"Mr. Zheng, what do you need for the inspection?" Chang Yue knew what he wanted, but still asked for Zheng Ren's opinion.
This is a sign of respect for the surgeon who performed the surgery.
And it is also a medical routine. Once any inspection is missing, causing the operation to be suspended or problems occur, it becomes a well-intentioned and wrong thing.
"Blood routine, coagulation, liver function, ECG, 64 rows, these are enough." Zheng Ren said: "When doing 64 rows, call me and I will ask the doctor in the CT room to scan your lungs."
"Or interventional embolization?" Chang Yue asked.
Zheng Ren's heart moved, he thought about it, and said: "Let's do an examination first. If the effect is good, we may do radiofrequency ablation."
Su Yun raised his head, his black hair floating in front of his forehead, like a question mark.
"Boss, when did you learn radio frequency?" Su Yun asked.
"Read it once and you'll know it." Zheng Ren spat back what Su Yun often said.
Now that the Internet is developed, it couldn’t be easier for anyone who doesn’t have a few classmates in large hospitals to get a video of radiofrequency ablation.
Su Yun had no doubts, but expressed his dissatisfaction with what Zheng Ren said.
Professor Rudolph said: "Boss, are you going to perform radiofrequency ablation of liver cancer on this big girl?"
Zheng Yunxia was a little surprised by the appearance of Professor Rudolf Wagner, especially his fluent Northeast dialect, which was even more eye-catching.
"Yeah." Zheng Ren nodded.
Radiofrequency ablation, also called radiofrequency thermal ablation, is a minimally invasive surgery to treat in situ tumors. It is a relatively mature technology in the treatment of primary liver cancer.
For tumors less than 3cm in diameter, radiofrequency ablation has about a 70% chance of killing all tumor cells. The clinical treatment effect is equivalent to surgical resection.
Surgical removal of the liver is a major operation. Nowadays, with the advancement of technology, the incisions are getting smaller and smaller, and the patient's injuries are getting smaller and smaller.
But radiofrequency ablation only requires local anesthesia, and a needle is inserted into the tumor tissue under CT positioning. The ablation time is 15 minutes, and the operation is completed.
Patients may experience pain during the operation, but it is not severe and most patients can tolerate it. A few patients got over it with an intramuscular injection of painkillers.
The patient was off the ground for 6 hours after the operation, and there were no abnormalities the next day. The damage to liver function is even less severe than interventional surgery.
This is a surgical method to cure liver cancer.
Although subject to conditions, not all tumors can be solved with radiofrequency ablation. But after all, it is a clinically tested and effective treatment method.
In clinical medicine, with the advancement of technology, internal medicine has become more surgical, and surgery has become minimally invasive, which is gradually changing the treatment methods of many diseases.
Liver cancer resection will inevitably fade out of the operating room in the foreseeable future.
Although it will not disappear completely, it can only be used as a relatively invasive auxiliary surgery. In the future, interventional embolization and radiofrequency ablation will dominate liver cancer surgery.
Zheng Ren thought about it and found that Zheng Yunxia's disease had only a simple description on the system panel. But based on the surgery, he could preliminarily determine that Zheng Yunxia would most likely be able to undergo radiofrequency ablation this time.
It was equivalent to surgical resection. If the cirrhosis nodules in her liver had not erupted on a large scale and turned into tumor tissue, her life would have been saved.
But radiofrequency ablation…
Zheng Ren picked up the phone and dialed.
"Dean Zhang, hello."
"Yes, I have asked for leave from Director Pan. I want to make a few more units. Is it convenient for you?"
"There are about ten units. I think there is no shortage of patients in the Second Hospital. The cost of expert consultation can be reduced. I am just worried about your post-operative care and treatment..."
"Oh, okay, okay, then it's settled."
After saying that, Zheng Ren hung up the phone.
Su Yun looked at Zheng Ren. This guy's thinking was jumping too much. Why did he suddenly switch from radiofrequency ablation to surgery in the second hospital
"Fugui, don't leave for a while. Tomorrow we are going to the second hospital for tip surgery, and someone will be sent to deliver the films there in a while." Zheng Ren ignored Su Yun's differences and talked to Professor Rudolf Wagner.
"Yes, boss." The professor responded, "How many units should I make?"
"It should be about ten."
The professor made an exaggerated gesture.
Even at Heidelberg University, performing ten tip surgeries in one day is a fantasy.
I didn’t expect that I could do this in a small, remote city in the far east.
After arranging all this, Zheng Ren sat in the office, waiting for someone from the Second City Hospital to deliver the MRI dispersion film.
Although he was reading a book, Zheng Ren's mind was filled with radiofrequency ablation-related operations.
The task reward given by the system is that the success rate of interventional surgery is +2. I don’t know what it means. There was no explanation or communication, so I could only guess and give a bad review.
Because radiofrequency ablation is a type of interventional surgery, Zheng Ren has risen to the level of a master and does not need to learn it from scratch.
After the task was completed, the system gave 3,000 surgical experience, which was considered an improvement.
But for the success rate of +2, Zheng Ren has guessed it many times, but has no idea.
If you don’t understand, then wait until the task is completed before talking about it.
After more than half an hour, there was a knock at the office door.
Zheng Ren looked up and saw a short fat man who asked with a smile on his face: "Is Mr. Zheng here?"
Seeing the short fat man carrying a bunch of films in his hands, Zheng Ren guessed that he should be the person who came to deliver the films from the Second City Hospital.
The speed is quite fast. It seems that the deputy dean in charge personally leads the work and the efficiency is indeed very high.
"I am." Zheng Ren said.
The short fat man bowed slightly, nodded, and the smile on his face became stronger.
He walked over quickly and said as he walked, "Mr. Zheng, Dean Zhang asked me to send you a film."
"Oh, thank you for your hard work, sit down." Zheng Ren said.
Professor Rudolph also came over.
After two days of memories and accumulation, he had a deeper understanding of tip surgery, so he was the only one who was as anxious to undergo tip surgery as Zheng Ren at this time.
The short fat man did not do anything. Instead, he nodded and stood in front of Zheng Ren with a humble look on his face.
Zheng Ren didn't notice the micro-expressions on his face or behavior, and picked up a bag, which was heavy inside.
In addition to the liver MRI diffusion film, there is also a brief introduction to the patient's condition and the examination report on admission.
Dean Zhang is really attentive, Zheng Ren thought.
First, I read the patient's condition profile and test report. This is a patient with decompensated cirrhosis and ascites.
The last time the patient vomited blood was 2 months ago, and he was rescued.
But vomiting blood and ascites are like time bombs that may explode anytime and anywhere.
Returning from the last rescue does not mean that the next rescue will be successful.
"Fuguier, what do you think?" Zheng Ren asked.
Professor Rudolf Wagner said: "This is a very standard indication for surgery, and the patient's condition is very good, just suitable for surgery. Boss, I think the patient who was treated last time was a little messed up. This patient is better." Some."
The smile on the short fat man's face froze.