After changing clothes and going on stage, Zheng Ren hugged his arms and watched a movie, while Liu Zewei was busy.
Hu Yanhui has already debugged the machine, and Feng Xuhui has two large boxes next to him.
All this seems to be no different from that in Xilin Town, everything is so familiar.
Zhou Chunyong stood behind Zheng Ren and began to read the film.
Film, not difficult.
A very typical liver cancer in the posterior lobe of the right liver without intrahepatic metastasis. From the perspective of MRI enhancement, the feeding blood vessels are also relatively typical, so it should not be too difficult to superselect.
Boss Zheng also knows how to choose simple patients for live broadcast of surgeries. Zhou Chunyong smiled slightly.
Let’s just say that no one is a fool. No matter how high Boss Zheng is, he will not take risks easily.
Everyone knows how to avoid getting your shoes wet if you often walk by the river.
"Boss Zheng, brush your hands." Liu Zewei reminded him in a low voice after finishing the disinfection.
"Okay." Zheng Ren went to put on the lead suit and brush his hands. Zhou Chunyong thought for a while and went with Zheng Ren. He put on the lead suit and prepared to watch the operation in the operating room.
This kind of viewing platform position is impossible to grab in the surgical department.
The airtight lead door is closed and the operation begins.
Feng Xuhui was a little surprised when he saw Zhou Chunyong in the operating room, but he kept suppressing it. After the airtight lead door was closed, he asked, "Brother Yun, why is Director Zhou here again?"
"Xiao Feng, this is a good word." Su Yun said with a smile.
"Uh..." Feng Xuhui felt that he seemed to have said the wrong thing.
"The boss used optical tweezers to diagnose latent liver metastases, and Lao Zhou came to take a sip of soup." Su Yun said with a smile, "This Lao Zhou has a really good nose, not much worse than Heizi."
Feng Xuhui looked through the leaded glass at the operating room where Mr. Zheng was performing an operation wearing live streaming glasses. Liu Zewei, who was acting as an assistant, didn't have much work to do.
Behind him is Director Zhou Chunyong, the henanigans of the Imperial Capital.
He looked like an intern, wearing lead clothes, standing obediently behind Mr. Zheng, looking around. But Zhou Chunyong is not honest and constantly changes his perspective, just like the big horse monkey.
Feng Xuhui has long been accustomed to this scene.
Maybe, come and have some soup, but this is the first soup.
In the operating room, Zhou Chunyong watched silently as Zheng Ren performed interventional embolization for liver cancer.
Organ interventional surgery is a big part of the treatment of liver cancer, and it is what Zhou Chunyong is best at.
Boss Zheng's level is very high. Zhou Chunyong admitted that he had already put down his airs and pretended to be a student to learn from him.
Even though Boss Zheng is doing interventional embolization treatment for liver cancer, which he is best at.
Blind selection is the most commonly used method by Boss Zheng. Zhou Chunyong saw that the screen did not light up, but Boss Zheng was operating the micro guide wire to enter the blood vessel, feeling like a mirror in his mind.
Zhou Chunyong admitted that he could not do blind selection with micro guidewires, a very confident operation method.
After 23″, the screen lights up.
Just as he imagined, the microguidewire was located where the hepatic artery was about to branch, and superselection was about to be performed.
The positioning was precise, as if he could see the shape of the blood vessels.
Zhou Chunyong understood and was not surprised.
Super selection, a success in the first attempt. Although the blood vessels were winding, Boss Zheng not only succeeded in super selection, but also entered the position of third and fourth level blood vessel branches.
The treatment effect should be very good, which is equivalent to spraying medicine directly on the tumor and embolizing it from a position 2cm above the root. Zhou Chunyong is experienced in this kind of technique. He can occasionally do something like Zheng Ren's, so he has a judgment in his heart.
The operation should be over. Zhou Chunyong glanced at the time, 11′22″.
This surgery was done so quickly!
He felt a little emotional and silently memorized a few small actions that might be helpful for Super Selection. The reason why it is possible is that Zhou Chunyong is not sure and can only go back and try slowly.
The next step is to perform angiography to confirm that the staining of the tumor tissue has disappeared, which means there is no blood supply, and then the guide wire and catheter can be pulled out and the operation is declared complete.
However, when Zhou Chunyong saw Zheng Ren, he did not perform any imaging. Instead, he stepped on the thread and used a micro guide wire for the next step of super selection.
Uh... this is it
He was startled for a moment, then frowned.
Are there any abnormal tumor-feeding blood vessels that you have not discovered
When Zhou Chunyong saw Zheng Ren doing super selection, he immediately turned around and went to the film reader to read the film again.
The patient's examination is an enhanced MRI, which cannot determine the specific shape of tiny blood vessels.
However, according to Zhou Chunyong's opinion, it would take at least about 3 hours to superselect a blood vessel of this level, and there is absolutely no need to deal with it.
On the film, the only tumor-feeding blood vessel shown was relatively thick, and it was the one that Boss Zheng had just embolized.
Any more and it’s nothing.
Strange, he looked at it carefully twice and felt that he had not missed any details, so he turned back.
But…
When he saw a tortuous blood vessel branched from the phrenic artery and supplying the liver tumor on the screen opposite the surgeon, he felt a surge of complicated emotions in his heart.
Just like a guess without finding any evidence, there is indeed a very thin abnormal branch that feeds the tumor.
But because I just watched the movie, I missed the whole process of Boss Zheng super-selecting this blood vessel.
When Zhou Chunyong looked back, the embolism had ended, and Zheng Ren was withdrawing the guide wire and catheter.
Contrast agent was recreated at the site of the hepatic artery.
The tumor tissue disappeared, and the operation was completed "simple" and quickly.
Zhou Chunyong was a little puzzled.
But he didn't ask immediately.
Boss Zheng was doing a live broadcast of the surgery. He asked a question at this time. If other doctors knew about the situation, would they be shameless in the future
Although he knew that Boss Zheng usually did live broadcasts without turning on the microphone, he couldn't take risks casually.
In private, it doesn't matter how you lick it just in front of Boss Zheng.
His level is indeed high, and he can learn a lot of things.
But if other busybodies know about it, I don’t know what the gossip behind his back will be like.
When Zheng Ren took off his live broadcast glasses, he announced that the live broadcast was over.
Zhou Chunyong then asked, "Boss Zheng, how did you discover the tumor-feeding blood vessels branching from the phrenic artery?"
"Oh, there." Zheng Ren responded, walked to the film reader, pointed at the film and said: "Here, there is a slight difference in intensity between T1 and T2. I guess there may be branches of the phrenic artery. I wanted to support him, so I took a super-selected, angiographic look.”
"Uh... you mean you didn't know before the operation?" Zhou Chunyong was stunned.
Zheng Ren was also a little helpless.
This surgery was done in a hurry. At that time, Professor Yang said that the surgery would be tomorrow, so he didn’t think much about it.
Therefore, the patient did not undergo 64-slice CT three-dimensional imaging. The image was only reconstructed and existed in his mind.
It seems that the doctor watching the live broadcast of the surgery should have similar questions.
I was wrong.
I had been thinking about the appropriate time for surgical resection, but had forgotten this.
Zheng Ren looked at Zhou Chunyong's surprised eyes while doing self-examination.
Reconstruct the ability so that the patient does not need to undergo an additional examination at all.
However, other doctors headed by Zhou Chunyong need it.