Chapter 420 Incomparably Abundant Physical Strength
But less than a minute later, Gao Shaojie knew that he was wrong again.
The channel between the hepatic vein and the portal vein is established, and the operation is not over. The surgeon placed another 8mm retractable stent.
He stood quietly in front of the screen, concentrating on the slow movement of the recyclable bracket.
Gao Shaojie didn't understand why such a bracket was installed.
When recycling, it needs to be taken from the liver, and there will be many uncontrollable factors. Like bleeding! For example, when removing the recyclable stent, the stent with membrane was misaligned.
Once massive bleeding occurs, or the position of the stent graft is deviated, it will lead to the failure of the entire TIPS operation, and the patient will suffer more serious injuries and even face death.
In Gao Shaojie's mind, a three-dimensional image of the patient's liver and portal vein was rapidly sketched.
The optimal position of the recyclable stent is to completely overlap with the previous stent-graft. The smaller the gap is, the less likely accidents will be when the stent is recovered.
But...Gao Shaojie is very clear about the difficulty.
In other people's eyes, it's just a second bracket, the channel has already been established, so it's no big deal to add another bracket.
This is what people who don't understand TIPS surgery think so.
Gao Shaojie had undergone a similar operation, because the patient's hepatic encephalopathy was more serious after TIPS operation, so the only way to improve the patient's hepatic encephalopathy symptoms was to narrow the venous access.
The one under the second stent is deflected and will be washed away by the blood flow.
But brackets stack brackets, completely overlapping, which is so easy. It is not a surgery in which the arteries of the lower extremities are occluded, the stents are opened and then blocked, and the stents are stacked after opening again. That kind of arterial stent is tens of centimeters, even if it misses a few centimeters, it won't hurt, because the friction is enough after all.
However, in TIPS surgery, the stent itself is short, and if you miss a little bit, in terms of percentage, it is the difference between heaven and earth.
His mind was running wild, the retractable stent had swelled,
landing,
root.
Looking at the images, Gao Shaojie could tell that the two brackets were almost identical without radiography.
It's so awesome!
Gao Shaojie had no desire to win or lose, no jealousy, only curiosity.
The psychology of jealousy only makes sense when two people have similar strength and level.
Because Gao Shaojie understood and knew deeply, he only had a sense of powerlessness lingering all over his body.
Then a wave of admiration, even worship, burst out from the deepest part of my heart.
TIPS surgery is so proficient!
Not even the Mayo Clinic can do it!
Who is inside?
Angiography, the position of the stent is satisfactory, the blood flow is smooth, and the completion of the operation is 100%!
Zheng Ren turned and left without talking nonsense.
Professor Rudolf Wagner then stood in Zheng Ren's position and began to press the puncture point to stop the bleeding.
Zheng Ren took off his gloves and threw them into the medical waste trash can. He returned to the operating room and said with a smile, "Dean Ren, Dean Zhang, we're done. Thank you, the patients you selected are very suitable."
Although they had undergone a batch of TIPS operations, the two deans in the operating room still couldn't believe it happened right before their eyes.
"Thank you, Mr. Zheng." Dean Zhang's tone was dry. At this moment, he forgot his enthusiasm.
It's good to be able to talk, but also enthusiastic?
Dean Zhang remembered that when Zheng Ren and Professor Rudolf Wagner were performing TIPS operations in batches last time, there were occasional...no, often disputes.
Standing on the operating table to discuss, this seems very low force.
But the effect of the operation was good, so the dispute became less important.
However, Zheng Ren and Professor Rudolf Wagner seldom communicated with each other throughout this batch of TIPS surgery, and almost kept silent.
The operation was completed in silence.
After less than ten operations, has the new concept been formed?
Although Dean Zhang's level is not that high, he has been engaged in clinical work for decades after all. Medicine is an empirical science, and every well-formed technique must be honed clinically for decades.
During this time, countless attempts will fail.
Success is based on countless failures.
But... the scene that happened in front of me overturned Dean Zhang's three views.
Is this going from one success to another?
It's too scary, the talent of this young man in front of him is simply too scary!
"The patients who received the stents can be brought up." Zheng Ren didn't care about the silent atmosphere in the operating room.
In his opinion, a little silence is a hundred times better than talking in a mess.
"Oh." Dean Zhang responded subconsciously, and a young doctor turned and left the operating room.
Everyone did not expect the operation to be performed faster than the last time. Although the patient was instructed to fast for water and preoperative preparations for the stent removal operation, they did not expect that they would actually do it.
"President Zheng, take a break." Dean Zhang grumbled, and his biological function reminded him that he had arrived now, or past lunch time.
"I asked the cafeteria to send you anything, what do you think?"
"No." Zheng Ren refused directly, neatly and without delay, "I'm going back later, there's still something to do at home."
With that said, Zheng Ren picked up the mobile phone on the console and made a call.
"Chang Yue, it's me."
"From now on, tell Sister Zheng to fast from water."
"Yes, we will have surgery when we get back. By the way, tell Su Yun to contact the CT room, and we will go for radiofrequency ablation after get off work."
"First intervene in the embolization, use lipiodol for positioning, and then push it down for radiofrequency."
"It's not suitable during the day. There are no free machines in the CT room. Yes, even if it's tomorrow, it's worth it."
"Okay. By the way, I'm not busy at home today."
"Okay, I guess I'll be home in three hours, let's make preparations on your side."
After speaking, Zheng Ren hung up the phone.
It's really crazy. I do 8 TIPS operations and 8 second-stage TIPS operations a day, travel between two hospitals, and do radiofrequency ablation when I go back.
How energetic is this?
Wait, RF?
"Mr. Zheng, do you want radiofrequency ablation for liver cancer?" Dean Zhang asked.
"Well, there is a patient whose tumor has shrunk to about 4cm after two interventional embolization operations. This operation is going to completely solve the problem."
"I just heard from you that embolization should be performed first, and then radiofrequency? Do two operations be performed in one day?" Dean Zhang was in a daze.
Video ablation has also been carried out in the Second Hospital. Although the number of operations performed is not large enough, it is a formed operation after all.
Mr. Zheng Renzheng will do radiofrequency, which is no surprise, but first intervene embolization and then radiofrequency ablation, what does this mean?
"Huh? Didn't you guys do that?" Zheng Ren also didn't understand. "Don't intervene, but put iodized oil inside, what kind of mark do you use?"
Khan... Dean Zhang was sweating profusely.
"Mr. Zheng, if two surgeries are performed at the same time, will it cause great trauma to the patient? It is now academically believed that interventional embolization should be performed 1 to 2 weeks in advance, and then radiofrequency will be used to completely kill the tumor tissue, and the effect will be very good." .”
Gao Shaojie came out from the corner and said.