The Surgeon’s Studio

Chapter 432: 425 The ideal of making people laugh (please subscribe for the sixth update)

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The operation was over, but the live broadcast room was still open.

Everyone was a little confused, and the barrage started to float at this moment.

Isn't the operation finished? Is the magician going to have a two-hit combo

It's been a while since I've had a double strike. I pray the surgeon will do a neurosurgery.

pray? It's no use even if you kneel and lick. Boy, it would be nice to have surgery. Moreover, the future development direction of neurosurgery is also interventional surgery, right? Interventionalist

The interventionalist saw someone by himself and said nothing. His mind was in a mess and he was still immersed in the surgery just now.

It was so awesome, if it weren't for the screen, he would really kneel down and lick her.

It's a pity that it's a foreign hospital, otherwise I would have to live and die, and I would still have to study even if I quit my job.

Why hasn’t the live broadcast room been closed yet? It can't really be a two-hit combo.

It would be better to do the operation overnight.

Speaking of which, depending on the time, it might be possible to do a chronic surgery in Canada at such a late hour.

right! When you said this, I realized that it is now 4:15 Beijing time, and it should be 3:15 am Canadian time.

…Are all Canadians so tough when performing surgeries? Do it all in the early morning

Weird, no matter what, after get off work anyway, it would be great if I could actually do the surgery in one night.

Barrage was flying, and soon, the light and shadow flickered, and the live broadcast started again.

Doctors with quick hands go directly to the patient's medical records and information. But they were shocked to find that it was the same patient as before.

I went... It was the same patient as before, and the information remained the same.

This surgery is over, do you need a second surgery

No, the surgery just now was done very well and I didn’t see any problems.

Interventionalists, come on, the time has come when we need you.

The interventionalist was also startled for a moment, and then realized that the picture in front of him seemed to be a CT image.

Is this going to be radiofrequency ablation

Generally, with radiofrequency ablation, there is no need to waste so much time on embolization surgery. Dab some lipiodol inside the tumor as a localization, and then burn it directly.

The second-grade hospital where he works does not have radiofrequency ablation equipment. He only came into contact with it when he went to the Imperial Capital for further study a few years ago.

Radiofrequency ablation is theoretically equivalent to surgical resection.

But, that's only in theory.

He didn't understand the specific effects at all.

So for others, he could only remain silent.

At this moment, his heart was already flying, and he was extremely eager to study and learn.

The interventionalist is an ordinary middle-aged man. He rarely talks about his ideals, it’s not that he doesn’t have them, he just doesn’t dare to say them.

No matter how boring a middle-aged person is, he can make people laugh as long as he expresses his ideals.

Until this moment, the ideal that had been covered with dust suddenly shone with dazzling light.

In the CT image, an irregular tumor with a diameter of 4cm appeared. Most of the doctors watching the live broadcast had no idea what the surgeon was going to do.

Although the procedure of radiofrequency ablation has been established, it is only carried out on a large scale in cities above the provincial capital in China.

Radiofrequency ablation? I remember that radiofrequency ablation should be performed 1 to 2 weeks after interventional embolization for the best effect.

It is now also said that radiofrequency treatment directly after interventional embolization is more effective. But specifically, no one knows without big data samples.

The surgeon performed two surgeries in a row, great!

There are only a few barrages, and they really involve unrelated majors. Everyone only has a general understanding. If we really want to be more specific, no one has the confidence.

The first needle appeared on the right chest wall. The needle was inserted from the right chest wall and punctured into the tumor tissue through the diaphragm.

I'll go... I'm too brave.

Does this really mean there won’t be pneumothorax? Waiting online, quite urgent.

Thank you! The location of the patient's tumor was relatively close to the upper edge of the right liver. For complete ablation, the best way is to insert the needle through the chest wall. But the complications were a headache, but they were not serious, just pneumothorax.

Pneumothorax is just a symptom. Upstairs, you are speaking too loudly.

If a pneumothorax occurs, is it considered a medical accident

Who knows, maybe there are no medical disputes in Canada. I heard someone say that filling out a medical treatment form at the Montreal Medical Center costs several thousand Canadian dollars. This is in short supply, so who dares to cause trouble? Those who cause trouble will be directly blacklisted.

Take a good look, your barrages are blocking my view.

One needle goes in, two needles go in, three needles go in, and the heating and ablation starts.

The ablation took a long time, and there was no change in the image, so everyone started chatting.

The interventionalist was completely confused.

In the live broadcast room of the surgery, he could no longer understand the level of surgery displayed by the surgeon.

Three radiofrequency needles are inserted into the tumor tissue from different angles, and one of the needles is punctured from the chest cavity.

Is it really okay to do this

Medical science is advancing rapidly. Most of the thoracotomy and laparotomy surgeries performed twenty years ago have been replaced by thoracoscopy and laparoscopy.

Who can be sure that in 20 years, thoracoscopy and laparoscopy will not be replaced by new and less invasive surgical procedures

What was said in the barrage before was just a guess made by an interventionalist.

But when he saw that the radiofrequency needle accurately began to heat and cauterize the tumor tissue, he was sure that the surgeon's surgical method must have been refined over time and it would definitely work.

But... Canada is really so far away. And even if he goes, who will take care of him

Fifteen minutes later, the radiofrequency needle was removed and a CT scan of the abdomen and chest was performed again.

No gas or fluid was seen in the chest cavity.

No fluid was seen in the abdominal cavity, and the liver tumor was completely burned to death at the location marked by lipiodol.

The range of cauterization was expanded by 0.5cm from the edge of the range covered by tumor tissue.

This is because it is not possible to burn the patient with a small amount of heat. If there is residual tumor tissue, it may lead to the possibility of surgery in the future.

From the imaging point of view, although the edges of the tumor tissue are irregular, the range of radiofrequency needle cauterization is also irregular.

It is obvious that the surgeon customized a plan for the patient based on the scope of the patient's tumor, rather than following the routine.

Accurate, precise, precise!

It's like a machine with absolutely no shortcomings.

This was a flawless operation.

Even doctors who do not understand interventional surgery can see that all the patient's tumor tissue has been burned away as long as they can look at abdominal CT films.

The effect is no different from surgical resection.

But the harm suffered by patients is vastly different. Patients can get off the ground 4-6 hours after radiofrequency ablation. As for liver cancer resection, I am afraid that I will have to stay in bed for three days after the operation.

There was silence in the surgery live broadcast room.

There was no barrage flying until the live broadcast room was closed. After nearly ten minutes, a barrage suddenly flew by.

It’s so awesome that I can’t describe it in words.