Chapter 1034: 【1034】Teacher who cares about his apprentice
Chapter 1034 [1034] The teacher who cares about the apprentice
If the tumor only grows in the vena cava, it is undoubtedly the best result, everyone is happy, the surgeon only needs to remove the part of the inferior vena cava.
There are also various surgical methods for resection. For example, the tumor volume is small enough to do wedge resection of part of the veins, and artificial blood vessels can be used to fill up the excised part. If the length of the cut is too long, it cannot be repaired and can only be transplanted with native blood vessels or artificial blood vessels.
Among them, it is not a good choice to use the own blood vessels, because the inferior vena cava is too thick, and it is difficult to find similar blood vessels in the human body. .
Is this tumor small? It is definitely not small, the patient has Budd-Chiari syndrome, and it is obvious that the tumor is so large that it blocks the hepatic porta.
The exploration of the operation has reached the step of determining the life and death of the patient, and it is necessary to investigate the condition of the hepatic vein. If the tumor is just blocking the opening of the hepatic vein, surgery can be done, just be careful to cut off this section. If the tumor infiltrates the opening of the hepatic vein, in theory, the surgical operation is basically impossible to remove completely, which is equivalent to no need for this operation.
Teacher Lu's breathing deepened and accelerated.
"Maybe there is no infiltration, just blockage." Yu Xuexian said.
This judgment was made by one of his internal medicine doctors looking at the surgery screen. Everyone in the surgery department knew that he made his remarks based on emotions, mainly taking into account the mentality of Mr. Lu who was present.
After receiving the gazes of the people around him, Yu Xuexian said deliberately, "I can take a bet with you."
Zhu Huicang put his mouth aside and said that no one would bet against him. No one is happy because the bet is won. Losing the bet is pointless.
"What are you planning to do outside your heart?" Yu Xuexian pulled him again to ask about the surgery plan, trying to divert the teacher's attention.
"If you want to work on the inferior vena cava, it is related to the right atrium, and you must contact our hearts and minds." Zhu Huicang's tone was naturally complacent. A single knife in a surgical operation affects the whole body, among which the heart and the brain, which determine the center of a person's life, are the keys.
"No, what I'm asking is, how exactly do your doctors use that TEE at the beginning." Yu Xuexian said.
This question should bring Zhu Huicang down. According to the original surgical plan drawn up by Fu Xinheng, as far as their Corey colleagues know, there is no such thing in the plan.
The second general in the back row is also thinking about this question.
"She didn't say this last time." Shi Xu remembered that Xie Wanying didn't mention TEE when she introduced them to them last time. It just so happened that she didn't seem to be someone who would hide her words when discussing cases, and she had a blunt personality that she would speak bluntly when she had something to say.
"It's not ruled out that something happened later that reminded her of this." Tan Kelin spit out his voice in a long silence. His voice, as usual, was a little cold and professional.
When the others saw that he finally spoke, Qi Qi brushed it in his heart: This person really is a proud disciple who cares about him, and suddenly he heard an important topic related to Xie Wanying.
What happened to remind Xie Wanying of TEE.
Xie Wanying remembered her grandfather. TEE was planned in advance by her, and she was going to give her grandfather an examination after she became a practicing doctor in two years.
Because Yangyang's mother is not as insidious as her grandfather's condition, she did not expect to use this test at first.
(end of this chapter)
