"Manager Feng, what's wrong?" Zheng Ren asked.
"Mr. Zheng...I, I...did I make a mistake?" Feng Xuhui asked hesitantly.
"Where did you make a mistake? What happened?" Zheng Ren returned to his previous confused state and asked in confusion.
Su Yun looked at Zheng Ren with disdain, with an expression on his face that you know how to pretend to be a coward.
"noon… "
"Oh, that's about it." Zheng Ren suddenly realized, "Su Yun and I have something to say, so it's inconvenient for you to follow us. It's okay, it's okay."
How could Feng Xuhui believe it? He looked sad. But he couldn't say anything more, so he followed Zheng Ren and Su Yun to the interventional department.
Meeting up with Director Kong, Dr. Shen followed Director Kong all the way, and they all went to the Department of Urology.
The patient was 87 years old and had severe heart disease. The anterior descending artery was still blocked by 70% after the coronary stent, and he occasionally suffered from premature atrial fibrillation. The pulmonary ventilation function is relatively poor, and the coagulation function is not good because oral warfarin is required after stent surgery.
It can be said that this old man has serious contraindications for surgery.
Even if you pick out the prostate, you risk the patient's sudden death from a heart attack on the operating table.
And if the prostate is not picked, the patient's prostate will have enlarged to a certain extent, making it difficult or even impossible to urinate. It requires long-term urinary catheterization or... As for cystostomy, urology departments also have to bear the risk of death.
In other words, although the elderly do not have incurable diseases, their most basic quality of life is no longer good.
The patient's sons were also in their sixties, and three or four old men were gathered together. It looked like a meeting of veteran cadres.
After being informed of the old man's condition, the family readily agreed to the experimental surgery.
The success or failure of the operation is still uncertain, but at least it is a hope. It is better than having a long-term urinary catheter, which may lead to inconvenience in life, urinary tract infection, severe retrograde urinary tract infection, and abdominal complications.
After seeing the patient, as expected, the surgical technique must be very gentle.
Zheng Ren had already done some psychological training for himself, so he didn't say anything, so he took the patient for 64-slice CT retrograde reconstruction, and asked Qin Liren to do it together.
After all the hard work, it was time to get off work.
Zheng Ren just had enough time to do the three-dimensional reconstruction by himself, and then looked for capillaries as thick as hair that appeared after hyperplasia on the prostate.
This difficulty is much more difficult than finding the feeding blood vessels for liver cancer.
Director Kong has been sitting next to Zheng Ren and watching him operate, sighing with emotion as he watches.
I used to think that Zheng Ren specializes in liver, so the retrograde 64-slice CT three-dimensional reconstruction is so beautiful.
However, what he never expected was that Zheng Ren seemed to be more familiar with the anatomy of the prostate.
Why do you think you, a general surgeon, are so familiar with the anatomy of the prostate? Although Director Kong has long been accustomed to the surprises that Zheng Ren and Su Yun, the surgical partners, always bring to him, his glasses still shattered to the ground after seeing this scene.
The three-dimensional reconstruction of the prostate is more difficult than that of the liver, because the blood vessel network is caused by capillaries, and ordinary CT cannot show the dense blood vessel network at all. Even for three-dimensional reconstruction, a specific development period must be selected to properly capture the image of capillaries.
Just as he was watching intently, Director Kong's phone rang.
"Hey, it's me." Director Kong was a little impatient, but when he heard the next sentence, he stood up immediately.
"I'll go right away."
"Director Kong, what's wrong?" Zheng Ren asked while skillfully operating retrograde three-dimensional imaging.
"It's okay, emergency, you go about your business." Director Kong's words were a bit stiff and hoarse.
After saying that, he turned and left the CT room.
"Did you hear that clearly?" Zheng Ren asked.
"I didn't hear clearly, but I estimate that the German professor from the Magic City has finished the surgery." Su Yundao said.
"Yeah." Zheng Ren continued busy.
"Does it still make sense?"
"I don't know, but I have to do something. What should I do with this patient? Invite the German professor here again?" Zheng Ren was not discouraged, but continued to charge towards the indescribable difficulties.
…
…
In the conference room of the institute.
Wu Haishi, Mr. Wu, Professor Pei and others arrived one after another. Li Haitao frowned and was about to play the surgery video when Director Kong arrived.
"Xiao Li, is this true?" Director Kong still retained a glimmer of hope.
"Director Kong, the operation on that side officially ended at 4:15 in the afternoon." Li Haitao said, "Please sit down, and we will evaluate whether it is necessary to continue the operation on this side."
Director Kong looked serious and chose a seat near the front to sit down.
He didn't ask about the source of the video. If he couldn't even get the surgery video, all the people sitting in the audience would collectively jump off the building.
"Hello everyone, let me introduce you again. At 14:00 this afternoon, at a hospital in Shanghai, Professor Rudolf Wagner of the University of Heidelberg in Germany was the surgeon. The prostate interventional embolization operation began. And at 16:15, the operation was announced Successfully completed. Now, let’s take a look at the recording of the surgery.”
After Li Haitao finished speaking briefly, he clicked on the video.
The video recording is not a surgery. It has been cut out in a short period of time to remove the pre-processing. What appears is the image of prostatography.
The guidewire entered the celiac trunk smoothly, then reached the common iliac artery and internal iliac artery, and then angiography was started.
A fine blood vessel network immediately appeared vaguely.
Because the resolution of the surgical video was not high enough, many professors present could not see any arteries leading to the capillary network of the prostate.
The microguidewire, under the control of Rudolf Wagner, was extremely dexterous. After entering the internal iliac artery, it continued to superselect along a collateral blood vessel.
It is not difficult to advance the microguidewire, especially in certain corners, it seems to be more effortless.
"Mr. Wu, is the guide wire specially made?" Director Kong turned his head and asked Mr. Wu Haishi next to him for his opinion.
"Well, it looks like it's not an ordinary micro guidewire." Wu Lao said.
Director Kong shook his head. Faced with the world's top professors and almost unlimited financial support, his efforts during this period seemed to be meaningless.
Perhaps as Li Haitao said, there is no need to continue this research.
Super selected, successful.
Between the upper end of the capillary network and the superior vesical artery, Professor Rudolf Wagner tried several times and found that the limit of the microguidewire had been reached and the microguidewire could no longer advance, so he began to insert a microcatheter and then performed embolization.
Surgery, the process is simple. But to say it is difficult is extremely difficult.
This is a huge challenge to the operating techniques and application of consumables in interventional surgery.
Wu Haishi and Mr. Wu sighed on the side, and Director Kong felt the same way.
But when he thought of giving up, he suddenly remembered the figure sitting in the CT room, concentrating on the three-dimensional CT reconstruction.
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