After changing his clothes and going on stage, Zheng Ren crossed his arms and looked at the radiographic films. Liu Zewei was busy.
Hu Yanhui had already adjusted the machine, and there were two large boxes beside Feng Xuhui.
All of this seemed to be no different from when he was in Xilin Town. Everything was so familiar.
Zhou Chunyong stood behind Zheng Ren and began to read the film.
Films were not difficult.
It was a typical right posterior lobe hepatocellular carcinoma with no intrahepatic metastasis. Judging from the MRI enhancement, the blood supply vessels were quite typical. It should not be too difficult to superselect.
Boss Zheng also knew to choose simple patients for the live broadcast of the surgery. Zhou Chunyong smiled slightly.
No one was a fool. No matter how good Boss Zheng was, he would not easily 'take risks'.
Everyone knew that if one often walked by the river, one's shoes would get wet.
"Boss Zheng, scrub your hands," Liu Zewei reminded him in a low voice after he finished disinfecting.
"Alright." Zheng Ren went to put on his lead apron and scrub in. Zhou Chunyong thought about it and went with Zheng Ren. He put on his lead apron and prepared to watch the surgery in the operating theater.
If they were in the Department of Surgery, they would not even be able to get a seat in the observation deck.
The airtight lead door was closed and the surgery began.
Feng Xuhui was a little surprised to see Zhou Chunyong in the operating room, but he tried his best to hold it in. After the airtight lead door was closed, he asked, "Brother Yun, why is Chief Zhou here again?"
"Little Feng, you used the word 'again' well." Su Yun laughed and said.
"Uh …" Feng Xuhui felt like he had said something wrong.
"The boss used optical tweezers to diagnose latent liver metastatic cancer. Old Zhou, come and have a sip of soup." Su Yun smiled and said, "This Old Zhou's nose is really good. It's not much worse than Hei Zi's."
Through the lead-lined glass, Feng Xuhui watched Chief Zheng perform the surgery in the operating theater while wearing his livestream glasses. Liu Zewei, who was acting as an assistant, did not have much work to do.
Behind him was Chief Zhou Chunyong of the Imperial Capital's Department of Hepatobiliary and Pancreatic Surgery.
He was like an intern, wearing a lead apron and standing obediently behind Chief Zheng, looking around. However, Zhou Chunyong was not obedient. He kept changing his angle, just like a baboon.
Feng Xuhui was already used to this scene.
Maybe. Let's drink some soup, but this is the first soup.
In the operating theater, Zhou Chunyong quietly watched Zheng Ren perform the liver cancer interventional embolization.
Organ interventional surgery was a big part of the treatment for liver cancer, and it was also Zhou Chunyong's forte.
Boss Zheng's standard was very high. Zhou Chunyong admitted that he had already put down his airs and put on the attitude of a student to learn.
Even if Boss Zheng was doing the liver cancer interventional embolization treatment that he was best at.
Blind selection was Boss Zheng's most commonly used method. Zhou Chunyong looked at the screen that did not light up, but Boss Zheng was operating the micro-guide wire to enter the blood vessels. His heart was like a mirror.
Zhou Chunyong had to admit that he couldn't use the micro-guide wire to blindly select an item.
After 23 ″, the screen lit up.
Just as he had imagined, the micro-guide wire was located at the location where the hepatic artery was about to branch and was about to undergo superselection.
The positioning was accurate, as if he could see the shape of the blood vessels.
Zhou Chunyong understood, so he wasn't surprised.
The superselection was a success. Although the blood vessels were winding, not only did Boss Zheng succeed in the superselection, but he also entered the position of the third and fourth level blood vessel branches.
The effect of the treatment should be very good. It was equivalent to directly injecting medicine into the tumor and embolizing it at a position of two centimeters above the root. Zhou Chunyong was used to this kind of surgery. He could occasionally do it like Zheng Ren, so he had a judgment in his heart.
The surgery should be over. Zhou Chunyong looked at the time. It was 11 ′ 22 ″.
This surgery was really f * cking fast!
He was a little emotional and silently remembered a few small movements that might be helpful for the superselection. The reason why it was possible was because Zhou Chunyong was not sure. He could only go back and slowly try.
The next step was to do an angiogram and confirm that the staining of the tumor tissue had disappeared. In other words, there was no blood supply. Then, the guide wire and catheter could be pulled out and the surgery was over.
However, Zhou Chunyong saw that Zheng Ren did not do an angiogram. Instead, he stepped on the line and used the micro-guide wire to carry out the next step of superselection.
Uh … This was?
He was stunned for a moment before he frowned.
Was there an abnormal tumor feeding blood vessel that he had not discovered?
Zhou Chunyong saw that Zheng Ren was doing the superselection. He immediately turned around and went to the radiographic film viewer to read the radiographic film again.
The patient's examination was an enhanced nuclear magnetic resonance imaging. This kind of examination could not determine the specific shape of the small blood vessels.
However, according to Zhou Chunyong's idea, this level of blood vessels would take at least three hours to superselect, so there was no need to deal with it at all.
On the radiographic film, the only tumor feeding blood vessel that was shown was relatively thick. It was the one that Boss Zheng had just embolized.
Anything more than that would be nothing.
It was strange. He looked at it carefully two more times and felt that he had not missed any details before he turned around and went back.
But …
When he saw a zigzag branch of the phrenic artery on the screen opposite the surgeon and the blood vessel that supplied the liver tumor, a complicated emotion rose in his heart.
Just like what he had guessed without any evidence, there was indeed a very thin abnormal branch that supplied the tumor.
However, because he had just looked at the radiographic film, he had missed the entire process of Boss Zheng's superselection of this blood vessel.
When Zhou Chunyong turned around to look, the embolization had already ended. Zheng Ren was removing the guide wire and catheter.
He re-created the contrast agent at the hepatic artery.
The tumor tissue disappeared, and the surgery was' simple 'and quickly over.
Zhou Chunyong was a little puzzled.
However, he did not ask immediately.
Boss Zheng was doing a live broadcast of the surgery. If he asked questions at this time and the other doctors found out about the situation, would he still have any face in the future?
Although he knew that Boss Zheng usually did not turn on the microphone when he did a live broadcast, he could not take the risk.
In private, it did not matter how he licked Boss Zheng's boots in front of him.
His level was indeed high, and he could learn a lot of things.
However, if other busybodies found out, he did not know what kind of gossip would spread behind his back.
When Zheng Ren took off his live broadcast glasses, the live broadcast was over.
Zhou Chunyong then asked, "Boss Zheng, how did you find the tumor feeding blood vessel of the phrenic artery branch?"
"Oh, there," Zheng Ren replied. He walked to the radiographic film viewer, pointed at the radiographic film, and said, "Here, there is a slight difference in the intensity of stage T1 and stage T2. I guessed that there might be a phrenic artery branch feeding it, so I took a look at the superselection and contrast. "
"Uh … You mean you didn't know before the surgery?" Zhou Chunyong was stunned.
Zheng Ren was also a little helpless.
The surgery was done in a hurry. At that time, Professor Yang said that the surgery would be done the next day, so he did not think much about it.
Therefore, the patient did not do a 64-slice CT scan with three-dimensional imaging. The image was only reconstructed and stored in his mind.
It seemed that the doctors who watched the live broadcast of the surgery should have similar questions.
He was wrong.
At that time, he had been thinking about the appropriate time for the surgical resection but had forgotten about this.
Zheng Ren did a self-reflection under Zhou Chunyong's surprised gaze.
The ability to reconstruct it made it so that he did not need the patient to do another examination.
However, the other doctors led by Zhou Chunyong needed it.
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