Chapter 855 The Last Tumor
Everyone was stunned, and then they all smiled knowingly.
It’s still nice to hug my thighs...
…
Back at the clinic, new banners have been put up here.
Although not as grand as the super large hanging posters at the airport, clinical medicine is better in quantity.
A banner is hung on the signboard, and two vertical banners hang down from the bottom. The hospital entrance, the publicity board, and the interior of the hospital are randomly refreshed in various places.
If Huining's top management came to see a doctor, he might be so angry that he would have a cerebral hemorrhage on the spot.
"Doctor Xu!"
"Director Xu is back!"
"Without Dr. Xu's clinical treatment, I don't want to stay any longer!"
"Ah, is Dr. Xu back? I don't want to take any more leave. I'll be back to work tonight!"
The quiet group immediately began to refresh the screen.
The entrance to the hospital was even more lively. It was time to get off work, and a large group of doctors and nurses had not returned home and came here to greet Xu Qiu.
Xu Qiu declined the reception banquet and rushed to the office without stopping.
Because of liver tranquility, he hasn't touched a patient for several days. Just like the long-distance relationship between a college boy and his girlfriend that just ended, it was painful and unbearable, and he was a little horny and thirsty.
Xu Qiu's anxious mood eased after looking through the upcoming surgical arrangements of the Surgery Management Department.
There are no incurable diseases these days, and they are quite normal.
"Jiang Dong'er..."
Finally, he brought up his patient interface.
Jiang Donger had small round cell osteosarcoma of the tibia and metastatic cancer to the lungs.
She had undergone 3D printing prosthetic reconstruction before, but the metastatic cancer on her lungs was left until later.
Treatment options for metastatic lung cancer vary.
Surgical treatment, radiotherapy and chemotherapy, targeted therapy, immunotherapy, etc.
For patients whose condition is not serious, whose physical condition is relatively good, and who can tolerate surgery, the best way is surgical resection.
This is also the treatment plan for lung metastasis cancer set by Xu Qiu for Jiang Donger.
However, the specific surgical procedure should be considered based on the actual situation of the patient.
Currently, three surgical procedures are still being carried out clinically: wedge resection, segmentectomy and lobectomy.
Lobectomy is the most basic treatment and a standardized surgical procedure.
If there is metastatic cancer in the upper lobe of the right lung, the upper lobe of the right lung is removed.
The advantage of this surgery is that it saves time and effort. It does not require careful identification of the boundaries of the tumor, and can simply perform a major resection.
The chance of omission or even recurrence is also much smaller.
After all, both normal and abnormal tissue are removed.
However, with the development of medical technology, the detection of tumors has also entered an early stage. Basically, small nodules found in physical examinations can be traced, and tumors can also be detected early...
For such patients, sublobar resection including wedge resection and segmentectomy is more appropriate.
Like a palm.
In the past, it could only be determined that there was a tumor on a certain finger, and the solution was to remove the entire finger.
The current examination technology can locate the tumor to a certain segment. For example, if there is a tumor in the inner third of the distal index finger, the surgery can naturally remove this area in a targeted manner instead of removing the entire index finger...
Moreover, sublobar resection can preserve more lung function, and the patient's quality of life will be much higher than that of lobectomy.
For Xu Qiu, simple and crude lobectomy was naturally ruled out.
His original choice was sublobar resection.
However, whether to perform wedge resection or segmental resection requires detailed analysis.
From the perspective of the scope of resection, the two are actually similar, and there is no obvious difference in the area of resection.
The difference lies in the difficulty of operation!
Wedge resection only requires lifting the diseased tissue and cutting it off with a disposable cutter.
Segmentectomy is obviously much more complicated, requiring separate treatment of the arteries, veins, bronchi, etc. of the lung segments.
The difficulty is precisely here - segmental resection requires the surgeon to have a deep anatomical understanding of the segmental bronchi and segmental portal arteries and veins, and must be accurate to each lung segment.
"It seems to be about the same." Xu Qiu thought for a while and didn't find it difficult.
Isn’t dissection very simple?
There are also treatments for arteries, veins, bronchial tubes, etc., first this way, then that way, wouldn’t it be over with just two cuts?
"Prioritize segmental resection." Xu Qiu made a decision secretly.
Then, he rushed to the ward and started his first ward rounds after returning.
Seeing Xu Qiu at the door of the ward again, Jiang Donger's first reaction was that she was still asleep.
However, when she saw Mother Jiang who was accompanying the bed beside her, she also stood up excitedly. She suddenly came to her senses and said in surprise: "Doctor Xu... Doctor Xu!"
"Dr. Xu is back, and we just saw the results of the trial between you and Huining, and they actually lost nearly 10 billion. Dr. Xu is so amazing!" Mother Jiang couldn't help but say.
After this incident, Xu Qiu became famous all over the country.
And he became a star figure in the medical and legal circles at the same time.
The appearance of such a big shot in the ward, who is also the doctor in charge of his daughter, feels unreal no matter how you think about it.
"Doctor Xu, look at my legs!"
As Jiang Donger said, she jumped down from the hospital bed and walked back and forth on the ground with an excited expression.
"I've recovered. I can walk now. It's only been more than a month!"
The clinician's orthopedic evaluation also told her not to act too hastily.
Under normal circumstances, it takes at least three to five months for a patient to become almost like a normal person after undergoing prosthetic reconstruction.
But no one expected that Jiang Donger could walk smoothly in a month. Except for high-intensity running and jumping, she was basically the same as ordinary people.
Xu Qiu nodded and gave Jiang Donger several functional evaluations.
Unexpectedly good.
"Sure enough, the system reduces sequelae and surgical damage, which is very beneficial to the prognosis."
He had estimated before that with the reduction of surgical damage given by the system, the damage caused by the prosthetic reconstruction surgery itself to the patient should be much smaller, and accordingly, the recovery speed will be much faster.
But he still underestimated the improvement brought by this change.
In fact, Jiang Donger only took more than a month to complete the process of three months for ordinary patients.
In this state, she can fully tolerate the second removal of lung metastasis.
"Do a few more tests, and prepare to remove the lung tumor in the next two days." After Xu Qiu's evaluation, he gave his opinion.
Jiang Donger was very excited... Finally, the metastasis on the lung was removed!
Jiang's mother's face was also full of excitement.
After completing this operation, her daughter will be completely free from the disease!
Although the negative effects of cancer always exist, it is impossible for Jiang Donger to be completely the same as a normal person just because the tumor is removed, but at least Jiang Donger will no longer have the hidden danger of tumors!
…
On the same day, Xu Qiu arranged the examination items for Jiang Donger.
The most important one is three-dimensional computed tomography angiography, also known as 3DCTA.
