Surgical artist

Chapter 150 Director Zhao's vision is really brilliant

Nanxi Hospital, liver surgery, operating room.

Director Zhen Haifeng in the morning is in charge of acting as the chief surgeon.The other two director-level experts served as her assistants.

As for Zhao Peiru, this time he was only "responsible" for observation.

He was more leisurely since he didn't need to have surgery, so he simply scouted for talents from Nanxi Hospital, to see if there were any suitable ones to bring back...

After looking around, Zhao Peiru's heartbeat...

There are so many talents!

It is indeed the affiliated hospital of the medical school!At a glance, there are quite a few who can surpass the level of Chai Baorong and Wei Xiaobin!

And in the field of liver surgery outside, there are still more talents waiting to be found...

If this is all dug back...

Can Zhao Peiru's liver surgery grow explosively?
However, this idea is just a thought. These talents are definitely not willing to "jump" from Nanxi to the Fourth Hospital of the city.

Only on a certain day, when Zhao Peiru develops better, will these talents willingly join him.

At this point, the operation begins.

When everyone saw the incision chosen by Director Zhen, their hearts moved.

"Director Zhen chose the approach of small round cell tumors. It seems that she is more inclined to what Director Zhao said in her heart."

"However, this is only a tentative intraoperative exploration. If the exploration is not correct, it is also feasible to switch to the right lobe tumor resection."

Everyone nodded slightly, and then opened their eyes wide.

Is it a small round cell tumor, or a tumor in the right lobe of the liver...

I'll find out right away.

"Director Zhen's surgical skills are not bad."

Zhao Peiru roughly judged that in terms of the level of this operation, although Zhen Haifeng can't reach the level of a specialist, it is almost the same.

It's not a big problem to get this operation.

The real difficulty of this operation lies in the "pre-operative diagnosis". When it comes to the practical level, it is not difficult.

on the operating table.

Director Zhen Haifeng gradually explored, stripped and dissected the hepatic ligaments and blood vessels...

On the monitor, a piece of tumor tissue was finally revealed!

The tumor tissue is located in the fourth segment of the liver, protruding outside the liver to the right anterior lobe margin, showing a pedicle shape.

Soon, extrahepatic tumors were found, which were hard in texture, fully encapsulated, and the resected surface showed a light yellow fish-like shape.

Director Zhen Haifeng continued to peel and expose along the edge of the tumor, exposing the tumor completely and completely!
Finally, a "dumbbell-shaped" tumor was revealed to everyone!

One end invades the liver, the other end invades the abdominal cavity, and the middle is connected by a pedicle with a diameter of 3 cm.

It is a "dumbbell shape" with large ends and a small middle.

"This pathological feature..."

Director Yue of the Cancer Hospital suddenly said in a low voice: "Look, everyone, the dumbbell-shaped tumor cells are arranged in nests. The borders of the nests are very clear. They only invaded the liver and did not invade other organs!"

"Among the tumor cell nests, there is a large amount of dense fibrous connective tissue."

"These are enough to show that this must be a small round cell tumor!"

Surprised, Director Yue looked at Zhao Peiru a few more times.

Such a complex dumbbell-shaped tumor, if it is not completely exposed and reveals the obvious pathological features, they really cannot diagnose it!
But this Zhao Peiru, before the surgical investigation, was able to confirm it with certainty by relying on such a few clues in the medical record!

This requires the level of level, vision discrimination, empirical theory, and pathological knowledge, all of which must be extremely solid!

Director Shi of Huakang Hospital also sighed slightly.

"Small round, epithelioid tumor with uniform shape... This is indeed what Director Zhao called 'Desmoplastic Small Round Cell Tumor'. Director Zhao's vision is really brilliant."

When he said this, everyone sighed slightly in their hearts.

In the morning, they all agreed with the idea of ​​"tumor in the right lobe of the liver".

But Zhao Peiru was the only one who saw the essence through the appearance at that time.

and……

Even the soft tissue is native, there is no substantial invasion of other organs, only the involvement of oppression and infiltration!

Even these things, let Zhao Peiru say for sure!
Everyone looked at Zhao Peiru, who was "the old god at ease", in disbelief.

This vision is too strong!

The people from the two low-level hospitals were also shocked when they saw the small round cell tumor!

In the morning, they didn't blindly follow Director Shi of Huakang Hospital, but also made their own judgments.

But until the second before the results of the intraoperative exploration came out, they still believed that it was a tumor in the right lobe of the liver.

At this moment, when they saw the small round cell tumor, there was only surprise in the eyes of the two families.

The two low-level hospitals looked at each other, and in the end, these surprises turned into wry smiles and admiration.

"This Director Zhao has a high level of vision, seasoned experience, and solid knowledge of pathology. He feels better than Director Shi of Huakang."

The two hospitals thought silently, no wonder this Director Zhao was able to create a technology that was promoted throughout the province.

I thought it was good luck, but now it seems that it has a solid level background.

Section Chief He, who was next to him, was also a little surprised, and couldn't help but look at Zhao Peiru a few more times.

He was not very familiar with Zhao Peiru, and all the compliments he heard came from his immediate superior, Director Yu Weiming, and the honor of "promoting technology across the province".

But at this moment, he has seen Zhao Peiru's hard power with his own eyes, and he really admires Zhao Peiru!

Director Zhao, who dared to stand up and insist on the truth after five provincial hospitals had already given a diagnosis, was truly extraordinary!
on the operating table.

When Director Zhen Haifeng saw that the tumor was completely exposed and the pathological diagnosis of "small round cell tumor" was confirmed, she felt certain!
It shows that her incision approach and all the previous preoperative preparations have been done correctly.

If you choose to believe in Zhao Peiru, you are right.

"Director Zhao is right, this kind of intractable disease really cannot have inertial thinking."

"You can't rule out older people just because the conventions of medical history say it's a 'disease of youth.'"

She gathers her mind.

Now that the pathological diagnosis has been made, all that remains is to complete the operation.

The rest of the surgery is actually easy to do.

Because the direction has been determined, the pathogenic site, the extent of involvement, the type of tumor, etc. have been determined...

It is equivalent to knowing the "problem-solving ideas", and the remaining specific problem-solving process is easier to handle.

After Zhen Haifeng carefully separated and peeled off the small round cell tumor...

The tumor extensively infiltrated the gastric antrum, the descending duodenum, the serosa of the hepatic flexure of the colon, and the right peritoneum, all of which were stripped and resected.

At this point, the entire operation is complete!

"call!"

Director Zhen Haifeng exhaled lightly, and a smile finally appeared on his face.

This difficult medical case consumed a lot of time and energy in Nanxi Hospital.

Finally, a proper solution was given to the patient!
It can give patients and their families a good explanation!

After she got off the operating table, she went straight to Zhao Peiru and shook hands with Zhao Peiru.

(End of this chapter)