Zheng Ren and Su Yun separated from Director Kong and went directly to the Hepatobiliary Surgery Department.
"Boss, friends from abroad are starting to ask me about TIPS surgery." Su Yundao said.
"Huh? What does it mean?"
"They're rumored that this year's Nobel Prize in Medicine has been decided to be our TIPS project." Su Yun chuckled.
"It's unlikely. For this kind of thing, you have to do your best and listen to fate." When Zheng Ren said this, he suddenly smiled and said: "Besides, even if the Nobel Prize is given to our medical team, it is still appropriate. What is an unofficial decision?"
"..." Su Yun looked at Zheng Ren as if he were a fool. He was silent for a few seconds and said, "Boss, I really admire your confidence."
"When will the second batch of students come?" Zheng Ren asked casually.
"Can you please respect the experts, professors, and scholars from all over the world?" Su Yundao said.
"I'm already very respectful. I think respect for a medical staff must first be reflected in the amount of operations they perform." Zheng Rendao: "I only have one request, that I can perform 100 TIPS surgeries within 2 months after returning. Priority. Those who cannot do surgery and simply want to do research should be ranked later."
"You're going to drive people to death."
"Otherwise, what will they do if they learn TIPS surgery?"
"Okay, I'll write it down then. It's estimated that people will be here in about a week. The arrangement is still on Zhou Chunyong's side."
"Um."
"Zhu Liangchen, what are you going to do?" Su Yun asked.
Now that I heard Zheng Ren calling Director Kong director, Zhu Liangchen has become a hidden danger.
"There is nothing to do. If he wants to learn TIPS surgery, let him do it. If he wants to find another way, whether it is gastric artery embolization or liver cancer intervention combined with surgery, he can give it a try." Zheng Rendao.
Su Yun also felt a little emotional.
It has only been a few months, but there are already so many projects available.
In the past, there were no technical breakthroughs in interventional disciplines, and any new discoveries were kept to ourselves.
And now in the medical team... The cooperation between liver cancer interventional treatment and surgery is not strictly a new technology, but it has huge strategic significance for the live broadcast of surgery.
Gastric fundus and left gastric artery embolization is a major surgery with great potential!
How many girls across the country are willing to lose weight
It is better than randomly eating unreliable things. After all, if Zheng Ren can study it clearly and is willing to operate it, its reliability is guaranteed.
Uh... When did I have such strong confidence in Zheng Ren
Su Yun was a little helpless when he discovered this.
Maybe it's because there has never been a single failure in surgery, and over time, I have formed a fixed mindset.
They were silent all the way, each thinking about their own things, before arriving at the Hepatobiliary Surgery Department.
Professor Yang did not come on stage, but was sitting in the office, working on something.
"Brother Yang, you haven't had any surgery." Zheng Ren came in and greeted with a smile.
"I'm not here to discuss something with you today, so I didn't arrange the surgery." Professor Yang stood up and said with a smile.
"I went to the hospital to report my work. I came a little late." Zheng Ren sat down and saw Professor Yang studying a picture, so he walked over.
"What kind of job?" Professor Yang asked casually without losing sight of the film.
"Preliminary diagnosis and treatment of latent liver metastases."
"..." Professor Yang paused and looked at Zheng Ren in astonishment.
As a professor of hepatobiliary surgery, how could he not know that the diagnosis of latent liver cancer was a fantasy
Zheng Ren didn't notice Professor Yang's emotional changes. After taking a look at the film, he was attracted to it.
"Brother Yang, this patient is quite serious!" Zheng Ren rubbed his face towards Professor Yang, squeezing in to get a better position.
"The patient was admitted to the local hospital due to liver damage, and the examination revealed a space-occupying lesion in the liver." Seeing Zheng Ren focusing on watching the film, Professor Yang temporarily ignored the diagnosis of latent liver metastasis and began to introduce the patient.
The introduction is just one sentence, very simple, but it illustrates the essence of the problem.
This patient did not have cirrhotic nodules on his liver, but he had diffuse liver damage. Liver function is greatly affected.
Zheng Ren's rough judgment showed that the patient's liver function was about 20%.
The liver itself has a strong regenerative ability. Even if the left or right half of the liver is removed, the remaining liver of many patients will proliferate rapidly.
Therefore, preoperative evaluation should take into account the estimated ratio of the remaining liver to the total liver capacity.
Those with a normal liver and a ratio of less than 25%; those with liver disease and a ratio of less than 40% are contraindications for liver resection.
The patient has chronic liver damage, and the remaining function of the liver is about 20%.
Without surgery, the patient would only have about 3 months to live.
But if you have to undergo surgery, you may die of liver failure within a few days after the operation.
"With such severe alcoholic liver disease, how many years has the patient's drinking history been?" Zheng Ren asked.
"Thirty years, I heard that I was still drinking last night." Professor Yang replied helplessly.
"last night?"
"Well, during the morning rounds, I smelled alcohol on the patient, so I asked the night shift nurse." Professor Yang said, "The nurse said she found him drinking in the ward and stopped him on the spot. The patient also cooperated and said he didn't drink. ”
Zheng Ren smiled bitterly.
"Later, according to the clinician, he went out to drink, with a bag of peanuts and two bottles of Red Star Erguotou, and drank until about 10 o'clock in the evening. But the wine was pretty good, and when he came back it was quiet and there was no trouble."
"Su Yun, look, it's still necessary to drink less." Zheng Ren pointed to the MRI film of the liver and said to Su Yun.
This is extremely annoying to say.
"Don't talk nonsense. I've tested it. The enzyme spectrum of the alcohol dehydrogenase oxidation system is more than 121 times that of normal people. If I drink alcohol, it will not cause alcoholic liver disease." Su Yun said expressionlessly.
"Brother Yang, do you know this patient?" Zheng Ren asked.
"Yes, we know him." Professor Yang sighed, "If I don't know him and still refuse to cooperate with the treatment, I will be kicked out of the hospital directly."
"That's quite troublesome." Zheng Ren sighed.
The patient can at least be diagnosed with alcohol dependence, acute onset of chronic liver damage, and liver malignancy.
Not to mention malignant tumors, liver damage alone is enough to be fatal, and this patient continued to drink, which continued to aggravate the liver damage.
"He is my junior high school classmate." Professor Yang sighed deeply and said, "The liver function reserve is not enough and surgery is not possible, but I really can't bear to let him go home and wait to die."
Professor Yang didn't say the rest, but Zheng Ren already knew what he wanted to say.
"It can be done." Zheng Ren said: "Do portal vein embolization first. After one month, the liver reserves will be enough. Whether you do surgical resection or I do interventional embolization + radiofrequency ablation for liver cancer, it is all OK."
…
…
Note: A liver cancer patient two years ago said he was not afraid of death. When he heard that his liver cancer lesions had disappeared, he jumped up and down with joy. He said he was afraid of death. He repeatedly warned him not to drink, but he still drank in the hospital ward with a bottle of wine.
Later, he died half a year after the operation, not because of liver cancer, but because of liver failure due to heavy drinking.
It's a pity.