Chapter 1467

Changing clothes on the stage, Zheng Ren holds his arm to watch the film. Liu zewei is busy.

Hu Yanhui has debugged the machine, and Feng Xuhui has two large boxes beside him.

All this seems to be no different from that in Xilin town. Everything is so familiar.

Zhou Chunyong stood behind Zheng Ren and began to read the film.

Film, not difficult.

It is a typical right posterior lobe liver cancer with no intrahepatic metastasis. From the perspective of MRI enhancement, the supporting blood vessels are also typical. It should not be too difficult to superselect.

Boss Zheng also knows to choose simple patients for live operation. Zhou Chunyong smiled.

Just say that no one is a fool. No matter how high the level of boss Zheng is, he will not easily "get involved in danger".

You often walk by the river. Everyone knows why you don't wet your shoes.

"Boss Zheng, brush your hands." Liu zewei whispered after detoxification.

"OK." Zheng Ren goes to wear lead clothes and brush his hands. Zhou Chunyong thinks about it and goes with Zheng Ren. He wears lead clothes and is ready to see an operation in the operating room.

The position of this kind of viewing platform can't be robbed by changing to surgery.

The airtight lead door closed and the operation began.

Feng Xuhui was surprised to see Zhou Chunyong in the operating room and kept holding back. When the door was closed, he asked, "Brother Yun, why is director Zhou here again?"

"Xiao Feng, this word is used well." Su Yun smiled and said.

"Er..." Feng Xuhui felt as if he had said something wrong.

"The boss diagnosed latent liver metastasis with optical tweezers, and Lao Zhou came to drink soup." Su Yun said with a smile, "this old Zhou, his nose is really smart. It's no worse than sunspots."

Feng Xuhui looked through the leaded glass at President Zheng in the operating room wearing live glasses. Liu zewei, who acted as an assistant, didn't have much work to do.

Behind him is Zhou Chunyong, director of the capital.

He was like an intern, dressed in lead clothes, standing honestly behind President Zheng, looking around. But Zhou Chunyong is not honest. He constantly changes his point of view, just like the Damascus monkey.

Feng Xuhui has long been used to this picture.

Maybe. Let's have some soup, but this is soup.

In the operating room, Zhou Chunyong silently watched Zheng Ren perform interventional embolization for liver cancer.

Organ interventional surgery, aimed at the treatment of liver cancer, is a big piece, and Zhou Chunyong is best at it.

Boss Zheng's level is very high. Zhou Chunyong admitted that he had put down his airs and put on a student's posture to follow his study.

Even if boss Zheng does his best interventional embolization for liver cancer.

Blind selection is the most commonly used way for boss Zheng. Zhou Chunyong looked at the screen, but boss Zheng was operating the micro guide wire into the blood vessel, feeling like a mirror.

Zhou Chunyong admits that he can't do this very confident operation of blind selection with micro guide wire.

After 23 ", the screen lights up.

As he imagined, the micro guide wire was located at the position where the hepatic artery was about to branch, and then superselective was about to be carried out.

Accurate positioning, like he can see the shape of blood vessels.

Zhou Chunyong was not surprised to know.

Super selection was successful once. Although the blood vessels were winding, boss Zheng not only succeeded in super selection, but also entered the position of tertiary and tertiary blood vessel branches.

The therapeutic effect should be very good, which is equivalent to injecting medicine directly into the tumor and embolizing it from 2cm above the root. Zhou Chunyong is old at this kind of technique. Like Zheng Ren, he can do it occasionally, so he has judgment in his heart.

The operation should be over. Zhou Chunyong took a look at the time, 11 ′ 22 ″.

This operation was done so fast!

With some emotion, he silently remembered several small actions that might be helpful for superselection. The reason why it is possible is that Zhou Chunyong is not sure, so he can only go back and try slowly.

Next, make angiography and confirm that the staining of tumor tissue disappears, that is, without blood supply, you can pull out the guide wire and catheter and announce the end of the operation.

However, when Zhou Chunyong saw Zheng Ren, he did not perform angiography, but stepped on the line and used the micro guide wire for the next super selection.

Uh... What's this?

He was stunned for a moment and then frowned.

Are there any abnormal tumor feeding vessels that you haven't found?

When Zhou Chunyong saw Zheng Ren doing super selection, he immediately turned around and went to the film reader to read the film again.

The patient's examination is enhanced MRI, which can't judge the specific small blood vessel shape.

However, according to Zhou Chunyong's idea, it takes at least 3 hours to superselect blood vessels of this degree, and there is no need to deal with them at all.

On the film, the only tumor supporting vessel shown is relatively thick, which is the one just embolized by boss Zheng.

No more, nothing.

Strangely, he looked at it carefully twice and felt that he had not missed any details, so he turned back.

But

When he saw a circuitous branch of the phrenic artery supplying the liver tumor on the screen opposite the operator, a complex emotion rose in his heart.

Just like the speculation that they have not found evidence, there is indeed a very thin abnormal branch supporting the tumor.

But because I just watched the film myself, I missed the whole process of boss Zheng's super selection of this blood vessel.

When Zhou Chunyong looked back, the embolism was over, and Zheng renzheng withdrew the guide wire and catheter.

Remake the shadow at the hepatic artery.

The tumor tissue disappeared and the operation ended "simply" and quickly.

Zhou Chunyong was puzzled.

But he didn't ask immediately.

Boss Zheng is doing a live broadcast of the operation. He asks questions at this time. If other doctors know the situation, will he be ashamed in the future?

Although he knows that boss Zheng usually doesn't open wheat for live broadcasting, he can't take risks at will.

Privately, it doesn't matter how you lick it in front of boss Zheng.

People's level is really high, and they can learn a lot.

But if you let other good people know what the secret gossip is like, you don't know.

When Zheng Ren takes off his live broadcast glasses, he announces the end of the live broadcast.

Zhou Chunyong asked, "boss Zheng, how did you find the tumor supporting blood vessel of the phrenic artery branch?"

"Oh, there." Zheng Ren answered, went to the film reader, pointed to the film and said, "here, there is a slight difference in the intensity between T1 and T2. I guess there may be phrenic artery branches for support, so I took a look at superselective and angiography."

"Er... You mean you didn't know before the operation?" Zhou Chunyong was stunned.

Zheng Ren also has some helplessness.

The operation was done in a hurry. At that time, Professor Yang said that he would have an operation tomorrow, and he didn't think much about it.

Therefore, the patient did not do 64 slice CT three-dimensional imaging, but the image was reconstructed and existed in his mind.

It seems that doctors watching the live broadcast of the operation should have similar questions.

I was wrong.

At that time, I was thinking about the appropriate time for surgical resection, but I forgot this.

Zheng Ren made a self-examination in Zhou Chunyong's surprised eyes.

Rebuild your ability so that you don't need another examination from the patient at all.

However, other doctors led by Zhou Chunyong need it.