Come on, Dr. Wu

Chapter 342: Intervention
Interventional embolization!

No one said anything before, but after Wu Xiaofu spoke, everyone started nodding again.

Because what Wu Xiaofu said was not something they didn't know, but what they also wanted to say but didn't say. It's just that it would be fine if only a few of them said so, but Wu Xiaofu actually dared to say so. Everyone knows that Wu Xiaofu doesn't touch interventional embolization at all. No, it should be said that Wu Xiaofu doesn't know how to do it.

When you say this, does it mean just firing a cannon and the shell is aimed at them?

To be honest, there are really few people willing to accept treatment from such clients with connections, especially those who seek treatment from Wen Xinhan. If the treatment is good, Wen Xinhan will get benefits, and if it is not good, they will take the blame. Moreover, these clients with connections have high psychological expectations. Even if the treatment is good, if the subsequent recovery effect is not good, they will be blamed.

Unless there is some benefit, this kind of patient should be avoided if possible.

Just like what happened to Zuo Hui before, someone came to see Wu Xiaofu, but you insisted on rushing to perform the surgery on him. As a result, the surgery was not done well and you got yourself into trouble. You will probably suffer backlash later. Why did you rush to do such a surgery? Why did you do it?

When it comes to interventional embolization, not everyone is capable of it.

After all, the main business of hepatobiliary surgery is not interventional embolization. Most of the people below are engaged in interventional embolization. After all, intervention is really profitable. Although it is also a surgery, intervention is not only not restricted by medical insurance, but it is becoming more and more expensive. As long as it is called intervention, the cost is at least in tens of thousands.

Who wouldn't want to do such an operation? The director of interventional hepatobiliary surgery can earn much more in a month than other directors.

However, since he is the director now, he actually does not lack the money. It is recognized and true that interventional surgery is harmful to the body. There are a lot of operations in hepatobiliary surgery, and it is not impossible not to do interventional surgery. After all, the mainstream interventional surgery in hepatobiliary surgery is still in the field of liver cancer. Wouldn't it be better to just perform direct resection?
Of course, there are some cases where intervention is more appropriate, but just push them to those who can do it. Wouldn’t it be better to replace them with those who need surgery?

Therefore, interventional surgeries are now concentrated in certain areas. For example, in Area B, among the six wards of hepatobiliary surgery, Area B is the main one for interventional surgery, while only a few wards are doing it sporadically in other areas. When Wu Xiaofu said this, he looked at Director Feng of Area B.

Not only Wu Xiaofu, but everyone else also looked over. After all, if it comes to intervention, it is your job.

Director Feng's face turned a little green. The surgery that was pushed to him was different from the ones he had performed himself.

You know, the interventional surgeries they usually perform are basically picked from outpatient clinics or emergency departments, and then recommended by other wards. They will see if they are suitable and then take them if they are suitable. But now these people seem to be forcing things.

However, Director Feng is not the kind of person who would allow himself to be manipulated by others.

"Since Director Wu proposed interventional embolization, does that mean Director Wu is confident that he can perform this operation?"

Whoever proposes it should do it. People with the surname Feng will not be used as a tool for others.

Director Feng is well-known for his caution in hepatobiliary surgery. Over the years, he has basically not made any mistakes. Now we don't know what the patient's condition is, and we don't even know whether it is neuroendocrine cancer. It is impossible for him to take the patient and perform surgery.

Everyone looked at Wu Xiaofu again. If the other person doesn't respond and doesn't give you face, then what are you going to do with what you proposed?
Wen Xinhan was a little embarrassed at this time. Why did he want an internal consultation?

From the very beginning, he felt that the patient should have neuroendocrine cancer, and he also knew that interventional embolization would be more appropriate for the patient. However, he basically does not touch this. That's right, Wen Xinhan does not do interventional embolization. Not only Wen Xinhan does not do it, but Jingwei does not do it. There is a group in Area A that does it.

But after seeing the patient, especially after understanding the patient's expectations and background, the director backed off. He could not guarantee his skills were 100%. After all, he was just doing it on the side, and he was not specialized in interventional embolization. He could do it for common diseases, but not for rare neuroendocrine cancers like this one.

There was no other way, Wen Xinhan could only hold an internal consultation to see if there was anyone else in the department willing to take over.

In fact, the main target is Director Feng, the director of Area B, who is sitting on his right. The second target is Wu Xiaofu. He wants to see if Wu Xiaofu has any other methods besides interventional embolization. Now it seems that interventional embolization should still be the main method.

Wen Xinhan definitely wanted Director Feng to do it, but even though he was the chief director, it didn't mean that the six ward directors were all his minions. He could not give orders at will and ask them to do whatever they were told. Especially Director Feng, who was a senior member and not younger than Wen Xinhan, and had as many qualifications as him, so they could only negotiate things over.

And he knew Director Feng. If he went to him directly, he was afraid that he would most likely not agree. After all, the risk of this operation was indeed quite high. With Director Feng's personality, it would be too difficult for him to weigh the pros and cons. Wen Xinhan did not want to let go of this favor, so he prepared an internal consultation to see if Director Feng would be excited and take over. But now it seems that this is not possible.

As for Wu Xiaofu, even if Wu Xiaofu wanted to do it on impulse, he would not dare to give it to him. One reason was that Wu Xiaofu really had no experience in interventional embolization. If it went wrong, it would ruin Wu Xiaofu, which was something he did not want to see no matter what.

Moreover, if the treatment is not done well, it will be difficult to explain to the patient.

Thinking of this, Wen Xinhan decided to end the topic and wait for the pathological results to come out before making a decision. Then, during this period of time, he would consult Director Feng or see if the other teams that were good at interventional embolization had the ability to do it.

However, before Wen Xinhan could speak, Wu Xiaofu had already spoken.

"If Director Feng is unwilling to do it, it's not impossible for our F District to take it. How about this, Teacher Wen, after the consultation, I will go over to see the patient first. To be honest, our F District is preparing to start interventional services, and we are short of patients suitable for intervention."

Ah!
Are you serious?

Everyone's eyes widened when they heard this. What was going on? Was Wu Xiaofu crazy? Was he really going to take this? He was a guy who had never performed any interventional surgery, but he dared to take such a big order and such a complicated patient right away? Was he too confident?

Some people have begun to sneer unconsciously, because the result is obvious. Intervention is not changing the dressing. Do you think you can learn it just by studying it casually?

Wen Xinhan's face also changed. "There's no rush. The pathology hasn't come out yet. Whether it's neuroendocrine cancer or not is still to be determined. Xiaofu, you take a look at the patient first, and we'll decide the rest later."

Wu Xiaofu felt warm in his heart when he heard what Wen Xinhan said. Hepatobiliary surgery is a small society. Although they are all doctors who treat patients and save lives, they are also inevitably scheming. However, whether it is Wen Xinhan or Lian Jingwei, they have watched Wu Xiaofu grow up step by step and are very protective of him. However, the decision to do interventional surgery was not made by Wu Xiaofu on impulse, but when he decided to become the director of the F area, Wu Xiaofu had already made the decision. As for picking up the interventional business, Wu Xiaofu had already had the idea last year.

Wu Xiaofu once said that we should comprehensively conquer all diseases of hepatobiliary, pancreatic and spleen surgery. With the development of interventional therapy, interventional embolization therapy has become the main treatment method for some tumors of the hepatobiliary, pancreatic and spleen organs.

New surgical methods are gradually emerging, and updating and iteration is an inevitable trend.

In the treatment of some tumors, interventional embolization has greater advantages than other treatment methods.

Taking liver cancer as an example, there are so many things that interventional embolization can do.

In the face of giant liver tumors, interventional embolization therapy can shrink the tumor and create conditions for surgery.

When faced with mid- to late-stage liver cancer that cannot be surgically removed, without severe liver and kidney dysfunction and without complete obstruction of the main portal vein, the therapeutic advantages of interventional embolization become apparent: a small incision, a new approach, and a new method that is different from open treatment, with refreshing and significant results.

For patients who have recurred after surgery, is it appropriate to have another surgery in the short term? Is the prognosis good? Will the cancer recur after surgery? No one knows. Interventional embolization cannot prevent recurrence after surgery, but it can improve the patient's condition at the lowest cost, which is more acceptable.

There is also preventive treatment after liver cancer resection.

Many patients with liver cancer can undergo surgical treatment. After surgery, what treatment to take is a critical issue, among which interventional treatment is an important aspect.

Interventional treatment is actually very simple. It means inserting a catheter through a large blood vessel, such as the femoral artery, and then following the femoral artery into the celiac artery, then into the common hepatic artery, then to the proper hepatic artery, and finally into the left and right hepatic arteries.

This is followed by transcatheter chemotherapy to treat the liver tumor.

Generally speaking, the tumor is removed after liver cancer surgery, but hepatocellular carcinoma has a characteristic that after reaching a certain size, it may metastasize into the liver.

Even in most theories, this kind of tumor metastasis is inevitable, it is just a matter of sooner or later. The purpose of many treatments is not to cure it completely, but to prolong the time of recurrence as much as possible. If the recurrence occurs before the end of life, it is actually the same as a complete cure.

If metastasis occurs, these metastatic lesions may be relatively small and surround the primary stem cell tumor. The surgery will try to remove the primary lesion. At the same time, the resection range will be expanded to a certain extent to remove the surrounding satellite lesions.

However, some of them cannot be seen during surgery, or the satellite lesions are far away from the primary lesions and may be beyond the range of surgical resection.

In this case, surgery is only part of the treatment. The other part is to treat other tiny lesions that may remain in the liver tissue.

Another surgery is unnecessary and too costly, so interventional treatment comes in handy. Injecting this drug into the remaining liver is an important method to control the growth of such tiny lesions.

In addition, many liver cancer patients may be hepatitis B patients.

In many cases, for hepatitis B patients, the recurrence rate of liver cancer is still very high after surgical treatment, because many liver cancers are actually gradually developed from the hepatitis B virus. Even if the tumor is removed, hepatitis B cannot be cured. For such patients, recurrence is almost inevitable.

In order to prevent the recurrence of hepatocellular carcinoma in the future, it is even more necessary to perform this preventive interventional treatment after surgery.

According to literature statistics, the incidence of recurrent liver cancer is significantly reduced after this interventional treatment, at least better than patients who did not undergo interventional treatment. Therefore, it is recommended that patients receive this preventive interventional treatment after surgery if conditions permit.

The condition is already here, and the treatment is to try every possible means to eliminate and suppress it. Intervention is a usable method, and it is an important method. Since there is a method, we must use it.

Today, interventional therapy has almost been used throughout the entire process of liver cancer treatment. By the same token, if it can be used for liver cancer, it can also be used for other tumors. Everyone is exploring this line, and this is the trend.

Yes, interventional embolization has certain hazards for doctors, but Wu Xiaofu is not one to throw the baby out with the bathwater, especially now that radiation protection is getting better and better. Lead vests can block most of the radiation, and regular check-ups are available, and the procedure can be stopped at any time.

What's more, Wu Xiaofu has seen a lot of such operations during this period. He watched two of them whenever he had time and also tried to be an assistant. With his strong mental power, he found that the chance of him being affected by radiation was almost negligible.

In this case, there is no need to be afraid of anything, we must do it.

Today happens to be an opportunity. You know, it's not an interventional project that you can carry out in your department whenever you want. It requires approval from the hospital and the consent of other wards and other groups in the department. After all, there is a division of labor in advance. You are trying to steal business. Also, this is not something that can be done by ordinary surgery. It requires cooperation from the interventional operating room.

The most important thing is to get Wen Xinhan's consent, and also to shut Director Feng up.

Today Wu Xiaofu said that their F area was going to carry out interventional surgery. If Director Feng didn't say anything and didn't refuse, and if Wu Xiaofu really carried out the surgery in the future and it affected the performance of B area, then he would have nothing to say. After all, Wu Xiaofu didn't carry out the surgery secretly and had informed him.

Even Director Feng took the initiative to mention it. He pushed the patient in front of Director Feng, but Director Feng pushed him back. There was nothing he could do, so he had to take action.

As for the difficulty of interventional surgery, Wu Xiaofu can be said to have been planning it for a long time and has been studying intervention-related technologies. Although he has not presided over interventional treatment operations before, he has observed many of them. Now he is confident that he can do it.

With strong mental power, interventional surgery is difficult for others, but for him, the difficulty drops sharply, and the patient's blood vessels can move as freely as Wu Xiaofu's hands.

(End of this chapter)