Doctor's Life Simulator

Chapter 231 Domestic frontier ablation technology!
As soon as he entered the meeting room, Han Hu saw Qin Lang, his eyes were a little surprised, but he immediately realized that Qin Lang was already a student of Shenxi after all, and it was only natural to study with Shenxi's team here.

Looking at Qin Lang, Han Hu felt a little regretful. If he had known that Qin Lang was so talented in appendicitis surgery, he should have snatched him over and made him his student.

"Doctor Qin, we meet again."

After Director Han's successful events, Qin Lang is now quite appreciative and highly valued.

"Hi, Director Han."

Qin Lang gestured slightly.

On the side, Dr. Yan Zhengqi, Han Hu's pro-disciple, sized him up curiously, this young man whom the teacher has been talking about recently.

Fortunately, fortunately, he is still a fledgling doctor. Even though he has some talent in elementary surgery, he still does not pose a threat to himself.

After all, Dr. Yan has been a teacher under Director Han Hu for many years, and he is now considered the backbone of the general surgery department of Zijingang No. [-] Hospital, much more experienced than Lu Min.

This time, Dr. Yan was invited to arrange for him to be the chief surgeon for this patient.As a general surgeon at Zijingang No. [-] Hospital and Han Hu's direct disciple, he naturally mastered and learned many cutting-edge surgical techniques.

This time, Han Hu is going to carry out the very difficult hypothalamic hamartoma resection on the patient. The probability of complete remission after the operation of the general doctor is only about 45%, but Dr. Yan is superior. Over the years The probability of complete remission of treated hypothalamic hamartoma reached 55%.

Therefore, to participate in this operation, Dr. Yan is full of confidence, especially in front of this young man whom Director Han has been praising, Dr. Yan also has plans to show his skills.

The province's own teacher always overwhelms his own prestige with the ambition of others, he is not as good as Shen Xi, but his apprentice wants to overwhelm Qin Lang.

When Dr. Yan was thinking about Xiao Jiujiu, Professor Shen Xi didn't waste his tongue at all, and went straight to the point, communicating her diagnosis of the patient with Dr. Han Hu and Dr. Yan.

After explaining the judgment of the disease, Shen Xi looked at Han Hu, wanting to hear his treatment plan.

For this kind of hypothalamic hamartoma, Han Hu is naturally not afraid, and can even be said to have rich experience. He is not an exaggeration to say that the traditional hypothalamic hamartoma resection, in the entire Hangzhou, his team recognizes the second , no one dares to be number one.

Seeing Professor Shen Xi raise this question, Dr. Yan beside him was also eager to give it a try. Before Han Hu put forward his idea, he took the lead in throwing out his point of view.

Seeing his disciples being so proactive today, Han Hu was a little relieved, so he asked Yan Zhengqi to talk.

Dr. Yan glanced at Qin Lang intentionally, and intentionally explained in detail, to popularize science for him, and at the same time put forward his own thoughts with confidence:

"Although hypothalamic hamartoma is a rare congenital dysplasia, our department has treated many cases. It is a midline neural tube insufficiency syndrome, which occurs at the end of the first month of pregnancy. Composed of normal brain tissue, formed at the site of the odor."

For Dr. Yan's detailed explanation, Han Hu nodded slightly, and Shen Xi also praised him a little. As expected of Director Han's proud disciple, his basic skills are still very solid.

Dr. Yan continued his experience:
"Because hypothalamic hamartoma is resistant to conventional antiepileptic drugs, and is insensitive to ketogenic diet therapy and vagus nerve electrical stimulation therapy. Therefore, the best treatment plan is to take surgical control to achieve complete epilepsy. purpose of mitigation."

"In our usual experience, we have summarized some solutions, the main methods are hypothalamic hamartoma resection, transventricular neuroendoscopic resection, and gamma knife treatment. Among them, gamma knife has a lot of side effects, It may lead to more severe epilepsy and seizures, but transventricular neuroendoscopic resection is complex and prone to risks during the operation, so I suggest that we adopt the most routine resection of hypothalamic hamartoma.”

"Although the probability of complete remission after surgery for ordinary doctors and medical teams is very low, I am confident that it will reach more than 55%."

Yan Zhengqi is not exaggerating. In fact, he is very confident and experienced in this operation.

Han Hu also agrees with Yan Zhengqi's analysis. After Yan Zhengqi finished speaking, he added a sentence to express his affirmation and trust in his students.

"Professor Shen, my point of view is basically the same as Dr. Yan's. Among these options, hypothalamic hamartoma resection itself is the most traditional procedure, but with the support of Dr. Yan's technology, among these options Among them, it is indeed the technique with the best success rate and effect."

Hearing his teacher's approval of him, Yan Zhengqi was in high spirits and full of confidence in his heart. He glanced at Qin Lang at the side intentionally or unintentionally, but, to his disappointment, Qin Lang didn't show any enthusiasm or envy.

Obviously, this little guy is still a layman for hypothalamic hamartoma, and he doesn't understand the meaning of the complete remission rate of more than 55%.

Yan Zhengqi couldn't help feeling a little regretful, like a night walk in brocade clothes.

After listening to Han Hu's team's plan, Professor Shen Xi frowned slightly, a little unsatisfactory. In fact, she already had some ideas in her mind. However, this technique is only promoted in a small area in the Magic City and the Imperial Capital. It is understandable that there is no development.

According to Dr. Yan's operation plan, although it is not impossible, but knowing that there is a better plan, but choosing Dr. Yan's plan, it is always a bit of a thorn in the throat.

So Shen Xi is still going to put forward her own ideas, but before that, she is also going to lay the groundwork, and first tentatively asked the surrounding doctors:

"Do the rest of you have any other ideas?"

Of course, Shen Xi was laying the groundwork for his next plan. He looked at several doctors in the meeting room, all of them avoided her eyes, and bowed their heads in silence.

Then, Shen Xi caught Qin Lang's eyes, calm and indifferent, seeing Qin Lang looking at him so calmly, Shen Xi was a little admired, this kid's attitude is really good.

Ordinary junior doctors, when they see their superior doctors asking questions and cannot answer, they will already blush, or bow their heads in shame.

"Qin Lang, what do you think?"

Hearing Shen Xi specifically mentioned Qin Lang's name, Han Hu and Yan Zhengqi also looked at him, especially Yan Zhengqi, with a half-smile, waiting for Qin Lang to be in front of himself and others, ashamed of himself.

Qin Lang couldn't wait for the words thrown by Professor Shen, and said directly:
"Professor Shen, in fact, I really have my own views on this hypothalamic hamartoma, to be precise, some ideas based on some papers and cutting-edge magazines."

Hearing Qin Lang's return like this, Han Hu and Yan Zhengqi were a little inconceivable, especially Yan Zhengqi, this kid was so lucky that he could read such a rare case.

It's just that this kind of talk on paper can really come up with some constructive opinions?

Yan Zhengqi pricked up his ears, and heard Qin Lang propose a brand new idea that he had never imagined.

"I think we can try a new brain magnetic resonance imaging-guided laser interstitial ablation technology and radiofrequency ablation technology (RFTC)."

Hearing the concept proposed by Qin Lang, Yan Zhengqi looked at a loss. With his knowledge and experience, he really never thought that this hypothalamic hamartoma could be connected with this cutting-edge technology.

As far as Han Hu has a little understanding, radio frequency is a high-frequency vibration with a frequency of 15 times per second.The human body is a complex structure composed of many organic and inorganic substances. The body fluid contains a large amount of electrolytes. Under the action of high-frequency alternating current, the state of ions will change from a moving state to a vibrating state. In this case, various ions Collide with each other and friction to produce biothermal effect.

Due to the poor heat dissipation of the tumor, the temperature of the tumor tissue is higher than that of the adjacent normal tissue, and cancer cells are sensitive to high heat. High heat can kill cancer cells without side effects.

This is also the core principle of radiofrequency ablation. However, for hypothalamic hamartoma, radiofrequency ablation alone is not enough. It needs to be combined with laser interstitial ablation and guided by cranial magnetic resonance imaging.

This is a very cutting edge and brand new technology!
Han Hu looked at Shen Xi very unexpectedly. Of course, he knew that Professor Shen was a top doctor in the field of tumor prevention and treatment. Technology, this entry is too fast.

When Han Hu was surprised, Shen Xi was also very pleasantly surprised. This Qin Lang really spoke from her heart.

"Director Han, I agree with Qin Lang's point of view. With this brand-new technology, the probability of complete remission after surgery can reach 85.7%, completely surpassing the traditional hypothalamic hamartoma resection. Moreover, the radiofrequency ablation The safety is also much higher than the traditional resection."

Professor Shen Xi was completely interested. Under the opening chapter of Qin Lang, he gave a detailed explanation. In order to let Director Han understand, Shen Xi got up and started drawing on the small whiteboard, explaining the core principles and treatment plan:
".According to the anatomy of the child's lesion, the neurophysiological monitoring during the onset and interictal periods, and the analysis of clinical symptoms during the onset, the R200B M1 radio frequency generator system was used for RFTC treatment. The child underwent RFTC treatment in an awake state, first along the same electrode length A pre-damage of 2 W for 1 s was performed between two adjacent contacts of the shaft, and at the same time, it was observed whether the damaged target caused unacceptable complications for the child, and then two irreversible damages of 2 W for 40 s were performed. Choose different electrodes The two adjacent contacts between each other are further subjected to 2 times of cross damage with 3 W 60 s. The distance between different electrodes that can form effective damage is 2-3mm”

When Shen Xi introduced it, Qin Lang also nodded frequently. As expected of his teacher, this plan has [-]% of the prototype of the best plan.

When Shen Xi was explaining, Han Hu quickly understood the principle of the entire technique, but he had some doubts, but after Shen Xi's answer, he understood it in a while.

The timely Qin Lang also added a few words:
".Before the operation, it is necessary to improve the cranial thin-scan computerized tomography examination and 3.0T enhanced thin-scan MRI examination. The parameters are respectively slice thickness 1mm and interval 1mm"

".During the implantation of the motors, the head can be held in place using a Mayfield head frame and attached to the ROSA robot."

After Qin Lang added a few details, Shen Xi and Han Hu were surprised to find that the safety and accuracy of the entire operation had been further improved.

"Qin Lang, your opinion is so meaningful. Very good!"

It was rare for Shen Xi and Han Hu to praise a little doctor at the same time.

Listening to the back-and-forth conversation between the three of them, Yan Zhengqi on the side was sore all over, not only couldn't get in the conversation, he couldn't even understand it.

Ten minutes later, Professor Shen Xi, Director Han Hu, and Qin Lang jointly formulated a brand new plan.

[Congratulations to the host for completing the task. Through the simulation, he has completed Professor Shen's test, discovered the cause of the patient and proposed the most advanced treatment plan.Obtain task rewards: 1. Laryngoschisis tumor resection: entry level, 2.1 life simulation points. 】

(End of this chapter)