Chapter 861 Porcelain Gallbladder

Like a great painter, a simple picture quickly appeared on A4 paper.

Looking at this picture, Mu Tao's eyes lit up.

No need to explain, Mu Tao seems to have understood several important nodes. Going back and comparing the NMR films, there should be new breakthroughs, Mu Tao thinks so.

"Old Mu, I won't tell you, you can go back and see for yourself." Zheng Ren said after finishing the painting, "If there is anything you don't understand, or if you have doubts, just leave me a message, or come early tomorrow , let's discuss it together."

Mu Tao nodded, he understood what Zheng Ren meant.

Chang Yue went to call the next patient's family member. Mu Tao saw that Zheng Ren was still contemplating, and a thousand feelings surged in his heart.

This is a selfless teaching, and I was afraid that I would not understand, so I tried my best to explain it to myself.

Using normal people's thinking, this is a fucking idiot!

This idea flashed in Mu Tao's mind.

Isn't the rapid progress of human society precisely because of such people? Edison received venture capital investment, summed up the experience of his predecessors, and before all the money was spent, he came up with the light bulb and wanted to monopolize direct current.

He kept suppressing Tesla, but the alternating current came into being, shattering Edison's dream.

Tesla did not use the patent of alternating current to obtain the patent fee that now seems to be able to exceed tens of billions of dollars, and everything is used for free.

This move greatly promoted the application of alternating current.

What Zheng Ren did was exactly this kind of thing.

Great good!

Recalling the first time I met Zheng Ren in the imperial capital, until the scenes in Pengxi Township, and now, the image of Zheng Ren has become three-dimensional and vivid in Mu Tao's mind.

In the following explanations, Zheng Ren would draw a simple diagram for Mu Tao every time.

Mu Tao took a picture of the film, marked it, and put the picture away carefully, waiting for himself to study it when he came back.

Unfortunately, there are too many operations and the time is too short. Mu Tao is afraid that he will not be able to study thoroughly before the operation.

Doing research with Boss Zheng is much better than doing research at the Mayo Clinic, Mu Tao expressed his heartfelt emotion.

After the three patients in the Department of Gastroenterology finished communicating one after another, Zheng Ren greeted the hospital chief and took Chang Yue and Mu Tao to the Department of Hepatobiliary Surgery.

It was the lunch break, and Zheng Ren didn't want to disturb Professor Yang Rui Yang's rest.

But when he came to the hepatobiliary surgery doctor's office, Zheng Ren saw that Yang Rui was reviewing a CT scan of his upper abdomen.

"Brother Yang, I'm here." Zheng Ren was not polite, and greeted him with a smile.

"Boss Zheng, come here." Yang Rui didn't move his eyes from the film, but just called Zheng Ren to come over.

"Huh? What movie?" Zheng Ren asked.

With Professor Yang's appearance, he must have asked him to watch the film and make a diagnosis.

"It was a 62-year-old female patient. During the physical examination, a change in the gallbladder area was found, so a CT of the upper abdomen was performed." Professor Yang said: "Under the fourth segment of the liver, there is no gallbladder in the gallbladder area, only a cystic parcel. There are calcified deposits, which look weird, like a porcelain gallbladder, but it is not the same as the porcelain gallbladder I have seen before."

"Oh? No gallbladder?" Zheng Ren walked over, asked first, and then began to read the film with his chin resting on his hand.

On CT, the imaging of the gallbladder area is like a large bubble. The gallbladder disappeared at the location of the original gallbladder, and a huge cystic mass appeared there, with uneven texture, which looked very strange.

Is it a tumor?

Zheng Ren didn't think so. Generally speaking, tumors are solid, and cystic ones are rare.

what is that?

Mu Tao took a look at the film and became interested.

Except for evildoers like Zheng Ren, the people who intervene are basically doctors with video backgrounds.

Whether it is X-ray plain film, CT, or MRI, there are certain studies.

This video is interesting. Mu Tao temporarily forgot about patients with advanced liver cirrhosis undergoing TIPS surgery. Like Zheng Ren, he started watching the video.

Chang Yue was very helpless. It was a waste of time to go out to see patients with Mr. Zheng.

He said he was a good-looking patient, but he stopped after looking at an abdominal CT. When will he be able to finish his work?

But soon, within a few minutes, Zheng Ren said: "Brother Yang, I think you are right about the porcelain gallbladder, and there are malignant tissues in the gallbladder."

"I think so too." Yang Rui said, "Is Boss Zheng interested?"

"Huh?" Zheng Ren looked sideways at Professor Yang, "The patient has already been hospitalized?"

"Stop it." Professor Yang said, "I can do surgery, but the possibility of completely removing the porcelain gallbladder is not high. When are you free?"

"I'm going to have a TIPS operation tomorrow, the day after tomorrow?" Zheng Ren said with a little itchy hand and a smile.

Porcelain gallbladder refers to the special shape of the gallbladder, which is hard, fragile and pale blue due to calcification of the gallbladder wall.

In terms of clinicopathological features, porcelain gallbladder has its particularity.

Since Cornell first reported and put forward the concept of "porcelain (sexual) gallbladder" in 1959, sporadic relevant literature has been published abroad.

In particular, the association of porcelain gallbladder with gallbladder cancer was suggested. Porcelain gallbladders are prone to be accompanied by gallbladder cancer. Porcelain gallbladder cancer mostly occurs in the body of the gallbladder, and occasionally in the bottom and neck.

In the patient in front of me, the entire gallbladder has a tendency to become porcelain.

Therefore, it is best to completely remove the calcified lesions. Once broken, it may lead to tumor seeding and metastasis.

But as the name suggests, the entire gallbladder is already as brittle as ceramics, and it is not easy to cut it off completely.

So Professor Yang did not hesitate to invite Zheng Ren to participate in the operation when Zheng Ren came.

The autologous liver transplantation for hepatic echinococcosis was done by Zheng Ren, and Yang Rui no longer had to worry about losing face in front of Zheng Ren.

I am not completely sure, if Boss Zheng can do it, then he will do it.

But the porcelain gallbladder was only a preliminary diagnosis, and Zheng Ren asked the patient about liver function, hydatid antibody, CEA and CA19-9 and other laboratory indicators.

Laboratory tests were normal, past medical history and family history were unremarkable.

"Considering the possibility of simple porcelain gallbladder, there is no cancerous area." Zheng Ren finally said: "However, you still need to be careful in the operation. When you come to the stage the day after tomorrow, Brother Yang, give me a call and I will go to the stage." Give me a hand."

"Okay." Yang Rui took off the film with a smile.

"Two patients with advanced liver cirrhosis, let's go. I'll take you to see them." Yang Rui didn't rest, and took Zheng Ren to see the patients first, and then called them to the doctor's office one by one. Zheng Ren explained the condition to the family members of the patients.

Yang Rui wasn't very interested in Zheng Ren's drawings. After all, he was a surgeon. The bloody liver was disgusting, so he was still interested in a sketch?

It is estimated that only a doctor like Zheng Ren who crosses the general surgery and intervenes can draw this kind of sketch.

After communicating with the patient's family, Zheng Ren and Professor Yang greeted each other and returned to the interventional department.

Chang Yue did not go with Zheng Ren, she stayed directly to explain the live broadcast of the operation to the patient's family.

Mu Tao, on the other hand, couldn't wait to ask Zheng Ren for leave, and took video materials and sketches to find a place to study.