The Surgeon’s Studio - Chapter 1468
“You’ll be fine as long as you read more scans and have more clinical experience. ” Zheng Ren had no choice but to leave behind an illogical explanation.
Zhou chunyong’s face was covered in tears.
He had been in the clinical field for decades, and he had plenty of experience.
He sighed. Seeing that Zheng Ren had gone to change his clothes, he followed him.
“Boss Zheng, how many treatments do we need to do before we start the surgery?” Zhou chunyong no longer mentioned the branch of the diaphragm artery. Instead, he chuckled and asked about surgery.
“How many courses of treatment?” Zheng Ren was a little surprised.
“Yeah, don’t you divide the surgery into several treatments?” Zhou chunyong felt that he must have had some misunderstanding with boss Zheng.
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Generally speaking, interventional embolism treatment in liver cancer did not end with one surgery.
At the very least, he had to take three courses of treatment once every 28 days to determine if the tumor was completely blocked off.
This was because, in the case where the tumor was supporting the main artery, some of the abnormally proliferated and very thin arteries could not be guaranteed to be full.
After the main trunk was embolized, the lateral branch blood vessels began to take on the “heavy responsibility” of feeding the tumor tissue.
For example, if the main trunk of a River was blocked, the river would definitely overflow. Dried up or unremarkable tributaries had become new River channels.
Zhou chunyong’s idea of performing three interventional embolism surgeries was an ideal situation.
……
Generally speaking, interventional embolism surgery was the most common surgery when it was performed around five times in a row.
That was why Zhou chunyong had asked this question.
Zheng Ren thought for a moment and put himself in Zhou chunyong’s position. He immediately understood what Zhou chunyong meant.
“Director Zhou, it’s not like that.” Zheng Ren smiled and said,”about a week after the surgery, you can start the surgery.”
“So fast?” Zhou chunyong realized that he had been wrong from the very beginning.
“Uh … How should I put it?” Zheng Ren hesitated for a moment before he said,”have you performed rheumonfrequency resection before?”
Zhou chunyong was stunned by this question.
“The liver?”
“Yes.”
“Yes, around 2000 cases a year.” Zhou chunyong immediately revealed the data he was proud of.
“It’s the same as using rheumerfrequency dissolution. As long as the base is embolized, the surgery can be carried out. ” Zheng Ren said,”I think that if it’s less than 5 cm, we can solve it by using rheumerfrequency resection.” For those above 5 cm, we can’t solve it all in one go with Rheumatology. The surgical outcome will be better. ”
Zhou chunyong immediately understood what boss Zheng meant.
The surgery was a complete relief, and the supporting blood vessels with large tumors had already been blocked. After the edema was over, surgery could be performed.
But …
Seeing Zhou chunyong’s hesitant expression, Zheng Ren asked,””Director Zhou, do you have any other questions? Don’t regard me as an outsider, just ask directly. ”
“If we can perform radio frequency resection right away, why don’t you perform the surgery right away?” Zhou chunyong asked.
There were two methods for vascular interventional embolism combined with radio frequency resection.
Both methods involved first using embolism and marking, then using iodophor to show the lesioned part of the patient under CT, and then using CT to position the location to perform radio frequency meltdown.
However, sometimes, it would melt immediately after embolism, and sometimes, it would melt a week after embolism.
The difference … Zhou chunyong didn’t notice any particularly big difference.
“Oh, I see.” Zheng Ren smiled.”First of all, I’ve said that the tumor is too large, and we can’t solve it in one go with MRI scans. Next … Will TIPS and liver dissection help you improve a lot?”
“It’s big!” Zhou chunyong immediately blurted out.
Zhou chunyong couldn’t help but feel excited when he thought about the exquisite dissection of an animal’s liver that was like a piece of handicraft.
“That’s it. ” “Organ interventional surgeries are basically done by doctors from the darrologist Department now,” Zheng Ren said with a smile.
“…” Zhou chunyong hesitated for a moment. He did not understand the meaning behind Zheng Ren’s words.
Seeing Zhou chunyong’s dumbfounded expression, Zheng Ren knew that he had strayed too far.
He changed his clothes and walked out with Zhou chunyong. As they walked, he explained,””Director Zhou, the development of organ intervention isn’t going very smoothly.”
Zhou chunyong nodded.
He had to admit that.
Circulatory intervention had already overtaken the cardiothoracic Department. The cardiothoracic departments in major hospitals now existed in name only.
Without the help of coronary artery bypass surgery, they were almost semi – unemployed.
As for neural intervention, with the participation of neurologists, it had also “abolished” the significance of an aneurysm surgery in the neurosurgery department.
Interventional embolism, minimally invasive surgery, and minimal postoperative side effects. Who would still want to do a skull opening surgery?
It should be known that more than ten to twenty years ago, whether a neurosurgeon could perform an intracranial aneurysm surgery was the most important way to judge whether he was mature or not.
And now, these large – scale tactics had been blown away by the wind and rain.
In another twenty years, they would probably only be able to find traces of the existence of these tactics from a pile of old papers, as well as how important and glorious they were back then.
However, there had been no progress in the treatment of visceral intervention, especially for liver cancer.
Zhou chunyong was well aware of this.
With the hard work of him and other doctors from the Department of interventional services, he had only made some progress in more than ten years.
The progress was slow and weak, but Zhou chunyong did not have any good ideas.
Zhou chunyong thought quickly and immediately realized what Zheng Ren might have meant. He had the same thoughts as Wang Yao. Although boss Zheng was a doctor from the General Surgery Department, he was more inclined to intervene.
Zhou chunyong laughed at the thought.
“Liver cancer interventional surgery is different from other departments. It’s not carried out by the doctors from the digestive Department, but by the doctors from the radiology department. This is a result of historical reasons. ” Zheng Ren said.
Zhou chunyong nodded his head.
“Doctors in the Department of radiation don’t have any status in the world.” Zheng Ren said with a smile.
In the medical field, doctors from the radioactive Department were at the bottom of the chain of contempt. They were on the same level as doctors from the pathology Department, Traditional Chinese Medicine Department, Acupuncture Department, and physical therapy department.
Why did general surgery for liver cancer still exist?
The General Surgery Department was the largest Department, and since the founding of the country, it had produced many capable people! He was the highest existence in the medical world.
The General Surgery Department had the final say in academic disputes over whether liver cancer should be treated by interventional embolism or be removed by surgery.
Secondly, because liver cancer was a malignant disease, it was generally known that it would be cured after removal. However, in an interventional embolism surgery, the tumor tissue would still be there, and he would not be at ease.
The combination of these two factors led to this strange situation.
“Since you don’t have any status in the medical world and no right to speak, you can perform related surgeries and use anatomy to tell all doctors the practical effects of interventional embolism on liver cancer.” Zheng Ren said with a smile.
“Don’t you need surgery?”
“Director Zhou, you’re not really thinking of looking for a patient to perform a human anatomy, are you? We can’t do this. ”
Zheng Ren said earnestly.
Zhou chunyong was sweating profusely.
“That’s why surgery is the best way to witness the effect of interventional embolism in liver cancer. ”
“But the people from the surgery department didn’t have any objections?” Zhou chunyong asked seriously.
“Director Zhou, I major in the General Surgery Department.” Zheng Ren smiled and said indifferently.
