Chapter 227: Break His Mouth (Ask for Subscription)

Zhang Gu consumed a skill blank card, and in his mind, he exchanged the "two-step liver removal for liver cancer surgery".

Then, after consuming 4 intermediate cards and 1 level skipping card, you will be promoted all the way to the master level.

This operation is very difficult, and it is much more difficult than the previous spleen-sparing surgery.

If it is only promoted to an advanced level, it is still too reluctant to win this operation. Only the master level can make Zhang Gu feel comfortable and not easy to make mistakes when doing this surgery.

In the office, Xiang Jianhua and Wu Yan were quite anxious, staring at Zhang Gu with dead eyes.

I can't wait to break his mouth and let him say it quickly!

But Zhang Gu was silent there, as if he was brewing to organize words, and the two didn't dare to speak out, for fear of disturbing Zhang Gu's train of thought.

For Xiang Jianhua, this is likely to be an opportunity for the three institutes to take off. For Wu Yan, this second inheritance project is very rare and rare, and it is an opportunity to achieve fame. Both of them were afraid of disturbing Zhang Gu's train of thought, so this opportunity slipped away in vain.

Zhang Gu slowly savored the massive experience in his mind, and after cooking the "two-step liver cutting method" thoroughly, he smashed his mouth......

He himself couldn't help but feel a little emotional, this two-step liver cutting method idea is indeed too good.

It's simply breathtaking.

Zhang Gu slowly spoke: "If you want to remove a huge liver cancer at one time, it will definitely not work, and the remaining little liver volume will definitely not be able to support the patient's function." ”

"So my idea is, it's going to be cut in two steps. ”

Xiang Jianhua raised his eyebrows and glanced at Wu Yan.

Two-step excision? Does this mean that the cancerous liver tissue is removed separately?

Zhang Gu continued: "The first step is to surgically ligate the portal vein and remove a part of the liver volume that has deteriorated into cancer, so as to ensure that the remaining liver volume is sufficient to support the basic physical needs of the patient. ”

"When the patient's liver grows in size again, a second step of surgery is performed to remove all the remaining cancerous liver tissue. ”

"In this way, there are two stages, two surgeries, to remove the huge liver cancer. ”

Xiang Jianhua and Wu Yan glanced at each other and saw the surprise and doubt in each other's eyes.

Xiang Jianhua's thoughts spun quickly: "Zhang Gu, I admit that your two-step liver cutting method is very innovative, but after the first step of liver cutting, you have to wait until the patient's liver volume increases, how long will it take?" I'm afraid this time period is enough for the cancerous tissue to spread to the whole liver again, right?"

Wu Yan also thought for a moment, then frowned and shook his head.

"This line of thinking doesn't work. Cancer spreads much faster than the liver grows in size. Zhang Gu, I'm afraid your thinking is too idealistic. ”

In the eyes of the two, the original strong expectation turned into disappointment and deep worry at the moment.

This method is too idealistic at first glance.

The idea is too good, and the speed of the spread of cancerous tissue is too underestimated.

However, this idealized idea comes from the mouth of a young man who has won many battles and is a little inflated, which is understandable.

Who hasn't been proud and arrogant for a while? Even with an old seniority like them, who is over half a hundred years old, sometimes they will inevitably be a little complacent, let alone a young man like Zhang Gu?

As long as it can be changed back, it is still a buildable material.

The only problem that worries the two of them is that the topic is getting too much attention right now. I'm afraid the impact will be great.

Especially after Zhang Gu was interviewed on TV last time, this topic has been out of the circle, not only by the medical community in the industry, but also by many ordinary people on Weibo.

Zhang Gu smiled: "It's not idealistic at all. ”

"Who said that the liver grows faster than the spread of cancerous tissue?"

"Your thinking is still too limited. ”

The two big guys were shocked, and hurriedly looked at Zhang Gu.

Are we too limited?

Looking at Zhang Gu's confident appearance, it is clear that he has a plan. Perhaps this young man has already taken into account all the issues they are worried about.

Xiang Jianhua said impatiently: "What else are you selling kids, hurry up!"

Wu Yan's mood also fluctuated, and he clutched his chest and said, "Hurry up and say it, otherwise I will have a heart attack." ”

Zhang Gu said with a smile: "Our new project is a secondary inheritance project. Therefore, the focus is on the theory summarized in the previous project, ligation and disconnection of the portal vein. ”

"This technology is the key to making the liver grow faster than the cancerous tissue can spread. ”

The two of them showed a deep look of thought.

Zhang Gu said: "If you think about it, if you ligate the right branch of the portal vein and split the connection between the left lateral and left inner lobe of the liver, the left side will not be able to form a collateral blood supply circulation, and the blood supply of the entire portal vein will be concentrated on the left lateral lobe of the liver. ”

"This creates a strong stimulation of the left outer lobe of the liver, causing the remaining liver volume to rapidly double in about double in one to two weeks. ”

Wu Yan and Xiang Jianhua were stunned!

"Changing the blood supply, can it really expand so much?"

Zhang Gu knew that the two didn't believe it, so he clicked on the computer and opened an early medical paper abroad.

"This paper was a discovery made six years ago, but until now, it has not been known that ligation of the portal vein can increase the size of the residual liver and can be used to treat giant liver cancer. ”

The two hurriedly approached the computer. The paper is well-documented and theoretically substantial.

Even if they no longer believe in this conclusion, they can understand it according to the way of thinking, and with the confirmation of sufficient evidence, the two gradually accept it.

Concentrate all the portal vein blood supply in the left lobe of the liver, which is really stimulating!

For example, some patients have one kidney cut off for various reasons, and the other kidney will expand rapidly in a short period of time to meet the needs of the body.

This two-step liver cutting method also uses the same principle, and even "adds oil and vinegar" to the portal vein ligation to fully support blood supply and nutrition.

The two have begun to embrace this new way of thinking.

Next, with Zhang Gu's explanation.

Wu Yan and Xiang Jianhua had more and more light in their eyes.

This idea, which I felt at the beginning, became more feasible as the details were perfected!

In the end, Wu Yan and Xiang Jianhua both landed on the ground with a big stone in their hearts!

"I now fully believe that you kid can complete this project!"

Wu Yandao: "With this complete set of theoretical support, this set of ideas and ideas with bright spots should be able to be implemented." ”

"Well, the only thing that is still uncertain is whether the patient can survive the dangerous period within 7-14 days after the first step of surgery, and whether the liver can increase rapidly. ”

"Other than that...... The whole idea is completely free of stuck points and difficulties. ”