Chapter 611: Hellish Surgery

As soon as this incident came out, a large number of pharmaceutical companies came to inquire about the news, and many follow-up media came to interview Ruan Bin.

I have to say that now Ruan Bin is going to be interviewed by a large number of media, and he is very annoyed.

But there is no way.

Although it annoys them, sometimes I do need to rely on some propaganda methods of the other party.

"Stealing half a day!" Ruan Bin did not go to the First Affiliated Hospital of the Demon Capital that day, but accompanied his wife Jiang Yurong for a walk in a park.

His wife is more than seven months pregnant, and she doesn't have to go to the hospital, and now she is raising the baby at home!

......

At this time, the First Affiliated Hospital of Modu.

The Department of Hepatobiliary and Pancreatic Surgery, Pediatric Oncology, Pediatric Cardiovascular, Pediatric Respiratory, Radiology, Pathology and other departments in the hospital held a hospital-wide consultation!

He even invited the masters of several children's specialized hospitals in the magic capital.

With so many departments, it is not often seen that the children's specialized hospital outside the hospital has been invited to come for consultation! Even the director of the Pediatric Hospital of Fudan University in the magic capital, Sun Wushou, has come!

For no other reason, the operation they are now consulting for is very rare and tricky! The main reason is that the father of this child is a big man, so he attaches great importance to it!

Three days ago, 3-month-old Niuniu was always crying for unknown reasons, and was found to have a lump about 5cm in diameter on her liver in the local hospital. Hemangioendothelioma is a low-grade malignant tumor, but it grows rapidly and has the risk of continued bleeding, coagulation dysfunction, and heart failure, which is undoubtedly a time bomb in Niuniu's body.

Hemangioendothelioma is a malignant tumor that originates in the endothelial cells of the blood vessels. It is a kind of intermediate malignant or borderline tumor between benign and malignant, which is generally divided into two levels according to the degree of cell differentiation: first, low-grade malignant cells differentiate well, and most of them have no metastasis.

The other is angiosarcoma, which is poorly differentiated, highly malignant, has a relatively high conversion rate, and has a relatively high mortality rate.

As far as Niuniu's current situation is concerned, she is a dermoma, so as long as the surgery successfully removes the lesion, it can almost be cured. However, for solid tumors, it is difficult to rely solely on surgical resection. The main reason is that this type of tumor is composed of blood vessels and the blood supply to the tumor is also abundant, and the tumor bleeding during surgery increases the difficulty of surgery.

"This laparoscopic minimally invasive liver lobectomy surgery is not easy to do!" Zhao Ming, director of pediatrics at the First Affiliated Hospital of Modu, shook his head. After a few hours of discussion today, they felt that the traditional surgery for patients with liver tumors requires the opening of the abdominal cavity, which will leave a large scar after the operation. Considering the recovery and aesthetics of such a young baby girl, the best solution is to perform minimally invasive surgery.

"Minimally invasive surgery does not require abdominal banding, no constipation, less pain for children, can minimize trauma, recovery is fast, and the beauty effect is good. However, minimally invasive liver tumor resection in such a young infant is several times more difficult than traditional laparotomy.

"A 4-month-old baby suffers from a liver tumor, and the blood of such a young child is only about 400ml, less than the amount of a bottle of mineral water, and once the blood loss reaches 10ml during the operation, it may be life-threatening. Dean Sun Wushou of the Pediatric Hospital of Fudan University in the magic capital also shook his head and sighed.

"Moreover, the 4-month-old baby has a small belly and very limited operation space, so the operation is like doing a dojo in a screw shell, and it is the ultimate test of the operation to deal with the blood vessels and biliary tract like hair. In addition, Niuniu's pneumoperitoneum pressure can only be set at 8mmHg, which is equivalent to 60% of that of adults, and the air intake speed is 4L/min, which is equivalent to 10% of that of adults. Another expert also made his own suggestions.

The more people discussed, the more they felt that this operation was too difficult!

The main thing is that the angiodermatoma grows on the blood vessels!

The child's blood vessels are so small, when the time comes to remove them, it must be terrifying, and it is definitely a great challenge!

Because the tumor should be carefully dissected along the surrounding normal tissue, the blood supply artery should be treated first, and then the draining vein should be blocked, so as not to cause "normal perfusion pressure breakthrough syndrome" (NPPB), and complete dissection should be sought to avoid massive bleeding caused by block resection.

But the blood vessels of children are small, and children who are only three or four months old have blood vessels so small that you want to cry.

That is, it is not allowed to bleed, no mistakes, no tumor is allowed to remain, once the removal is not clean, it will recur at that time!

Although it will not metastasize and will not recur if it is removed, if you do not remove it cleanly, it will recur, and you will need to continue surgery next time......

Another issue is anesthesia! Children are so young, they should be very careful with anesthesia.

"Speaking of which, we have a surgical plan, everyone, but this operation requires a very precise operation, and no mistakes are allowed, I don't know who of you will challenge the position of the chief surgeon?" Zhao Ming looked at everyone and asked.

Suddenly, everyone looks at me, I look at you, and none of them are the first to speak.

Dean Sun Wushou of the Pediatric Hospital of Fudan University in the magic capital is eager to try, and he is the existence of Taishan Beidou in the pediatric field: "You guys, if you can be the chief surgeon of this operation, who is the world's first! This is a good opportunity to break the record! It's a pity that the old man is old, and his hands may sometimes tremble, otherwise the old man will be on it!"

As soon as Sun Wushou's words came out, Zhao Ming and the others were a little panicked.

"Dean Sun, what you said makes me very ashamed. Zhao Ming was embarrassed for a while.

Not to mention that the Pediatric Hospital of Fudan University is one of the top three pediatric hospitals in China, and it is also a top pediatric hospital!

Seeing that their group of people didn't dare to take the lead, it seemed that this boss was a little unhappy.

But who called this a hellish operation?

And the father of the child is not simple, he is a big man, and they dare to take risks casually. When something goes wrong, even if people don't pursue it, they will always be afraid.

"What's the matter, don't you have much confidence? It's really not good, Xiao Zhao, just invite your 'god' from the First Affiliated Hospital of the Demon Capital to come out!" Sun Wushou said with a smile.

"God?" Zhao Ming was stunned after hearing this, a little unclear.

So it was with the multitude.

"Oh! It's Ruan Bin! He is now a god in the eyes of the old man! This kid hasn't invited Lao Tzu to dinner for a long time!"

He watched Ruan Bin become a 'god'!