Chapter 1034 【1034】Teacher Who Cares About His Apprentice

If the tumor grows only in the venous cavity, it is undoubtedly the best result, everyone is happy, the surgeon only needs to remove the part of the inferior vena cava.

There are a variety of surgical methods for resection. For example, if the tumor volume is small enough, wedge resection of part of the vein can be performed, and the resected part can be supplemented with artificial blood vessels. If the length of the cut is too long, it will not be possible to fill it up, so the only option is to use your own blood vessels or artificial blood vessels for transplantation.

Among them, the use of own blood vessels is not a good choice, because the inferior vena cava is too thick, and it is difficult to find similar blood vessels in the human body to make up for it. As a result, the transplanted blood vessels are too thin to meet the requirements of the human body and cause other complications. .

Is this tumor small in front of you? Certainly not small, the patients all had Budd-Chiari syndrome, and it was obvious that the tumor was so large that it blocked the hilum of the liver.

Surgical exploration has reached the step of determining the patient's life and death, and it is necessary to investigate the condition of the hepatic vein. If the tumor is just blocking the opening of the hepatic vein, surgery can be done, just carefully cut out this section. If the tumor infiltrates into the opening of the hepatic vein, theoretically speaking, surgery is basically impossible to completely remove it, which means that this operation is unnecessary.

Teacher Lu's breathing deepened and accelerated.

"Maybe there is no infiltration, just blockage." Yu Xuexian said.

As an internist, he looked at the operation screen and made this judgment. Everyone in the surgery knew that he made his remarks based on emotion, mainly taking into account the mentality of Mr. Lu present.

Received the eyes of the people around, Yu Xuexian said deliberately: "I can bet with you."

After hearing this, Zhu Huicang dropped his lips and said that no one would bet against him. No one is happy when the bet wins. Losing the bet doesn't make sense.

"What do you think you are planning to do?" Yu Xuexian pulled him back to ask about the operation plan, trying to divert the teacher's attention.

"If you want to tamper with the inferior vena cava, which is related to the right atrium, you must contact our heart and chest." Zhu Huicang's tone was natural and complacent. A single surgical operation affects the whole body, among which the heart and the brain, which determine the life center of a person, are the key. They belong to two specialties and no one can escape.

"No, what I'm asking is how do you doctors use the TEE at the beginning." Yu Xuexian said.

This question should be asked by Zhu Huicang. According to the original operation plan drawn up by Fu Xinheng, as far as their colleagues in the department knew, there was no such thing in the plan.

The second general and foreigner in the back row are also thinking about this question.

"She didn't mention this last time." Shi Xu remembered that TEE was not mentioned when Xie Wanying introduced them to them last time. It just so happened that she didn't seem like someone who would hide her words when discussing cases, and she had a single-minded personality who would speak out when she had something to say.

"It can't be ruled out that something happened later that reminded her of this." Tan Kelin spit out his voice in a long silence, his voice was a bit cold as usual, professional and cold.

When the others saw that he finally spoke, Qiqi thought in his mind: This person is really a proud disciple who cares about him, and he suddenly spoke up when he heard an important topic related to Xie Wanying.

What happened made Xie Wanying think of TEE.

Xie Wanying was thinking of her grandfather. TEE was planned by her in advance. After two years, when she becomes a practicing physician, she will examine her grandfather.

Because Yang Yang's mother is not as insidious as her grandfather, she didn't think of using this test at first.