Chapter 235 Do You Give Up

Chapter 235 Do you want to give up (45 is the helpless leader plus 2)

"Manager Feng, what's wrong?" Zheng Ren asked.

"Mr. Zheng...I, I...Did I make a mistake?" Feng Xuhui asked hesitantly.

"Where did you make a mistake? What's wrong?" Zheng Ren returned to the ignorant state he had before, and asked inexplicably.

Su Yun looked at Zheng Ren contemptuously, with the expression on his face that you know how to pretend.

"noon……"

"Oh, that's what happened." Zheng Ren suddenly realized, "Su Yun and I have something to say, it's inconvenient for you to follow. It's okay, it's okay."

How could Feng Xuhui believe it, he was crying and grimacing. But he couldn't say anything else, and followed Zheng Ren and Su Yun all the way to the Interventional Section.

Meeting with Director Kong, Dr. Shen was always by Director Kong's side, and everyone went to the Urology Department all the way.

The 87-year-old patient had severe heart disease. The anterior descending artery was still blocked by 70% after coronary stenting. The pulmonary ventilation function is relatively poor, and the coagulation function is not good because of the need for oral warfarin after stenting.

It can be said that this old man has serious contraindications to surgery.

Even picking a prostate would risk the patient's sudden cardiac death on the operating table.

However, if the prostate is not plucked, the patient's prostate has been enlarged to a certain extent, and it is difficult to urinate, or even unable to urinate. Need a long-term urinary catheter or... As for the cystostomy, the urology department has to do it at the risk of death.

In other words, although the elderly do not have incurable diseases, their most basic life has lost their quality.

The patient's sons are also in their 60s. Three or four old men are gathered around, and it looks like the Veteran Cadre Bureau is having a meeting.

After being informed of the old man's condition, the family readily agreed to do the experimental surgery.

The success or failure of the operation is still in the middle, but at least this is a hope. It is better than having a urinary catheter for a long time, which will lead to inconvenience of life, urinary tract infection, and severe urinary tract retrograde infection and abdominal complications.

After seeing the patient, as expected, the surgical technique must be very gentle.

Zheng Ren had already done psychological construction for himself, so he didn't say anything, so he took the patient to do 64-row CT retrograde reconstruction, and asked Qin Liren to do it together.

After the toss, it was time to get off work.

Zheng Ren just did a 3D reconstruction by himself, and then searched for the hair-like capillaries that appeared after hyperplasia on the prostate.

This difficulty is much more difficult than finding the supplying blood vessels for liver cancer.

Director Kong has been sitting next to Zheng Ren and watching him operate, feeling emotional while watching.

I thought that Zheng Ren was specialized in the liver, so the 3D reconstruction of retrograde 64-slice CT was so beautiful.

However, what I never expected was that Zheng Ren seemed to be more familiar with the anatomy of the prostate.

You say you are a general surgeon, why are you so familiar with the anatomy of the prostate? Although Director Kong had long been accustomed to the surprises of Zheng Ren and Su Yun, his surgical partners, his glasses were still shattered after seeing this scene.

The three-dimensional reconstruction of the prostate is more difficult than that of the liver, because the vascular network is all caused by capillaries, and the dense vascular network cannot be displayed on ordinary CT. Even for 3D reconstruction, a specific imaging period must be selected to capture the image of capillaries just right.

Just as he was fascinated, Director Kong's phone rang.

"Hey, it's me." Director Kong was a little impatient, but when he heard the next sentence, he immediately stood up.

"I'll go right away."

"Director Kong, what's wrong?" Zheng Ren asked while proficiently operating the retrograde 3D imaging.

"It's okay, emergency, you are busy with your work." Director Kong's words were a bit stiff and hoarse.

After speaking, he turned and left the CT room.

"Did you hear that?" Zheng Ren asked.

"I didn't hear it clearly, but I guess it should be the German professor on the side of the magic capital who has completed the operation." Su Yundao.

"Well." Zheng Ren continued to work.

"Does it still make sense?"

"I don't know, but I have to do something. What about this patient? Invite the German professor again?" Zheng Ren was not discouraged, but continued to charge towards the indescribable difficulties.

...

...

in the conference room of the institute.

Wu Haishi, Wu Lao, Professor Pei and others arrived one after another. Li Haitao frowned. When Director Kong came, he was about to play the video of the operation.

"Xiao Li, is it true?" Director Kong still retained a glimmer of hope.

"Director Kong, the operation on that side officially ends at 4:15 in the afternoon." Li Haitao said, "Please sit down and let us evaluate whether it is necessary to continue the operation on this side."

Director Kong had a serious expression and chose a front seat to sit down.

He didn't ask the source of the video. If he couldn't even get the surgery video, all the people in the audience could jump off the building together.

"Hello everyone, let me introduce myself again. At 14:00 this afternoon, at a hospital in the capital city, the interventional prostatic embolization performed by Professor Rudolf Wagner of Heidelberg University, Germany, began the operation. And at 16:15, the operation was performed. The announcement was successfully completed. Now, let's take a look at the recording of the operation."

After Li Haitao simply finished speaking, he clicked on the video.

The video recording is not an operation. The pre-procedure has been cut out in a short period of time, and the images of prostate angiography appear.

The guide wire entered the celiac trunk smoothly, and then reached the common iliac and internal iliac arteries, and then began angiography.

A dense network of blood vessels loomed out immediately.

Because the resolution of the surgical video is not high enough, many professors present did not see which artery leads to the capillary network of the prostate.

Under the control of Rudolf Wagner, the micro-guide wire was extremely dexterous. After entering the internal iliac artery, it continued to be super-selected and followed a collateral blood vessel.

It is not difficult for the micro-guide wire to move forward, especially in some corners, it is more comfortable.

"Mr. Wu, is the guide wire specially made?" Director Kong turned his head and asked for the opinion of Mr. Wu, Mr. Wu, who was beside him.

"Well, it seems that it is not an ordinary micro-guide wire." Wu Laodao.

Director Kong shook his head. Facing the world's top professors and almost unlimited financial support, the efforts during this period seemed to be meaningless.

Perhaps as Li Haitao said, this research is no longer necessary.

Super selection, success.

Between the upper end of the capillary network and the superior vesical artery, Professor Rudolf Wagner tried several times and found that the limit of the micro-guide wire had been reached, and when the micro-guide wire could no longer move forward, he began to insert a micro-catheter and then embolize it.

Surgery, the process is very simple. But to say it is difficult, it is extremely difficult.

This is a huge challenge to the manipulation and application of consumables in interventional surgery.

Wu Haishi and Wu Lao sighed while Director Kong felt the same way.

But when he thought of giving up, he suddenly remembered the back of the CT room who was concentrating on doing CT 3D reconstruction.