"You have to watch more radiographic films and have more clinical experience." Zheng Ren had no choice but to leave an illogical statement.
Zhou Chunyong's face was covered in tears.
He had been in the clinic for decades. Was he not experienced enough?
He sighed. When he saw Zheng Ren change his clothes, he followed him.
"Boss Zheng, how many courses of treatment do we need before we start the surgery?" Zhou Chunyong no longer mentioned the phrenic artery branch. Instead, he asked about the surgery with a smile.
"How many courses of treatment?" Zheng Ren was a little surprised.
"Yes, don't you have a few courses of treatment for your surgery?" Zhou Chunyong felt that there must be some misunderstanding between him and Boss Zheng.
Generally speaking, the interventional embolization treatment for liver cancer was not finished in one surgery.
At the very least, it had to be done once every 28 days and three courses of treatment to determine if the tumor was completely embolized.
This was because in the case of the tumor supporting the main trunk, there were some abnormal hyperplasia and very thin arteries that could not be guaranteed to be full.
After the main trunk was embolized, the collateral blood vessels began to take on the 'heavy responsibility' of feeding the tumor tissue.
For example, if the main trunk was blocked, the river would definitely flood. Previously dry or inconspicuous tributaries would become new rivers.
The three interventional embolization surgery that Zhou Chunyong mentioned was a more ideal situation.
Generally speaking, interventional embolization surgery was most common for about five times in a row.
That was why Zhou Chunyong asked this question.
Zheng Ren thought about it and put himself in Zhou Chunyong's shoes. He immediately understood what he meant.
"Chief Zhou, it's not like that." Zheng Ren smiled and said, "Surgery can be done about a week after the surgery."
"So soon?" Zhou Chunyong realized that he had been wrong from the beginning.
"Uh … How should I put it?" Zheng Ren hesitated for a moment and said, "Have you done radiofrequency ablation before?"
Zhou Chunyong was stunned by this question.
"Liver?"
"Yes."
"Yes, about 2,000 cases a year." Zhou Chunyong immediately revealed his proud data.
"It's the same as radiofrequency ablation. As long as the base of the embolization is supported, surgery can be carried out," Zheng Ren said. "I think radiofrequency ablation can solve it below 5cm. Radiofrequency ablation can't solve it at once for more than 5cm. The effect of surgery is better. "
Zhou Chunyong immediately understood what Chief Zheng meant.
He had done the surgery to support the base. The large blood vessels that supplied the tumor had already been embolized. After the edema period, surgery could be carried out.
But …
Noticing Zhou Chunyong's hesitant expression, Zheng Ren asked, "Chief Zhou, do you have any other questions? You don't have to stand on ceremony, just ask directly. "
"Radiofrequency ablation can be done immediately. Why don't you do the surgery immediately?" Zhou Chunyong asked.
There were two methods for interventional embolization and radiofrequency ablation.
Both methods involved embolization and labeling. Then, the patient's lesion would be displayed under a CT scan using iodine oil. After that, the CT scan would be used to locate the lesion and perform radiofrequency ablation.
But sometimes ablation was done immediately after embolization, and sometimes ablation was done a week after embolization.
As for the difference between them … Zhou Chunyong didn't notice any particularly big difference.
"Oh, I see." Zheng Ren smiled. "First of all, I said that because the tumor is too big, radiofrequency ablation can't solve it in one go. Secondly … TIPS surgery and liver dissection. Did it help you a lot? "
"Big!" Zhou Chunyong immediately blurted out.
Zhou Chunyong couldn't help but feel excited at the thought of dissecting an animal's liver that was as exquisite as a handicraft.
"That's it." Zheng Ren smiled and said, "Organ interventional surgery is basically done by doctors in the radiology department now."
"…" Zhou Chunyong hesitated for a moment. He didn't understand what Zheng Ren meant by this.
Zheng Ren saw Zhou Chunyong's dumbfounded expression and knew that he had gone a little too far.
He changed his clothes and walked out with Zhou Chunyong. As they walked, he explained to him, "Chief Zhou, organ interventional surgery isn't going very smoothly."
Zhou Chunyong nodded.
This, he also admitted.
Circulatory interventional surgery had already squeezed out the cardiothoracic surgery department. Now, the cardiothoracic surgery departments in major hospitals only existed in name.
Without coronary artery bypass surgery, they were almost in a semi-jobless state.
Neurointerventional surgery, with the participation of neurologists, had also 'abolished' the watershed aneurysm surgery in neurosurgery.
Interventional embolization, minimally invasive surgery, and postoperative side effects were minimal. Who would still want to perform craniotomy?
One had to know that ten to twenty years ago, whether or not a neurosurgeon could perform intracranial aneurysm surgery was the most important way to determine whether or not they were mature.
Now, these large-scale surgical methods had been washed away by the wind and rain.
In another twenty years, they would probably only be able to find traces of the existence of these surgical methods, as well as how important and glorious they were in the past.
However, there was still no progress in interventional surgery, especially in the treatment of liver cancer.
Zhou Chunyong was aware of this.
With his and other interventional surgeons' hard work, there had only been some progress in the past ten years.
The progress was weak and slow, but Zhou Chunyong did not have any good ideas.
Zhou Chunyong thought quickly and immediately understood Zheng Ren's possible meaning. Although Boss Zheng was a general surgery doctor, his thoughts were more inclined towards interventional surgery.
Zhou Chunyong smiled at this thought.
"Interventional surgery for liver cancer is different from other departments. It's not performed by gastroenterologists, but by doctors from the radiology department. This is due to historical reasons, "Zheng Ren said.
Zhou Chunyong nodded repeatedly.
"Radiologists have no status in society," Zheng Ren said with a smile.
Radiologists … In the medical world, they were at the bottom of the chain of contempt, along with pathology, traditional Chinese medicine, and acupuncture physiotherapy.
Why did general surgery for liver cancer still exist?
The general surgery department was the largest department since the founding of the People's Republic. It was the highest position in the medical world.
The general surgery department had the final say in academic disputes such as whether liver cancer should be treated with interventional embolization or surgical resection.
Secondly, liver cancer was a malignant disease that would recover after resection. This was common knowledge. Interventional embolization, on the other hand, would still leave the tumor behind, which was not reassuring.
The combination of these two factors had led to the current strange situation.
"Since I have no status in society and no right to speak, I'll perform the relevant surgery and use anatomy to show all doctors the practical effects of interventional embolization on liver cancer," Zheng Ren said with a smile.
"Isn't it a surgery?"
"Chief Zhou, you can't be thinking of finding a patient to dissect, right? You can't do that, "Zheng Ren said earnestly.
Zhou Chunyong was sweating profusely.
Zhou Chunyong was sweating profusely.
"Does the general surgery department have any objections?" Zhou Chunyong asked cautiously.
"Chief Zhou, I'm a general surgery specialist," Zheng Ren said with a smile.
"Chief Zhou, I'm a general surgery specialist," Zheng Ren said with a smile.
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