Chapter 2378 【2378】Thinking Fast

There are two types of surgery, one is surgery with a clear diagnosis, and the other is surgery to find out the real cause, which is equivalent to a doctor leading a patient to fight to death. The latter is due to the deterioration of the medical environment and the deepening contradictions in the relationship between doctors and patients. Now clinical surgeons dare not think about it and prefer to stay away. It is better not to do it than to do it badly, and it has quickly become the general rule of thumb for most clinicians.

"Using thoracoscopy—what if it can't be found?" Cao Zhao asked.

God, this man really looks like a devil when he asks questions. Pan Shihua was extremely anxious, thinking that this bastard's words were like forcing Xie to jump off a cliff.

The corner of Duan Sanbao's mouth seemed to twitch with his head buried in his head: This is the nature of this man, otherwise how can he be called a playful person who can be a big boss in pediatrics.

If the thoracoscopy fails to find out, it is a dead end.

Xie Wanying's expression hardened, and she said, "It will definitely be found out."

Little Junior Sister has such confidence, don't be stubborn. Luo Jingming shouted in his heart.

It is impossible for a senior doctor to believe her "evil" just because she is full of confidence.

Wrong, what happened next was beyond everyone's expectations.

"I believe you can find out, but I also believe that you will definitely overturn." Cao Zhao said.

There was dead silence in the air, and everyone's mind froze for a moment.

Brother Immortal speaks like an immortal, he doesn't have the poisonous tongue of Mr. Zhang, but he is no less ruthless than Mr. Zhang.

Xie Wanying quickly realized where she was wrong, and asked, "Ms. Cao, can't you do thoracoscopic surgery on your head muscle?"

That's right, my thoughts turned quickly, and I immediately realized the meaning of his words. The small black swirls in Cao Zhao's eyes shone brightly.

The first thing to look at is thoracoscopic surgery. The so-called thoracoscopic-assisted surgery is definitely not as good as the total thoracoscopic surgery, and it is a bit suspected of selling sheep's clothing for publicity. There are very few true thoracoscopic surgery for heart diseases.

In the simplest example, children under the age of three whose weight does not reach the threshold basically don't expect to do full-thoracoscopic cardiac surgery. One thing to distinguish here is that it refers specifically to heart surgery. Cardiac surgery is not like thoracic surgery such as pulmonary mediastinal esophagus, the problem of extracorporeal circulation must be solved first. Underweight, femoral artery and vein diameter is too small, how do you meet the needs of extracorporeal circulation. Secondly, after the thoracoscope enters the patient's body, its visibility and operability for cardiac surgery are limited. This makes it impossible to perform many types of heart surgery. Specifically, the best approach for heart surgery that can be performed with full thoracoscopic surgery is to enter from the left atrium or right atrium.

For example, the current patient, if it is true as you said, "Ru" has a ruptured head muscle.

The solution to the rupture of the "Ru" head muscle, the first thing that everyone can think of is to directly repair the "Ru" head muscle, which can't be done under the full thoracoscopic approach deep into the ventricle wall.

Another method may be done by full thoracoscopy, and the "ru" head muscle is discarded. Anyway, the "ru" head muscle has the greatest influence on the mitral valve activity. Simply replace the mitral valve with a mechanical valve. We have seen before the mechanical valve surgery that it does not require the head muscles of "Ru". It happens that the relatively simple mitral valve replacement can be done by total thoracoscopic surgery. It's just that this patient will need to take medicine for life in the future, and maybe the patient will need a second operation like the last time.

In comparison, repairing the "Ru" head muscle is definitely the first choice, and total thoracoscopic surgery is out for this.