0235 Do you want to give up (4/5 for the helpless alliance leader plus 2)
"Manager Feng, what's wrong?" Zheng Ren asked.
Mr. Zheng ...... Me, I...... Did I make a mistake?" Feng Xuhui asked hesitantly.
"What went wrong?" Zheng Ren reverted to his previous state of confusion and asked puzzled.
Su Yun looked at Zheng Ren with disdain, with an expression that you know how to pretend.
"Noon ......"
"Oh, that's it. Zheng Ren suddenly realized, "I have something to say to Su Yun, and it's inconvenient for you to follow." It's okay, it's okay. ”
Where did Feng Xuhui believe it, crying with a sad face. But he didn't want to say anything, and followed Zheng Ren and Su Yun all the way to the interventional department.
Together with Director Kong, Dr. Shen has been following Director Kong, and everyone went all the way to the Department of Urology.
The patient was 87 years old with severe heart disease, and the anterior descending artery was still blocked after coronary stent70, and the epitrial was premature. Pulmonary ventilation is poor, and coagulation is not good because of the need for oral warfarin after stenting.
It can be said that this old man has a relatively serious contraindication to surgery.
Even if you pick out your prostate, you have to risk the possibility of sudden death from a heart attack on the operating table.
If the prostate is not picked, the patient's prostate has enlarged to a certain extent, and it is difficult to urinate, or even unable to urinate. Need for long-term lower urethral catheter or ...... As for cystostomy, urology also has to risk death.
In other words, although the elderly do not have incurable diseases, the most basic life has lost its quality.
The patient's sons, who were also in their sixties, were gathered around three or four old men who looked like they were in a meeting.
After being informed of the old man's condition, the family readily agreed to do the experimental surgery.
The success or failure of the operation is still between the two, but at least this is a hope. It is better than long-term lower urinary catheter, which leads to inconvenience, urinary tract infection, severe retrograde urinary tract infection, and abdominal complications.
After seeing the patient, as expected, the surgical technique must be very gentle.
Zheng Ren had already done psychological construction for himself, so he didn't say anything, so he took the patient to do the 64-row T retrograde reconstruction, and by the way, he called Qin Liren to do it together.
After tossing, it was also time to get off work.
Zheng Ren happened to do a three-dimensional reconstruction on his own, and then looked for hair-thick capillaries that appeared after hyperplasia on the prostate.
This difficulty is much more difficult than finding the blood vessels that provide liver cancer.
Director Kong has been sitting beside Zheng Ren watching him operate, and while watching, he sighed with emotion.
I thought that Zheng Ren specialized in the liver, so the retrograde 64-row T three-dimensional reconstruction would be so beautiful.
However, what I never expected was that Zheng Ren seemed to be more familiar with the anatomy of the prostate.
You said that you are a general surgeon, why are you so familiar with the anatomy of the prostate? Although Director Kong has long been accustomed to the surprise of Zheng Ren and Su Yun, the pair of surgical partners, after seeing this scene, his glasses still fell to the ground.
The three-dimensional reconstruction of the prostate is more difficult than that of the liver, because the vascular network is all capillaries, and the dense vascular network cannot be shown on the ordinary T. Even in 3D reconstruction, it is necessary to choose a specific development period to capture the capillary image properly.
Just as he was looking at it, Director Kong's phone rang.
"Hey, it's me. Director Kong was a little impatient, but when he heard the next sentence, he immediately stood up.
"I'll go right away. ”
"Director Kong, what's wrong?" Zheng Ren asked while skillfully operating the retrograde 3D imaging.
"It's okay, emergency, you're busy. Director Kong's words were a little stiff and hoarse.
With that, he turned and left Room T.
"Did you hear me?" asked Jung-in.
"I didn't hear clearly, but I guess it should be the German professor in the magic capital who has completed the operation. Su Yun said.
"Hmm. Jung in continued to be busy.
"Does it still make sense?"
"I don't know, but I have to do something, what else will I do with this patient? Invite the German professor again?" Zheng Ren was not discouraged, but continued to charge towards indescribable difficulties.
……
……
In the conference room of the institute.
Wu Haishi, Wu Lao, Professor Pei and others arrived one after another, Li Haitao frowned, and when Director Kong came, he was about to play the operation video.
"Xiao Li, is it true?" Director Kong still retained a glimmer of hope.
"Director Kong, the operation on that side officially ended at 4:15 p.m. Li Haitao said: "Please sit down, let's evaluate whether there is a need for this surgery." ”
Director Kong's expression was serious, and he picked a front seat and sat down.
He didn't ask the source of the video, if he couldn't even get his hands on the operation video, all the people sitting in the audience could collectively jump off the building.
"Hello everyone, let me introduce you again. At 14 o'clock this afternoon, in a hospital in Modu, Professor Rudolf Wagner of Heidelberg University in Germany served as the surgeon's prostate interventional embolization and began the operation. At 16:15, the operation was successfully completed. Next, let's take a look at the recording of the surgery. ”
After Li Haitao finished speaking, he clicked on the video.
The video recording is not a surgery, it has been cut in a short period of time to remove the pre-process, and what appears is the image of the prostatography.
The guidewire smoothly enters the celiac trunk and then reaches the common iliac and internal iliac arteries, where imaging begins.
The fine network of blood vessels immediately loomed into view.
Because the resolution of the surgical video was not high enough, many of the professors present did not see which artery leads to the capillary network of the prostate.
Under the control of Rudolf Wagner, the microguidewire is extremely dexterous, and after entering the internal iliac artery, it continues to over-select, and goes down a collateral vessel.
It is not difficult for the micro guidewire to move forward, especially in some corners.
"Elder Wu, is the guidewire specially made?" Director Kong tilted his head and asked Wu Haishi and Wu Lao's opinion beside him.
"Well, it looks like it's not an ordinary microwire. Wu Lao said.
Director Kong shook his head, facing the world's top professors and almost unlimited financial support, this period of effort seemed to have become meaningless.
Perhaps, as Li Haitao said, there is no need to continue this research.
Over-picked, successful.
Between the upper end of the capillary mesh and the superior bladder artery, Professor Rudolf Wagner tried several times and found that the limit of the microguidewire had been reached, and the microguidewire could no longer move forward, so he began to build in the microcatheter and then embolized.
Surgery, the process is simple. But it's hard to say, and it's extremely difficult.
This is a great challenge for the operation techniques and application consumables of interventional surgery.
Wu Haishi and Wu Lao sighed on the side, and Director Kong also felt the same way.
But when he thought of giving up, he suddenly remembered the back of the person sitting in room T, concentrating on the three-dimensional reconstruction of T.
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