Zhou Yi operated the electric knife and opened Jing Xinghai's pericardium.

A beating heart immediately appeared in the surgical field.

It's a young heart.

If it weren't for the apex area, the left ventricular surface, there was a bulging mass, this heart would definitely carry Jing Xinghai's dream and beat all the time.

But now, this lump made Jing Xinghai's heart beat a little hard.

It is like a traveler carrying a load, and it may fall at any time.

Monday is now the time to lighten this burden on it.

But it's not easy to do that.

Because of the help of the system, he knows the location of the tumor well.

Wang Xiaoming and Zhao Feihu do not have such favorable conditions.

At this moment, they found out that the tumor was bigger than what they saw on the film.

And from the point of view of location, this tumor has properly invaded a large area of the endocardium.

Wang Xiaoming frowned, thinking, this operation is very difficult! No wonder Director Tian and Director Cao dare not take over.

At this time, Zhao Feihu changed his angle. He thought, if he was the main knife at the moment, what would he do in the face of this situation?

Zhao Feihu thought that he should be more conservative and only partially remove this tumor. Only the part of the tumor that is exposed to the outside of the heart is removed.

This is the safest and easiest way to operate.

But it's not him who is in charge today.

He could not decide on the plan of the operation.

He wants to see how Zhou Yi chooses.

Monday was also pondering the question.

Whether it is a complete excision, or a simple partial excision.

Partial excision is very simple and can be done right now with little to no risk.

But for this kind of tumour that grows.

Only the outer part is removed, and if it is cut, it is equal to a white cut.

You don't have to think about the results in the future, it may be half a year, or it may be 1 year, or 2 years, and eventually, the tumor will grow bigger and bigger.

At that time, we will have to face the problem of reoperation.

Thoracotomy is not minimally invasive, and the harm to patients is conceivable.

Even a young man like Jing Xinghai can't withstand repeated thoracotomy surgeries.

Zhou Sheng didn't want to see that Jing Xinghai in the future could not stand on the operating table to operate on others, but lay on the operating table again and again.

Monday decided on Monday.

He's going to remove the tumor completely.

Monday quickly gave a doctor's order, "Everyone, prepare to establish cardiopulmonary bypass." ”

When Zhao Feihu heard this, he immediately understood Zhou Yi's choice.

In the case of partial resection, there is no need to establish cardiopulmonary bypass and stop the heart.

If you stop beating your heart, you must be going to move for real.

It's kind of interesting.

It's really a newborn calf that is not afraid of tigers!

My name is Zhao Feihu, I don't dare to be so tiger, I didn't expect you kid to be guts. If you're someone outside of your heart, I really appreciate you.

Wang Xiaoming hesitated.

He has always supported Zhou Yi, but at this moment, he feels that Zhou Yi's decision is a little hasty.

Originally, Ichisuke would not have expressed his opinion during the operation.

The first is to maintain the absolute authority of the surgeon in the operating room.

Second, if you say it, it's okay for the master knife to accept it, but if you don't accept it, it's quite embarrassing.

But at this moment, Wang Xiaoming still couldn't help but say, "Doctor Zhou, do you want to think about it again." ”

Monday asked, "What's wrong?"

Wang Xiaoming said: "Do you want to completely remove the tumor?" ”

Monday said, "Hmm. ”

Wang Xiaoming said: "But in this way, it is estimated that the left ventricle will be injured, and the risk is very high." ”

Zhou Zhou said: "I know this, I have already observed, from the CT images, combined with the current situation, if you want to completely remove this tumor, I estimate that it will not only hurt the left ventricle, but also may hurt the aorta." ”

Both Zhao Feihu and Wang Xiaoming could only see that the area affected by the tumor was in the left ventricle.

However, it is difficult to tell if the aorta will be injured just by looking at it from the outside.

This can only be known by cutting open the tumor.

Zhao Feihu thought to himself, how did this guy know?

Wang Xiaoming didn't care about these details.

He is more concerned about Jing Xinghai's safety, after all, he is also Jing Xinghai's attending doctor.

So he added: "According to what you said, if it is completely removed, the risk is even greater." The patient is so young, I don't think it is better to remove only the outer part of the tumor this time, and invade the inside of the ventricles, and wait until the situation is seen later. Perhaps, after cutting off the outside, it won't grow. ”

Monday was funny in his heart.

This is self-deception, covering one's ears and stealing the bell.

Zhou Zhou said: "Doctor Wang, this tumor has been growing rapidly for a period of time, according to your experience, what is the probability that it will stop growing if we remove the outer part." ”

Wang Xiaoming hesitated and said, "10%, if it grows, we can do surgery again." ”

Wang Xiaoming said this in a good direction.

According to Monday's experience, 99% of this crazy growth of tumors will continue to grow if they are not removed.

At that time, the heart that has already been stabbed may not be as good as the current tolerance.

So this kind of idea of getting by may kill Jing Xinghai.

Mild illnesses can be treated slowly, but serious illnesses must not be delayed.

There are different opinions in the operating room.

Zhou Yi can only exercise his power as the main knife.

So Zhou Sheng decisively gave another doctor's order, "Immediately prepare to establish cardiopulmonary bypass." ”

The itinerant nurses, instrument nurses, etc., in this operating room, are all people who are outside the heart.

The first help, the second help is also a person outside the heart.

But Wang Xiaoming's words are not easy.

Monday's doctor's advice, no one dared to stop him.