But less than a minute later, Gao Shaojie knew that he was wrong again.
The operation does not end once the channel between the hepatic vein and portal vein is established. The surgeon inserted another 8mm retrievable stent.
He stood quietly in front of the screen, concentrating on watching the retractable bracket slowly moving.
Gao Shaojie didn't understand why such a scaffold was needed.
When recycling, it must be taken away from the liver, and there will be many uncontrollable factors. For example, bleeding! For example, when removing the recyclable stent, the film-coated stent was moved astray.
Once major bleeding occurs, or the position of the covered stent deviates, it will lead to the failure of the entire tip surgery, and the patient will suffer more serious injuries and even face death.
In Gao Shaojie's mind, a three-dimensional image of the patient's liver and portal veins was quickly sketched.
The best position for a retrievable stent is to completely overlap the previous film-coated stent. The smaller the gap, the less likely there will be an accident when retrieving the stent.
But... Gao Shaojie knew the difficulty very well.
In the eyes of others, it is just a second stent. The channel has been established, so what's the big deal with another stent.
This is what people who don’t know tips surgery would think like this.
Gao Shaojie has undergone similar surgery. Because the patient's hepatic encephalopathy is more serious after tip surgery, the only way to improve the patient's hepatic encephalopathy symptoms is to narrow the venous channel.
The one under the second stent is deflected and will be washed away by the blood flow.
But it's not that easy to stack brackets on top of each other, completely overlapping. It is not an operation where the arteries of the lower extremities are occluded, then blocked again after the stent is opened, and then the stents are stacked on top of each other after being opened again. That kind of arterial stent is tens of centimeters long. Even if it misses by a few centimeters, it doesn't matter. After all, the friction is enough.
However, in tip surgery, the stent itself is short, and if you miss it a little bit, in terms of percentage, it makes the difference between heaven and earth.
While he was thinking wildly, the retractable stent had expanded.
landing,
root.
Looking at the images, Gao Shaojie could tell that the two stents were almost perfectly matched without the need for imaging.
It’s simply awesome!
Gao Shaojie had no desire to win, no jealousy, only curiosity.
The psychology of jealousy only makes sense when two people are of similar strength and level.
Because Gao Shaojie understood and knew deeply, he only had a sense of powerlessness lingering throughout his body.
Then a feeling of admiration, even worship, burst out from the deepest part of his heart.
Tips surgery is so skillful!
Even the Mayo Clinic can’t do it!
Who is inside
The angiography was satisfactory, the stent position was satisfactory, the blood flow was smooth, and the surgery was completed, 100%!
Zheng Ren turned around and left without talking nonsense.
Professor Rudolf Wagner then stood where Zheng Ren was and began to apply pressure on the puncture point to stop the bleeding.
Zheng Ren took off his gloves and threw them into the medical waste trash can. He returned to the operation room and said with a smile: "Dean Ren, Director Zhang, it's done. Thank you very much. The patient you selected is particularly suitable."
Although they had gone through a batch of tip surgeries, the two deans in the operating room still couldn't believe it was happening before their eyes.
"Thank you, Mr. Zheng." Dean Zhang's tone was dry. At this moment, he forgot his enthusiasm.
It's good if you can talk, and you're enthusiastic
Dean Zhang remembered that the last time he performed tip surgeries in batches, Zheng Ren and Professor Rudolf Wagner occasionally... no, often had disputes.
It seems very low-key to discuss it while standing on the operating table.
But the effect of the surgery was good, so the dispute became less important.
However, during this batch of tips surgery, Professor Zheng Ren and Rudolf Wagner were silent and did not say a word during the whole process.
The operation was completed in silence.
After less than ten surgeries, has the new concept already taken shape
Although Dean Zhang is not that high-level, he has been engaged in clinical work for decades. Medicine is an empirical science, and each formed technique must be honed in clinical practice for decades.
During this time, countless attempts will fail.
Success is based on countless failures.
But... the scene that happened in front of him subverted Dean Zhang's three views.
Is this moving from one success to another
It's terrible. The talent this young man in front of me possesses is simply terrifying!
"Patients with stents can be sent up." Zheng Ren didn't care about the silent atmosphere in the operating room.
In his opinion, being silent is a hundred times better than talking nonsense.
"Oh." Dean Zhang responded subconsciously, and a young doctor turned and left the operation room.
Everyone did not expect that the operation would be faster than last time. Although the patient was instructed not to eat or drink anything during the stent removal operation, and he also made preoperative preparations, no one expected that he would actually do it.
"Mr. Zheng, please take a rest." Dean Zhang's stomach rumbled, and his biological function reminded him that it was already time, or that it was past lunch time.
"I'll ask the cafeteria to bring you something. What do you think?"
"No." Zheng Ren refused directly, neatly and without any sloppiness. "I have to go back in a while. There are still things at home."
With that said, Zheng Ren picked up the mobile phone on the console and made a call.
"Chang Yue, it's me."
"From now on, let Sister Zheng eat and drink nothing."
"Yes, we will do the surgery when we get back. By the way, tell Su Yun to contact the CT room and we will do radiofrequency ablation after get off work."
"First intervene in the embolization, use iodized oil to position it, and then push it down to do radiofrequency."
"It's not suitable during the day. There are no free machines in the CT room. Yes, even tomorrow, we have to do this."
"Okay. By the way, I'm not busy at home today."
"Okay, I'll be home in about three hours. You should make preparations first."
After saying that, Zheng Ren hung up the phone.
It’s really crazy. I performed 8 tip surgeries and 8 second-stage tip surgeries in one day. I traveled to two hospitals and had to undergo radiofrequency ablation when I returned home.
How strong is this physical strength
Wait, radio frequency
"Mr. Zheng, do you want radiofrequency ablation for liver cancer?" Dean Zhang asked.
"Well, there is a patient whose tumor has shrunk to about 4cm after two interventional embolization surgeries. This surgery is intended to completely solve the problem."
"I just heard you say that interventional embolization is performed first, and then radiofrequency is performed? Can two surgeries be performed in one day?" Dean Zhang was a little confused.
Video ablation is also carried out in the second hospital. Although the number of surgeries performed is not large enough, it is a formative surgery after all.
It is no surprise that Mr. Zheng Ren and Zheng want to undergo radiofrequency ablation, but what does it mean to perform embolization first and then perform radiofrequency ablation
"Huh? Isn't that what you did?" Zheng Ren also didn't understand. "If you don't intervene, you put iodized oil inside. What mark do you use?"
Sweat... Dean Zhang was sweating profusely.
"Mr. Zheng, if two surgeries are performed at the same time, will the trauma to the patient be great? Academically, it is now believed that interventional embolization is performed 1 to 2 weeks in advance, and then radiofrequency is used to completely kill the tumor tissue. The effect will be very good. .”
Gao Shaojie came out of the corner and said.