Whether it is liver hydatum or malignant tumor, once the portal vein is invaded, it is likely that the difficulty of the operation will increase geometrically.

"The chest department opened four tables in the operating room. I was evil tonight, and the chest department couldn't even bring anyone out of the house." Dong Jia complained, "Mr. Zhao said, if there is something wrong, he will be responsible for it. Before you call you, you came."

As he was talking, a figure rushed in quickly, panting. His throat seemed to be pulling a wind box. When he heard the roaring sound, he felt that his breathing was not smooth.

"Professor Yang!" Dong Jia shouted quickly.

"How about rescue?" The man was so angry that he probably ran up.

"Stay temporarily, but..."

"I'll go change my clothes." Professor Yang didn't even look at Zheng Ren and Su Yun, probably thinking that they were passers-by.

"Is there any movie?" Zheng Ren asked.

"Yes, I did the CT in the afternoon, and my chest and abdomen." Dong Jia immediately turned around, took out the film bag under the patient's bed, and handed it to Su Yun.

"You see first, I'll take care of the patient, don't have anything to do later." Dong Jia didn't forget to be polite in the end.

Su Yun carried the film bag and didn't say anything, turning around and heading straight to the doctor's office.

Su Yun was stunned when the film was inserted into the film reader.

The ct images on two levels are directly reflected in the eyes. On one level, a small snake winds around in the field of view. The snake is not big, less than 10cm, but the shape is realistic. On the other level, it is a ball of gauze.

What a fuck, is this put in the experiment?

Zheng Ren is still in the same position, holding his chin with his right hand and watching the film seriously.

No matter how talented Su Yun is, he is not from a general surgery department, so he doesn't know much about liver hydatum disease, a rare disease in the imperial capital.

Seeing that Zheng Ren was concentrating on watching the movie, he took out his chest to watch it.

Imaging display is shocking.

Hepatic hydatosis has a wide range of erosion, involving 4 abdominal and thoracic organs and important blood vessels.

Looking at the images really has some similarities with cancer.

It is also appropriate to say that it is insect cancer.

Hydrangea erodes about 65% of the liver to form huge and hard lumps, and downwardly erode the right kidney and renal veins.

Upward erosion penetrates a large area of ​​the diaphragm, and then invades the chest cavity and right lower lungs, spreading to the vicinity of the pericardium.

Hydrangea widely invades the largest venous blood vessels and branches of the abdomen deep, causing complete occlusion of the vena cava from the right renal vein to the right atrium level, up to 17 cm. The four groups of vessels entering and leaving the liver, including the hepatic artery, portal vein, hepatic vein and bile ducts, were severely damaged.

Similar to Buga syndrome, the scope of portal vein erosion is simply too wide to be treated through interventional surgery.

Judging from the erosion of the chest cavity, the bubble wall is relatively thin. Zheng Ren estimated that the cyst in the right chest cavity should be ruptured, causing septic shock.

It's just this surgery...

Too complicated.

If it is done, the chances of patients stepping down alive are not high, and there is a 30% chance that they can step down.

That's not counting. Even if you step down alive, you will not have more than 20% chance of getting through the dangerous period.

In summary, the chances of patients being discharged from the hospital after surgery are only 5-6%.

This is simply dancing on the tip of a knife!

"Boss, this surgery cannot be performed." Su Yun watched the film for two minutes and finally came to the conclusion.

Zheng Ren knew what Su Yun meant, but in fact he thought so himself.

For such patients who do not do it, they die. After doing it, they still have about 5% of them hope to survive. Most doctors will choose to give up.

If you don’t go on stage, it has nothing to do with me. If you go on stage, you will get involved.

Who is sure of such a complicated operation?

And the family members are not here? The operation is successful and will definitely not happen. Once it fails... In Haicheng First Hospital, Zheng Ren performed a hemostasis operation for severe bleeding of the mother. After the operation was successful, the patient's family still took the patient away and then prepared to sue Zheng Ren and the obstetrician doctor.

However, since the medical department has been registered, it means that the hospital will take care of the matter. Zheng Ren was already thinking about how to operate when he was watching the film.

Watching the patient die? Zheng Ren really can't do it.

It’s fine if it’s a disease like triple-negative breast cancer, but even if Zheng Ren runs out all the surgery time, there’s no way to solve it.

However, although this patient looks serious, there is still a possibility.

Although Zheng Ren left Haicheng First Hospital for several months, he first performed a task and then went to fight earthquake relief. He had not adapted to the situation of only undergoing interventional surgery.

He immediately habitually put himself in the emergency department's hospitalization position.

I have to rescue them no matter how hard I have to save them, even if there are constant troubles in the future.

Let's try it. Even if there is time for surgery, Zheng Ren is still not sure.

This kind of surgery is simply too difficult.

"You are..." Zheng Ren was thinking, and Professor Yang's voice came. Before he could recover, he was panting. He had just changed his white clothes and his chest was wet with sweat.

"Hello, Professor Yang, I am Zheng Ren from the Interventional Department."

Professor Yang, who was in charge of the group, saw Zheng Ren and Su Yun watching the movie, asked casually. But soon, Professor Yang recalled what Zheng Ren had just said.

"Are you Zheng Ren from the interventional department?"

"Yeah." Zheng Ren nodded without a smile. He was thinking about how to do the surgery.

Even if you go to the system operating room to train surgery, you still need to have ideas.

It’s just that this patient’s surgery... is a mess, so how can I think?

"Is Boss Zheng who won the Nobel Prize nomination?" Professor Yang asked in a low voice.

"Yeah." Zheng Ren nodded again.

"Good luck to meet," Professor Yang reached out, shook Zheng Ren for a moment, and then asked: "Can intervention solve the problem of the portal vein?"

"If you wait for the liver source, you can try it. But now the patient is in acute shock and the surgery is performed, the vascular department needs to perform reconstruction surgery." Zheng Ren replied simply.

Professor Yang was obviously a little disappointed.

He knew about the patient's condition early in the morning. He originally wanted to delay as much as possible. After authorization from the hospital, he underwent a chronic liver transplant surgery, but he did not expect that the cyst would rupture at night.

I thought the Nobel Prize candidate would have some good methods... Although Zheng Ren was telling the truth, Professor Yang still couldn't help but sigh.

"Boss, what's going on with this little snake?" Su Yun suddenly asked as he looked at the movie.

"It is the manifestation of the image of the hydatum liver, just like the gauze below, not real. Two documents published in the European Journal of Radiology in 1990 and 1991 have classic descriptions of this characteristic image: snake-like signs and spinning signs that have confirmed significance for acute abdominal abdomen of liver cyst rupture." Zheng Ren said.

"Hiss..." Su Yun took a breath, feeling very embarrassed.

It is actually not important to determine gauze and the snake, it is an important surgery.

"Oh." Professor Yang sighed, picked up his cell phone, and while contacting someone, he asked Dong Jia to prepare to send the patient to the stage.

This is a hot potato, but if the surgery is not performed, the patient will die.

No matter what, you have to report and then go on stage to try it.

As for the troubles in the future... let's talk about them later.

"Boss, this surgery cannot be performed. If you are a newcomer, don't let someone catch the handle. Not to mention Professor Zhao, the senior directors of each department, the professors in the group are here, don't show off." Su Yun shook his head and reminded Zheng Ren again.

"Can you do your chest?" Zheng Ren suddenly asked.

"I can definitely do the chest, but the abdomen..." As he said that, Su Yun pointed out the portal vein and right kidney on the film with his fingers, and said, "I'm afraid you can't do these."

...

...

At this time, Professor Zhao from the Intervention Department was at home, sitting in his study looking at a foreign journal.

"Who did you call me just now?" asked Professor Zhao's lover.

"New Zheng Ren."

"It's the little doctor who asked you for a bed?" Professor Zhao's lover's eyebrows stood up, and after hearing Zheng Ren's name, a murderous aura surged into the sky.

Cutting off people's wealth is like killing parents, and this really makes sense.

"What a little doctor? He is Director Kong's treasure and a candidate for the Nobel Prize." Professor Zhao said with a smile.

"Pretend you, why are you calling him if you have nothing to do?"

"This is not the afternoon consultation in the whole hospital. There is a patient with hydatosis, and all departments went to see it."

"It has something to do with you?"

"No. You can even post it if you have it. Finally, when you have autologous liver transplant, it will be faster to create a shadow."

"Then why are you calling Zheng Ren?"

"I can't do anything, it doesn't mean that Boss Zheng has no choice either." Professor Zhao leaned on the chair, closed his eyes, as if he was thinking about something.

"he……"

"When I was doing scientific research last time, I heard that he was a professional from a general foreign exchange."

"Then you let him go? Are you giving others a chance to show their face?" Professor Zhao didn't understand what his lover had.

"Opportunity? I'm afraid he won't dare to go there." Professor Zhao smiled and said, "I don't know why Director Kong was attracted to him. He is the hospitalization officer of the emergency department in Haicheng, so I hope he will have surgery. You said, no matter who it is, can he be allowed to go to? Which department of surgery, you need an interventional physician to do it? This is not showing his face."

"You're just thinking too much."

"If he dares to make a request for surgery, he will not be able to gain a foothold in 912 in the future." Professor Zhao smiled and said, "If that is the case, it will be really worry-free."

"Director Kong is also a little doctor. As for snatching the bed from you?"

"He is a Nobel Prize candidate. If I were Director Kong, I would do the same. Anyway, he would retire, so it doesn't matter. Unfortunately, if I compete for the position of the chief director two years later, how good it would be to meet him again."

"So capable?" Professor Zhao's lover was surprised.

"I can't compare to him in the surgery, especially the tips surgery. Their techniques are so sloppy. But, I'm young and energetic, and I have such great ability at this age, so I must be very energetic. I don't know what's going on. If he really wants to go on stage, I'll have fun."

"I won't really go to the main attack."
Chapter completed!