Chapter 1515: with translation of chapter title

You need to look at more images; it would be better if you had richer clinical experience. Zheng Ren could only leave behind an illogical explanation.

Zhou Chun Yong burst into tears.

I, who have been in clinical practice for decades, am still not experienced enough?

He sighed, saw Zheng Ren going to change clothes, and followed him.

Zheng Lao Ban, how many courses before we start surgical Shou Bing? Zhou Chun Yong no longer mentioned the diaphragmatic artery branch, but instead asked with a smile about the surgical Shou Bing.

How many courses? Zheng Ren was somewhat surprised.

Yes, you do Shou Bing over there, isn't it divided into several courses? Zhou Chun Yong felt he must have some misunderstanding with Zheng Lao Ban.

Generally speaking, liver cancer Interventional embolization treatment is not finished with a single Shou Bing.

At least, one must do it every 28 days, three courses, to determine whether the tumor has been completely embolized.

Because the tumor's feeding main trunk exists, some abnormal proliferations, very fine arterial blood vessels cannot guarantee a filled state.

After the main trunk is embolized, the collateral blood vessels begin to bear the "heavy responsibility" of supplying the tumor tissue.

Like a river channel, when the main trunk is blocked, the flow will definitely overflow. Formerly dry or inconspicuous tributaries become new channels.

And the three Interventional embolization Shou Bing that Zhou Chun Yong mentioned are a relatively ideal situation.

Generally speaking, Interventional embolization Shou Bing done continuously about five times is the most common.

Thus Zhou Chun Yong asked that way.

Zheng Ren thought for a moment, put himself in Zhou Chun Yong's position, and immediately understood his meaning.

Director Zhou, it's not like that. Zheng Ren smiled and said, "About one week after the procedure, surgical Shou Bing can be performed."

So fast? Zhou Chun Yong realized he had been wrong from the start.

Um... how to put it? Zheng Ren hesitated, then said, "Radiofrequency ablation, have you done it?"

This question left Zhou Chun Yong stunned.

Liver's?

Yeah.

I have done it, about 2000 cases a year. Zhou Chun Yong immediately stated his proud figure.

Like radiofrequency ablation, as long as there is embolization as a backup, surgical Shou Bing can be performed. Zheng Ren said: "For those under 5 cm, I believe radiofrequency ablation can resolve it. For those over 5 cm, radiofrequency ablation cannot resolve it in one go; surgical Shou Bing has better results."

Zhou Chun Yong immediately understood Zheng Lao Ban's meaning.

Others use Shou Bing as a backup; the feeding blood vessels of large tumors have already been embolized. After the edema period passes, surgical Shou Bing can be performed.

But……

Seeing Zhou Chun Yong's hesitant expression, Zheng Ren asked: "Director Zhou, do you have any other questions? No outsiders here, just ask directly."

Radiofrequency ablation can be done right away; why don't you do surgical Shou Bing right away? Zhou Chun Yong asked.

Blood Vessel Interventional embolization Shou Bing combined with radiofrequency ablation has two approaches.

Both approaches first embolize and mark, using iodized oil to let the patient's lesion show up on CT, then use CT localization to perform radiofrequency ablation.

Sometimes embolization is followed immediately by ablation; sometimes ablation is done one week after embolization.

The difference between them…… Zhou Chun Yong didn't notice any particularly significant difference.

Oh, is that so? Zheng Ren laughed and said, "First, I said because the tumor is too large, radiofrequency ablation cannot resolve it in one go. Second…… TIPS Shou Bing, liver anatomy, does it greatly enhance you?"

Great! Zhou Chun Yong blurted out immediately.

Just thinking about the exquisite animal liver anatomy, like a handicraft, Zhou Chun Yong couldn't help but feel somewhat excited.

That's right. Zheng Ren laughed and said, "Organ intervention is now basically done by Radiology Department doctors."

…… Zhou Chun Yong hesitated for a moment; he didn't understand what Zheng Ren meant by saying that.

Zheng Ren saw Zhou Chun Yong's clueless expression and realized he had gone a bit off-topic.

He changed clothes, went out with Zhou Chun Yong, and while walking explained: "Director Zhou, the development of organ intervention is not very smooth."

Zhou Chun Yong nodded.

He also admitted this point.

Vascular intervention has already squeezed out the Cardiothoracic Surgery department. Now the Cardiothoracic Surgery departments of major hospitals exist in name only.

Without Coronary artery bypass graft surgery, they are almost in a semi-unemployed state.

And Neurointervention, with the participation of Neurology Department doctors, has also abolished the neurosurgery aneurysm surgery that held watershed significance.

Interventional embolization is minimally invasive, with few postoperative side effects; who would still go for surgical craniotomy Shou Bing?

You should know that, in the ten or twenty years ago, whether one could perform intracranial aneurysm Shou Bing was the most important criterion for judging whether a neurosurgeon was mature.

And now, these major surgical procedures have all been weathered by rain and wind.

In another twenty years, it is estimated that only by searching through old archives can one find traces of these procedures having existed, and how important and glorious they were back then.

But organ intervention, especially the treatment of liver cancer, has yet to make progress.

Zhou Chun Yong knows this.

Through the efforts of himself and other Intervention Department doctors, only after over a decade have some advances been made.

The progress is weak and slow, but Zhou Chun Yong also has no better way.

Zhou Chun Yong quickly thought and immediately realized Zheng Ren's possible meaning. Like his own thoughts, Zheng Lao Ban, although a doctor from the General Surgery Department, still leans toward intervention.

Thinking of this, Zhou Chun Yong laughed.

Liver cancer intervention Shou Bing is different from other departments; it is not done by Xiao Hua Nei Ke doctors, but by Radiology Department Doctors. This is due to historical reasons. Zheng Ren said.

Zhou Chun Yong nodded repeatedly.

Radiology Department Doctors have no standing in the martial world. Zheng Ren laughed.

Radiology Department Doctors…… in the medical field, are at the bottom of the disdain chain, on par with Pathology Department, Traditional Chinese Medicine Department, Acupuncture and Physical Therapy Department, etc.

Why does the General Surgery Department's liver cancer resection Shou Bing still exist?

General Surgery is the largest department; since the founding of the country, talented people have emerged one after another! Its status in the medical field is that of the highest-level existence.

Regarding the academic dispute, should liver cancer be treated by interventional embolization or by surgical resection? The authority lies in the hands of the General Surgery Department.

Furthermore, because liver cancer is a malignant disease, removal leads to cure, which is the common perception. However, with interventional embolization, the tumor tissue remains there, making it hard for people to feel at ease.

Together, these two factors have led to the current bizarre situation.

Since we lack standing in the martial world and have no authority, let's perform the relevant surgery and use anatomy to tell all doctors the actual effect of interventional embolization on liver cancer. Zheng Ren laughed.

You don't want to do surgery, do you?

Director Zhou, you wouldn't really want to directly find a patient and perform human dissection, would you? This matter simply cannot be done. Zheng Ren said solemnly.

Zheng Ren said solemnly.

Zhou Chun Yong was drenched in sweat.

So then, surgery is the best way to witness the effect of interventional embolization on liver cancer.

But do the people in surgery have no opinion? Zhou Chun Yong asked cautiously.

Director Zhou, I am a specialist in the General Surgery Department. Zheng Ren smiled and said lightly.