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Chapter 1514: 1467 Making a Mistake

~8 min read 1,419 words

After changing clothes and going on stage, Zheng Ren held his arms and looked at the images, while Liu Zewei was busy.

Hu Yan Hui had already adjusted the equipment, while Feng Xu Hui had placed two large boxes beside him.

Everything seemed no different from being in Xilin Town; everything was so familiar.

Zhou Chun Yong stood behind Zheng Ren and began reading the images.

The images were not difficult.

It was a fairly typical right posterior lobe liver cancer, with no intrahepatic metastasis. From the contrast-enhanced Nuclear Magnetic Resonance, the feeding blood vessels were also fairly typical; there should be no need for overly difficult Super-selective procedures.

Zheng Lao Ban also knew to pick simple patients for Surgery live broadcast, ah; Zhou Chun Yong smiled faintly.

Saying no one is a fool, even if Zheng Lao Ban's level is high, he wouldn't lightly "take risks".

Everyone knows the reasoning that if you often walk by the river, you won't keep your shoes dry.

"Zheng Lao Ban, scrub up." Liu Zewei, having finished disinfecting, reminded softly.

"Okay." Zheng Ren went to put on Lead clothing and scrub up; Zhou Chun Yong thought about it, then went together with Zheng Ren, he put on Lead clothing, preparing to watch Shou Bing in the Operating Room.

Such a position on the Observation Platform, if switched to surgery, you couldn't even grab it.

The airtight Lead door closed, Shou Bing began.

Feng Xu Hui saw Zhou Chun Yong in the Operating Room, somewhat surprised, he kept it in. After the airtight Lead door closed, he then asked: "Yun Ge'er, Director Zhou, how come you're here again?"

"Little Feng, you used the word 'again' well." Su Yun hehe laughed and said.

"Uh..." Feng Xu Hui felt he had misspoken.

Boss uses Optical Tweezers to diagnose latent metastatic liver cancer, Old Zhou comes along to sip some soup." Su Yun laughed and said: "This Old Zhou, his nose is truly sharp, not much worse than Heizi."

Feng Xu Hui looked through Lead glass at the Operating Room, where Chief Zheng was wearing live broadcast glasses and performing Shou Bing; the assistant Liu Zewei also didn't have much to do.

Behind him was Director Zhou Chun Yong of Di Du Hepatobiliary.

He seemed like an intern, wearing Lead clothing, honestly standing behind Chief Zheng, peeking and looking around. But Zhou Chun Yong was not honest, constantly changing angles to look, like a big macaque.

This scene, Feng Xu Hui had long been accustomed to.

Maybe so, coming to sip some soup, but this is the first soup.

In the Operating Room, Zhou Chun Yong silently watched Zheng Ren perform liver cancer Interventional embolization.

Organ Interventional surgery, targeting liver cancer treatment, is a major area, and also what Zhou Chun Yong excels at most.

Zheng Lao Ban's level is very high; Zhou Chun Yong admits that he has long let go of his pretensions, adopting a student's attitude to follow and learn.

Even though Zheng Lao Ban is doing what he excels at most—liver cancer Interventional embolization therapy.

Blind selection, this is one of Zheng Lao Ban's most commonly used methods. Zhou Chun Yong watched the screen not light up, while Zheng Lao Ban was operating the Microguidewire to enter the Blood Vessel, clear as a mirror in his mind.

Using the Microguidewire for blind selection, this extremely confident method of operation, Zhou Chun Yong admits he cannot do.

After 23 seconds, the screen lit up.

Just as he had imagined, the Microguidewire was positioned at the point where the hepatic Artery was about to branch, and then a Super-selective procedure was about to be performed.

The positioning was precise, as if he could see the Blood Vessel's course.

Zhou Chun Yong understood, and there wasn't much surprise.

Super-selective, once successful; although the Blood Vessel was tortuous, Zheng Lao Ban not only succeeded in the Super-selective procedure, but also entered the position of the three- or four-level Blood Vessel branches.

The therapeutic effect should be good, equivalent to directly injecting drugs into the tumor, and embolizing at a point 2 cm from the root. Zhou Chun Yong is experienced with this procedure; like Zheng Ren's approach, he can occasionally do it too, so he has a judgment in mind.

The Shou Bing should have ended by now, Zhou Chun Yong glanced at the time: 11′22″.

This Shou Bing was done, really damn fast!

He felt some emotion, silently memorizing a few small movements that might help with Super-selective. The reason it's only possible is because Zhou Chun Yong himself isn't certain, so he can only go back and try slowly.

Next step, angiography, confirming the disappearance of staining in the tumor tissue, meaning no blood supply; then the guidewire and Catheter can be withdrawn, and Shou Bing declared ended.

However, Zhou Chun Yong saw Zheng Ren not doing angiography, but stepping on the line, using the Microguidewire to proceed to the next Super-selective step.

Uh... what is this?

He first stared for a moment, then frowned.

Could there be an abnormal feeding blood vessel for the tumor that I haven't detected?

Zhou Chun Yong saw Zheng Ren performing Super-selective, he immediately turned around, went to the image reader, and re-read the images.

The patient's examination was contrast-enhanced Nuclear Magnetic Resonance; this kind of examination cannot determine the specific morphology of tiny blood vessels.

However, according to Zhou Chun Yong's thinking, such a level of Blood Vessel would take at least around three hours to perform Super-selective, and there is absolutely no need to deal with it.

On the images, the only tumor-feeding blood vessel shown was relatively thick, namely the one that Zheng Lao Ban had just embolized.

Any more, and there wouldn't be anything else.

Strange, he carefully looked again twice, feeling he hadn't missed any detail, then turned back.

But...

When he saw on the screen opposite the operator a tortuous branch of the phrenic Artery supplying blood to the liver tumor, a complex feeling welled up in his heart.

Just like his guess without evidence, there indeed exists a very thin abnormal branch supplying the tumor.

But because he had just looked at the images, he missed Zheng Lao Ban's full process of Super-selecting this blood vessel.

When Zhou Chun Yong turned back to look, the embolization had already ended, and Zheng Ren was withdrawing the guidewire and Catheter.

Redo the angiography at the hepatic Artery position.

The tumor tissue disappeared, and the Shou Bing ended "simply" and quickly.

Zhou Chun Yong was somewhat puzzled.

But he did not immediately ask.

Zheng Lao Ban was doing Surgery live broadcast; if I asked a question now and other doctors found out, would I still have face in the future?

Although he knows Zheng Lao Ban does live broadcasts, usually without opening the mic, but one cannot casually take risks.

In private, as long as it's in front of Zheng Lao Ban, however you flatter is irrelevant.

Their skill is indeed high, and I can learn a lot from them.

But if other busybodies find out, I don't know what kind of Idle Talk will spread behind the scenes.

After Zheng Ren took off the live‑broadcast glasses, he announced the end of the broadcast.

Zhou Chun Yong then asked, "Zheng Lao Ban, how did you discover the tumor‑feeding Blood Vessel of the diaphragmatic Artery branch?"

"Oh, there." Zheng Ren responded, walked to the film viewer, pointed at the image and said: "Here, the intensity of the T1 phase and T2 phase differs slightly. I guessed there might be a diaphragmatic Artery branch feeding, so I did a super‑selective angiography and took a look."

"Er... you mean you didn't know before the surgery either?" Zhou Chun Yong exclaimed in astonishment.

Zheng Ren also felt somewhat helpless.

This operation was done rather hastily; at the time Professor Yang said the surgery would be tomorrow, and I didn't think much of it.

So the patient didn't undergo a 64‑slice CT 3D reconstruction; the images were merely reconstructed and existed only in my mind.

It seems that the doctors watching the surgery live broadcast probably have similar questions as well.

I was wrong.

At the time I kept thinking about the appropriate timing for surgical resection, but I forgot this point.

Zheng Ren, under Zhou Chun Yong's astonished gaze, was conducting self‑reflection.

The reconstruction ability meant I fundamentally didn't need the patient to undergo an extra examination.

But other doctors, led by Zhou Chun Yong, do need it.

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End of Chapter

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