Chapter 1022 - Rare Giant Tumor (Ask for Subscription)

After listening to Dr. Skyler's report, it was almost 12 o'clock in the afternoon, mainly because Dr. Skyler had been interacting with these graduates for too long.

As the editor-in-chief of one of the four leading international medical journals, Dr. Skyler's abilities are unquestionable.

Her comments on current medical research are quite in place, and she has profound insights into the future development of medicine.

This not only impressed the fledgling graduates, but also aroused their enthusiasm and actively interacted with Dr. Skyler.

Dr. Skyler also seemed to be infected, and was very interested in answering questions and discussions.

Finally, when Lin Jie had a one-on-one conversation with Dr. Skyler to thank her for her hard work, Dr. Skyler told him that she felt professionalism, love and passion from this group of newly graduated medical students.

She is full of confidence in the future of Chinese medicine.

Lin Jie, who was in a good mood, had lunch with An Kexin and others, and when he returned to the affiliated hospital, it was almost two o'clock in the afternoon.

Song Licheng, who got the news, immediately came to report the results of Wang Changming's physical examination.

"Teacher, this is the largest tumor I've ever seen, it's amazing!"

Song Licheng said excitedly: "The MRI image shows that the patient's entire abdominal cavity is basically filled with tumors, and the range is about 20 by 15 centimeters. ”

"It's like a big pie on the patient's intestines, pancreas, stomach and other organs. ”

"I was amazed that the patient didn't feel much discomfort. ”

Lin Jie looked at the image in his hand and said softly: "At present, this tumor is nothing more than a thick layer of fat for the patient. ”

"For patients who have a big belly all day, it is possible that they will not feel it for a while. ”

He flipped through a few images, frowned slightly, and asked, "Is the biopsy report out?"

"It's out!"

Song Licheng handed a report in his hand to Lin Jie and said, "Teacher, it has been confirmed that it is a benign lymphangioma. ”

"That's the biggest piece of good news. ”

Lymphangioma is a type of vasculoma, which is mainly a cystic lesion formed by lymphatic blockage, which causes lymphatic vessels to dilate, which in turn causes lymphatic fluid to accumulate.

This kind of tumor is generally benign, but it is still quite rare to develop into a tumor as large as Wang Changming.

Lin Jie looked through the examination materials and said in a deep voice: "Judging from the imaging map, the patient's stomach, pancreas, intestines and other organs have been compressed by this tumor, and the tumor has begun to squeeze the intestines, gallbladder, liver and other organs. ”

"According to my inference, this tumor should have been adhered to the intestine, and perhaps also invaded the stomach, gall bladder, pancreas and other organs, and the amount of surgery should be not small!"

"Hipple surgery?" Song Licheng asked in surprise.

Hipple surgery is a medical term that refers to a procedure that is quite complex and challenging in abdominal surgery and gastrointestinal surgery.

In this operation, in addition to cutting out the tumor and diseased tissue, the surgeon also has to reconstruct the anostomosis of each viscera, which is equivalent to re-arranging and combining the patient's abdominal organs.

Lin Jie nodded and said, "There is a high probability that this is the case. ”

"Give the patient a one-step examination so that it can be confirmed. Also, you give me a surgical plan. ”

"Yes, Teacher!"

Song Licheng, who received the task, ran out happily.

Ten minutes later, Chen Shi came to Lin Jie's office and asked, "The research project prepared for the graduation thesis has been successfully completed?"

Lin Jie hummed and said, "The results of animal experiments, as well as the results of the five patients' operations, are quite ideal. ”

"The students are helping to write the final report, and the thesis will be completed in the middle of the year. ”

Chen Shi smiled and said, "I don't doubt the quality of the paper at all. ”

"Lin Jie, you don't know, during this time, many colleagues have approached me and made friends, meaning to be the defense teacher of your graduation thesis. ”

"These guys are trying to get your advantage. ”

Speaking of this, Chen Shi took a sip of tea from his teacup and asked, "Have you determined the operation time for the lymphangioma patient you just received?"

Lin Jie shook his head and said, "Not yet, further examinations are needed to determine the surgical plan." ”

Chen Shi shook his head and chuckled, "With your almost omniscient and all-powerful strength, cutting open the patient's abdomen, even if it is the most complicated situation in the hipple operation, you can handle it perfectly, right?"

"Do you still need to determine the surgical plan? You must want to train the students, right?"

Lin Jie chuckled, which was a tacit acquiescence.

As a relatively mature type of surgery with operational guidelines, hipple surgery is complex and difficult, mainly due to the comprehensive management of multiple abdominal organs.

This is really not much of a challenge for Lin Jie.

"Lin Jie, you can't just think about taking care of your students?"

Chen Shi smiled earnestly: "You are still my student." ”

"I am the chief doctor of general surgery in the hospital, with a group of students and interns under me, and you always let me be a teacher?"

"This should be a very rare hipple procedure. ”

Lin Jie understood what he meant, and said with a smile: "Okay, Professor Chen, I will treat this operation as a teaching open operation." ”

He said with emotion: "I have a lot of work at hand now, and there will be fewer and fewer external surgeries." In addition, Anlin Hospital is about to open in two months, and it is estimated that there are few cases of surgery performed in the affiliated hospital. ”

"Let's say goodbye and thank you to the affiliated hospital!"

Hearing this, Chen Shi had a feeling of loss.

With Lin Jie here, no matter how complicated the problems are encountered in the work, ask Lin Jie, and there will always be an effective solution.

It can be said that Lin Jie is like a needle in the sea, with him, he will not panic.

This is not Chen Shi's feeling alone, many doctors have revealed similar thoughts to him.

The feeling of having someone to rely on is really addictive.

Chen Shi sighed secretly, and then spoke: "Lin Jie, coincidentally, I have just received a patient with a giant tumor in the abdomen. ”

"You can help me take a look!"

Chen Shi, who was prepared, handed a medical record to Lin Jie.

As soon as Lin Jie looked through the medical records, his eyes couldn't help but widen.

Oh, this tumor is really big, much larger than Wang Changming's tumor, with a diameter of 35 centimeters.

"The patient is a seventeen-year-old girl!"

Chen Shi introduced with some embarrassment: "At first, the girl thought she was pregnant and didn't dare to tell her family. ”

The girl kept hiding, and then her belly was too big, and in the spring, there were fewer clothes, and she couldn't hide it, and she was found by her family, so she was sent to the hospital for a check. ”

Only then did I find out that the girl was not pregnant, but had such a large tumor in her abdomen. ”

"Lin Jie, this tumor is very dangerous. ”

Lin Jie flipped through the medical records and nodded in agreement.

The difficulty and risk of surgery for this tumor greatly exceeded that of Wang Changming's tumor.

This girl's tumor is quite a rare liver hemangioma!

This tumor is so huge that it has invaded most of the liver, and has also seriously squeezed the stomach, kidneys, intestines, etc., almost occupying the territory of other organs.

The girl's tumor is huge, which makes it extremely difficult to expose the hilum of the liver, and it is a hemangioma, so when the tumor is removed during surgery, it is very easy to have heavy bleeding symptoms.

If you are not careful, the patient will not even be able to get off the operating table.

In addition, complications such as postoperative bleeding, bile leakage, infection, liver failure, and abnormal coagulation can also endanger the patient's life at any time.

Lin Jie closed the medical record and asked, "Professor Chen, do you want me to take over this operation?"

Chen Shi nodded and said, "Only your strength can ensure that there will be no accidents in the patient's operation." ”

"By the way, I forgot to tell you that Mr. Huang found no signs of cancer metastasis in the latest examination, and your operation was a perfect success. ”

Lin Jie said indifferently: "It's too early to assert it now, and it will take at least a month to say so." ”

"Did his son's surgery happen?"

"It's done!"

Chen Shi asked tentatively: "Lin Jie, you really can't include the two of them in your experimental therapy?"

Lin Jie sighed lightly and said, "Professor Chen, it's not that I don't have compassion, it's that I'm powerless now. ”

"Those dozens of patients from the military have already made it difficult for me. ”

What he said was true, and he didn't deliberately prevaricate.

Checking the condition data of so many people every day, recording and analyzing the tumor growth of each person, and adjusting the treatment plan according to the patient's physical condition and disease changes, this series of things can only be completed by Lin Jie alone.

During this period of time, Lin Jie obviously felt that his spirit had been very tired.

Chen Shi sighed and said, "I understand. ”

"With such a large research topic, you are mainly responsible for it, and the identity of the test patients is very special, so the pressure can be imagined. ”

"Your main focus now should be on your research. The earlier the research results are published, the sooner more cancer patients can benefit. ”

"I shouldn't have bothered you with this patient. ”

With that, Chen Shi picked up the girl's medical record and prepared to leave.

Lin Jie stretched out his hand and pressed the medical record, and said with a smile: "I took this patient." ”

He explained: "Professor Chen, don't think too much about it, those patients in the auxiliary building make me tired, headache and brain. ”

"However, entering the operating room for such a tumor removal operation can be used as a kind of physical and mental adjustment, so that I can enjoy the operation without distractions in the operating room. ”

"Besides, such a large giant tumor is rare to see and should not be missed. ”

These words made Chen Shi a little sad.

This operation, which caused others an incomparably headache and a lot of pressure, turned out to be just a kind of adjustment and enjoyment in Lin Jie's eyes.

I can't say anything about this gap......

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