My Medical Skills Give Me Experience Points Chapter 1333 - 526: Challenging a Top-Level Difficult Surgery, A Flash of Insight (Part 2)

Post-operative chest tightness and shortness of breath, a common complication after thoracic cavity surgery, can unfortunately become a lifelong condition for some patients.

Highly skilled and experienced surgeons strive to minimize disruption to surrounding tissues and organs during thoracic and abdominal procedures, focusing solely on the afflicted area.

While this is the ideal scenario, real-life operations present unavoidable challenges.

For instance, how can one perform an appendectomy without manipulating the intestines within the abdominal cavity?

Even locating the appendix itself requires considerable effort.

"The surgical space created should be adequate," Zhou Can declared, a hint of satisfaction gracing his features after a brief assessment.

"I must inform you upfront that repairing this particular blood vessel will inevitably cause some damage to the surrounding tissue on the upper left side. However, I am confident that sacrificing less critical, non-disabling brain tissue for a successful vascular repair is a worthwhile trade-off. The human body possesses remarkable self-healing capabilities, and I anticipate full recovery from this damage within ten days to half a month."

To preempt any alarm from Director Wu, Director Ming Xin, and the others, Zhou Can provided them with a clear explanation beforehand.

Surgical approaches demand adaptability and flexibility.

mending arteries within such a confined space is akin to attempting a U-turn on a narrow, two-meter-wide dead-end street – an almost impossible feat for a standard driver.

Only a truly exceptional driver might manage such a seemingly insurmountable task.

Zhou Can now confronts the immense challenge of executing this near-impossible vascular repair within severely restricted confines.

"Can the risks be effectively managed?" Director Wu inquired, his attention fixed, unwilling to avert his gaze.

"While unpredictable risks are difficult to ascertain, I can guarantee that any damage inflicted upon the brain tissue within this limited area will be neither lethal nor permanently disabling," Zhou Can responded with complete honesty.

No one dared to offer any absolute guarantees.

Even routine surgeries carry inherent risks, let alone an endoscopic intracranial procedure of this nature.

"Dr. Zhou's strategy possesses a remarkably high feasibility!" Director Ming Xin asserted, unexpectedly lending her support to Zhou Can's daring plan.

Her endorsement carried substantial weight.

With her backing, Director Wu Yongming wasted no further time and granted his approval, stating, "You may commence the surgery! Do not let the pressure weigh you down. Proceed with boldness, yet maintain meticulous precision."

"Understood! Thank you!"

Zhou Can acknowledged, expressing his gratitude once more to the two senior physicians.

Without their crucial support, this surgical opportunity would not have been possible.

He began manipulating the endoscope's arm, initiating the debridement process before proceeding to the anastomosis of the ruptured blood vessel. The entire procedure unfolded with deliberate slowness, characterized not just by steadiness but also by an profound composure, a hallmark of elite surgeons.

This level of composure mirrored that of a commanding general, firmly seated in the main tent, orchestrating an army against formidable enemy forces amidst a complex battlefield.

[Suturing Skill Experience Points +100, Ligation Skill Experience Points +100...]

A substantial influx of experience points was awarded.

Furthermore, each reward was consistently in the hundreds.

As the anastomosis neared completion, the crucial step of evacuating any trapped air and accumulated blood became paramount. Director Wu's role was to stabilize the surrounding brain tissue while Zhou Can worked, a task presenting considerable difficulty.

After all, with only two hands, executing the work typically requiring four or even six hands presented an unimaginable challenge.

"No, residual air within the anastomosed blood vessel will certainly cause complications."

Zhou Can understood unequivocally that air within blood vessels, particularly those within the cranium, could readily lead to thrombus formation, a latent but potent danger.

If Director Wu could not provide the necessary stability, would they need to create another opening for an additional endoscope arm?

This would not only inflict significant harm on the patient but also exceed the available instrumentation and equipment.

What was initially a minor procedural hurdle during anastomosis had now become a perplexing obstacle for Zhou Can.

"The inability to completely expel the air presents a substantial risk,"

Wu Yongming observed, a sense of unease surfacing as the surgery approached its successful conclusion.

Proceeding with haste and overlooking critical details was an unacceptable option.

Every surgeon present was a seasoned expert, keenly attentive to the minutiae of surgical procedures.

Each individual pondered deeply, seeking a viable solution.

"There might be a viable approach. I will leave the final stitching untied for the moment. Director Wu, when the time comes, do not worry about the right-sided brain tissue. Just focus your hands on helping me expel the air within the blood vessel, and then I shall perform the tying, thus completing the final blood vessel wall anastomosis."

Zhou Can put forth a potential solution.

While suturing the blood vessel demands increased operating space, he remained confident in his ability to execute the final knot within the confined area.

At the most, it would result in minor damage to the left-sided brain tissue.

This method was barely an alternative.

The left brain tissue had already sustained some injury; a little more would not make a difference.

"An excellent idea."

Wu Yongming nodded in agreement upon hearing the proposal.

Following the surgical plan devised by Zhou Can, they proceeded to the final step.

The concluding knot proved more challenging than anticipated.

Nevertheless, with Zhou Can's Level 6 Ligation Skill, it was ultimately accomplished without a hitch.

[Ligation Skill Experience Points +1, Bonus Experience Points 1000. Anastomosis Experience Points +1, Bonus Experience Points 10000. Pathological Diagnosis Experience Points Reward +10000.]

Witnessing the substantial rewards post-surgery, Zhou Can was momentarily taken aback.

Before long, he arrived at a realization.

It appeared that innovative surgical procedures, or the conception and successful implementation of entirely new surgical strategies under extremely critical circumstances,

could all lead to considerable rewards in pathological diagnosis experience points.

The previous instance, where he devised a method for an aortic dissection patient circumventing the need for aortic replacement, also resulted in an extraordinary pathological diagnosis experience point bonus for Zhou Can.

This led him to a singular understanding: whether in internal medicine or surgery, both disciplines ultimately converged.

Both avenues served to elevate Zhou Can’s pathological diagnosis level.

Put simply, pathological diagnosis represented a physician's diagnostic acuity and the benchmark for their treatment methodology.

Pharmacological differentiation and diverse surgical techniques were akin to two formidable blades for treatment.

They were the instruments for conquering disease.

Undeniably, no matter how potent the weapon, its effectiveness would be nullified if one lacked the skill to wield it.

Could a razor-sharp blade in the grasp of a three-year-old effectively dispatch a chicken or duck?

Without proper instruction, they might even inflict harm upon themselves.

If it were in the hands of a robust individual, it would suffice to fell common beasts.

If placed in the possession of a martial arts master, its potential was phenomenal, capable of directly dispatching fierce tigers or even mythical dragons.

Consequently, enhancing the pathological diagnosis level held greater importance than proficiency in pharmacological differentiation and surgical techniques.

One represented the level of strategic thinking, while the other was merely the weapon.

Following Zhou Can's pathological diagnosis reaching Level 6, advancing further became exceedingly arduous.

A million experience points represented a goal nearly unattainable within a single lifetime.

However, with contributions of ten thousand points at a time, reaching the million-point milestone no longer seemed insurmountable.

Furthermore, he had empirically validated the significance of pathological diagnosis through numerous clinical applications. The distinction between Level 6 and Level 5 was profound; he had now attained a Level 6 status, comparable to a chief physician. In consultations, case reviews, or surgical procedures, his capabilities were on par with seasoned chief physicians.

This demonstrated that improving medical expertise via the Experience Points system was not merely superficial.

Should he achieve Level 7 in pathological diagnosis one day, he might ascend to the ranks of the nation's foremost experts.

Currently, he held the position of an ordinary chief physician.

Merely considered a specialist by some.

Following the completion of the final vascular anastomosis, the blood flow test confirmed all parameters were within normal limits.

"Excellent! The patient’s condition has markedly stabilized. Provided no further complications arise, the surgery can be concluded, and the patient can be transferred to the recovery room for monitoring."

Director Ming Xin announced.

Once the endoscope was withdrawn and the incision was closed, sealing the cranial cavity.

More positive developments emerged.

"The patient's brain wave activity is exhibiting clear signs of positive improvement."

Director Ming Xin declared with evident satisfaction.

For patients in a comatose state, the recovery of brain function was paramount.