But less than a minute later, Gao Shaojie realized that he was wrong again.
The hepatic vein and portal vein were established, but the surgery was not over yet. The surgeon placed another 8mm retractable stent.
He stood quietly in front of the screen, watching the recyclable bracket move slowly.
Gao Shaojie did not understand why such a stent was needed.
During the recovery process, many uncontrollable factors would appear when the liver was removed. For example, bleeding! For example, when the recyclable stent was taken away, the membrane stent was taken astray.
If there was massive bleeding or the position of the covered stent deviated, it would lead to the failure of the entire TIPS surgery. Moreover, the patient would suffer more severe injuries and might even face death.
In Gao Shaojie's mind, he quickly outlined the three-dimensional image of the patient's liver and portal vein.
The best position for a recyclable stent was to completely overlap with the previous stent. The smaller the gap, the smaller the possibility of accidents when the stent was recycled.
But … Gao Shaojie knew all too well how difficult it was.
In the eyes of others, it was just the second scaffold. The passage had already been established, so the next scaffold was not a big deal.
Only those who did not understand TIPS surgery would think so.
Gao Shaojie had performed a similar surgery before. Because the patient's hepatic encephalopathy after TIPS surgery was more serious, he could only use the method of narrowing the venous channels to improve the patient's hepatic encephalopathy symptoms.
The second stent under the deviation will be washed away by the blood flow.
However, stents were stacked on top of stents, and they overlapped completely. It was not that easy. It was not a lower limb artery occlusion, where the stent was opened and blocked again, and the stent was stacked on top of the stent after the stent was opened again. That kind of arterial stent was tens of centimeters long. Even if it missed by a few centimeters, it would not be a big deal. After all, there was enough friction.
However, in TIPS surgery, the stent itself was short. If he missed it, the difference in percentage would be like heaven and earth.
While his mind was running wild, the recyclable stent had already expanded.
Landing,
Take root.
Looking at the image, Gao Shaojie could tell that the two stents were almost completely compatible without the need for an angiogram.
It was simply too awesome!
Gao Shaojie had no desire to win or lose. There was no jealousy, only curiosity.
Jealousy would only be meaningful when two people's strength and level were about the same.
Because Gao Shaojie understood and knew it well, he only felt a sense of helplessness.
Then, from the deepest part of his heart, a feeling of worship and even worship burst forth.
He was actually so skilled in TIPS surgery!
Even the Mayo Clinic could not do it!
Who was inside?
Angiography, stent position satisfactory, blood flow unimpeded, surgery completion rate 100%!
Zheng Ren turned around and left without another word.
Professor Rudolf Wagner took his place and applied pressure on the puncture point to stop the bleeding.
Zheng Ren removed his gloves and tossed them into the medical waste bin. He returned to the console room and said with a smile, "Director Ren, Director Zhang, it's done. Thank you very much. The patient you chose is very suitable. "
Although they had experienced a batch of TIPS surgeries, the two directors in the operating room still could not believe it when it happened in front of them.
"Thank you for your hard work, Chief Zheng." Director Zhang's tone was dry. At this moment, he forgot to be enthusiastic.
It's already good enough that you can speak, but you still want to be enthusiastic?
Director Zhang remembered that during the last batch of TIPS surgeries, Zheng Ren and Professor Rudolf Wagner would occasionally … no, often have arguments.
Standing on the operating table to discuss, it seemed very lame.
However, the effect of the surgery was good, so the dispute became less important.
However, during this batch of TIPS surgeries, Zheng Ren and Professor Rudolf Wagner were silent throughout the entire process.
The surgery was completed in silence.
After less than ten surgeries, a new concept had already taken shape?
Although Director Zhang's level was not that high, he had been engaged in clinical work for decades. Medicine was an empirical science. Every established surgical method had to be honed in the clinic for decades.
During this period, countless attempts would fail.
The foundation of success lay in these countless failures.
However … the scene that happened in front of him subverted Director Zhang's worldview.
Was he progressing from one success to another?
It was too scary. The talent of this young man in front of him was simply too terrifying!
"The patient with the stent can be sent up." Zheng Ren did not care about the silent atmosphere in the operating room.
In his opinion, a little silence was a hundred times better than everyone talking nonsense.
"Oh, oh," Director Zhang replied subconsciously. A junior doctor turned around and left the operating room.
No one expected the surgery to be done faster than the last time. Although the patient had been told to fast for the stent removal surgery and had made preoperative preparations, they did not expect to actually do it.
"Chief Zheng, you should rest for a while." Director Zhang's stomach growled. His biological function indicated that he was already there, or it was past lunch time.
"I'll ask the cafeteria to send something over. What do you think?"
"No need." Zheng Ren directly refused. It was clean and tidy without any hesitation. "I have to go back in a while. I still have things to do at home."
As he said that, Zheng Ren picked up the phone on the operating table and made a call.
"Chang Yue, it's me.
"From now on, let Sister Zheng fast for water.
"Yes, we'll do the surgery when we get back. Oh right, tell Su Yun to contact the CT room. We'll do radiofrequency ablation after work.
"First, we'll embolize it and use iodized oil to locate it. Then, we'll push it down for radiofrequency ablation.
"It's not suitable during the day. There are no free machines in the CT room. Yes, even if it's tomorrow, we have to do it at this time.
"Okay. By the way, you're not busy at home today, right?
"Okay, I'll probably be home in three hours. You can make the preparations first."
After saying that, Zheng Ren hung up the phone.
It was really f * cking crazy. He had to perform eight TIPS surgeries and eight second-stage TIPS surgeries in a day. He had to travel between two hospitals and go back for radiofrequency ablation.
How much stamina did he have?
Wait, radiofrequency?
"Chief Zheng, are you going to do radiofrequency ablation for liver cancer?" Director Zhang asked.
"Yes, there is a patient who has undergone two interventional embolization operations. The tumor has shrunk to about 4cm. This surgery is going to completely solve the problem. "
"I heard you say just now that we're going to do interventional embolization first and then radiofrequency? Two surgeries in a day? "Director Zhang was a little absent-minded.
The Secondary Hospital had also developed the video ablation technique. Although the number of surgeries performed was not enough, it was still a well-formed surgery after all.
It was no surprise that Zheng Ren wanted to do radiofrequency ablation. However, interventional embolization first and then radiofrequency ablation. What did this mean?
"Huh? Isn't that what you guys do? "Zheng Ren was also very confused." If we don't do interventional surgery and put iodine oil inside, what do we use to mark it? "
Sweat … Director Zhang was sweating profusely.
"Chief Zheng, will doing two surgeries at the same time cause a lot of trauma to the patient? Now, academically, it is believed that interventional embolization one to two weeks in advance and then using radiofrequency to completely kill the tumor tissue will be very effective. "
Gao Shaojie walked out from the corner and said.
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