Chapter 709 [709] Listening to Make People's Eyes Shine

"The two of them are giving in to each other." In the hands of the helper, He Guangyou spoke quickly and helped the leader to name the students, "Xie Wanying, you go first."

Xie Wanying originally thought that the leader wanted to ask Dr. Song, and as a student, she had to work hard to answer the questions, so she quickly and accurately found out the knowledge points in her mind:

"The function of the liver lies in the hepatocytes, and the hepatocytes have the ability to reproduce very quickly after partial liver resection, and can grow half a liver in three months. Therefore, the liver can be divided into eight parts as independent donors."

Hmm, everyone listened to her and found that she became more fluent as she spoke, a bit like a repeater.

"The division standard of the eight parts is the Couinaud segmentation method, which is marked clockwise according to the portal system, specifically the caudate lobe of segment I, the upper segment of the left outer lobe of segment II, the lower segment of the left outer lobe of segment III, and the left inner lobe of segment IV , the lower segment of the right anterior lobe of segment V, the lower segment of the right posterior lobe of segment VI, the upper segment of the right posterior lobe of segment VII, and the upper segment of the right anterior lobe of segment VIII. In addition to guiding surgery, it is also used to guide CT imaging diagnosis. In terms of actual operation, it is impossible to do When the eight segments are used alone, surgeons often use segments I-IV of the left hemi-liver, segments II-III of the left lateral lobe, and segments V-VIII of the right hemi-liver.”

Xie Wanying answered in one breath, effortlessly.

Obviously, what she repeats with this repeater is an excellent model textbook, with a clear voice and precise articulation, just like a teacher in a classroom.

When the teacher listened to her voice, his ears were like a spring breeze, and he enjoyed it very much. It made people linger and forget to return. So Deputy Director Xue continued to ask her: "Tell me again, this patient is a patient with liver cirrhosis who is undergoing liver transplantation, and our department also has patients with liver cancer. Can they undergo liver transplantation?"

This question is more practical. Xie Wanying thought quickly and answered the teacher: "First of all, we need to explain that the hepatocellular carcinoma of Asians is referred to as HCC, and most of them have the background of hepatitis and cirrhosis. From this point of view, Instead of waiting for liver cancer to be treated, it is better to prevent and treat hepatitis and slow down the development of liver cirrhosis, and it is better to do liver transplantation from the stage of liver cirrhosis when necessary."

That's right, the answer fits the question and cuts into the clinical key points at once, and it's not just a scholar-like general talk that turns into a castle in the air, which makes the old professor's eyes shine.

She is right, domestic doctors basically perform operations on domestic patients, and domestic patients are of course patients with Asian-specific diseases. To be a clinical surgeon is to proceed from reality and discuss problems from the existing clinical cases around you. It seems that this female medical student has a sense of clinical consciousness, not just talking on paper.

Deputy Director Xue looked back at her, as if he wanted to keep her appearance in his mind. After all, medical students like her are relatively rare.

"Tell me again, under what circumstances can liver cancer be treated with liver transplantation?"

Xie Wanying replied: "Small liver cancer can be done, that is, liver cancer with a tumor diameter less than 5 centimeters. The five-year survival rate of such patients after liver transplantation can reach 70 to 80%. Compared with traditional resection, it has certain advantages. Because HCC If not, less than 20% of the patients who undergo liver tumor resection can be cured.”

"What about the other patients?"

"Middle-advanced liver cancer, liver cancer patients with portal vein tumor thrombus have a high recurrence rate after transplantation, and most of them live less than one year. Domestic liver sources are scarce, so it is best to implement liver transplantation for liver cancer according to the Milan standard proposed by the international community." disease."