Chapter 1460: The patient who can not be operated on
Translator: 549690339
Zheng Ren and Su Yun went to the Department of Hepatobiliary and Pancreatic Surgery directly after they parted ways with Department Director Kong.
“Boss, my friends from abroad have started asking me about tips.” Su Yun said.
“Eh? What does it mean?”
“They’re spreading rumors that the Nobel Prize in Medicine is going to be won by our TIPS program.” Su Yun chuckled.
“The possibility is not high. We’ll do our best and leave it to fate for this matter. ” Zheng Ren suddenly laughed.”Besides, even if the Nobel Prize is given to our Medical Group, it’s only right that it be given to us. What is internal fixation?”
“…” Su Yun looked at Zheng Ren as if he was an idiot. She was silent for a few seconds before she said,””Boss, I really admire your confidence.”
“When will the second batch of students arrive?” Zheng Ren asked casually.
“Can I trouble you to respect the experts, professors, and scholars around the world?” Su Yun said.
“I’m already being very respectful. I think that respect for a medical staff should first be reflected in the number of operations they perform. ” “I only have one request,” Zheng Ren said. “Whoever can perform one hundred TIPS surgeries within two months after we return will be given priority. Those who can’t perform surgery and only want to do research can be placed at the back. ”
“You’ll force him to his death. ”
“If not, what are they going to do after they learn TIPS?”
“Alright, I’ll remember that. I think they’ll be here in about a week. They’ve arranged for Zhou chunyong to be here. ”
“Yes.”
“Zhu liangchen, what are you going to do?” Su Yun asked.
Since Zheng Ren addressed Department Director Kong as a Department Director today, Zhu liangchen had become a hidden danger.
“There’s nothing to do. If he wants to learn TIPS, let him do it too. If he wants to find another way, he can give it a try whether it’s gastric inferior artery embolism surgery or liver cancer interventional surgery combined treatment. ” Zheng Ren said.
Su Yun was also a little emotional.
It had only been a few months, and there were already so many projects that he could take out.
In the past, there had been no technical breakthroughs in the field of interventional disciplines, so any new discoveries were kept to themselves.
And now, in the medical group … Cooperating with the surgery department for interventional services for liver cancer was not considered a new technology in the strictest sense, but it had a great strategic significance for live surgery.
Left gastric artery embolism surgery was a major surgery with a lot of money to be earned!
How many girls in the country would be willing to lose weight?
It was still better than eating those unreliable things. After all, if Zheng Ren could study it and understand it, and was willing to operate it, its reliability was guaranteed.
Er … When did he have such strong confidence in Zheng Ren?
When Su Yun realized this, she felt a little helpless.
Perhaps it was because there had never been a failure in a surgery before, and over time, he had formed a fixed mindset.
They were silent all the way to the Department of Hepatobiliary and Pancreatic Surgery, each thinking about their own things.
Professor yang did not go on stage. He was sitting in his office and doing something.
“Brother yang, you didn’t go to the surgery?” Zheng Ren came in and greeted him with a smile.
“I’m looking for you today to discuss something with you, so I didn’t arrange any surgery for you. ” Professor yang stood up and said with a smile.
“I went to the hospital to report work, so I came a little late.” Zheng Ren sat down. Seeing that professor yang was studying an x – ray, he went over.
“What job?” Professor yang looked at the x – ray and asked casually.
“The early diagnosis and treatment of latent liver metastasis.”
“…” Professor Yang’s hand paused as he looked at Zheng Ren in shock.
As a professor in the Department of Hepatobiliary and Pancreatic Surgery, how could he not know that the diagnosis of latent liver cancer was simply a fantasy?
However, Zheng Ren did not notice the change in professor Yang’s mood. He was attracted to the film after taking a look at it.
“Brother yang, this patient is quite serious!” Zheng Ren moved closer to professor yang, trying to get a better spot.
“The patient was admitted to the hospital due to liver injury. The examination showed that there was a space – occupying lesion in the liver.” Professor yang saw that Zheng Ren was focused on the x – ray, so he put aside the diagnosis of latent liver metastasis and began to introduce the patient.
The introduction was just a simple sentence, but it explained the essence of the problem.
There were no cirrhosis nodules on this patient’s liver, but there was diffuse liver injury. The liver’s function was greatly affected.
Zheng Ren made a rough judgment that the patient only had about 20% of liver function.
The liver itself had a powerful regenerative ability. Even if the left or right half of the liver was removed, the remaining liver in many patients would rapidly regenerate.
Therefore, the estimated ratio of the remaining liver to the total liver volume had to be taken into account during the preoperative assessment.
The liver was normal, and the ratio was less than 25%; If the ratio was less than 40%, it was forbidden for hepatectomy.
The patient had chronic liver damage, and the remaining liver function was also about 20%.
Without surgery, the patient would only have about three months to live.
However, if he were to undergo surgery, he might die within a few days due to liver failure after the surgery.
“How many years has the patient been drinking alcohol for such a severe alcoholic liver?” Zheng Ren asked.
” 30 years. I heard he was still drinking last night.” Professor yang replied helplessly.
“Last night?”
“Yes, I did my ward rounds early in the morning. I smelled alcohol on the patient, so I asked the nurse on the night shift.” “The nurse said that she saw him drinking in the ward and stopped him on the spot,” professor yang said. The patient also cooperated and said that he didn’t want to drink anymore. ”
Zheng Ren smiled bitterly.
“Later, according to the clinical staff, he went out to drink. He drank a bag of peanuts and two bottles of Red Star Erguotou until 10 O’ clock in the evening. However, his alcohol tolerance is still considered good. When he came back, he was quiet and did not cause any trouble. ”
“Su Yun, you see, it’s still necessary to drink less.” Zheng Ren pointed at the liver’s MRI scan as he explained to Su Yun.
These words were especially annoying.
“Don’t bullsh * t me. I’ve tested it. The various enzymes in the alcohol destroyers oxidation system are 121 times that of normal people. I don’t drink alcohol, so I won’t have alcoholic liver disease. ” Su Yun said without any expression.
“Brother yang, do you know this patient?” Zheng Ren asked.
“Yes, I do.” Professor yang sighed.”If they didn’t know each other and still refused to cooperate with the treatment, they would have been directly discharged.”
“That’s quite troublesome. ” Zheng Ren sighed.
At the very least, the patient could be diagnosed with alcohol dependence, an acute attack of slow liver injury, and a malignant liver tumor.
Not to mention the malignant tumor, just the liver injury alone was enough to be fatal. Moreover, the patient had been drinking non – stop, which worsened the liver injury.
“He’s my junior high school classmate. ” Professor yang heaved a deep sigh and said,”His liver function isn’t good enough, so he can’t do the surgery. But I really can’t bear to let him go home and wait for death.”
Professor yang did not finish his sentence, but Zheng Ren already knew what he wanted to say.
“I can do it.” “I’ll perform portal thrombosis first,” Zheng Ren said.”One month later, the liver reserves will be sufficient. Then, I’ll be able to perform both hepatectomy for you and interventional embolism and radio frequency resection for liver cancer.”
……
……
[Note: two years ago, there was a patient with liver cancer. If you say that he’s not afraid of death, he was overjoyed when he heard that his liver cancer had disappeared.] He was afraid of death, repeatedly warned not to drink, but still drank in the hospital ward with a bottle.
He passed away half a year after the surgery, not because of liver cancer, but because of excessive drinking and liver failure.
It was quite regretful.