It's past four o'clock in the afternoon.

Emergency Department.

Director Qian's office.

"Senior brother, are you busy?" Dai Yaowen, the deputy director of the Department of General Surgery, walked in with a grin.

Director Qian raised his head and glanced at Dai Yaowen and said, "If you have a fart, let it go!"

“......”

Those who understand me are also brothers!

"Find senior brother, you will have a consultation in the past~" Dai Yaowen said with a smile.

"What is it?" asked Director Qian.

Some time ago, the director of general surgery had already jumped ship, and Dai Yaowen, as the deputy director of general surgery, is currently a substitute class teacher. I guess I can become a director in a few more years!

It's a pity that in Director Qian's eyes, the level of this Dai Yaowen's junior brother needs to be improved, and he has always come to him to rescue soldiers when he encounters some thorny problems recently.

It's really mud that can't hold up the wall!

Of course, in fact, Dai Yaowen's surgical level is very high, otherwise he would not be able to do the level of deputy director. But in the eyes of Director Qian, the senior brother, he is still much worse than him, so he hates iron and steel.

If Dai Yaowen knew Director Qian's inner thoughts, he would be a generalist, senior brother, you are a well-known figure in the entire First Affiliated Hospital of the Demon Capital, where does he dare to compare with you?

You think everyone is a genius~

"Rectal cancer, local recurrence of rectal cancer, close to the sacrum, the situation is very tricky!" replied Dai Yaowen.

After listening to Dai Yaowen's words, Director Qian's brows suddenly furrowed, and he asked sharply, "How many times have you relapsed?"

"3 times, closer to the sacrum position than the other!"

"3 times?" Director Qian was shocked, the local recurrence of rectal cancer close to the sacrum is one of the most difficult situations in the medical field at present, because the sacrum is rich in blood vessels and many nerves, and the amount of blood loss can be as high as 200 ml per second, and such a blood loss rate can "kill" anyone in seconds.

Doing such an operation can be said to open the "blood valve" and release the "demon locked in the bottle", and the risk can be imagined. Therefore, there are few attempts at resection surgery in the domestic medical community, and more radiotherapy and chemotherapy are used, and the disadvantage of radiotherapy and chemotherapy is that the efficacy is poor, and the median survival time may only be 10 to 12 months.

The patient also had three recurrences, which proved that the previous surgeries may have been unclean, mainly because the operation was extremely difficult to perform close to the sacrum. Not your average rectal cancer. It's hellish rectal cancer!

But it is also possible that the cancer cells have metastasized and are not found.

But the recurrence is three times, and each time it is closer to the sacrum, and the difficulty is almost increasing every time!

"That's right, that's why I came to you, senior brother, you are a general practitioner, the leader of the general surgery industry in the magic capital back then. Dai Yaowen patted his ass.

Dai Yaowen didn't brag about this, his senior brother was born in general surgery back then, and he was one of the best general surgery doctors in many hospitals in the entire magic capital. It's a pity that Director Qian has high ambitions and wants to be a general practitioner.

"Go check it out, I don't know if I'm sure. ”

The two soon arrived at the general surgery consultation room.

It was found that Shao Dagang, the director of the Department of Orthopedics, was also there.

This surgery requires a joint orthopedic surgeon. Because the sacrum needs to be removed during the surgery!

"Director Qian, you're here. Shao Dagang greeted.

"Hmm. ”

Director Qian checked the patient's examination results and found that the cancer was almost attached to the sacrum.

The situation is very complex and tricky.

"Director Qian, is this operation sure?" asked Shao Dagang with concern.

"It's hard to do, it's too close to the sacrum! Director Qian said.

As soon as this sentence comes out, it is equivalent to pronouncing a 'death sentence' to the patient!

"Director Qian, the patient was transferred from the Modu Cancer Hospital in the morning. The patient is my second uncle, who has seen it in Yangcheng Hospital, Modu 101 Hospital, and Modu Cancer Hospital, and the doctors there are not sure about this operation. Shao Dagang smiled bitterly and continued: "Director Qian, for my sake, can you think of a way?"

The second uncle of his family has traveled to several major hospitals, and he has been sentenced to 'death'.

In desperation, I can only try my luck with Director Qian!

As the head of the Department of Orthopedics, he also knows that this operation is extremely difficult!

Now when he heard Director Qian say that there was no way, his heart suddenly cooled.

"Wait a minute, is this patient your second uncle?" Dai Yaowen glanced at Shao Dagang strangely!

"yes, what's wrong?"

"I remember that you didn't take leave to go back to your hometown last year, or to go to the funeral of your second uncle? Why did your second uncle come back to life again?" Dai Yaowen has a good relationship with Shao Dagang on weekdays.

His wife was introduced to him by Shao Dagang's wife. When the other party went back to the funeral last year, he also listened to what his wife said, and he only knew about this matter when Shao Dagang's wife told his wife.

"Well, this second uncle is another second uncle, a distant relative of mine, not very close. "Shao Dagang sweated one. His real second uncle is indeed hanging.

This pseudo-second uncle is actually his second grandmother's father, and he made it up casually.

I didn't expect Dai Yaowen to know about his funeral last year?

Come on, it must have been revealed to the other party's wife by his wife and passed to his ears!

"Oh......" Dai Yaowen didn't suspect anything when he heard it.

"Director Qian, do you want to think of a way again?" Shao Dagang pulled back the topic. In fact, this situation is so tricky that it is completely forbidden to operate.

Even if you go to a few top hospitals in the capital, you may not be too sure.

Almost all of them do their best, listen to their destiny, and look at luck!

The main reason is that Modu Cancer Hospital is among the top in the country in the field of rectal cancer.

They don't want to take risks, and neither do other top hospitals.

Now Shao Dagang is just trying his luck, and it's a big deal to be a dead horse and a live horse doctor.

The main thing is that he knows very well that Director Qian is also a big bull in this area!

Everyone knows that they are also colleagues, and they can also listen to how many percent of each other's specific success is assured!

"I have a solution, but the certainty is not very ideal, that is, first use the abdominal aortic balloon to completely block the arterial blood flow and reduce the blood inflow near the sacrum, and then your orthopedic department assists in quickly cutting the sacrum, and then intensively carry out follow-up tumor resection and treatment of the presacral venous plexus to properly stop the bleeding. After thinking about it, Director Qian came up with the most appropriate and suitable surgical plan.

"It's worthy of being the leader of general surgery back then, then, how sure is it?" Shao Dagang's eyes lit up and he slapped his thigh.

"It is estimated that we are only 30% sure! Mainly because there are many blood vessels and nerves near the sacrum, how can we avoid not hurting the blood vessels and nerves, which requires an unusually delicate surgical operation. If it hurts, how to stop the bleeding quickly!" Director Qian threw out this most important problem.

Several top hospitals in Beijing have also performed many such difficult surgery for rectal cancer sacrum, but the success rate is not high, and there are many cases of major bleeding. Therefore, more doctors recommend radiotherapy and chemotherapy treatment.

"Senior brother, isn't Ruan Bin in your emergency department known for his fast hands and delicate operation?" Dai Yaowen reminded.

"Huh, yes!" Director Qian also suddenly remembered that there was also a genius demon Ruan Bin in their hospital who was known as the 'nano' operation!

He eliminated the cancerous tissues in the root of the mesenteric vein that Professor Chen did not dare to do back then.

Maybe, give it a try!