Surgical artist

Chapter 149

Seeing that everyone agrees.

Section Chief He: "Now that the discussion is over, let's give diagnostic opinions."

The two low-level hospitals first stated: "We agree with Director Shi's point of view."

The Cancer Hospital and Nanxi Hospital hesitated for a while.

But in the end, he still said: "What Director Shi said is indeed reasonable, and we agree with his point of view, let's treat the tumor in the right lobe of the liver first."

Seeing that there were no more objections from the crowd, Section Chief He was also relieved.

This last case took the longest time.

But at least, the results are good!In the end it was a perfect solution.

At this time...

Zhao Peiru smiled inwardly.

This time, it didn't come in vain!
The harsh conditions of [Task [-]] have finally been fulfilled!
This case, he has long seen, is "desmotic desmoplastic small round cell tumor of the liver".

The first time he saw the medical record, the 'hepatoma' skills he had learned in his mind naturally emerged.

The "diagnostic and discrimination ability" at the professional level can see through this case in one go.

Zhao Peiru said:

"Chief He, this case should be a small round cell tumor."

After saying this, many people looked up.

No one expected that there were still people raising objections at this time.

Especially during the entire scene before, Zhao Peiru hadn't said a word, and everyone had forgotten him.

Zhen Haifeng, the female director of Nanxi Hospital, was moved in her heart: "Director Zhao, what should I say?"

She always felt that something was wrong with the diagnosis of "tumor in the right lobe of the liver", but she still couldn't grasp the point and didn't know where the problem was.

In the end, when the train of thought was completely blocked, we could only decide to treat it according to the "tumor of the right lobe of the liver" as Director Hua Kangshi said.

Zhao Peiru picked up the medical record: "Everyone looks at the characteristics of the medical record. Although the tumor is closely related to the right lobe of the liver, it is precisely this point that is easy to mislead people."

"Look at the angiogram again, and after smoothing the blood flow of the hepatic artery, you will find that the two blood vessels of the nutritional tumor originate from the right hepatic blood vessel, but they are in the shape of a 'ball'. This is an abnormality."

"In addition, the nutrient vessels of the tumor in the lower part are intertwined with the gastroduodenal artery, which is another abnormality."

"And on the CT film, it also shows that there is a liver parenchyma."

"These all show that this patient does not meet the pathological knowledge of primary liver cancer in the right lobe of the liver, but should be desmoplastic small round cell tumor of the liver."

"A primary, malignant, small round cell tumor of soft tissue."

"For this kind of difficult disease, you can't apply inertial thinking, thinking that the medical history in the previous database is all young people who have this disease, and you think that the elderly will not get it."

"In the final analysis, it still needs to be analyzed through pathological knowledge."

Zhao Peiru finished speaking.

In the entire small conference room, no one spoke for a while.

Everyone frowned and thought carefully, and read the medical records again, especially focusing on those abnormalities.

The more I look at it, the more my heart beats.

The more skeptical he was about the previous judgment of "right lobe tumor of the liver".

Especially the directors of Nanxi Hospital, Tumor Hospital, and Huakang Hospital, which are of a slightly higher level.

Their diagnosis just now was relatively reluctant.

Although a consensus was reached, everyone knew in their hearts that this diagnosis was not convincing enough.

At this moment, being explained by Zhao Peiru in this way...

Although everyone has not completely turned to Zhao Peiru, they have already begun to waver.

At this time, Zhao Peiru smiled and said:

"Director Shi is right in his words. This patient's condition really requires urgent surgery. The tumor has already involved multiple organs and is occupying space. It must be removed."

"Director Zhen, how is the patient's condition? Can the operation be performed?"

Zhen Haifeng: "Our original plan was to make a diagnosis this morning and perform surgery in the afternoon. The patient has already made preoperative preparations in advance."

Zhao Peiru nodded: "I suggest, do an intraoperative exploration for the patient in the afternoon, and give priority to the incision approach for small round cell tumors."

Zhen Haifeng pondered for a while, and said, "I also think that a tentative intraoperative investigation should be done."

The cancer hospital also nodded.

The two low-level hospitals looked at Director Shi of Huakang Hospital together.

Director Shi thought for a while, let out a long breath, and finally nodded: "The diagnosis of the tumor in the right lobe of the liver is indeed a bit reluctant. What Director Zhao said makes sense. How about this, I will also come over during the intraoperative inspection in the afternoon , and see what's going on."

When he said this, everyone also expressed that they wanted to come and have a look in the afternoon.

Everyone was really curious and wanted to see the final situation of this case with their own eyes.The accumulation of this kind of experience can also provide reference and basis for their future diagnosis.

After everyone agrees, the meeting ends.

……

Zhao Peiru and others have just returned to the Fourth Courtyard.

Marin came over.

When he saw Zhao Peiru enter the office, he grabbed Meng Xiang first.

"Xiao Meng, how does it feel to go to the joint consultation in the morning? Are the provincial hospitals' diagnostic capabilities particularly strong?"

At this time, Chai Baorong and Wei Xiaobin also came over and listened.

They were very curious about the joint consultation site of the provincial hospital.I don't know how different it is from their municipal level.

Meng Xiang scratched his head, he was not good at words, and briefly recounted what happened in the morning.

"There are a total of eight medical cases to be diagnosed, and the directors of those provincial hospitals are talking about it. We have not spoken...Only Mr. Zhao made a statement on the last medical case."

"That's it?"

Marin was a little disappointed.

"A total of eight medical cases, none of you have commented, only the last one has expressed an opinion, the result is not yet determined, you have to go to continue the consultation in the afternoon?"

Ma Lin, Chai Baorong, and Wei Xiaobin looked at each other.

It seems that the level of this provincial hospital is indeed high!
The intractable diseases encountered are probably particularly difficult ones, and even Director Zhao can't get in the way.

Several people trembled in their hearts.

It seems that it is better to learn more and improve more in a down-to-earth manner!

By the afternoon.

Everyone came to Nanxi Hospital again.

Nanxi Hospital is not only a provincial hospital, but also has the support of the School of Medicine of the Provincial University of Science and Technology, and the operating room conditions are excellent.

It can be said that the facilities and equipment and various hardware conditions are at the highest level in the province.

There are two observation rooms.

In each observation room, not only can the naked eye see the situation on the operating table in the middle, but there are also three screens hanging on it, each showing the real-time image transmission of different instruments and the monitoring values ​​of various instruments.

"This condition is much better than our fourth hospital."

Xiao Meng and Mu Sisi swallowed enviously.

Compared with this provincial most advanced operating room, the Fourth Hospital seemed to be behind an era.

And this is because their liver surgery department has just received the project funding and equipment support from the city's "key development discipline".

If not, they are even more behind.

Soon, it was time for surgery.

(End of this chapter)