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Chapter 69 Accidents Come (2)

Since being impressed by that live broadcaster, Li Mo has tried to learn bone marrow cavity puncture. At the beginning, it was indeed worse than deep vein puncture.

However, as Li Mo continued to practice and proficiently, Li Mo used bone marrow apuncture every time he performed an interventional operation, which was much more reliable than deep vein puncture and even simpler than femoral puncture.

The puncture is a point of incision. Whether it is professional or not can be seen by just a puncture.

Director Xiao is calm on the surface, but in fact he is still a little panicked inside. After all, no doctor has ever done the interventional embolization of liver cancer in the Tao City First People's Hospital. Those who need such surgery will either be transferred to the provincial capital, or go to the tertiary hospitals of Kyoto.

Li Xiang opened the imaging system in the operating room, and Wang Yang sent the micro guide wire in.

The surgical images also appeared on the screen of the operating room, and Professor Li Mo sat in a wheelchair and watched them carefully.

Director Xiao and Professor Li Mo also stopped communicating, and the two began to watch Wang Yang and their first chemotherapy.

Because interventional embolization of liver cancer requires one perfusion chemotherapy at the same time, this chemotherapy is to inject chemotherapy drugs into the liver, which has much less side effects than systemic chemotherapy.

Meng Yue stood in the operation room. As long as they needed chemotherapy, Meng Yue would go and dispense the medicine in time.

During the surgical image, Wang Yang looked at the black shadow of the micro guide wire under the X-ray and sent the guide wire super select into the blood vessel he needed, quickly and accurately! Professor Li Mo saw Wang Yang's super select operation and nodded in approval and said, "This super select should have been practiced, it's good."

"We Dr. Xiao Wang is lazy in everything, we just do the surgery seriously."

Director Xiao smiled.

If Wang Yang heard Director Xiao’s words, his mouth would only twitch.

Why is the reason why I am lazy in everything? It’s not because of surgery, and I feel sore all over my waist and back from the operating table.

The micro guidewire in Wang Yang's hand entered the next level of blood vessel from the hepatic artery, which made him frightened. It was like dismantling a bomb. You can choose a few different threads. As for one, it is correct. Fortunately, the super selection is not as dangerous as dismantling a bomb.

If something went wrong, just do it again, but Wang Yang's next operation made Professor Li Mo widen his eyes.

"So fast?"

Professor Li Mo looked at the super selection on the surgical image in disbelief.

You should know that super-selected blood vessels, the blood vessels behind them are getting thinner and thinner. If you want to enter the correct next-level blood vessel accurately without any sluggishness, this is not just achieved by proficiency.

At least we must have a clear understanding of the vascular anatomy of the hepatic artery. Even Professor Li Mo himself dare not say that he can do it so accurately.

Wang Yang's super selection lasted only five minutes, and all super selections were completed. The micro guidewire passed through the hepatic artery all the way to the fourth-level blood vessels of the liver. As for why it did not go deeper, it was because continuing to go deeper was where the liver cancer tumor was located.

With the catheter sleeve facing the tumor, Li Xiang held the micro guidewire and the second half of the micro catheter, stretched out his other hand, and made an OK gesture.

Everyone in the operation room saw Li Xiang's action, and Meng Yue also understood the meaning, opened the induction lead door, entered the catheter operating room and started to configure chemotherapy drugs.

The chemotherapy drugs needed by every liver cancer patient are different and cannot be configured in advance. No one knows whether there will be drug resistance.

Liver cancer is not like other cancers. It has specific chemotherapy drugs, and chemotherapy drugs can be equipped with better results in advance.

It can only be relieved or cured by surgical resection. The rise of interventional surgery in recent years has led to the development of interventional treatment.

In addition, the successful development of targeted drugs such as Sorafini abroad has given liver cancer patients a glimmer of hope for rebirth.

Moreover, the older generation, like Professor Wang Jing, after clinical research and experiments, they found that while intervening intravenous embolization of liver cancer to support blood vessels, the effect after surgery will be better.

Chemotherapy drugs are "poisons" in everyone's mind, and they are the kind of people who fight poison with poison. This is why cancer patients lose their hair and become weak after chemotherapy.

The perfusion method tested by Professor Wang Jing and others is very effective in the treatment of liver cancer.

After the embolization is over, focus on chemotherapy drugs in the tumor, then block the blood vessels and let the tumor cells soak in the chemotherapy drugs. In addition, the blood vessels are blocked, and the tumor cells lose nutrients and cannot expand. They will be killed by chemotherapy drugs slowly. Necrotic cancer cells will not harm the human body.

This two-pronged approach can basically eliminate tumor cells.

Meng Yue was very fast. After all, she had used chemotherapy drugs on ICU before, and installed the medicine solution on a high-pressure syringe. Meng Yue handed the syringe to Wang Yang and turned around and left the interventional operating room.

Injecting the syringe into it and embolizing it with iodine oil, everything went smoothly. These were all trained by Wang Yang in the training room, and with the corresponding surgical methods, Wang Yang was very fast.

After doing all this, Wang Yang began to inject contrast agent into the catheter and began to scan.

The significance of angiography is the same as rinsing the abdominal cavity with warm saline after opening the abdomen in surgical operation, which is to check whether there are any missing surgery.

In the operating room, Professor Li Mo smiled and said, "Your hospital actually has this kind of treasure. Xiao Wang can be an associate chief physician in our hospital for this interventional technology."

"I still underestimate Dr. Xiao Wang, but I didn't expect Dr. Xiao Wang to be so powerful."

“Overall.”

Director Xiao’s face was almost laughing. This was an evaluation from the liver and gallbladder experts. Professor Li Mo is one of the top three liver and gallbladder experts in Hubei Province.

But when the imaging came out, everyone's smiles disappeared.

"This...how is this possible!"

Director Xiao doesn't believe in Tao.

Originally, the first time the test was found that Xie Qin had only one tumor, with a size of about 7cm, almost half the height of the liver.

However, this symptomography showed that the lower half of the tumor had indeed disappeared, but the upper half was still there.

This proves that the operation was not successful. I just love you. The embolization of the lower part was successful, but the first half was still there.

"Professor Li, this situation..." Director Xiao can only be considered a master among surgeons, but when faced with interventional surgery, he is like a novice. Although he can understand the angiography, he cannot judge the severity and does not know what this means.

"Oh, I thought that double enhancement would definitely not make any mistakes, but I didn't expect that the preoperative image would still make any mistakes!"

Professor Li Mo sighed. He wanted to strengthen the double because he was afraid that this situation would occur. "The lower half of the tumor supplied blood vessels is supplied by the hepatic artery, but the upper half is obviously not supplied by the hepatic artery, but by the blood vessels outside the liver, that is, this tumor is a double-supply vascular tumor."

"The most important point is that the upper part is too close to the spine, because the upper part may be supplied by any blood vessel in the body. If the spine supplies blood vessels, then the surgery can only be given up. Once the surgery is embolized, the patient is likely to be paralyzed and the risk cannot be taken."

Professor Li Mo's expression became heavier.
Chapter completed!
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