Chapter 505 Implant during surgery?
Yang Jing and Jingjing sat in front of the computer, facing each other.
It was extremely uncomfortable for him to look back on scientific research papers for 10 or even 20 years.
If you do not make a false or not, Yang Jinghe doesn't care, it mainly has to be useful.
If it really comes down to it, who doesn’t make a false statement? From top to bottom, from outside to inside, this world is a big grass platform team.
How can you keep yourself alone in this storm? This is the key point.
Yang Jinghe got some more reliable news - he only found large provincial-level tertiary hospitals.
As for the county-level and municipal-level hospitals below, they will just turn a blind eye. If I were meticulous, this matter would not be able to be pushed forward at all.
Will there be no fish when the water is clear?
This is also in line with Yang Jinghe's understanding of facts.
You can't beat all clinical people to death. If they really die, who will work?
Teach the big wave of vested interests and put pressure on appropriately, that invisible hand seems so professional in the background of the grass-roots team.
What to do next?
Yang Jinghe thought to herself.
Of course, there is only one answer - Luo Hao.
Clinicians only know how to see a doctor, and few people grasp both hands, but both hands are hard.
Luo Hao is an exception.
When he went to ask Luo Hao, Yang Jinghe had no psychological barriers, but what he was afraid of was that Luo Hao was too busy and had no time to pay attention to him.
As the Ice and Snow Festival is coming, the major project hosted by Director Geng Da of the province is about to be implemented, and Zhuzi also plays an extremely important role in it.
These are all facts, and Yang Jinghe cannot change them.
In addition, various scientific research projects, Ronaldinho has also been doing well.
Sorrow.
As she thought about it, Yang Jinghe suddenly grinned and said, "Don't worry, just bite the bullet and go."
It was said that Lao Qin, a department of traditional Chinese medicine, held Xiao Luo's arm and called him Master, but he did not succeed in the end.
Ronaldo is indeed awesome, but he is young.
Young, thin-skinned, not good at rejecting, this is where the opportunity lies.
Lying down to rest, the next morning, Yang Jinghe came to the hospital early, changed her clothes and went straight to the interventional department.
"Director Chen, it really doesn't work." Luo Hao's voice came from the doctor's office.
"Why can't it work!" Chen Yan asked seriously.
"This patient is not suitable for particle implantation, and there are no surgical indications." Luo Hao said, "I suggest going to Director Yang for radiotherapy."
"Little Luo, I have seen all the surgical instructions you mentioned. Why do you feel that you are perfunctory to me?"
"How could Director Chen? First of all, I will not treat you perfunctorily, and secondly, I will not treat patients. Although particle implantation has little damage, it has a light effect. To be honest, I recommend surgical removal of this patient with pancreatic cancer."
Yang Jinghe listened quietly, pancreatic cancer?
Chen Yan is eyeing Luo Xiao’s liquid metal implanted with radioactive particles. This is his own!
The old dog actually wants to grab food in his own bowl!
Thinking of this, Yang Jinghe strode in and glared at Chen Yan.
Chen Yan didn't expect to meet Yang Jinghe early in the morning. Everyone knew what the purpose was, and Chen Yan was a little embarrassed.
It's like being caught in bed with an affair.
Except for Yang Jing and an old scoundrel like this, who can calm down?
Chen Yan twisted his beard and clenched the ground with his feet awkwardly.
After all, he was wearing a piece of clothing, and Chen Yan couldn't even twist his heart-protecting hair.
"Director Yang, you are here no matter how come." Luo Hao eased the awkward atmosphere.
"Little Luo, what did you and Director Chen just say?" Yang Jinghe looked at Chen Yan coldly.
"I'm so sorry, there's a patient. Director Yang, you can watch the movie." Luo Hao had already smelled the gun's rage and let go of Erhei's head. Erhei sat on the ground, smiling as silly as bamboo.
Seeing Erhei's smile, Yang Jinghe also calmed down a lot.
Watching the movie, Yang Jinghe frowned.
Abdominal CT suggests a low-density mass in the pancreas, a distal catheter dilated, and no clear enlarged lymph nodes are seen behind the peritoneum.
Positron emitting tomography (PET)-CT examination showed that a mass of about 3.2cm×3.0cm in size was seen in the tail of the pancreatic body, which was radioactively concentrated.
The maximum value of the standard uptake value (SUV) is 11.0, which is closely related to the gastric wall of the antrum and cannot be demarcated; the omentum and mesenteria are nodules and sheet-like thickened, and the radioactive uptake is increased to varying degrees, with the maximum SUV value of 2.5 to 6.1; the right diaphragm is locally thickened, showing radioactive concentration, with the maximum SUV value of 7.0; there are many nodules in the paracolonal groove of the right, with abnormal radio uptake increasing, with the maximum SUV value of 6.1; other organs are normal in shape and size, with uniform density, and no radioactive distribution is seen.
Pancreatic cancer, multiple organ metastasis.
This patient is indeed not suitable for planting particles, and he doesn't know where to put them.
Chen Yan is really a ignorant, so he just finds a movie to tease Xiao Luo.
"If the patient had been in the past, or in other small hospitals, there would be no good idea. Both directors were there. Can we join forces for a surgery?"
"Joint operation?" Yang Jinghe and Chen Yan were stunned at the same time.
"Laparoscopic surgery can be cut off, and radiotherapy can be performed during the operation if it cannot be removed."
"In-service?"
"In-service?"
"Well, the radiotherapy line light bucket is placed directly in the position where radiotherapy is needed, and the effect is particularly good."
I'm fucking!
Can this still be done? !
Yang Jinghe was stunned for a moment, but when he thought about it carefully, it was possible, but it was a bit troublesome to operate, and the whole operation was filled with radiation.
"I'll fix the radiotherapy line light barrel, after all, neither director has any relevant experience."
"???"
Yang Jinghe knew that Luo Hao took over the heaviest work to avoid being afraid of difficulties.
"I have seen two cases in Union Health, but the protection of the surgery is a big problem. There are various reasons, so I didn't continue to show the surgery." Luo Hao felt a little regretful.
"If the two directors are interested, you can really try it."
"This patient is already in the end stage. Is it necessary?" Yang Jing and asked seriously after understanding Luo Hao.
"I have followed a patient. The sample size is not large enough, but that patient has lived for nearly 4 years and the end-stage pain is not very severe. After a series of treatments, the patient can still dance square dance."
"Is the effect so good?" Yang Jinghe was surprised.
"After all, it's the end stage, so there are many things to consider and the cost is high. The two directors, if you are interested, we can try it together."
...
...
At the Second Hospital of Medical University, President Zhao was wearing reading glasses and was looking at the documents.
Looking at the documents in his eyes, he was thinking about 10 years of professional title investigation. Zhao Xiangming knew exactly what the level of several hospitals in the provincial capital was.
Zhang Xuefeng has not moved his daughter's household registration out of Jiangbei Province so far. Why? The college entrance examination score is low.
A large number of talents were poached by Southern Hospital, and even went to municipal hospitals, without the treatment of directors.
Just this, I still flock to it.
Laparoscopic surgery in Southern Hospital is normal, and the abdomen and chest are basically invisible. Even if the surgery is rare, it can be done with a little bit. But what about our own hospital?
If you have a slightly more difficult operation, you need to do a laparoscope at all.
When a group of doctors matured, they were poached by the south again.
The relationship has become a training base in the south.
This is still technical, and as for professional titles... it is hard to describe.
The whole hospital, including their professional titles, is a vast ocean and full of water. If you check back, you have to look at the strength. If the strength is too strong, you will be demoted to the main treatment.
What about the first side of medical school?
Once President Zhao thinks of his freshman year, he will think of the young man he fell in love with last year. Just because of such a little treatment, I actually passed by him.
Now the number of scientific research in the First Hospital of Medical University is actually ranked among the top ten in the country. And as Luo Hao becomes more familiar with people around him, he may even be ranked among the top five in the country next year!
This is a complete performance.
However, it’s a pity that Luo Hao made at that time is still vivid in my mind.
Dean Zhao felt regretful.
At that time, I thought that a young man became arrogant after success, but I didn't expect that he was really capable.
I missed it so well. This may even be the biggest miss in my life. Dean Zhao felt more and more uncomfortable.
As I thought about it, the knock on the door rang.
"Enter."
The director of hepatobiliary surgery came in with the film.
"Director Zhao, your classmate's relatives come to me to watch the movies, I'll report to you."
"Just look, I don't understand." Dean Zhao felt a little sick.
I just asked him to watch a movie, but I even had to report to myself.
"Director Zhao, the patient is now hospitalized in the First Hospital of Medical University, and the surgery is required. I think it's nonsense. The patient has advanced cancer and there is no positive benefit if the surgery is done." The director of the Department of Hepatobiliary Surgery began to report.
"Huh?" Zhao Xiangming was stunned.
First Hospital of Medical University?
He immediately thought of many things, and for a moment, his thoughts came like a tide.
Professor Luo applied for new national scientific research, using liquid metal for particle implantation, etc.
Is it the content of this?
Zhao Xiangming's heart moved.
"What do patients' families say?"
"They said they wanted to do radiotherapy intraoperatively."
"!!!" Zhao Xiangming was stunned. During the operation, radiotherapy? Going crazy!
Is it X-ray?
Or something else?
"Director Zhao, I don't know how to tell the patient's family, so I'll report to you. They are all colleagues, and I know that they can't be demolished, but the hospital next door did it too much!" The director of the Department of Hepatobiliary Surgery was filled with righteous indignation.
It's indeed a bit too much, no wonder they have to sprint for 100,000 surgeries a year.
There are 100,000 surgeries, so how many surgeries are? !
Patients with late cancer have already had clear surgical contraindications and need surgery, and they are afraid that the patient will not spend enough, so what intraoperative radiotherapy should be performed.
Isn't this nonsense?
It's simply peeling the skin and sucking the marrow.
Zhao Xiangming was not a passionate young man, and he considered a lot of things in every aspect. Although I was thinking about knocking on the bones and sucking the marrow in my heart, I still analyzed it calmly.
Is it related to the ten years of investigation? !
They are rushing to do scientific research. Even if there is a problem, the existing content can be guaranteed not to be downgraded. There is even a shadow of Zhuang Yongqiang here. Next year, the number of scientific research in the First Hospital of Medical University will be among the top five or even the top three in the country?
It is impossible. Union Medical College, Peking University, Huashan, South, and West China, which are famous large-scale tertiary hospitals are easy to be the ones. If Jiangbei Province tries to compete for its foundation, it will not be able to compete with others.
As for Luo Hao, it was just an anomaly.
Countless thoughts appeared and were abandoned by Zhao Xiangming. He frowned and wondered what the logic behind the matter in front of him was.
"Dean Zhao?"
"Where is the movie, I'll take a look." Zhao Xiangming took the film bag and began to read the movie.
It is indeed pancreatic cancer with extremely high malignancy, which causes stomach and intestinal metastasis. Especially the stomach, adhesion cannot be solved by surgery.
Even if you use the amazing technique to move away, the transplanted and metastatic cancer cells will continue to grow, treating the symptoms but not the root cause.
This kind of patient should be asked to go to the oncology department for chemotherapy, and check the situation after a few courses of treatment to minimize the patient's terminal pain.
But the next door actually said that surgery was needed.
Zhao Xiangming was silent for a long time after reading it.
"I'll give you advice normally. Then I'll ask the patients' families to see when they will have the surgery."
No mistakes, one song, one content, one in 6, one book, one bar, one reading!
A few days later.
Zhao Xiang knew that the patient was going to have surgery, so he found a reason to find Jin Rongcan.
The two are very familiar with each other and have a good relationship. Zhao Xiangming proposed to go to the operating room to take a look. Jin Rongcan didn't think anything, but just thought it was normal communication and communication.
Although it was a bit strange, this little thing was nothing. Dean Jin had no reason to refuse when his partner came to "study".
"Director Zhao, there is nothing good in the operating room, it's just normal surgery."
"Your hospital has 100,000 surgeries a year. It's not easy to do this job. I'm criticized every weekly meeting."
"It's just a data, there's still moisture in it. If the amount of surgery is really mentioned, our hospitals are very similar." President Jin said with a smile.
The Second Hospital of Medical University was originally very fierce in catching up, but a few years ago, the retired old director was poached a large number of middle-level backbone forces in private hospitals in the south, and the decline was fully demonstrated.
That's why the First Hospital of Medical University took this opportunity to establish the status of the eldest brother in the province.
Everyone knows the tricks here. Jin Rongcan believes that Zhao Xiangming will definitely have something to do when he is going to the operating room today.
But is there any special surgery today?
Jin Rongcan thought about it and it seemed that there was no.
The last special report to him was the time when Professor Luo created liquid metal planting particles.
At that time, even Boss Chai came, and he couldn't even come forward.
Besides, Luo Hao is the only one who can do scientific research in the institute. He is an eight-year doctoral student in UnionPay.
Others are not enough to read, and their scientific research level is not high.
If you want to see Luo Xiao undergoing surgery, you have to go to the interventional catheter room. How...
Jin Rongcan remained silent and was thinking in his heart. As I was thinking about it, a familiar voice suddenly came.
"The surgery is not a big problem, laparoscopy + small incision. When making a small incision, I will brush my hands, so you don't have to come in."
It's Luo Hao!
It's indeed Luo Hao! !
Jin Rongcan was immediately unhappy. Even Zhao Xiangming next door could smell the smell and touch it. He didn't even know? !
They are too unfair to regard themselves as deans.
Thinking this in my heart, Jin Rongcan's face did not change, "Huh? Why is Xiao Luo in the operating room of Dawai?"
"Hello, Dean Jin." Luo Hao had already changed his clothes. Seeing Jin Rongcan walk in, he greeted him with a smile on his face.
"Isn't this a patient with late cancer? I think that I can use new techniques to improve the patient's end-stage quality of life. If I have good luck and catch up with the special medicine, I may be able to live for another ten or twenty years."
Luo Hao said it very briefly, and he only mentioned one sentence in the late stage of cancer.
He didn't say anything about the specific operation.
Jin Rongcan walked in and followed Zhao Xiangming behind him.
Luo Hao didn't care much, but after all, he had a chance to meet him. Zhao Xiangming was an old classmate with Dean Qiu Bo of Donglian Mine, so he still had to give face.
But it was only limited to saying hello, and Luo Hao began to prepare for the operation.
Zhao Xiangming saw a sturdy figure following Luo Hao and asked, "Lao Jin, who is that person? Is it from Professor Luo's medical team? Why haven't I heard of it?"
"Oh? Dean Xiangming, you are very familiar with Professor Luo's medical team."
"I'm sorry, Dean Zhuang has stuffed the baby girl in. I don't want to know more about it. What if there are still quotas in the future."
Zhao Xiangming didn't care about Jin Rongcan's soft knife.
The main reason is that Jin Rongcan doesn’t know who the person who is following Luo Hao is.
"Director Yang."
Yang Jinghe immediately took a few steps and followed Jin Rongcan.
"Who is that person?"
"Dean Jin, that...that..." Yang Jinghe began to hesitate.
"Who is it? Is the intern? I went into the operating room without writing it on the operation sheet?" Jin Rongcan asked with a smile.
"No, that's a robot made by Professor Luo and the University of Technology."
"!!!"
"!!!"
Jin Rongcan and Zhao Xiangming were both dumbfounded.
robot? !
I didn't even see it! !
What did Luo Hao bring the robot in? !
Jin Rongcan pretended to be calm and nodded. Zhao Xiangming didn't say anything, thinking that he was right this time.
He had already made a judgment, maybe because his level was poor and he didn't understand Professor Luo's meaning at all.
"Lao Jin, you are developing so fast, the robots have all entered the hospital." Zhao Xiangming sighed.
"No, I'm still exploring. Last time I saw a robot involved in the catheter chamber could only do compression and stop bleeding, and no matter how many, it wouldn't work."
"That's amazing. Is this a scientific research project? It takes a long process to review and approve reports. You are really efficient." Zhao Xiangming sighed half-true and half-false.
He said in one sentence that the key point of the problem was that although Dean Jin knew that this person was picking on the inside and out, he still felt uncomfortable.
I don’t even know about such a big thing, whether this dog Luo Hao still has himself in his eyes!
There is no at least respect.
When he arrived at the operating room, Liu Yiyi had finished anesthesia. Seeing Luo Hao come in, she made a gesture to get it done.
"Disin it, open it." Luo Hao said lightly.
In the entire operating room, it seemed that Luo Hao had the final say, and even Chen Yan had no objection.
Jin Rongcan was curious and stood aside to watch the operation.
Chen Yan and his assistant professor came to the stage together. It can be seen that Chen Yan attaches great importance to surgery, and even disinfection is automatically eliminated by him.
The abdomen was cut 1 cm below the navel and the abdomen was inserted into the abdomen layer by layer. An abdomen inflatable needle was placed to establish the abdomen and maintain the pressure. Chen Yan also paid special attention to the pressure, maintained at about 20KPa, and laparoscopy was placed.
The trauca cannula is placed in 1 cm below the xiphoid process, and the trauca cannula is placed in the flat umbilical position on the left and right clavicle midline.
Laparoscopic investigation revealed caudal cancer of the pancreas, with a size of 7cm×8cm, invading the root of the mesocoral, the posterior wall of the great curve of the stomach, the adrenal gland, the spleen hilar, the diaphragm, the large omentum, and the mesocoral multiple metastatic nodules.
The gastrocolonal ligament is separated along the gastroperitoneal vessels, exposing the tail of the pancreas. The tumor invades the posterior wall of the stomach and cannot be separated. Then, a biopsy of the tumor resection of the large omentum metastasis was performed, and the intraoperative freezing indicated metastatic adenocarcinoma.
Chen Yan's surgery was clean and neat, with a master's style.
However.
Everyone knows that this is not enough.
Chen Yan left most of the tumors, and the patient's abdominal cavity was so adhesions. Although part of the tumor was removed, the rest was still fatal.
In addition to the surgical blow, if this surgery is just like this, it will be considered more harmful than beneficial. It can even be said that there are basically no advantages, only disadvantages.
"Director Chen, then I'll get in."
"Okay, I'll watch it." Chen Yan stepped down directly.
"Don't, you're waiting outside." Luo Hao smiled and turned around to clean his hands and disinfect it.
The robot followed Luo Hao, carrying a box in his hand.
Zhao Xiangming was surprised to see it and went out with him.
Before he could talk to Luo Hao, he saw the robot standing beside Luo Hao and opening the box, taking out the lead suit and lead skirt to help Luo Hao put it on.
At this moment, Luo Hao was like a general who wanted to go to the battlefield to break the formation and kill the enemy in ancient times, wearing heavy armor with the help of his subordinates.
Zhao Xiangming was stunned.
Brush your hands, disinfect, and rinse them clean, and Luo Hao raised his hands in front of his chest.
Seeing Zhao Xiangming, Luo Hao nodded slightly and said nothing else, and went straight into the art room.
Wear sterile clothing.
Although Luo Hao was wearing a lead suit, he was not bloated. Zhao Xiangming had a sense of majestic and domineering look.
A young hero rides a horse and a sword.
Luo Hao went on stage, and during the operation, the central incision of the upper abdomen was taken about 6cm long and penetrated into the abdomen layer by layer. Separate the posterior wall of the stomach from the tumor-invading part, exposing the body of the pancreas.
"Let's all disperse. It's going to be radiotherapy, there's radiation." Luo Hao turned around and said to everyone.
"I'm wearing lead clothes." Yang Jinghe stood behind without moving.
He said that it was a cooperation between the two departments, but Yang Jing and did nothing, and he felt sorry for it. And guilt is fake, and I have to learn it so that I won’t be thrown out of the car. Yang Jinghe knows it very well.
"I'll wear lead clothes too. Wait for me, Xiao Luo." Chen Yan tore off the sterile clothes and turned around and went out.
He should have been wearing sterile clothes and hid in the corner of the operating room, and waited for Luo Hao to finish before going on stage, which saved him the steps of brushing hands and wearing clothes.
But Chen Yan was curious that it was just a radiation from an operation, and he didn't care.
Seeing the short Chen Yan jumping away, Jin Rongcan followed behind and also went to wear lead clothes.
A row of people followed him to change his lead clothes, lined up to eat fruits.
Although there is no need to stand in this kind of thing, everyone else stands, but they don’t stand by themselves, and they always feel that they have suffered a big loss.
But no one knows where the loss is.
"Director Chen, what kind of surgery did you do?" asked Dean Jin.
"Director Jin is a patient with late cancer. There is no other way to clinical practice. I can only try new technologies. Xiao Luo said that the radio barrel can be implanted intraoperatively. I told the patient's family and they agreed."
Chen Yan said intermittently, not fluently, and he was all focused on what Luo Hao wanted to do.
However, when changing lead clothes, a problem that I had never expected before emerged - lead clothes were not enough.
(This chapter ends)