The Surgeon’s Studio - Chapter 1461
The image on the computer showed that the MRI showed that the long t1 and short t2 signals in the liver were diffused and limited. During the arterial stage, the tumor was evenly strengthened and quickly emptied. During the delayed stage, it would appear to be a sac – like strengthening.
According to the characteristics of the strengthening, it could be initially diagnosed as liver cell cancer.
The surgery was actually not difficult.
Both hepatectomy in the right lobe of the liver and interventional embolism therapy were indications.
However, the patient’s condition made it difficult for him to drink a lot of alcohol.
“The amount of ascites is too large, and it’s not suitable for surgery.” “It has been used for a long time to reduce abdominal cavity, right?” Zheng Ren asked.
“Yes.” “Boss Zheng, do you want to take a look at the patient?” professor yang asked.
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Zheng Ren nodded, stood up, and followed professor yang out.
He seemed to have completely forgotten his original purpose of coming here, and he was eager to work together with the Department of Hepatobiliary and Pancreatic Surgery on the project.
When she arrived at the ward, the first thing she saw was a bulging stomach.
The weather was getting hotter, and it was the season for people to put on random clothes.
The patient was wearing a black tank top, and his stomach was exposed.
Although the amount of water in his stomach had decreased by a lot, it was still very large. It caused her stomach to bulge, and even her belly button was slightly protruding. It was a very strange sight.
……
“Old Yang, you’re here.” The patient was in a semi – reclining position, leaning against the quilt and lying on the bed.
He wanted to sit up when he saw professor yang enter. However, because his stomach was too big, his abdominal muscles contracted, and the pressure increased, his body naturally reacted to it. He didn’t get up immediately and lay down again.
Professor yang sighed helplessly,””Lie down properly, boss Zheng. Help me take a look.”
The patient was surprised to see professor yang come in with two young doctors, but out of courtesy, he didn’t say anything.
Zheng Ren glanced at the system panel. It was the same as his diagnosis.
However, the swelling of the patient’s stomach was much more serious than when he did the MRI scan.
He recalled that the scan was done two days ago.
It had only been two days, and it had already developed to this extent? Zheng Ren’s first thought was that the patient was beyond saving.
Even though he thought so, Zheng Ren still did a physical examination on the patient first.
Zheng Ren estimated that there was about 2000 ml of seroperitum in her stomach.
With this amount of abdominal water, he could not even perform minimally invasive surgery like interventional surgery, let alone hepatectomy.
Zheng Ren looked at the patient’s protruding belly button and felt particularly helpless.
It was the same for professor yang, but he was classmates with the patient, so he was completely different from other patients.
He pulled a long face, and his unhappiness was written all over it.
Zheng Ren nodded and met professor Yang’s eyes for a moment before he turned around and left.
“Brother yang, the patient’s condition is not good. We can’t even perform portal thrombosis.” Zheng Ren told professor yang bluntly after they left the room.
Professor yang naturally knew that. He let out a long sigh and said,”I told him to quit drinking and talk again. If it doesn’t work, then I can’t do anything. ”
Liver cell growth factor was mainly used on the portal vein. Portal ligation could cause hepatic cell hyperplasia, which had been discovered since 1920.
In the past, portal ligation was a major surgery.
After interventional surgeries, all he needed to do was to block the hepatic portal vein branch.
The blockage of the portal vein branch would cause hepatic hyperplasia on the opposite side, so that the remnant liver could replace the liver function after hepatectomy.
After the portal vein was embolized, the liver cells could undergo differentiation and clonification.
If the remaining liver was a normal liver, at most 75% of the liver could be removed while the patient’s survival was still maintained. However, the patient’s alcoholic liver … Can not be removed so much of the liver. However, there was no need to remove 75% of the patient’s liver. The tumor would be removed.
However, there were also strict requirements for him to perform portal vein embolism. The patient had a large amount of ascites, which was one of the forbidden diseases.
Theoretically speaking, if a patient suffered from lateral portal vein embolism before partial hepatectomy, not only would it make the rejuvenated liver grow bigger, but it could also prevent the sudden rise of portal blood pressure caused by partial hepatectomy from damaging the rejuvenated liver.
There were many benefits, and this was also one of the projects that the Department of Hepatobiliary and Pancreatic Surgery and the Department of interventional services could work together on.
“Brother yang.” “I saw you sneaking around this morning,” Su Yun said with a smile.”Is that all?”
Professor yang stopped in his tracks and smiled.”How can that be? did chief Kong say anything?”
Su Yun despised this sleazy fellow.
If he had something to say, he would first ask Department Director Kong if he had said anything. That way, he would have more thoughts.
Zheng Ren didn’t think much of it. He smiled and said,””He did.”
“Boss Zheng, I’m not being polite with you. What do you think of this?” Professor yang asked immediately.
“Let’s find a place, smoke a cigarette, and tell me the details. ” Zheng Ren said.
They arrived at the duty room.
It was the morning, and everyone had gone to perform surgery. The on – call room was empty.
After closing the door, Su Yun lit up a cigarette. Zheng Ren directly asked,””Brother yang, we’re on the same side, so there’s no need to hide. Do you need anything in here?”
In the beginning, professor yang and Department Director Luo from the digestive Internal Medicine Department were the first to support him.
Returning the favor, he should also ask this question.
Professor yang was a little embarrassed, but seeing Zheng Ren’s seriousness and solemnity, he thought for a moment and said,””It’s just that Associate Chief physician Tian from the Department is retiring, so I’m thinking about fighting for this position. ”
Zheng Ren was stunned for a moment. He had not expected this to be the reason.
However, scientific research had nothing to do with the Deputy Director. It didn’t mean that the Deputy Director couldn’t go out just because the research was done well.
“His other qualities are not bad. His skill level … Is definitely not comparable to yours, boss Zheng. But when compared to the others in the Department, we’re not afraid of anyone.” “We’re lacking a publicity stunt right now,”professor yang said frankly.
Zheng Ren and Su Yun did not say anything. They quietly waited for professor yang to finish his sentence.
“It’s just that you’ve been communicating with the hospital more smoothly recently … To be honest, I just want to bask in your glory, boss Zheng. ” Professor yang spoke very frankly, his eyes staring straight into Zheng Ren ‘s.
Her words were very honest. Zheng Ren smiled and said,””Brother yang, in the beginning, you were very supportive of me. If you had any difficulties, I would definitely help.”
Professor yang knew that there would be buts, so he listened attentively.
“The surgery should be broadcasted live. Can you accept this?” Zheng Ren asked.
“Sure.” Professor yang was overjoyed.”A live broadcast is the best!”
“To build momentum. Professor yang probably has other support, but that has nothing to do with me.” Zheng Ren nodded.
“What do you think, chief physician li?”
“Chief physician li supports me.” “As long as you agree to the project, boss Zheng, I’ll start taking in patients immediately,” professor yang said. The interventional surgery will be carried out on my hospital bed, and the tumor will be removed some time after the surgery. ”
“Alright,” he said.
The two of them didn’t hide anything and each took what they needed.
Boss Zheng, this won’t affect your Nobel Prize project, right?” Professor yang asked nervously.
This was what he was most worried about. After all, a director of 912 was far less important than the Nobel Prize in Medicine.
