Chapter 1460 Bulging Belly Button

The images on the computer showed that MRI showed long T1 and short T2 signals in the liver, with diffuse limitation. In the arterial phase, the mass enhanced uniformly and quickly emptied, and in the delayed phase, it showed cystic enhancement.

According to the enhanced features, a preliminary diagnosis of hepatocellular carcinoma can be made.

The operation is actually not difficult.

Whether it is hepatobiliary surgery to remove the right lobe of the liver, or interventional interventional embolization, they are all indications.

But the patient's situation, but it is difficult for him to drink a lot.

"The amount of ascites is too large to be suitable for surgery." Zheng Ren said: "It has been a long time to reduce ascites."

"Well." Professor Yang said, "Boss Zheng, look at the patient?"

Zheng Ren nodded, stood up and followed Professor Yang out.

He seems to have completely forgotten the purpose before coming here - to do a project with the hepatobiliary surgery department.

When I came to the ward, the first thing I saw was a bulging belly.

The weather has warmed up a little, and it is the season of messy dressing.

The patient wears a black vest with the stomach exposed.

Although the volume of ascites has dropped a lot, it is still very large. It caused the belly to bulge high, and even the navel protruded slightly, which looked very strange.

"Lao Yang, you're here." The patient was lying on the bed in a semi-recumbent position, leaning against the quilt.

Seeing Professor Yang coming in, he wanted to sit up. But because the stomach was swollen, the abdominal muscles contracted, the pressure increased, and the body's natural protective response did not get up all of a sudden, and lay down again.

Professor Yang was helpless, sighed and said, "Lie down, Boss Zheng, give me a hand."

The patient was a little surprised to see Professor Yang bringing two young doctors in, but out of politeness, he did not speak.

Zheng Ren glanced at the system panel first, and it was the same as the diagnosis he had just made.

It's just that the degree of distention of the patient's stomach is much more serious than when the MRI film was done.

I recalled that the film was made 2 days ago.

Has it developed to this level in only 2 days? Zheng Ren's first feeling was that the patient was helpless.

Although he thought so in his heart, Zheng Ren still performed a physical examination on the patient first.

On percussion, there was a mobile dullness in the stomach. Zheng Ren estimated that there was about 2000ml of ascites.

This amount of ascites, let alone liver cutting, cannot be done even with such minimally invasive surgery.

Zheng Ren looked at the patient's bulging belly button, feeling very helpless.

The same is true of Professor Yang, but he and the patient are classmates, which is completely different from dealing with other patients.

His face froze, displeased written all over it.

Zheng Ren nodded, looked at Professor Yang's eyes, and turned to go out.

"Brother Yang, the patient's condition is not good, and portal embolization cannot be performed." After going out, Zheng Ren told Professor Yang bluntly.

Professor Yang naturally knew, he sighed and said, "I told him to stop drinking and talk again. If it doesn't work, then I can't do anything about it."

Hepatocyte growth factor mainly acts on the portal vein. Hepatocyte proliferation after portal vein ligation has been identified since 1920.

In the past, portal vein ligation was performed, which was a major operation.

With interventional surgery, the portal vein branches can be directly embolized.

The portal vein branches are embolized to proliferate the contralateral liver lobe, so that the residual liver can compensate for the liver function after lobectomy.

Following embolization of portal branches, hepatocytes can undergo dedifferentiation and clonal proliferation.

If the liver remnant is a normal liver, up to 75% of the liver can be removed while the patient is still alive. But the patient's alcoholic liver... can't remove so much liver. However, patients do not need to remove 75% of the liver, as long as the tumor is removed.

But the embolization of the portal vein also has strict requirements. A large amount of ascites in patients is one of the contraindications.

Theoretically, the embolization of the ipsilateral portal vein branch before partial hepatectomy has the advantage of not only making the remnant liver hypertrophy, but also avoiding damage to the remnant liver due to sudden increase in portal pressure caused by partial hepatectomy.

There are many benefits, and this is also one of the projects that hepatobiliary surgery and interventional departments can cooperate with.

"Brother Yang." Su Yun said with a smile behind his back: "I saw you sneaking around in the morning, that's all?"

Having said that, Professor Yang paused for a while, and then smiled, "How can, did Director Kong say anything?"

This chicken thief, Su Yun despised in his heart.

If there is something to talk about, first ask Director Kong if he doesn't say anything, and there will be more careful thinking inside.

Zheng Ren didn't feel anything, but smiled and said, "I said it."

"Boss Zheng, I'm not polite to you, what do you think about this?" Professor Yang asked immediately.

"Find a place, smoke a cigarette and tell in detail." Zheng Ren said.

Come to the duty room.

It was in the morning, all went to surgery, the duty room was empty, no one was there.

After closing the door, Su Yun let out a smoke, and Zheng Ren asked directly, "Brother Yang, we are our own people, don't hide it, do you need anything here?"

When they first worshiped the wharf, Professor Yang and Director Luo of the Department of Gastroenterology were the first to support him.

Returning the favor, there should also be such a question.

Professor Yang was a little awkward, but seeing that Zheng Ren was serious and serious, he thought about it and said, "It's not that Deputy Director Tian of Corey is going to retire. I'm thinking about fighting for this position."

Zheng Ren was stunned for a moment, but he didn't expect this to be the reason.

However, scientific research has nothing to do with the deputy director.

"The other conditions are not bad, the level... You are definitely incomparable with Boss Zheng, but compared with the rest of Corey, we are not afraid of anyone." Professor Yang said frankly: "Now there is a lack of momentum."

Zheng Ren and Su Yun did not speak, and waited quietly for Professor Yang to finish speaking in one breath.

"It's not that the communication between you and the hospital is relatively smooth recently... To tell the truth, I just want to touch your light, Boss Zheng." Professor Yang said frankly, staring straight at Zheng Ren's eyes. Look.

This is very true. Zheng Ren smiled and said, "Brother Yang, you were very supportive to me at first. If you are in trouble, I will definitely help."

Professor Yang knew there would be, but he listened intently.

"The surgery should be broadcast live, can you accept this?" Zheng Ren asked.

"Yes." Professor Yang was delighted, "Live broadcast is the best!"

To build momentum, it is estimated that Professor Yang has other Olympic aids, but that has nothing to do with himself, Zheng Ren nodded.

"What do you think of Director Li?"

"Director Li supports me." Professor Yang said: "As long as you agree to the project, Boss Zheng, I will start accepting patients immediately. Interventional surgery, on my hospital bed, will be removed after a period of time."

"Row."

The two of them have nothing to hide, and each takes what they need.

"Boss Zheng, won't you delay your Nobel Prize project?" Professor Yang finally asked nervously.

This is what he is most worried about, after all, the weight of a director of 912 is far less than that of the Nobel Prize in Medicine.