Chapter 372： Hepatic resection that will fade out of the historical stage

"Zheng Zong, what do you need to check?" Chang Yue has a lot of thoughts, but he still seeks advice from Zheng Ren.

This is the respect for the surgeon surgeon.

It is also a medical practice. Once there is less examination, resulting in suspension of surgery or problems, it becomes a good thing to do something wrong.

"Blood routine, blood clotting, liver function, ECG, 64 rows, these are enough." Zheng Rendao: "When doing 64 rows, call me, I let the doctor in the CT room sweep the lungs."

“Is it still involved in embolism?” Chang Yue asked.

Zheng Ren’s heart moved and thought about it. “When you do the inspection first, if the effect is good, you may do radiofrequency ablation.”

Su Yun looked up, and the black hair floating in front of him was like a question mark.

"Boss, when did you learn the radio?" Su Yun asked.

"Look again, it will be." Zheng Ren sprayed back with Su Yunchang's words.

Now that the network is developed, no one has a few large hospital students, and the video of the radio frequency ablation is simple.

Su Yun did not have any doubts, but expressed dissatisfaction with the sentence that Zheng Ren said.

Professor Rudolf said: "Boss, are you going to give this big sister a radiofrequency ablation procedure for liver cancer?"

Zheng Yunxia had some surprises about the appearance of Professor Rudolf Wagner, especially the fluent Northeastern, which is even more eye-catching.

"Yeah." Zheng Ren nodded.

Radiofrequency ablation, also known as radiofrequency thermal ablation, is a minimally invasive procedure for the treatment of orthotopic tumors. The technique for the treatment of primary liver cancer is relatively mature.

The diameter of the tumor is less than 3cm, and the radiofrequency ablation can kill about 70% of the tumor cells. The clinical therapeutic effect is equivalent to surgical resection.

Surgical resection of the liver, which is a major operation. Now with the advancement of technology, the incision is getting smaller and smaller, and the patient's damage is getting smaller and smaller.

However, radiofrequency ablation requires only local anesthesia. A needle is inserted into the tumor tissue under CT positioning. After 15 minutes of ablation time, the operation is completed.

Patients may have pain during surgery, but not severely, and most can be patient. A small number of patients gave a painkiller to the muscles and they came over.

After the operation, the patient was placed in the ground for 6 hours, and there was no abnormality on the second day. Damage to liver function is even lighter than interventional surgery.

This is a surgical procedure to cure liver cancer.

Although limited by conditions, not all tumors can be resolved by radiofrequency ablation. But after all, it is a clinically proven and effective treatment.

Clinical medicine, along with advances in technology, medical surgery, and minimally invasive surgery, are gradually changing the treatment of many diseases.

Liver cancer resection, in the foreseeable future, will inevitably fade out of the operating room.

Although it will not completely disappear, it can only be done as a traumatic auxiliary surgery. In the future, the main liver cancer surgery must be interventional embolization and radiofrequency ablation.

Zheng Ren squinted, Zheng Yunxia's disease is only a simple description on the system panel. However, according to the operation, he can initially determine that this time Zheng Yunxia has a high probability of doing RF ablation.

It is equivalent to surgical resection. If there is no large-scale outbreak of liver cirrhosis nodules in her liver and it turns into tumor tissue, this life will be returned.

But RF ablation...

Zheng Ren picked up the phone and called out.

"Dr. Zhang, hello."

"Yes, I have already taken a vacation with Director Pan. I want to do a few more. Is it convenient for you?"

"Ten or so, I think the patients in the second hospital are not lacking, the cost of expert consultation can be reduced, I am worried about your postoperative care, treatment..."

"Oh, okay, okay, then that's it."

After that, Zheng Ren hung up.

Su Yun looked at Zheng Ren, this sly thinking jumped too much, how to transfer from radio frequency ablation to the second hospital surgery?

"Fugui, don't leave now. We will go to the Second Hospital for TIPS surgery tomorrow, and we will send someone to send the film." Zheng Ren did not pay attention to the difference between Su Yun, but told Professor Rudolf Wagner. .

“Uh huh, boss.” The professor should have said, “How many?”

"It should be about ten."

The professor made an exaggerated gesture.

Even at the University of Heidelberg, it is a fantasy to do ten TIPS operations a day.

I did not expect that I could do this in a remote, remote city.

After all this was arranged, Zheng Ren sat in the office and waited for the people in the second hospital to send the nuclear magnetic dispersion film.

Although looking at the book, Zheng Ren’s mind is all about radiofrequency ablation.

The task reward given by the system, the success rate of interventional surgery +2, I don't know what it means. There is no explanation, no communication, only self-guess, bad reviews.

Because radiofrequency ablation is a type of interventional surgery, Zheng Ren has been promoted to the level of the master, do not have to learn from scratch.

After the task is completed, the system gives 3000 surgical experience, which is considered as an improvement.

However, the success rate of +2, Zheng Ren guessed many times, there is no eyebrows.

If you don't understand, then wait until you have completed the task.

After half an hour, a knock at the door of the office came.

Zheng Ren looked up, was a short fat man, and asked with a smile: "Is Zheng always here?"

Seeing the short man holding a pile of films in his hand, Zheng Ren guessed that he should be the person who sent the film to the second hospital.

The speed is quite fast. It seems that the deputy dean of the supervisor personally leads the work, and the efficiency is indeed very high.

"I am." Zheng Rendao.

The short fat man squinted and nodded, his face was more intense.

He walked over quickly and said while walking, "Zheng Zong, Dean Zhang asked me to send you a film."

"Oh, hard work, sit down." Zheng Rendao.

Professor Rudolf also came together After two days of memories and accumulation, he had a deeper understanding of TIPS surgery, so it was only him who was anxious to do TIPS surgery with Zheng Ren.

The short fat man did not do it, but stood in front of Zheng Ren with a nod and a humble face.

Zheng Ren did not notice the slight expression of his face and behavior, and picked up a pocket, which was heavy.

In addition to the liver nuclear magnetic dispersion of the film, there are patient profiles and admission reports.

Director Zhang is really very careful, Zheng Ren thought.

First look at the patient's condition profile and test report, this is a decompensated cirrhosis, accompanied by ascites patients.

The patient's last hematemesis was rescued two months ago.

But hematemesis and ascites are like time bombs, and they can explode whenever and wherever.

The last time I came back from the rescue does not mean that the next time I can be rescued.

"Fugui, what do you think?" Zheng Ren asked.

Professor Rudolf Wagner said: "This is a very standard surgical indication, and the patient's condition is very good, just right for surgery. Boss, the patient who did the last time, I feel a little hairy, or this patient is more better."

The smile on the face of the short fat man stagnate.