Chapter 1507: 1460 Patients Who Cannot Undergo Surgery (Alliance Leader Zimu - Additional Chapter 3)

Zheng Renhe, Su Yun, and Director Kong split up and went straight to Gan Dan Wai Ke.

"Boss, overseas friends are starting to ask me about TIPS surgery." Su Yun said.

"Huh? What does that mean?"

"They're rumoring that this year's Nobel Prize in Medicine has already been decided for our TIPS project." Su Yun chuckled.

"The likelihood is low. For this sort of thing, do your best and leave the rest to fate." Zheng Ren said, then suddenly laughed: "Besides, even if the Nobel Prize were given to our Medical Team, it would be deserved—what does 'internally decided' even mean?"

Su Yun looked at Zheng Ren with the gaze of someone looking at an idiot, remained silent for a few seconds, then said: "Boss, I really admire your confidence."

"When will the second-phase trainees arrive?" Zheng Ren asked casually.

"Could you trouble yourself to respect experts, professors, and scholars from around the world?" Su Yun said.

"We already show enough respect. I believe respect for medical personnel should first be reflected in their surgical volume." Zheng Ren said: "I have only one requirement: priority will be given to those who can perform 100 TIPS surgeries within two months of returning. Those who only want to research without doing surgery will be placed later."

"You'll drive people to death."

"Otherwise, after they learn TIPS surgery, what would they go do?"

"Alright, I'll note that. Expect people to come in about a week; the arrangement is for the hepatobiliary surgery in Di Du, or else Zhou Chun Yong's side."

"Hmm."

"Zhu Liangchen, what are you planning to do?" Su Yun asked.

Today, hearing Zheng Ren address Director Kong as "Director", Zhu Liangchen became a potential liability.

"There's nothing special to do; if he wants to learn TIPS surgery, let him do it. If he wants to blaze his own trail, whether it's gastric artery embolization or hepatic cancer interventional combined surgery, he can give it a try." Zheng Ren said.

Su Yun also felt somewhat emotional.

In just a few months, the number of presentable projects has become surprisingly large.

Previously, the Interventional Medicine Discipline had no technical breakthroughs; any new discovery was treated as a precious treasure.

Now, in the Medical Team… hepatic cancer interventional treatment combined with surgery, strictly speaking, is not a new technology, but it holds enormous strategic significance for surgery live broadcast.

Gastric artery embolization and left gastric artery embolization are a lucrative major procedure!

How many girls nationwide are willing to lose weight?

It's certainly better than randomly eating unreliable stuff; after all, if Zheng Ren can figure it out and is willing to operate, reliability is assured.

Uh… when did I start having such strong confidence in this guy Zheng Ren?

Su Yun discovered this and also felt somewhat helpless.

Perhaps it's because surgery has never failed before, and over time I've also formed a fixed mindset.

All the way silent, each lost in thought, they arrived at Gan Dan Wai Ke.

Professor Yang wasn't on duty; he was sitting in his office, fiddling with something.

"Professor Yang, you're not on surgery today." Zheng Ren entered and greeted him with a smile.

"It's not that I didn't schedule surgery because I wanted to discuss something with you today." Professor Yang stood up and said with a smile.

"I went to the hospital to report work, so I arrived a bit late." Zheng Ren sat down, saw Professor Yang studying a film, and moved over.

"What work?" Professor Yang glanced at the film, absentminded, and asked casually.

"Early diagnosis and treatment of latent hepatic metastatic cancer."

Professor Yang's hand paused, and he stared at Zheng Ren in astonishment.

As a professor of hepatobiliary surgery, how could he not know that the diagnosis of latent liver cancer is pure fantasy?

Zheng Ren didn't notice Professor Yang's emotional shift; he glanced at the film and was immediately drawn to it.

"Professor Yang, this patient is serious!" Zheng Ren edged toward Professor Yang, trying to get a better spot.

"The patient was admitted locally due to liver injury, and examination revealed a space-occupying lesion in the liver." Professor Yang, seeing Zheng Ren intently viewing the film, temporarily set aside the thought of diagnosing latent hepatic metastasis and began introducing the patient.

The introduction was just a sentence, simple, yet it clarified the essence of the problem.

This patient's liver shows no cirrhotic nodules, but has diffuse liver injury; liver function is greatly affected.

Zheng Ren roughly judged that the patient has about 20% liver function.

The liver itself has strong regenerative capacity; even after removing the left or right lobe, many patients' remaining liver will rapidly proliferate.

Therefore, preoperative assessment must consider the estimated ratio of remnant liver volume to total liver volume.

For a normal liver, a ratio below 25%; with liver disease, a ratio below 40%—both are contraindications for hepatic resection.

The patient has chronic liver injury, and the remnant liver function is also around 20%.

Without surgery, the patient has about three months left to live.

But if surgery is performed, postoperative liver failure could kill him in just a few days.

"Such severe alcoholic liver disease—how many years has the patient been drinking?" Zheng Ren asked.

"Thirty years; reportedly he was still drinking last night." Professor Yang replied helplessly.

"Last night?"

"Yeah, this morning on rounds I smelled alcohol on the patient, so I asked the night-shift nurse." Professor Yang said: "The nurse said she found him drinking in the ward and stopped him on the spot; the patient cooperated, saying he wouldn't drink anymore."

Zheng Ren gave a bitter smile.

"Later, according to clinical staff, he went out to drink, having a bag of peanuts with two bottles of Red Star Erguotou, drinking until past ten at night. However, his drinking manners were decent; he came back quietly, causing no trouble."

"Su Yun, look—this shows it's still necessary to drink less." Zheng Ren pointed at the patient's liver MRI and said to Su Yun.

That remark was especially unpleasant.

"Cut the nonsense; I've tested it—my alcohol dehydrogenase oxidation system enzymes are over 121 times normal. Drinking won't give me alcoholic liver disease." Su Yun said expressionlessly.

"Professor Yang, do you know this patient?" Zheng Ren asked.

"Yeah, I know him." Professor Yang sighed: "If I didn't know him and he was still this uncooperative with treatment, I'd have kicked him out straight away."

"That's quite a hassle." Zheng Ren sighed.

At the very least, the patient can be diagnosed with alcohol dependence, acute exacerbation of chronic liver injury, plus a malignant liver tumor.

Not mentioning malignant tumors, just liver damage is enough to be fatal, and moreover this patient keeps drinking, continually worsening liver damage.

"He is my junior high school classmate." Professor Yang sighed deeply and said: "liver Function reserve is insufficient, cannot Shou Bing, but I really cannot bear to let him go home to wait for death."

Professor Yang didn't say the rest, but Zheng Ren already knew what he wanted to say.

"Can be done." Zheng Ren said: "First do portal vein embolization; after 1 month, liver reserve is enough. Whether you do surgical resection on your side or I do liver cancer Interventional embolization plus radiofrequency ablation, it's all possible."

……

……

Note: Two years ago, a liver cancer patient said he wasn't afraid of death, but upon hearing that his liver cancer lesion had disappeared, he was overjoyed. Saying he was afraid of death, despite repeatedly being warned not to drink, he still held a wine bottle and drank in the Hospital ward.

Half a year after Shou Bing, he died, not because of liver cancer, but due to heavy drinking, liver Function failure.

Quite regrettable.