Chapter 1460

Zheng Renhe, Su Yun and director Kong separated and went directly to hepatobiliary surgery.

"Boss, foreign friends began to ask me about tips surgery." Su yundao.

"Well? What does that mean?"

"There is a rumor that this year's Nobel Prize in medicine has been set as our tips project." Su Yun smiled.

"It's unlikely. Do your best and listen to fate." When Zheng Ren said this, he suddenly said with a smile: "besides, even if the Nobel Prize is given to our medical group, it should be. What is internal determination?"

"..." Su Yun looked at Zheng Ren with a fool's eyes, and then said, "boss, I really appreciate your confidence."

"When will phase II students come?" Zheng Ren asked casually.

"Would you please respect experts, professors and scholars all over the world?" Su yundao.

"I already respect them very much. I think the respect for a medical staff should first be reflected in their operation volume." Zheng Ren said, "I have only one request. It's a priority to do 100 Tips operations within 2 months after I go back. I can't do surgery. If I just want to study, I'll be a little behind."

"You'll drive people to death."

"Otherwise they learned tips surgery. What are they going to do?"

"OK, I'll write it down. It's estimated that people will come in about a week. The emperor's liver and gall is still Zhou Chunyong."

"Yes."

"Zhu Liangchen, what are you going to do?" Su Yun asked.

Today, I heard director Zheng Ren call director Kong, so Zhu Liangchen has become a hidden danger.

"There's nothing to do. If he wants to learn tips surgery, let him do it too. If he wants to find another way, he can try it, whether it's gastric artery embolization or liver cancer intervention combined with surgery." Zheng Rendao.

Su Yun also had some feelings.

It's only been a few months. There are so many projects that can be taken.

In the past, there was no technical breakthrough in the intervention discipline, and any new discoveries were cherished.

Now in the medical group... The cooperation between interventional therapy and surgery for liver cancer is not a new technology in a strict sense, but it has great strategic significance for live operation.

Embolization of gastric fundus and left gastric artery is a big operation with broad prospects!

How many girls in the country are willing to lose weight?

It's better than casually eating those unreliable things. After all, if Zheng renneng studies and understands and is willing to operate, the reliability is guaranteed.

Er... When did I have such strong confidence in Zheng Ren's goods?

Su Yun found this, but also some helplessness.

It may be that there is no precedent of failure in the operation. Over time, it leads to the formation of a thinking pattern.

All the way silent, thinking about things, came to hepatobiliary surgery.

Professor Yang didn't come on stage. He was sitting in his office, doing something.

"Brother Yang, I didn't have an operation." Zheng Ren came in and greeted with a smile.

"I didn't come to you today. I wanted to discuss something, so I didn't arrange an operation." Professor Yang stood up and said with a smile.

"I went to the hospital to report my work. I came a little late." Zheng Ren sat down and saw Professor Yang studying a film.

"What job?" Professor Yang looked at the film and didn't get distracted. He asked.

"Early diagnosis and treatment of latent liver metastases."

"..." Professor Yang gave a hand and looked at Zheng Ren in amazement.

As a professor of hepatobiliary surgery, how can he not know that the diagnosis of latent liver cancer is impossible?

Zheng Ren didn't notice the change of Professor Yang's mood. After watching the film, he was attracted.

"Brother Yang, the patient is very heavy!" Zheng Ren rubbed against Professor Yang and squeezed to take a better position.

"The patient was hospitalized locally because of liver injury. The examination found that there were space occupying lesions in the liver." Professor Yang saw that Zheng Ren was focused on watching the film, so he didn't think about the diagnosis of latent liver metastasis for the time being, and began to introduce the patient.

The introduction, just a sentence, is very simple, but it explains the essence of the problem.

The patient had no cirrhotic nodules on the liver, but had diffuse liver injury. Liver function is greatly affected.

According to Zheng Ren's rough judgment, the patient has about 20% liver function.

The liver itself has strong regeneration ability. Even if the left or right liver is removed, the remaining liver of many patients will proliferate rapidly.

Therefore, the estimated ratio of residual liver to total liver volume should be considered in preoperative evaluation.

The liver was normal and the ratio was less than 25%; Patients with liver disease, whose ratio is less than 40%, are contraindications for hepatectomy.

Patients have chronic liver injury, and the residual function of the liver is also about 20%.

Without surgery, the patient's life will be about 3 months.

But if you want to have an operation, you may die in a few days because of liver failure.

"How many years has the patient had such a heavy alcoholic liver?" Zheng Ren asked.

"For 30 years, it was said that I drank it last night." Professor Yang replied with some helplessness.

"Last night?"

"Well, in the morning rounds, I smelled that the patients were full of alcohol, so I asked the night nurse." Professor Yang said: "the nurse said he was found drinking in the ward and stopped it on the spot. The patient also cooperated and said he didn't drink."

Zheng Ren smiled bitterly.

"Later, according to the clinical people, he went outside to drink. He drank a bag of peanuts with two bottles of Red Star Erguotou until more than 10 p.m. but the wine was good. When he came back, he was quiet and didn't make trouble."

"Su Yun, you see, it's necessary to drink less." Zheng Ren pointed to the MRI film of the liver and said to Su Yun.

That's very annoying.

"Don't be bullshit. I've tested that the zymograms of the alcohol dehydrogenase oxidation system are 121 times higher than those of normal people. If I drink alcohol, it won't lead to alcoholic liver." Su Yun said expressionless.

"Brother Yang, do you know this patient?" Zheng Ren asked.

"Well, yes." Professor Yang sighed, "if you don't know him and don't cooperate with the treatment, you'll be discharged directly."

"That's very troublesome." Zheng Ren sighed.

Patients can at least diagnose an alcohol dependence, acute attack of chronic liver injury, and liver malignancy.

Not to mention malignant tumors, liver injury alone is fatal, and the patient is still drinking and aggravating liver injury.

"He is my junior high school classmate." Professor Yang sighed deeply and said, "the liver function reserve is not enough, so he can't operate, but I really can't bear to let him go home and die."

Professor Yang didn't say the rest, but Zheng Ren already knew what he wanted to say.

"You can do it." Zheng Ren said: "first do portal vein embolization, and the liver reserve is enough after one month. Whether you do surgical resection or I do interventional embolization + radiofrequency ablation of liver cancer, it is OK."

……

……

Note: a patient with liver cancer two years ago said he was not afraid of death. He jumped up when he heard that his liver cancer lesions had disappeared. He said he was afraid of death, repeatedly warned not to drink, or drink with a wine bottle in the hospital ward.

Later, he died half a year after the operation, not because of liver cancer, but because of heavy drinking and liver failure.

I'm sorry.