreover, the patient suddenly suffered a brain infarction on the plane just now; we might need a consultation from neurosurgery to prevent the risk of a massive infarction.

Director Xu, can you take charge of this case?"

Qin Feng asked.

"No problem."

Director Xu nodded in agreement, considering such cases are rare to encounter.

As one of the country’s highly experienced hepatobiliary experts, he was very intrigued!

"Alright, once the patient arrives, we will conduct a check and hold a department-wide consultation first thing in the morning."

With that said, they all quickly dispersed to prepare.

Three hours later,

an ambulance rushed into the emergency department entrance of Peking Union Medical College Hospital, with Qin Feng and Zhang Qingquan waiting.

"Get the patient!"

Upon seeing the arrival of the vehicle, the head nurse, along with two nurses, swiftly moved forward to receive the patient.

"Prepare to transfer, 1, 2, 3!"

"Doctor, doctor, you must save my husband!"

At this moment, apart from the two emergency doctors who jumped out of the ambulance, a middle-aged woman also emerged, pleading tearfully as soon as she saw Qin Feng and the group approaching.

"Don’t worry, we’ll do our best."

Qin Feng held the woman’s arm and comforted her with a few words, then quickly signaled with his eyes.

"Madam, please don’t worry..."

The resident doctor understood the intention and took the woman aside.

Meanwhile, Qin Feng and Zhang Qingquan followed the hospital bed into the emergency room to start a detailed examination and assess the situation.

"Get a CT scan, prepare for an MRI, and do an angiography."

"Alright."

"Director Qin, here’s the ECG."

In just two minutes, the ECG was ready as soon as the monitoring devices were attached, and the head nurse presented it to him.

Qin Feng glanced at it and then looked at the physiological indicators on the monitor.

Heart rate: 130 beats per minute, Blood Pressure: 110/90, Blood Oxygen: 87.

The overall indicators seemed stable, but a determination couldn’t be made regarding the condition yet, requiring urgent testing.

Looks like he wouldn’t be able to sleep tonight~

"Call me as soon as the test results are out."

Qin Feng handed the ECG to Zhang Qingquan, speaking in a serious tone.

"Understood, Director Qin."

...

Tat-tat-tat~

About half an hour later, footsteps sounded outside the office.

"Director, the results are out."

Gasping for air, Zhang Qingquan took the CT scans out of the bag and placed them on the lightbox.

In the next second, both were stunned!

Two clear CT images appeared simultaneously, from both the side and front, looking quite alarming.

"Director Qin, this is....."

Zhang Qingquan, who came from cardiovascular surgery, had heard of such conditions but had never seen anything so severe.

As for Qin Feng, his heart sank to the bottom; this seemed immensely challenging!

The extent of hepatic echinococcosis invasion was beyond expectations, with shadows encroaching up to four organs in both the abdominal and thoracic cavities, including several vital vessels, such as the portal vein.

Even the extent of malignant tumor invasion would be no less severe!

Especially the liver, which, due to severe erosion, had visibly expanded to over half the normal size, and there was a descending erosion into the renal veins.

The upward erosion directly entered the thoracic cavity, penetrating the diaphragm muscles, and even extending around the heart.

As for deeper areas, it would be even more troublesome!

"Brother Quan, immediately notify the directors to come for a consultation and arrange for the patient to be admitted to critical care for enhanced monitoring."

Qin Feng frowned and spoke in a deep voice.

"I’ll get right on it!"

In the meeting room,

Qin Feng sat at the head of the table, with Director Xu from Hepatobiliary Surgery and others below him.

Everyone wore serious and solemn expressions, staring at the CT images on the lightbox in silence.

"Director Xu, as our top expert in hepatobiliary surgery, please start the discussion."

Seeing the situation, Qin Feng couldn’t help but start the conversation with a wry smile.

"To be honest, Director Qin, in all my years in hepatobiliary surgery, it’s my first time encountering such a severe echinococcosis case!"

Director Xu sighed helplessly and shook his head,

"Putting aside other factors, the patient’s echinococcosis invasion is extensive, reaching even the largest abdominal veins and causing complete occlusion of venous branches like the one near the right kidney, up to 20 cm from the right atrium.

Moreover, it invaded the liver’s arteries, portal vein, hepatic veins, and bile duct, all severely damaged.

There’s simply no feasible approach~"

With that, the meeting room once again fell into dead silence.