Seeing that Jin Shengyou in front of him invited him to help go over to see the patient's situation, can you come up with a solution.

Originally, he didn't have much interest in these two people, but in the profession of a doctor, he still nodded and agreed!

"Yes!" Ruan Bin nodded.

"Professor Fujiwara, let's go over and have a look?" Jin Shengyou looked at Fujiwara Takashido.

"Good. Fujiwara Takashi frowned slightly, he felt that Jin Shengyou must be uneasy and kind, but he couldn't see anything.

Soon, several people came to a consultation room.

Kim Seung-woo explained the patient's specific situation in fluent English, and at the same time handed some examinations and treatments to Ruan Bin and Fujiwara Takashi to see.

"The patient, a 40-year-old male, knew from a young age that he was infected with hepatitis B and that he was infected through mother-to-child transmission. Except for the regular physical examination in the hospital every year, the others are no different from normal people. In February this year, an examination found that his liver was covered with dense tumors of various sizes, the largest of which was more than 10 centimeters in diameter, and he was diagnosed with "diffuse liver cancer with portal vein embolism". ”

"I went to several major hospitals in China, because the condition was too serious and in the middle and advanced stages, so those hospitals could not operate. ”

"Later, when he came to our hospital, we finally suggested that he have a liver transplant, but Mr. Li was not very acceptable, and chose to try immunotherapy, hoping that the tumor would slowly shrink after the medication. However, after about a month of immunotherapy, Mr. Li's tumor did not shrink at all, but the jaundice index further increased, and his condition took a sharp turn for the worse!"

"Now his whole complexion is sallow, his stomach is full of ascites, and he has lost more than 10 pounds, and the situation is worse than the last time he came. This also means that liver transplantation is more difficult. ”

"However, this liver transplant is different from ordinary liver transplants, not only to remove the diseased liver full of tumors, but also to unblock the portal vein very carefully without damaging the blood vessels. However, the portal vein is the main source of blood supply to the liver, and 75% of the liver's blood supply is transported through the portal vein.

"We have done many surgical simulations and 3D modeling, and because the patient's portal vein is so tightly blocked by tumors and blood clots, the blood flow cannot pass through properly. To make matters worse, his portal vein has developed spongiform lesions, which means that the vascular condition is already very poor. In other words, we need to clean up the portal vein embolization so that the blood flow can pass smoothly and provide blood supply to the transplanted liver. ”

"However, whether the liver can work normally after final transplantation requires a combination of many factors, such as postoperative rejection, infection, vascular complications, etc., and any problem in any link will affect the surgical effect. Jin Shengyou introduced.

"What you are worried about is that due to the congenital condition of the patient's portal vein blood vessels, not only does it have spongy lesions, but the intima of the blood vessels is also very rough, and the probability of embolism re-occurring is very high, are you worried about this?" Ruan Bin said.

Because this is a vascular complication that may occur after liver transplantation, although the incidence rate is not high, once it occurs, it is very difficult to deal with and is one of the important factors affecting the prognosis of liver transplantation.

And once vascular complications occur, you may have to face a second liver transplant at that time!

When the time comes, it is difficult to say whether you can wait for the appropriate liver source.

"Yes, we are worried about this, and because the patient's congenital venous vascular condition is not good, the chance of embolism is at least 90%! I asked Dr. Ruan to come here just to ask you to help me think about whether this hidden danger can be solved! I believe that this situation is also one of the problems of many liver transplants. Kim Seung-woo said.

"That's right, I think Dr. Ruan can speak at the Asian Hepatobiliary and Pancreatic Academic Conference at such a young age at the age of 26, and his strength and reputation are very high! If Dr. Ruan can't solve this problem for a while, don't worry, I will raise it in public when I give an academic speech at the academic conference the day after tomorrow! Park Sung-hoon looked at Ruan Bin with a smile. Originally, it was his teacher Jin Shengyou who almost gave him a quota, but he killed a Ruan Bin halfway, which made him very depressed and jealous!

Ruan Bin listened to the words of the master and apprentice singing and harmonizing, his brows tightened, this is especially killing him!

First of all, you brag about your awesomeness, and in the blink of an eye, you want to make a fool of yourself? Or do you want to make a fool of yourself at an academic conference?

Fujiwara Takashi next to him also frowned: "Jin Shengyou, did you do it on purpose?"

He's not polite!

"No, no, no, how did it happen on purpose? Dr. Nguyen was originally a shining star, and I believe in his ability and strength. Besides, this kind of liver transplant was forced by him, and when he encounters such thorny problems and cases, isn't it a very good topic to discuss at the academic conference when the time comes?" Jin Shengyou said without blushing or panting.

"Hehe, I also recognize your strength, so why can't you solve this problem?" Fujiwara Takashi sneered.

Ruan Bin was introduced by him at all, and now this Jin Shengyou is so shameless, of course he can't see it!

"Hepatobiliary pancreas, I'm not good at liver! Besides, liver transplantation is indeed Dr. Nguyen's forte, isn't it?"

Ruan Bin watched the two old guys bickering, with no expression on his face and no waves in his heart!

This pair of stick masters and apprentices are full of slow malice towards themselves!

"You ......" Fujiwara Takashi's face turned blue with anger. Although he is also good at the liver, but the current situation of this patient is indeed very complicated, although he is very good, but it is not a matter of time and a half to come up with a solution, it may take a few days, maybe a week, or even a month to study and figure out a solution.

Because the portal vein problem is a worldwide problem for liver transplantation.

But Ruan Bin will come to the stage to speak the day after tomorrow.

He can't help!

"Hehe, how about it, Dr. Ruan, do you have any clue now? If not, you can take it out and discuss it at the academic conference when the time comes. Park Sung-hoon sneered.

"I have thought of a solution, it should be able to solve this hidden problem!" Ruan Bin said lightly.

Since you want to hit me in the face, then I'll fight back, after all, it's strength pretending!

He has several world-class liver transplant skills, as well as an innovative level. I have at least seventy or eighty thousand clinical experiences with liver transplant surgery.

So, he's found a way!