(Thank you for your friends' encouragement, thank you for waiting in place, Qinglian drifting in the wind, Xykd007, sunyw0211, i monthly pass encouragement)

"Yo, it's rare to have the two of you come to the door of the operating room to pick me up in person. Got into trouble?"

Zhou Shuwen, who walked out of the operating room, saw that Liu Banxia and Shi Lei were here, and his brows were also wrinkled.

"Director, a very challenging case, let Banxia tell you. Shi Lei said.

Liu Banxia glanced at him helplessly, "An eight-year-old patient in pediatrics has a leiomyosarcoma in the abdomen, which wraps the five aorta in the abdominal cavity, and is not small. ”

"The two of us studied for a long time, but we didn't discuss a feasible surgical plan, so we had to ask you for advice. The meal is ready, let's go back to the office to eat?"

"It's really a bit troublesome, let's go to the office, call Chen Hongyang over, and take advantage of this time to have a consultation." Zhou Shuwen nodded.

The meal was served a little earlier, and now it was only a little warm, but they didn't care at all. If you're hungry, don't you have to eat it cold? It's nice to have a bite.

"Director Zhou, why don't you eat first. Chen Hongyang, who rushed over, said.

"It's okay, put the film on the viewing lights, and the big guys will discuss it together. Zhou Shuwen said.

"Doctor Chen, how is the child's physical condition?" asked Liu Banxia, who had taken a bite of food.

"It's okay now, but the tumor has put pressure on the blood vessels. Chen Hongyang said.

"You two have been studying for so long, you should have a general idea, right? Zhou Shuwen said.

"I have discussed with Dr. Shi that the insurance method is chemotherapy first to control the compression of the tumor on the blood vessels, but it is a little too late. We thought of cutting along the stomach again, and later gave up as well. Liu Banxia said.

"Inspired by this line of thinking, we considered autologous transplantation. The whole stomach is removed, but this requires the removal of the liver and kidneys. ”

Zhou Shuwen frowned, put down his chopsticks, and stared at the viewing light, "Go on." ”

Liu Banxia and Shi Lei glanced at each other, and this time it was Shi Lei who spoke, "A more realistic plan is to only take out the organs that are blocked by the tumor and clamp the aorta." ”

"But it's also risking the child's other organs, and it's just as risky. Because we can only take them out one by one, there is not that much time at all. ”

Hearing his words, Chen Hongyang, who still had some hope, lost his spirits.

Although he is only a pediatric physician, this does not mean that he does not know this knowledge of surgery. I also know that the difficulty factor of this operation is too high, at least it has never been seen in the history of the establishment of the Second Hospital.

"What if we can create time?" Zhou Shuwen said coldly and then began to eat.

Liu Banxia and the three of them were stunned, how to create time?

"We take out all the organs in the abdominal cavity at once, which saves a lot of time. Then we dispose of the tumor and put the organ back in, and the faster the stitches, the more time it takes to create. Zhou Shuwen said lightly, and then glanced at Liu Banxia again.

Liu Banxia was dumbfounded, but he didn't expect it to be such a method to create time. Not really a creation? It's about cutting down unnecessary time.

Although this method has a certain degree of feasibility, it has also become more dangerous.

Autologous transplantation is not a very uncommon thing, and many surgeries may have organs that block the surgical field, and they can only be removed temporarily and then brought back.

The advantage over allogeneic transplantation is that there will be no rejection? The risk is reduced.

But this time Zhou Shuwen's surgery plan is very different? It's not just one, it's all the organs involved in the abdominal cavity. Autologous transplantation of so many organs, but where is there a slight mistake? The operation failed.

And to buy time? Otherwise, Zhou Shuwen would not have looked at himself at the last moment, and he must speed up the stitching.

And because this is an 8-year-old child, not fully developed? His associated blood vessels are also relatively thin? This adds to the difficulty of stitching.

"Ginger is still old and spicy, huh? This approach, although also very dangerous, is indeed the only feasible solution that can be considered at this time. ”

After being silent for a while, Liu Banxia spoke.

Zhou Shuwen glared at him? Started talking nonsense again.

"Director? If the child's parents do agree to this surgery, I have a small request to let me sleep a little more tonight. Liu Banxia continued.

"I have to relax my spirit, and it's not just me, it's you. Otherwise, if the spirit is too tight, it will definitely affect the operation during the operation. ”

Zhou Shuwen nodded, "This is how it should be, such a big operation, we must be prepared." Before the operation, if there is a person who feels that he is not in a good state, the operation has to be postponed. ”

"Dr. Chen, your task is to explain to the patient the dangers of this surgery and the possible complications in the future. Because it is a multi-organ autologous transplant, the prognosis is really difficult for us to estimate. ”

"Then there is the question of the cost of this treatment, and they should also know it in their hearts. Surgery is only a life-saving tool, and the next step is the child's recovery process. ”

Chen Hongyang nodded, "I'll go and communicate with the child's parents." ”

With such a complicated case, now that he finally has some eyebrows, Liu Banxia's mood is a little relaxed, and then he begins to eat heavily.

"You've got a good appetite. Zhou Shuwen said.

"I feel that this case is similar to Tang Seng learning scriptures, but no matter how difficult it is, we have now determined a route. Liu Banxia said with a smile.

"The next thing we need to pay attention to is those little goblins that pop up in the middle of the road, no matter who is squatting behind them, just sweep them away. ”

"That's what we doctors can do, and not every case is a routine case taught in books. If you hadn't come up with this idea, this child wouldn't have even had the slightest hope. ”

"That means, I'm still quite spicy?" Zhou Shuwen threw out a sentence lightly.

Liu Banxia didn't dare to squeak, so he only had to bow his head and eat violently.

It's not good to tease Shi Lei, let you run rampant, it's over.

In fact, this is also because the surgical plan was discussed, and the mood was much more relaxed.

Although Liu Banxia is a little skinny, what he said is not bad.

No matter how difficult the road is, you will have a certain guarantee when you see the route. If you don't even have a route, it's probably not good to walk in with a black eye.

Things have finally taken a turn for the better, and the appetites of the three of them are also quite good. Especially Liu Banxia, there was nothing left over from the food he called. Even if the soup is already cold, I still drink it all with a bowl of soup.

At this point, even Zhou Shuwen, a teacher, can't compare with him.

The mood is comfortable, and I am full, and Liu Banxia's spirit is also full.

"Teacher Liu, Teacher Liu, come here. As soon as he walked out, Liu Yiqing beckoned to him very nervously.

Liu Banxia was startled, and hurriedly ran over, "What's wrong?"

"No, nothing. Teacher Liu, are you going to have a full organ transplant? Is it really fake?" Liu Yiqing said hurriedly.

"It's spreading pretty fast, I thought you were in trouble. Liu Banxia said helplessly.

"At the moment, it is only a plan, and it depends on whether the parents of the child can agree to it. The difficulty of this operation is too high, although you are very worried, but I dare not let you go on stage. ”

"But don't worry, if you can do it, there will definitely be a chance to observe. As long as this surgery can be performed, it will be in the teaching operating room. ”

"Hehe, it's exciting to think about. Liu Yiqing said with a smile.

"It's not just you, but even the director is a little excited. Liu Banxia said.

"For our doctors, encountering a difficult operation is indeed very fatal, and we will want to challenge it. At this time, it is important to stay sane and not get carried away because of the surgery. ”

"The risk of this surgery is very high, and there are so many organs that can be done so easily. What kind of surgery is a transplant for one organ, let alone so many organs. ”

"Teacher Liu, which of us will stay on duty?" asked Li Hao.

"You have to draw lots for this, and whoever is left behind will be sad, and you can only leave it to fate to arrange. Liu Banxia said.

It's a little irresponsible, but that's all it can be.

He is very much looking forward to this operation, and he may encounter such a machine in his life, and he can understand the feelings of these interns who miss it.

And don't look at the fact that Chen Hongyang has not sent the information back yet, he also believes that the child's parents will agree to the operation.

Is there a choice for the parents of the child? No matter how risky the surgery is, there is still a chance to give it a chance. So no matter how worried they will be about the danger of the operation, for the sake of the child's life, they will still agree.

Such an operation is a sure thing, watching the scene and watching the video playback, those are two completely different feelings, and there will definitely be more inspiration to observe on the spot.

Hearing him say this, the interns were also highly motivated. The lottery is the fairest at the moment, and if you can't draw it, you're a little unlucky.

"If you want to challenge the difficulty, come on. At this time, Xu Hui also came over.

"Let's work hard, there is another thyroid cyst operation in the afternoon, I will be on duty first after the work, and I have to go to bed early tonight." Liu Banxia said.

"Don't worry, such an operation falls to our emergency center, and we must provide all-round support. Xu Hui said.

"Our emergency center is still developing, if this operation is taken down, do you need to talk about the fame in the future? ”

The interns on the side also nodded, this is something that must be supported, even if they don't sleep at night.