Chief Zheng, what do we need? "Chang Yue asked Zheng Ren's opinion even though she knew what to expect.
It was a sign of respect for the chief surgeon.
It was also standard medical practice. If the surgery was paused or something went wrong, it would be a mistake.
"Blood routine, blood coagulation, liver function, electrocardiogram, and 64-row scan should be enough," Zheng Ren said. "Call me when you're doing the 64-row scan. I'll get the CT room doctor to scan the lungs."
"Or interventional embolization?"
Zheng Ren thought for a moment and said, "Let's do the examination first. If the results are good, we might do radiofrequency ablation."
Su Yun raised his head, his black hair fluttering in the wind like a question mark.
"Boss, when did you learn radiofrequency?" Su Yun asked.
"I learned it after watching it once," Zheng Ren retorted, using Su Yun's usual retort.
Nowadays, the Internet was very advanced. Everyone had a few students from major hospitals. It was easy to get a video of radiofrequency ablation.
Su Yun did not doubt Zheng Ren's words, but he was dissatisfied with Zheng Ren's answer.
Professor Rudolf asked, "Boss, are you going to perform radiofrequency ablation on this lady?"
Zheng Yunxia was a little surprised by Professor Rudolf Wagner's appearance. His fluent Northeastern Chinese was especially eye-catching.
"Yes." Zheng Ren nodded.
Radiofrequency ablation, also known as radiofrequency thermolysis, was a minimally invasive surgery to treat tumors in situ. It was a relatively mature technique for treating primary liver cancer.
Radiofrequency ablation had a 70% chance of killing all the tumor cells if the tumor was less than 3 cm in diameter. The clinical effect was equivalent to surgical resection.
Surgical resection of the liver was a major surgery. With the advancement of technology, the incision was getting smaller and the patient less injured.
However, radiofrequency ablation only required local anesthesia. A needle was inserted into the tumor tissue under CT positioning. After 15 minutes of ablation, the surgery was complete.
Patients might experience pain during the surgery, but it was not severe and most could endure it. A few patients survived with an intramuscular injection of painkillers.
The patient could walk six hours after the surgery and was fine the next day. The damage to liver function was even less severe than interventional surgery.
This was a radical surgery for liver cancer.
Although it was limited by conditions, not all tumors could be treated with radiofrequency ablation. However, it was still an effective treatment method that had been tested clinically.
In clinical medicine, with the advancement of technology, internal medicine, surgery, and minimally invasive surgery were gradually changing the treatment of many diseases.
In the foreseeable future, hepatectomy would gradually disappear from the operating theater.
Although it would not disappear completely, it could only be used as an auxiliary surgery with greater trauma. In the future, interventional embolization and radiofrequency ablation would dominate liver cancer surgery.
Zheng Ren pondered for a moment. There was only a simple description of Zheng Yunxia's illness on the System panel. However, based on the surgery, he could make a preliminary judgment that Zheng Yunxia could probably undergo radiofrequency ablation this time.
It was equivalent to a surgical resection. If the cirrhosis nodules in her liver did not break out on a large scale and turn into tumor tissue, her life would have been saved.
But radiofrequency ablation...
Zheng Ren picked up the phone and dialed the number.
"Hello, Principal Zhang."
"Yes, I've applied for leave from Chief Physician Pan. I want to make a few more. Is it convenient for you? "
"About ten. I think the Secondary Hospital doesn't lack patients. We can lower the fees for specialist consultations. I'm just worried about your postoperative care and treatment …"
"Oh, okay, okay, then it's settled."
Having said that, Zheng Ren hung up.
Su Yun looked at Zheng Ren. This guy's thinking was too jumpy. How did he suddenly change the subject from radiofrequency ablation to surgery at the Secondary Hospital?
"Lil Fugui, don't leave just yet. We're going to the Secondary Hospital for TIPS surgery tomorrow. They'll send someone to deliver the films later. "Zheng Ren ignored Su Yun's reaction and spoke to Professor Rudolf Wagner.
"Yes, Boss," the professor responded. "How many units do you want?"
"There should be around ten of them."
The professor made an exaggerated gesture.
Even at Heidelberg University, performing ten TIPS surgeries in a day was a fantasy.
He did not expect to be able to do it in a remote city far away in the East.
After making all the arrangements, Zheng Ren sat in his office and waited for the Secondary Hospital to deliver the MRI films.
Although he was reading, Zheng Ren's mind was filled with radiofrequency ablation procedures.
The System's mission reward was interventional surgery success rate + 2. He did not know what it meant. There was no explanation or communication. He could only guess. Negative.
Since radiofrequency ablation was a type of interventional surgery, Zheng Ren did not have to start from scratch since he was already a Grandmaster.
Upon completion of the mission, the System gave him 3000 surgical experience points, which was considered an upgrade.
However, Zheng Ren had guessed many times about the + 2 success rate but could not find any clues.
If he could not figure it out, he would have to wait until the mission was completed.
Half an hour later, there was a knock on the office door.
Zheng Ren looked up and saw a short, plump man smiling. "Chief Zheng, are you in?"
Seeing the stack of films in the plump man's hands, Zheng Ren guessed that he was the person from the Secondary Hospital.
That was fast. It seemed like the deputy director in charge was very efficient.
"That's me," Zheng Ren said.
The plump man bowed slightly and nodded, the smile on his face growing wider.
He walked over quickly and said, "Chief Zheng, Director Zhang asked me to deliver the films to you."
"Oh, thank you. Have a seat," Zheng Ren said.
Professor Rudolf came over as well.
After two days of recollection and accumulation, he had a deeper understanding of TIPS surgery, so he was the only one who was as anxious as Zheng Ren.
The plump man did not sit. Instead, he stood in front of Zheng Ren, nodding and bowing humbly.
Zheng Ren did not pay attention to the man's facial expression and behavior. He picked up the heavy bag of films.
Other than the diffusion-weighted MRI films, there was also a brief introduction of the patient's condition and the hospital examination report.
'Director Zhang is really attentive,' Zheng Ren thought.
First, he read the patient's brief introduction and examination report. The patient had decompensated cirrhosis with ascites.
The last time the patient had vomited blood was two months ago and he had been rescued.
However, vomiting blood and ascites were like ticking time bombs that could explode at any time.
The previous rescue did not mean the next one would be successful.
"Lil Fugui, what do you think?" Zheng Ren asked.
Professor Rudolf Wagner said, "This is a very standard indication for surgery. The patient is in good condition and is suitable for surgery. Boss, I think the patient you treated last time was a little too bright. This patient is better. "
The smile on the plump man's face froze.
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