Chapter 117： Big accident

"It's still quite skilled." Director Pan Pan listened to Professor Zheng Ren and was very happy.

The children of their own homes should be protected when they are angry. When you are praised by others, you should be modest.

In the heart of the old director Pan, Zheng Ren is the child of his own family, or the one who is very promising and very favored.

"Super-selection is good." After another few minutes, Professor Yan said it was appreciated.

The micro-guidewire enters the next-stage blood vessel from the hepatic artery, and the more it goes, the more difficult it is to go. Each super-selection must enter the "correct" lower-stage blood vessels accurately in several branches, among which Difficulties can be imagined.

Manager Feng had a face stretched and his face was particularly ugly.

This is the first trial of his career, using almost all resources, from the magic are invited to Professor, for the sake of nothing.

It is a pity that people are not as good as days. At the entrance of the hospital, Professor Zhu’s car was actually hit, causing the professor to be unable to come on stage.

Although Professor Yan did not suffer too much injury, he couldn't do surgery, and he certainly couldn't stay in Haicheng for too long. This promotion will inevitably end.

At the beginning of a vigorous start, quietly ended, Manager Feng could think of his future ending.

But the turning point of the incident appeared in the young hospitalized general in the emergency department of the city.

The initial worry and anxiety, with the recognition of Professor Yi, became nothingness.

Five minutes, the end of the super-selection, the micro-guide wire according to the previous assumption, from the femoral artery all the way into the liver four-stage blood vessels, and then advance 1cm is the tumor.

The microcatheter begins to enter. Because the microcatheter is thicker and softer, a thin and hard guide wire is used to designate a passage. Then the microcatheter is placed outside the guide wire, and the guide wire that has been superselected is straight to the tumor. In front.

The action is soft and accurate, without any slight mistakes.

Professor Yan concentrated on the image, although he did not continue to praise Zheng Ren, but his face was full of appreciation.

Even if I came to power, it is estimated that this level, I did not expect this small place in Haicheng to hide the dragon and the tiger, there are such talents.

The microcatheter directly faces the tumor, Su Yun closes the imaging system, and the left hand holds the micro-guide wire and the second half of the micro-catheter. The back hand rises and makes a greeting.

The Shea people would like to open a heavy induction lead door and enter the catheter operating room to start preparing chemotherapy drugs.

Because the operation is not smooth, the chemotherapy drugs are ready to be used.

Liver cancer, unlike most cancers, has a better first-line and second-line chemotherapy. It is a very special kind of cancer. Many years ago, except for surgical resection, there was no other way.

In the past decade or so, the interventional therapy has begun, and the successful development of targeted drugs such as sorafenib has given hope to the first-line rebirth of liver cancer patients.

However, the clinical research of the older generation of medical workers, in the intervention of embolization of liver cancer to support the blood vessels, while injecting a certain amount of chemotherapy drugs, the effect is better.

I also know that chemotherapeutic drugs are "poisons", and the principle is to attack poison. At the end of the embolization, the chemotherapy drug is infused into the tumor, and then the blood vessel is blocked. One of the tumor cells is soaked in the "poison", how can it have a little effect, and the second is that the blood supply is embolized, there is no fresh blood supply, and the tumor will be Lose nutrients.

The two-pronged approach works well.

The Shay people acted in a profit, quickly matched the chemotherapy drugs, installed them on a high-pressure syringe, and then made a gesture of cheering on Zheng Ren, turned away from the intervention room, and closed the heavy lead door.

Infusion of chemotherapy drugs, lipiodol embolization, step by step.

After doing all this, Zheng Ren began to angiography.

The significance of this angiography is the same as that of warm saline after surgery, in order to check for any omissions.

Professor Yan is very relaxed and said with a smile: "I thought I was going to take over the election. I didn't expect this little comrade to get it."

"Fortunately, okay." Director Pan’s face turned into a flower.

The contrast images after the end of embolization appear synchronously on the large screen in front of the operating room and in the operating room.

Professor Xiao’s smile is somewhat unnatural.

Zheng Yunxia has only one liver tumor, but it is large, about 8cm in diameter, almost half of the height of the liver.

Another angiogram showed that the lower half of the tumor had disappeared, which meant that the embolization was successful.

But!

The upper half of the tumor is still there!

“Hey...” Professor Yan’s face was heavy.

"Professor Yan, this is..." Although Director Pan Pan has recently had knowledge about intervention, he is already 60 years old, and his energy and memory are not as good as young people. Plus no hands-on experience, so it is impossible to determine exactly what is going on.

“The preoperative image data is biased.” Professor Yan pointed to the tumor image on the big screen and said: “The blood supply in the lower half of the tumor is supplied by the hepatic artery branch, but the upper part should be from the liver. Blood vessels supply blood."

“What could be?” asked the old director Pan.

"I don't know, the whole body blood vessels may supply blood to the tumor. This is the characteristic of the tumor tissue." Professor Yan shook his head and his expression was slightly heavy. "The most troublesome thing is that the spinal cord supplies a blood vessel to separate the liver tumor. If that is the case, even if it is found, forced embolization, ectopic embolism is likely to occur after surgery, causing paralysis of the patient."

"..." Director Pan.

"..." Feng manager.

"..." Chu family sisters.

Only the Xie Yi people squinted and couldn't see any worry. Perhaps she had an inexplicable trust in Zheng Ren In her consciousness, there is no surgery that Zheng can't do.

"Of course, it can be judged which blood vessel is being raised. It is still good. The difficulty lies in finding a blood vessel. This requires luck." Professor Yan shook his head again.

Soon, Zheng Ren appeared in the operating room wearing a sterile surgical gown.

"Professor, what do you think?" Zheng Ren said it is very simple.

"If you are not sure, you will end the surgery now." Professor Yan looked directly at the eyes behind Zheng Ren's lead mirror and said very seriously: "Although not completely successful, it is also a successful cytoreductive surgery that can improve the survival of patients. Three to six months."

Zheng Ren did not speak.

"Another option is to find the blood vessels in the upper half of the tumor, but it's hard."

The Chu family and the Xie people certainly do not want to do only cytoreductive surgery. In these days, they have become friends with Zheng Yunxia. Regardless of the point of view of friends or medical workers, they hope to completely embolize the tumor.

But!

The surgeon who is involved in the operation is subject to a part of the radiation.

Although wearing a lead coat, if the operation time is short, the body function can be used to offset this part of the image. However, with the extension of the operation time, it has been operated under X-rays, and the people who hit the iron can't stand it.

Surgery, 12 hours of standing and 12 hours of interventional surgery are completely different concepts.

Surgery may be very tired, but it will be dead if you are involved in the operation station for 12 hours!

Everyone is silent.

Advise Zheng Ren to continue to do it?

Advise Zheng Ren to give up surgery?

It’s difficult!

"I will try again." Zheng Ren did not hesitate, nodded and said firmly.