Chapter 1466 Make a Mistake
After changing clothes and going on stage, Zheng Ren watched the movie with his arms in his arms, while Liu Zewei was busy.
Hu Yanhui had already debugged the machine, and Feng Xuhui had two large boxes beside him.
All of this seems to be no different from that in Xilin Town, everything is so familiar.
Zhou Chunyong stood behind Zheng Ren and began to read the film.
Movie, it's not difficult.
Very typical right posterior lobe liver cancer without intrahepatic metastasis. From the point of view of MRI enhancement, the feeding blood vessels are also relatively typical, so it should not be too difficult to super-select.
Boss Zheng also knew that he would choose simple patients for live broadcast, Zhou Chunyong smiled slightly.
Just saying that no one is a fool, no matter how high the level of Boss Zheng is, he will not easily "take risks".
Often walking by the river, there is no reason to not wet your shoes, everyone knows.
"Boss Zheng, brush your hands." Liu Zewei reminded in a low voice after disinfecting the poison.
"Okay." Zheng Ren went to put on the lead coat and brush his hands. Zhou Chunyong thought about it and went with Zheng Ren. He put on the lead coat and was ready to watch the operation in the operating room.
This kind of viewing platform position, if you switch to surgery, you won't be able to grab it.
The airtight lead door is closed and the operation begins.
Feng Xuhui was a little surprised when he saw Zhou Chunyong in the operating room, and kept holding back. When the airtight lead door was closed, he asked, "Brother Yun, why is Director Zhou here again?"
"Xiao Feng, this is a good use of words." Su Yun said with a smile.
"Uh..." Feng Xuhui felt as if he had said something wrong.
"The boss used optical tweezers to diagnose latent liver metastases, and Lao Zhou came to drink the soup." Su Yun said with a smile: "This Lao Zhou has a real nose, not much worse than Heizi."
Through the lead glass, Feng Xuhui watched Mr. Zheng wearing live-streaming glasses performing an operation in the operating room, and Liu Zewei, who acted as an assistant, didn't have much work to do.
Behind him is Director Zhou Chunyong, the daring director of the imperial capital.
He was like an intern, wearing a lead coat, standing honestly behind Mr. Zheng, poking his head. But Zhou Chunyong is not honest, and constantly changes his perspective, just like the monkey.
Feng Xuhui has long been accustomed to this scene.
Maybe, come and have some soup, but this is the first soup.
In the operating room, Zhou Chunyong silently watched Zheng Ren perform interventional embolization of liver cancer.
Organ interventional surgery is a large part of the treatment of liver cancer, and it is also what Zhou Chunyong is best at.
Boss Zheng's level is very high, and Zhou Chunyong admitted that he had already put down his air and assumed the attitude of a student to follow along.
Even if Boss Zheng is doing the interventional embolization treatment of liver cancer that he is best at.
Blind selection is the most common method used by Boss Zheng. Zhou Chunyong saw that the screen was not on, but Boss Zheng was operating the micro-guide wire into the blood vessel, and his heart was like a mirror.
Blind selection with micro-guide wire, this extremely confident operation method, Zhou Chunyong admitted that he could not do it.
After 23″, the screen lights up.
Just as he imagined, the micro-guide wire is located where the hepatic artery is about to branch, and then the superselection is about to take place.
The positioning is precise, as if he can see the blood vessels go out of shape.
Zhou Chunyong understood and was not surprised.
The super-selection was a success. Although the blood vessels were meandering, Boss Zheng not only succeeded in the super-selection, but also entered the position of the third- and fourth-level blood vessels.
The treatment effect should be very good, which is equivalent to spraying medicine directly on the tumor and embolizing from 2cm above the root. Zhou Chunyong is old at this technique. Like Zheng Ren's method, he can do it occasionally, so he has a judgment in his heart.
The surgery should be over, Zhou Chunyong glanced at the time, 11'22".
The operation was done so fast!
He was a little emotional, and silently memorized a few small actions that might be helpful for the super-selection. The reason why it is possible is because Zhou Chunyong is not sure, so he can only go back and try slowly.
In the next step, angiography is performed to confirm that the staining of the tumor tissue has disappeared, that is to say, there is no blood supply, and the guide wire and catheter can be pulled out to announce the end of the operation.
However, Zhou Chunyong saw that Zheng Ren did not have an imaging, but stepped on the line and used a micro-guide wire for the next super selection.
uh...is this?
He was startled for a moment, then frowned.
Are there any abnormal tumor feeding blood vessels that you have not discovered?
When Zhou Chunyong saw that Zheng Ren was making a superselection, he immediately turned around and went to the film reader to read the films again.
The patient's examination is enhanced magnetic resonance imaging, which cannot determine the specific and tiny blood vessel shape.
However, according to Zhou Chunyong's thoughts, it would take at least 3 hours to super-select a blood vessel of this level, and there is absolutely no need to deal with it.
On the film, the only tumor-supplying blood vessel shown is relatively thick, the one that Boss Zheng had just embolized.
Any more and nothing.
Strange, he read it carefully twice, and felt that he had not missed any details, so he turned back.
But……
When he saw a tortuous blood vessel branching from the phrenic artery supplying the liver tumor on the screen opposite the surgeon, mixed emotions rose in his heart.
Just like guessing that he has not found evidence, there is indeed a very thin abnormal branch that feeds the tumor.
But because I just watched the film myself, I missed the whole process of Boss Zheng's super selection of this blood vessel.
When Zhou Chunyong looked back, the embolism was over, and Zheng Ren was pulling out the guide wire and catheter.
The contrast agent is recreated at the hepatic artery site.
The tumor tissue disappeared, and the operation was "easy" and quickly ended.
Zhou Chunyong was a little puzzled.
But he didn't ask questions right away.
Boss Zheng is doing a live broadcast of the surgery. He asks questions at this time. If other doctors find out about the situation, will he be embarrassed in the future?
Although he knew that Boss Zheng did live broadcasts and generally did not turn on the microphone, he could not take risks casually.
In private, it doesn't matter how you lick in front of Boss Zheng.
The level of others is indeed high, and you can learn a lot by yourself.
But if you let other good people know, you won't know what kind of gossip spreads behind your back.
When Zheng Ren took off his live-streaming glasses, the live-streaming ended.
Only then did Zhou Chunyong ask, "Boss Zheng, how did you discover the tumor supplying blood vessels branching from the phrenic artery?"
"Oh, there." Zheng Ren replied, walked to the film reader, pointed to the film and said, "Here, there is a slight difference in the intensity of T1 and T2. I guess there may be a branch of the phrenic artery to Support, so I took a look at the super selection and imaging."
"Uh...you mean you didn't know before the operation?" Zhou Chunyong was stunned.
Zheng Ren was also a little helpless.
This operation was done in a hurry. At that time, Professor Yang said that the operation would be performed tomorrow, but he didn't think much about it.
Therefore, the patient did not have 64-slice CT 3D imaging, and the image was only reconstructed and existed in his mind.
It seems that the doctors watching the live broadcast of the surgery should have similar questions.
I was wrong.
I had been thinking about the right time for surgical resection, but had forgotten about it.
Zheng Ren was doing self-examination under Zhou Chunyong's surprised eyes.
Rebuild the ability so that you don't need one more examination from the patient at all.
However, other doctors headed by Zhou Chunyong need it.