Chapter 376 Demonstration of surgery
376 Demonstration Surgery
After some hard research, Su Yang finally found the best treatment plan.
So he was full of confidence in the next surgery.
On this day, everyone was looking forward to it, Su Yang's demonstration operation finally began.
The demonstration surgery was performed in the interventional catheter room of the Hepatobiliary Surgery Department of the General Hospital. Except for a few people who could visit the site in person, the others watched the video through live broadcast.
Disinfect, lay sterile sheets, change into lead clothes, brush hands, wear surgical gowns, and wear sterile gloves.
Check the instrument.
The instrument uses a domestically produced rfa-1 multipole radio frequency tumor ablation system and rfa-1315 multipole radio frequency tumor ablation electrode (Beijing Bolaide Optoelectronics Technology Development Co., Ltd.).
RF operating frequency 330 khz, maximum output power is 300 w �
The use of positioning images - Toshiba Corporation ssa-220a Ultrasound diagnostic instrument and positioning puncture system, and use ge lightspeed 16 �
The operation begins.
First, Su Yang chose the position according to the location of the lesion. The patient is the right liver. The right liver lesion is generally used as the intercostal puncture point. The patient takes the left lateral lying position, the left liver lesion uses subcostal puncture, and the patient takes the supine position.
For deeper and smaller lesions, local anesthesia is used, and for larger lesions, epidural anesthesia is used.
After anesthesia, puncture the electrode needle into the liver parenchyma under ultrasound positioning, and fix the electrode needle when it reaches the tumor edge.
Su Yang began the second step, selecting the electrode needle size based on the maximum diameter of the tumor.
3 cm The electrode needle can be opened to 2 �
If the tumor exceeds 3 cm, the electrode needle is opened to the maximum, that is, the 4th stage, and the tumor is ablated in batches.
Before treatment, set the ablation temperature and time, the temperature is 90 100
Su Yang proceeded in an orderly manner.
His movements were very fast, and the connection between each movement was very close, without any pause or stagnation, just like the assembly line in a factory, flowing.
Outside the glass, Fang Min and a group of 450-year-old professors and experts looked silently, of course, his two doctoral students.
After watching for a while, everyone raised their heads at the same time, looked at each other, and nodded together.
"good!"
Everyone said silently in their hearts.
As the saying goes, experts will know if there is any.
Su Yang's series of operations, whether it is puncture or instrument operation, whether it is interpretation of data or judgment of the patient's condition, are fast and accurate. This is absolutely impossible without deep skills. It is impossible for ordinary surgeons to reach such a superb level even if they have performed the same operation for many years!
This little boss really wants it!
Everyone nodded frequently.
The operation ends soon.
According to routine, the outpatient patients are observed after treatment. 6 8 8 �
After the operation, 2 �
Ultrasound can monitor the size of the tumor, and doppler evaluates the blood supply in the tumor.
Tumors with elevated afp and no obvious recurrence can be performed after surgery, and it is more sensitive to small recurrence tumors.
After the operation, hepatic function, blood routine and tumor marks were checked.
However, today's patients cannot leave the operating room.
Because the patient's condition is relatively complicated, another surgery is necessary - transarterial catheter chemoembolization.
This surgery should have been done last time, but because the patient had serious complications, he had to stop it halfway.
This time, the operation was performed by Su Yang.
The patient took a flat position, had a regular iodine disinfection, and after laying a sterile towel, the groin was diluted with lidocaine and subjected to local anesthesia.
Femoral artery puncture.
......
outdoor.
Lin Xia widened her eyes and looked at it without blinking.
He had done this surgery before, and he thought his surgery was very good, so he wanted to secretly compare who was better between him and Su Yang. Therefore, he widened his eyes and didn't blink!
But after only five seconds of watching, he was discouraged.
Su Yang is faster than him!
The movements are more accurate than him!
The connection is smoother than his!
In a word, if Su Yang scored a full score of 100 points in his surgery, then his scores were at most 65 points.
The gap is not too big!
Lin Xia's face gradually turned gray.
He only felt that his eyes were dark, his body staggered and he almost fell down. Fortunately, at this moment, Fang Min blocked him with his body and gave him support.
Fang Min looked at him and nodded for a while.
Lin Xia understood what the master meant, and the master said, now, do you understand the gap between you and him?
Lin Xia nodded slightly, then sighed in her heart.
Fang Min crooked him with his elbow, and he raised his head to look at Fang Min.
Fang Min said with her eyes: "It is not scary to have a gap. If there is a gap but you don't know it, this is scary!"
Lin Xia was stunned for a moment, then nodded.
Now, he finally understood the master's good intentions.
Indeed, neither he nor Wang Chun nor Su Yang can compare. The two are not of the same level at all. The master is right. They are boss-level figures, and at most they are hospitalized!
Su Yang's transhepatic arterial catheter chemoembolization treatment was soon over.
The patient has no complications.
The patient almost died before, not everyone knows this, but there is no doubt that many of the people standing on the scene know about it.
Why did the patient almost die?
There are various statements, but several people understand the real reason: the patient's physical fitness is worse, and the operator, namely Lin Xia, has problems with the operation, which is not so gentle and not so smooth, and errors occur during embolization, which causes severe gallbladder and heart reflexes.
But now, the patient has no reaction!
Which level is higher and which is lower is clear at a glance.
Next to Lin Xia, Wang Chun's eyes lit up.
He didn't have as many ideas as Lin Xia about Su Yang. His mind was very simple. Su Yang did a good job in the surgery, so he admired Su Yang.
The master said that he had a lump of wood and his head was not smart enough. He was indeed like this. He was a little stupid and was not particularly clear about the worldly ways. He devoted all his thoughts to surgery.
His idea is also very simple. He is so stupid that if he doesn't put all his thoughts on surgery, he will definitely be even worse.
So his professional level is actually higher than Lin Xia and his foundation is stronger. Therefore, this demonstration operation, he saw more and more profound things, and his gains are greater than Lin Xia!
So his eyes glowed.
Su Yang's treatment not only uses the best theories and methods, but also, in practice, he found the best plan, the best dosage of drugs, and the best combination of drugs through experimental treatments again and again.
So, the operation was very successful and the effect was very good.
This gave Wang Chun a great inspiration. It turns out that interventional surgery can be done!
Chapter completed!