0117 Big accident
"I'm pretty skilled." Old Director Pan was very happy to hear Professor Pei's praise of Zheng Ren.
Your own children should be protected when they are angry. When they are praised by others, they should be more humble.
In the heart of Director Pan, Zheng Ren is his own child, and he is still the one who is very promising and favored.
"It's a good choice." After watching for a few more minutes, Professor Pei said with appreciation.
The micro guidewire enters the next level blood vessel from the hepatic artery, and it becomes thinner and more difficult. Each super selection must accurately enter the "correct" next level blood vessel in several branches. The difficulty can be imagined.
Manager Feng was originally nervous, but his face looked particularly ugly.
This was the first trial of his career in his career. He used almost all his resources to invite Professor Pei from the Demon City to ensure that he was foolproof.
Unfortunately, people's plan is not as good as God's plan. At the entrance of the hospital, the car that picked up Professor Pei was hit, which made the professor unable to get on stage.
Although Professor Pei was not seriously injured, he was unable to perform the operation and he could not stay in Haicheng for too long. This promotion will inevitably end in failure.
With a vigorous beginning and a quiet ending, Manager Feng can think of his future ending.
But the turn of the matter occurred to the young hospitalized person in the emergency department of the First Hospital of the Municipal Hospital.
The initial worry and anxiety turned into nothingness with Professor Pei's recognition.
After five minutes, the super selection was over. The micro guidewire entered the quadratic quadrilateral blood vessels from the femoral artery and then advanced 1 cm to the tumor.
The microcatheter begins to enter. Because the microcatheter is thicker and softer, a path must be specified with a thin and hard guidewire, and then the microcatheter is placed outside the guidewire and goes straight to the front of the tumor along the already superselected guidewire.
The movements are gentle and accurate, without any mistakes.
Professor Pei looked at the image attentively. Although he did not continue to praise Zheng Ren, his face was full of appreciation.
Even if I came to the stage, I guess it was only at this level. I didn’t expect that the small place in Haicheng would be hidden and there were such talents.
The microcatheter was directly facing the tumor. Su Yun turned off the imaging system, held the microguidance wire with his left hand, and raised his back hand and said hello.
Xie Yiren understood and opened the heavy sensory lead door, entered the catheter operating room and began to prepare chemotherapy drugs.
Because it is not sure whether the operation is successful or not, chemotherapy drugs must be prepared immediately.
Liver cancer, unlike most cancers, has chemotherapy drugs with better results in first- and second-tier effects. It is a very special cancer. Many years ago, there was no other way except surgical resection.
In the past decade, interventional treatment has begun, and the successful development of targeted drugs such as Sorafini has given liver cancer patients a glimmer of hope for rebirth.
However, clinical research by older generation medical workers shows that while intervening injecting liver cancer to feed blood vessels, a certain amount of chemotherapy drugs will be better after surgery.
Think about it and know that chemotherapy drugs are all "toxic drugs". The principle is to fight poison with poison. After the embolization is over, chemotherapy drugs will be injected into the tumor, and then block the blood vessels. One is to soak the tumor cells in the "toxic drugs", which can have some effect. The other is that the blood vessels are embolized and there is no fresh blood supply, and the tumor will lose nutrients.
Two-pronged approach, the effect is very good.
Xie Yiren moved quickly, and quickly prepared chemotherapy drugs, installed them on a high-pressure syringe. Then he made a cheering gesture to Zheng Ren, turned around and left the interventional operating room, and closed the thick lead door.
Perfusion of chemotherapy drugs, iodine oil embolization, follow the steps.
After all this, Zheng Ren began to have angiography.
The significance of this symptomography is the same as that of rinsing with warm saline after surgical surgery, both to check whether there are any missing surgery.
Professor Pei was very relaxed and said with a smile: "I thought I was going to go to the stage to super election, but I didn't expect this little comrade to win."
"It's okay, it's okay." Old Director Pan's face turned into a flower.
The contrast image after the embolization was synchronized on the large screen in front of Zheng Ren in the operating room and in the operation room.
Professor Pei's smile just now became a little unnatural.
Zheng Yunxia has only one liver tumor, but it is very large, with a diameter of about 8cm, almost half the height of the liver.
The imaging again showed that the lower half of the tumor had disappeared, which meant that the embolization was successful.
But!
The first half of the tumor is still there!
"Hiss..." Professor Pei's face became heavy.
"Professor Pei, this is..." Although Director Pan recently made up his knowledge of intervention, he was already over 60 years old, and his energy and memory were not as good as those of young people. In addition, he had no practical experience, so he could not accurately judge what was going on.
"The preoperative image data was deviated." Professor Pei pointed to the tumor image on the large screen and said: "The blood vessels in the lower half of the tumor are supplied by the hepatic artery branch, but the upper half should be blood vessels from outside the liver for blood."
"What might it be?" asked Director Pan.
"I don't know that all blood vessels in the body may supply blood to the tumor, which is the characteristic of tumor tissue." Professor Pei shook his head, his expression slightly heavy. "The most troublesome thing is that the spinal cord provides a blood vessel to provide liver tumors. If that is the case, even if it is found and forced embolization is forced, ectopic embolization may occur after the operation, causing the patient to be paralyzed."
"..." Director Pan.
“…” Manager Feng.
"..." The Chu sisters.
Only Xie Yiren blinked and could not see any concerns at all. Perhaps she had an inexplicable trust in Zheng Ren.
In her consciousness, there is no surgery that Mr. Zheng cannot do.
"Of course, it is better to be able to tell which blood vessel is for supplying it. The difficulty lies in finding the blood vessel for supplying it, which requires a chance." Professor Pei shook his head again.
Soon, Zheng Ren appeared in the operating room wearing a sterile surgical gown.
"Professor Pei, what do you think?" Zheng Ren said in a very concise way.
"If you are not sure, the operation will be completed now." Professor Pei looked straight into Zheng Ren's eyes behind the lead lens and said seriously: "Although it is not completely successful, it is also a successful tumor reduction surgery that can improve the patient's survival for three to six months."
Zheng Ren didn't say anything.
"Another option is to find the feeding vessels of the upper tumor, but this is difficult."
Of course, the Chu sisters and Xie Yiren don’t want to have tumor reduction surgery only. During the past few days of getting along, they have become friends with Zheng Yunxia. Whether from the perspective of friends or medical workers, they all hope to completely embolize the tumor.
But!
The surgeon who is involved in the surgery must withstand some radiation exposure.
Although wearing lead clothes, if the operation time is short, the body can also offset the image of this part. However, as the operation time is extended, people who have been operating under X-ray will not be able to bear it.
Surgery, 12 hours standing and 12 hours standing in the interventional surgery are completely different concepts.
Surgery may be very tiring, but if you wait for 12 hours to intervene in the surgery station, you will die!
Everyone was silent.
Advise Zheng Ren to continue doing it?
Advise Zheng Ren to give up the operation?
In a dilemma!
Chapter completed!