372 Liver cancer resection that will fade out of history
Mr. Zheng, what do you need for the inspection?" Chang Yue knew in his heart, but still asked Zheng Ren's opinion.
This is a sign of respect for the surgeon.
Moreover, it is also a medical routine, once there is a lack of examination, which causes the operation to be suspended or something goes wrong, it becomes a good intention to do something wrong.
"Blood routine, coagulation, liver function, ECG, 64 rows, these are enough. Zheng Ren said: "When I was doing the 64th row, I was called, and I asked the doctor in the CT room to scan my lungs." ”
"Or interventional embolization?" Chang Yue asked.
Zheng Ren's heart moved, thought for a while, and said, "Do an examination first, if the effect is good, you may do radiofrequency ablation." ”
Su Yun raised his head, and the black hair on his forehead was fluttering, like a question mark.
"Boss, when did you learn RF?" asked Su Yun.
"Look at it once, and you'll be done. Zheng Ren squirted back with Su Yun's usual words.
Now that the Internet is developed, who doesn't have a few students from large hospitals, it couldn't be easier to ask for a video of radiofrequency ablation.
Su Yun didn't doubt it, but expressed his dissatisfaction with what Zheng Ren said after reading it.
Professor Rudolph said, "Boss, are you going to do radiofrequency ablation of liver cancer for this big girl?"
Zheng Yunxia was a little surprised by the appearance of Professor Rudolf Wagner, especially the fluent Northeast dialect, which was even more eye-catching.
"Hmm. Zheng Ren nodded.
Radiofrequency ablation, also known as radiofrequency thermal ablation, is a minimally invasive surgery for the treatment of orthotopic tumors, and the technology for the treatment of primary liver cancer is relatively mature.
If the diameter of the tumor is less than 3cm, radiofrequency ablation can kill all tumor cells with a chance of about 70%, and the clinical treatment effect is equivalent to surgical resection.
Surgical removal of the liver, that's a major surgery. Now with the advancement of technology, the incisions are getting smaller and the patient is getting less damaged.
However, radiofrequency ablation only requires local anesthesia, CT positioning to insert a needle into the tumor tissue, 15 minutes of ablation time, and the operation is completed.
Patients may experience pain during the procedure, but it is not severe and most people can tolerate it. A small number of patients were given a painkiller intramuscularly and survived.
The patient went to the ground 6 hours after the operation, and there was no abnormality the next day. The damage to liver function is even less severe than that of interventional surgery.
This is a surgical procedure to cure liver cancer.
Although limited by conditions, not all tumors can be resolved with radiofrequency ablation. But after all, it is a clinically proven and effective treatment.
Clinical medicine, with the advancement of technology, the surgical of internal medicine, and the minimally invasive surgery, are gradually changing the treatment of many diseases.
Liver cancer resection will inevitably fade out of the operating room in the foreseeable future.
Although it will not disappear completely, it can only be done as an adjuvant surgery with greater trauma, and the leading liver cancer surgery in the future will inevitably be interventional embolization and radiofrequency ablation.
Zheng Ren pondered for a moment, and Zheng Yunxia's illness was only briefly described on the system panel. But according to the operation, he can preliminarily determine that Zheng Yunxia can do radiofrequency ablation this time.
It is equivalent to surgical resection, if the cirrhosis nodule of her liver does not break out on a large scale and turn into tumor tissue, this life will be picked up.
However, radiofrequency ablation ......
Zheng Ren picked up the phone and dialed out.
"Dean Zhang, hello. ”
"Yes, I have asked Director Pan for leave. I want to make a few more, is it convenient for you?"
"About ten, I think there is no shortage of patients in the second hospital, and the cost of expert consultation can be reduced, I am just worried about your postoperative care and treatment ......."
"Oh, okay, okay, that's it. ”
After speaking, Zheng Ren hung up the phone.
Su Yun looked at Zheng Ren, this guy's thinking jumped too much, how could he suddenly switch from radiofrequency ablation to going to the second hospital for surgery?
"Fugui'er, don't leave for a while. Tomorrow we are going to the second hospital for TIPS surgery, and we will send someone to deliver the films. Zheng Ren ignored Su Yun's differences, but spoke to Professor Rudolf Wagner.
"Uh-huh, boss. The professor responded, "How many sets?"
"It should be about ten. ”
The professor made an exaggerated gesture.
Even at the University of Heidelberg, ten TIPS surgeries a day is a fantasy.
I didn't expect that I would be able to do this in a small and remote city in the far east.
After arranging all this, Zheng Ren sat in the office, waiting for the people from the Second Hospital of the city to come and deliver the film of the MRI dispersion.
Although he was reading a book, Zheng Ren's mind was full of operations related to radiofrequency ablation.
The task reward given by the system, the success rate of interventional surgery +2, I don't know what it means. There is no explanation, no communication, you can only guess by yourself, bad reviews.
Because radiofrequency ablation is a type of interventional surgery, Zheng Ren has been promoted to the level of a grandmaster and does not need to learn from scratch.
The task is completed, and the system gives 3,000 cases of surgical experience, which is considered an improvement.
But the success rate of +2, Zheng Ren guessed many times, but there was no eyebrows.
If you don't understand, let's wait until the task is completed.
After more than half an hour, there was a knock at the door of the office.
Zheng Ren looked up, it was a short and dumpty man, and asked with a smile, "Is Mr. Zheng here?"
Seeing Humpty Dumpty carrying a bunch of pieces in his hand, Zheng Ren guessed that he should be the one from the Second Courtyard of the city who came to deliver the films.
The speed is quite fast, it seems that the vice president in charge personally leads the work, and the efficiency is indeed very high.
"I am. Zheng Rendao.
Humpty Dumpty bowed slightly, nodded, and the smile on his face intensified.
He walked over quickly, and said as he walked, "Mr. Zheng, Dean Zhang asked me to send you a film." ”
"Oh, hard work, sit down. Zheng Rendao.
Professor Rudolph also came over.
After two days of memories and accumulation, he has a deeper understanding of TIPS surgery, so he is the only one who is as anxious as Zheng Ren to go for TIPS surgery at this time.
Humpty Dumpty didn't do it, but stood in front of Zheng Ren with a humble face.
Zheng Ren didn't notice the micro-expressions of his face and demeanor, and picked up a piece bag, which was heavy.
In addition to the liver MRI diffusion film, there is also a brief description of the patient's condition and a test report of admission.
Dean Zhang was really attentive, Zheng Ren thought.
After reading the patient's condition profile and test report, this is a patient with decompensated liver cirrhosis accompanied by ascites.
The patient last vomited blood 2 months ago and was rescued.
But hematemesis and ascites are like time bombs, which can explode anytime and anywhere.
The last rescue does not mean that the next rescue will be successful.
"Fugui'er, what do you think?" asked Zheng Ren.
Professor Rudolf Wagner said: "This is a very standard indication for surgery, and the patient is in good condition and is just right for surgery. Boss, the patient I did last time, I think it's a little hairy, or this patient is better. ”
The smile on Humpty Dumpty's face froze.
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