Chapter 235： Do you want to give up

"Feng manager, what happened?" Zheng Ren asked.

"Zheng Zong... I, I... Did I make a mistake?" Feng Xuhui asked hesitantly.

"Where did you make a mistake? What happened?" Zheng Ren regained the ignorant state of the previous face, and asked inexplicably.

Su Yun looked at Zheng Ren with a sly look, and when he looked at you, he knew the expression of the dress.

"noon……"

"Oh, that's the matter." Zheng Ren suddenly realized, "I and Su Yun have a little words to say, you are not convenient. Nothing, nothing."

Feng Xuhui is willing to believe, crying and mourning. But he is not good to say anything, followed Zheng Ren and Su Yun all the way to the intervention department.

Converging with Director Kong, Dr. Shen has been with Mr. Kong, and everyone went to the urology department.

The patient was 87 years old and had severe heart disease. The anterior descending coronary artery was still blocked by 70%, and the sporadic room was early. Lung ventilation is relatively poor, and coagulation function is not good because of the need for oral warfarin after stenting.

It can be said that this father has more serious surgical taboos.

Even if you have a prostate, you have to risk the sudden death of a heart attack on the operating table.

If the prostate is not licked, the patient's prostate has been hypertrophied to a certain extent, dysuria, and even urinary. Need a long-term lower urinary catheter or ... as for bladder fistula, urology should also be carried out at the risk of the dead.

In other words, although the elderly have no incurable disease, the basic life has no quality.

The sons of the patients are also in their 60s, and the three or four old men are surrounded by each other. It looks like the old cadre bureau is in a meeting.

After being told about the condition of the father, the family agreed to do experimental surgery more refreshingly.

The success or failure of the operation is still between the two, but at the very least, this is also a hope. It is better than long-term lower urinary catheter, resulting in inconvenient living, urinary tract infection, severe urinary tract retrograde infection, and better abdominal complications.

I have seen the patient, and as expected, the surgical technique must be gentle.

Zheng Ren had already done psychological construction for himself, so he did not say anything, and took the patient to do 64-slice CT retrograde reconstruction. By the way, he called Qin Liren together.

After the tossing, I also got to work.

Zheng Ren just cleaned himself to do three-dimensional reconstruction, and then looked for capillary hair thickening like hair after proliferation.

This difficulty is much more difficult than finding a blood vessel for liver cancer.

Director Kong has been sitting next to Zheng Ren to see his operation, while watching and feeling.

I thought that Zheng Ren specializes in liver, so the retrograde 64-slice CT 3D reconstruction will be so beautiful.

However, what I never expected was that Zheng Ren seemed to be more familiar with the anatomy of the prostate.

You said that you are a general surgeon, so familiar with the prostate anatomy? Although Director Kong has long been accustomed to Zheng Ren and Su Yun, the pair of surgical partners will always bring surprises to themselves, but after seeing this scene, the glasses are still broken.

The three-dimensional reconstruction of the prostate is more difficult than the liver, because the vascular network is the cause of capillaries, and the common CT does not show a dense vascular network. Even in 3D reconstruction, it is necessary to select a specific development period to capture the image of the capillaries just right.

Just looking into the gods, Kong director’s phone rang.

"Hey, it's me." Director Kong was a little impatient, but when he heard the next sentence, he immediately stood up.

"I will go right away."

"Director Kong, what's wrong?" Zheng Ren asked while skilled in retrograde three-dimensional imaging.

"Nothing, emergency, you are busy with you." Director Kong's words are somewhat blunt and hoarse.

After that, he turned and left the CT room.

"Have you heard it?" Zheng Ren asked.

"I didn't hear it clearly, but I guess it should be the German professor of the magical area that finished the surgery." Su Yundao.

"Yeah." Zheng Ren continued to be busy.

“Do you still make sense?”

"I don't know, but I have to do something, or what about this patient? Let the German professor come over again?" Zheng Ren did not be discouraged, but continued to charge toward the difficulties that could not be described.

......

......

In the conference room of the institute.

Wu Haishi Wu Lao, Professor Yan and others rushed to the scene, Li Haitao was frowning tightly, and when Director Kong came, he was about to play a surgical video.

"Xiao Li, is it true?" Director Kong still retained a glimmer of hope.

"Director Kong, the surgery on the other side officially ended at 4:15 in the afternoon." Li Haitao said: "Please sit down, let us evaluate whether the surgery on this side is necessary."

Director Kong looked serious and took a position to sit down.

He didn't ask the source of the video. If even the video of the surgery couldn't be reached, the people sitting in the audience could go collectively to jump off the building.

"Hello everyone, let me introduce. At 14 o'clock this afternoon, at the Modu Hospital, Professor Rudolf Wagner of the University of Heidelberg, Germany, as the surgeon's prostate interventional embolization, began surgery. At 16:15, surgery The announcement was successfully completed. Below, let's take a look at the recording of the operation Li Haitao simply said, then click on the video.

Video recording is not an operation. It has been cut to the pre-process in a short time, and an image of prostate angiography appears.

The guide wire smoothly enters the celiac trunk, then reaches the iliac crest, the internal iliac artery, and then begins to angiography.

The fine vascular network is now looming.

Because the surgical video resolution was not high enough, many professors did not see which artery passed to the capillary network of the prostate.

The micro-guidewire, under the control of Rudolf Wagner, is ingenious. After entering the internal iliac artery, it continues to over-select and follow the vascular selection of a side branch.

It is not difficult to advance the micro-guide wire, especially at certain turns, it is more convenient.

“Wu Lao, the guide wire is specially made?” Director Kong asked, and asked Wu Haishi Wu’s opinion.

"Well, it looks like it is not an ordinary micro-guidewire." Wu Laodao.

Director Kong shook his head and faced the world's top professors. In the face of almost unlimited financial support, this period of time seems to have become meaningless.

Perhaps as Li Haitao said, this research has not been carried out.

Super selection, success.

Between the capillary end of the capillary and the superior bladder artery, Professor Rudolf Wagner tried several times and found that the micro-guide wire had reached the limit. After the micro-guide wire could no longer advance, the micro-catheter was built and then embolized.

Surgery, the process is very simple. However, it is difficult to say that it is difficult to reach the extreme.

This is a huge challenge for the manipulation of surgical interventions and the application of consumables.

Wu Haishi Wu Lao sighed on one side, and Director Kong also shared the same feeling.

But when he thought of giving up, he suddenly remembered sitting in the CT room and devoted himself to the back of CT three-dimensional reconstruction.