Surgical artist

Chapter 155 This Zhao Peiru has such a big face?

"After so many years of delaying..."

"Most of the patients' bodies are dilapidated, weak and emaciated, and the cirrhosis of the liver is getting worse, so they can't stand the toss of many operations."

Jia Yanjun sighed inwardly.

From the results of the physical examination on the medical record...

Everyone seemed to be able to see a thin patient lying weakly on the hospital bed.

For a while, the small meeting room was quiet, and everyone was racking their brains, but in the end, only a sad face fell.

"pity."

Jia Yanjun finally said: "I heard that the most cutting-edge material medicine is currently researching an artificial hepatic portal vein."

"At that time, the entire hepatic portal vein system can be replaced directly."

"But before that, I am afraid that this kind of patients can only use palliative care."

Zhao Peiru listened to everyone's discussion, and nodded slightly in his heart.

In his heart, he even praised Director Jia Yanjun of Jiren Hospital.

As expected from a large comprehensive hospital, this level is indeed higher than other hospitals, not only proposed several surgical methods, but also proposed a forward-looking direction.

Although, it can't be used.

Zhao Peiru sat up straight.

It's time for him to show his strength.

In his mind, he learned the long-chosen "liver cancer with portal vein thrombosis cross-section thrombectomy".

And directly upgraded to the professional level.

"After using up this specialization level card, I still have one in my hand."

Zhao Peiru smiled inwardly: "And after all of them are used up, I still have 28000 experience points."

"There is food in hand, don't panic."

Since the [Punch Card Function] was upgraded, Zhao Peiru has no need to use it at all.

this moment.

Massive techniques about "taking tumor thrombi from portal vein section" were immediately instilled into Zhao Peiru's mind!

The entire operation process went through in his mind like a revolving lantern!
Incisional approach, free liver!
Do irregular tangents, blood vessel ligation!
Liver cancer first!Using the method of intermittent hepatic hilum block, irregular surgical resection!And take care to plan the section in advance!

Take the tumor thrombus again!Find out the extent of the tumor thrombus!
Pinch the distal end of the portal vein to control the blood flow, clamp the tumor thrombus with the blood vessel clamp, and suck the small thrombus and fragments with the aspirator!
In the end, liver cancer and portal vein tumor thrombus were perfectly removed!
"This new joint technology is really good."

Zhao Peiru could have predicted how shocked everyone would be when he finally took out the tumor embolus perfectly, smoothly, and in one piece.

When he looked at the medical record in his hand again.

"This operation is simple."

Zhao Peiru raised his head.

"Chief He, Director Yue, let me propose a surgical plan."

As soon as he said this, everyone looked over!

Especially Chief He, he immediately lifted his spirits!I couldn't help but think of Zhao Peiru's last effort to turn the tide during the last consultation.

Could it be this time too?
"Director Zhao, please tell me!" Section Chief He couldn't help being a little more polite when speaking.

Director Yue Qianyi of the Cancer Hospital also participated in the consultation last time, so when he heard Zhao Peiru speak, his heart moved, and his eyes were fixed on Zhao Peiru.

Zhao Peiru smiled faintly: "Since the patient's hepatic portal should not be blocked for too long, then we should try not to block the liver portal."

Everyone was stunned.

Do not block the porta hepatis?How is that possible!

Regardless of the existing surgery, the premise must be to block the portal of the liver for a long time!

Zhao Peiru smiled faintly: "I think that this operation can be completed with two combined techniques."

"For the part of the liver cancer, the irregular liver cutting technique is used. This step can intermittently cut and block the portal of the liver, and preserve the remnant liver as much as possible to compensate."

After thinking for a while, everyone nodded slightly.

This step is not the difficulty.If it is a famous provincial doctor who is good at "irregular liver cuts", intermittent blockade is not a big problem!
However, the key is to take the next step.

Thrombectomy for portal vein tumor thrombus requires long-term blocking of the hepatic hilum.

And there's one major problem.

The tumor thrombus has a wide range of involvement, and it is even more deeply rooted in the portal vein!
It is very difficult to get all of them!

Basically, it is not even possible to "take it out with the naked eye". There must be some fragments of tumor thrombi remaining in the "dead spots of blood vessels". It is very difficult to take them out!
This creates a contradiction.

If you want to remove all of them, you have to work slowly and meticulously, and slowly use various methods to try to remove the fragmented small tumor thrombus.

But on the other hand, the patient cannot block the portal of the liver for a long time, and must complete the operation as soon as possible!

On the one hand, it is as fast as possible, on the other hand, it must be slowed down.

This is what everyone is worried about.

"Director Zhao, what should we do about the removal of the tumor embolus?" Director Yue Qianyi was the one who was most anxious and wanted to know. After all, the patient was lying in the ward of his hospital department.

The others also looked at Zhao Peiru curiously at this moment.

I want to know how he resolves this contradiction.

Zhao Peiru said with a relaxed smile: "For the second step of removing the tumor thrombus, I plan to use the technique of sectioning the portal vein to remove the thrombus."

"This technique does not block the portal of the liver at all, but uses the principle of portal vein blood supply to remove the entire tumor thrombus with a slightly difficult cross-section method."

As soon as he said this, everyone looked at each other in blank dismay.

Using the principle of blood supply, everyone understands this.

But the "slightly more difficult" method?

If someone who is familiar with Zhao Peiru, heard the word "slightly difficult" from Zhao Peiru's mouth at this moment, they would probably jump up in fright.

Even Zhao Peiru didn't think it was "difficult" when he performed the ultra-difficult operations such as "irregular liver cut" and "caudal lobe of liver".

But everyone at the scene still didn't know enough about Zhao Peiru. At the moment, they only thought that this kind of operation was really just a little more difficult.

"This... can it work?"

Everyone is still a little unsure.

Moreover, this kind of surgery that does not block the portal of the liver is a new technique that they have never seen before. There is no precedent, so they cannot judge based on experience, so they dare not draw conclusions easily.

Just then.

"Haha! I heard that Director Zhao Peiru is here?"

A Zhao Peiru heard a familiar voice from outside the door.

Deng Yucai knocked on the door outside.

Upon hearing this voice, the expressions of several people in the small conference room changed.

Director Yue Qianyi of the Cancer Hospital stood up immediately: "Our Dean Deng is here."

Chief He obviously heard it too, and he smiled and said, "Director Deng, come in! The door is unlocked."

Deng Yu opened the door and came in.

He nodded with Section Chief He and others first.

"Chief He, I didn't bother you, did I?"

Chief He quickly shook his head!
This Director Deng has a high status and a great background!
He is not only the vice president of the Anti-Cancer Association, but also the vice-director of the Anti-Cancer Research Institute.

And the site under their feet, the Cancer Hospital, is also a subordinate hospital of the Anti-Cancer Research Institute. The director Deng in front of him is also the chief director of this hospital!

Standing on one-third of an acre of land, of course you have to be more polite to others.

Yue Qianyi hurriedly greeted: "Hello, Dean Deng."

Director Deng nodded and said with a smile: "I'm sorry, I just came from the institute and came back to the hospital to do some business. I just heard that Director Zhao Peiru was coming, so I hurried over to say hello."

"Director Zhao, welcome to our hospital!"

Everyone was shocked!
Director Deng came here specially for Director Zhao Peiru?
This Zhao Peiru, why is he so big on face?

Before, Professor Shu of Jiren Hospital valued Zhao Peiru very much.And now, Director Deng even came here to say hello to Zhao Peiru...

Isn't Zhao Peiru's treatment too high?
Zhao Peiru and Director Deng actually met once.

It was the last time he was working on the second "critical and difficult project". After reviewing his project, Professor Jiang and Director Deng came to see his on-site surgery together.

It was only then that the two had a little intersection.

"Director Deng, you are too polite!" Zhao Peiru also stepped forward to shake hands.

Everyone stood by, watching this scene enviously.

(End of this chapter)