Chapter 1468： Witness witness

"The film should be seen more, and the clinical experience is more abundant." Zheng Ren had to leave a statement without logic.

Zhou Chunyong burst into tears.

I have been engaged in clinical practice for decades and are not experienced enough?

He sighed and saw Zheng Ren to change clothes, and he followed the past.

"Zheng boss, do a few treatments, and then start surgery?" Zhou Chunyong no longer mentions the branch of the radial artery, but smiles and asks about the surgery.

"Several treatments?" Zheng Ren is a little surprised.

"Yeah, do you have surgery on this side, isn't it a few treatments?" Zhou Chunyong felt that he must have misunderstood with Zheng boss.

In general, interventional embolization for liver cancer does not end with an operation.

At the very least, every 28 days, do 3 courses to determine if the tumor is completely dead.

Because of the presence of the tumor support trunk, there are some abnormal hyperplasia, very fine arteries can not guarantee the filling state.

After the trunk is embolized, the collateral vessels begin to assume the "heavy duty" to support the tumor tissue.

Like a river, the trunk is blocked and the river is sure to flood. A dry, or inconspicuous tributary that has changed from a former to a new river.

The three interventional embolizations that Zhou Chunyong said are ideal.

In general, interventional embolization surgery is the most common for about 5 times.

So Zhou Chunyong will ask this question.

Zheng Ren thought about it and put himself into the position of Zhou Chunyong, and immediately understood what he meant.

"Director Zhou, this is not the case." Zheng Ren smiled and said: "Approximately 1 week after surgery, you can do surgery."

“So fast?” Zhou Chunyong found himself thinking wrong from the beginning.

"Hey... how do you say that?" Zheng Ren hesitated, saying: "RF ablation, have you done it?"

This question, I asked Zhou Chunyong.

"What about the liver?"

"Ok."

"I have done it, about 2000 cases a year." Zhou Chunyong immediately said his own proud data.

"As with radiofrequency ablation, as long as the embolization of the bottom, you can perform surgery." Zheng Rendao: "Under 5cm, I think radiofrequency ablation can be solved. 5cm or more, radiofrequency ablation can not be solved once, the effect of surgery Better."

Zhou Chunyong immediately understood the meaning of Zheng Bo.

People are the bottom of the surgery, and the large blood vessels of the tumor have been shackled. After the edema period, you can do surgery.

but……

Seeing Zhou Chunyong with a hesitant look, Zheng Ren asked: "Director Zhou, what problem do you have? Nothing, just ask directly."

"RF ablation, you can do it right away, why don't you do surgery right away?" Zhou Chunyong asked.

Vascular interventional embolization combined with radiofrequency ablation has two approaches.

Both were first embolized and labeled, and the patient's lesion was displayed with CT using iodized oil, and then radiofrequency ablation was performed with CT positioning.

However, sometimes the embolization is directly ablated, and sometimes the ablation is performed 1 week after the embolization.

The difference between... Zhou Chunyong did not find anything particularly different.

"Oh, that's it." Zheng Ren smiled. "First, I said that because the tumor is too big, there is no way to solve the radiofrequency ablation. Secondly... TIPS surgery, liver dissection, is your improvement? ”

"Big!" Zhou Chunyong immediately blurted out.

Zhou Chunyong was a little excited about the anatomy of the animal liver, which was like a handicraft.

"That's it." Zheng Ren smiled and said: "Inorganic intervention, now basically the radiologists are doing."

"..." Zhou Chunyong hesitated. He didn't understand what Zheng Ren said about this.

Zheng Ren saw Zhou Chunyong's face and he knew that he was a little far away.

He changed his clothes and went out with Zhou Chunyong. He explained to him while walking: "Director Zhou, the intervention of the organs is not very smooth."

Zhou Chunyong nodded.

He also admitted this.

Cyclical intervention has already squeezed the cardiothoracic surgery. Cardiothoracic surgery in major hospitals is now in name only.

Without coronary artery bypass surgery, they are almost in a state of semi-unemployment.

The intervention of the nerves, with the participation of neurologists, also abolished the operation of the aquamoma with a watershed meaning in neurosurgery.

Interventional embolization, minimally invasive, postoperative side effects are small, who is going to do surgical craniotomy?

You know, whether you can do intracranial aneurysm surgery ten or twenty years ago is the most important way to judge whether a neurosurgeon is mature.

Now, these large-scale operations have been blown by the rain.

In the next 20 years, it is estimated that only the traces of these techniques can be found in the pile of paper and how important and brilliant it was.

However, visceral intervention, especially for the treatment of liver cancer, has been delayed.

This point Zhou Chunyong knows.

With the efforts of myself and other interventionalists, there has been some progress in the past decade.

Progress is weak and slow, but Zhou Chunyong has no good idea.

Zhou Chunyong thought quickly and immediately realized that Zheng Ren might mean. Like his own thoughts, although Zheng Boss is a doctor who is a foreigner, his mind is still relatively involved.

Thinking of this, Zhou Chunyong smiled.

"The interventional operation of liver cancer is different from other departments. It is not done by doctors in the Department of Gastroenterology. It is done by doctors of radiology at www.novelhall.com~ This is caused by historical reasons." Zheng Rendao.

Zhou Chunyong nodded frequently.

"The radiologist has no status in the rivers and lakes." Zheng Ren smiled.

Radiologists... In the medical profession, they are at the bottom of the chain of contempt, and are in a position with pathology, Chinese medicine, acupuncture and physiotherapy.

Why does the surgery for liver cancer in general surgery still exist?

The most common department is the one that has been born since the founding of the People's Republic! The status in the medical profession is the highest level of existence.

Regarding academic disputes, liver cancer should be involved in embolization for treatment or surgical resection, and the right to speak is in the hands of general surgery.

Secondly, because liver cancer is a malignant disease, it will heal after resection. This is a common perception. With the interventional embolization, the tumor tissue is still there, and it is not reassuring.

The combination of the two has led to this strange situation.

"Since there is no river status, no right to speak, then do related surgery, use anatomy to tell all doctors, the actual effect of embolization on liver cancer." Zheng Ren smiled.

"Don't you have surgery?"

"Director Zhou, you don't really want to find a patient to do human anatomy directly. This is a thing, but it can't be done."

Zheng Renyu said with a heavy heart.

Zhou Chunyong is sweating.

"So, surgery is the best way to witness the effect of interventional embolization in liver cancer."

"But the surgeon has no opinion?" Zhou Chunyong asked cautiously.

"Director Zhou, I am a general surgery professional." Zheng Ren smiled and said faintly.

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