"The two of them are humble each other." In the help of the help, He Guangyou took the lead in quickly, and helped the leader to name the student. "Xie Wanying, you say first."
Xie Wanying thought that the leader wanted to ask Dr. Song. As a student, he had to work hard to answer the question, and quickly found the knowledge points in his head and accurately found out:
"The function of the liver lies in liver cells, and hepatocytes have very fast reproduction ability after the liver removal. It can grow half of the liver in three months. Therefore, the liver can be divided into eight parts as an independent supply body."
Hmm, everyone listened to her and found that she said more and more fluent, a bit like a repeat machine.
"The division standard of the eight parts is to use the Couinaud segmented method, which is marked according to the clockwise direction of the door vein system. It is specifically the tail -shaped leaf, the upper part of the left outer leaf in the second section, the lower left leaf section of the Ⅲ section,
In the lower right front leaf, the lower right rear leaf of the ⅵ section, the upper part of the right rear leaf of the ⅶ section, the upper part of the right front of the ⅷ section. In addition to guiding surgery surgery, it is also used to guide CT imaging diagnosis. In terms of actual operation, it is impossible to do it.
In the eighth paragraph, the surgeon often uses the left half of the liver Ⅰ-ⅳ, the left outer lobe Ⅱ-Ⅲ and the right half-liver ⅴ-ⅷ-ⅷ ⅷ ⅷ ⅷ. "
Xie Wanying answered in one breath without effort.
Obviously, her re -reading machine is a review of the excellent textbooks, her throat is clear, and the bite is accurate. It is like a teacher in the classroom to teach.
The teacher listened to her voice. The ears were like a spring breeze, and the hearing was very enjoyable. It was forgotten to linger, and it was no longer possible to ask. So Deputy Director Xue continued to ask her: "Let's talk about it. This patient is a patient with liver cirrhosis.
There are also patients with liver cancer, can they do liver transplantation? "
This problem is more practical. Xie Wanying quickly thinks about it, and answered the teacher: "The first thing to explain is that the liver cell carcinoma of our Asians is referred to as HCC, most of which have the background of hepatitis and cirrhosis.
Instead of waiting for liver cancer, it is better to do a good job in the development of hepatitis prevention and slowing down liver cirrhosis. It is better to do liver transplantation from the period of liver cirrhosis. "
Yes, the answer suddenly cooperates with the problem to cut into the clinical focus. It is not only scholars like the pan -turning into the air tower. Listening to make the old professor shine.
What she said is right, the basic surgery of domestic doctors is all domestic patients. Of course, domestic patients are patients with Asian characteristic diseases. As a clinical surgeon, they must start from the actual situation and from the existing clinical clinical around them.
Cases to discuss the problem. Suddenly, this female doctor has a very clinical sense of consciousness, not to talk about soldiers on paper.
Deputy Director Xue looked back at her, as if she wanted to remember her in her mind. After all, medical students like her are relatively rare.
"Let's talk about it, under what circumstances can liver cancer surgery?"
Xie Wanying replied: "Small liver cancer can be done, that is, liver cancer with a tumor diameter less than five centimeters. This patient can survive the liver transplant for five or eighty percent. Compared with traditional resection surgery, it has certain advantages. Because HCC
In terms of liver tumor resection, less than 20 % of patients who have been cured. "
"What about other patients?"
"Liver cancer in the middle and advanced period, the chance of recurrence after transplantation of liver cancer with vein cancerous throw -up vein cancer thrombus is too high, and most of them live in less than a year. The domestic liver source is scarce, so it is best to use the international Milan standard to perform liver cancer to adapt to the liver cancer.
Chapter completed!