Chapter 433: 425 The Ideal That Can Make People Laugh (Six More Chapters, Seeking Subscriptions)
Shou Bing ended, but the Surgery Livestream Room remained open.
Everyone was a bit confused, and at this moment the barrage began to float.
【Shou Bing isn't finished yet? Could the operator be going for a double hit?】
【It's been a while since a double hit; I pray the operator performs a neurosurgery.】
【Pleading? Kneeling and begging won't help. Young man, just being able to watch a Shou Bing is already not bad. Moreover, the future direction of neurosurgery is also interventional surgery, right? @Intervention Department Doctor?】
The Intervention Department Doctor saw someone tagging him and said nothing. His mind was a mess, still immersed in the Shou Bing procedure just now.
It's so awesome; if it weren't for the screen, he'd probably really kneel and lick.
Too bad it's a foreign hospital; otherwise, even if I died and came back to life, I'd have to go study even if I quit.
【Why hasn't the livestream room been closed yet? Could it really be a double hit?】
【It would be nice to do a Shou Bing in the evening.】
【Speaking of doing an outpatient Shou Bing this late, judging by the time, it might actually be in Jianda.】
【Exactly! Saying that made me realize it's currently 4:15 a. m. Beijing time, and Jianda time should be 3:15 a. m.】
【……Do people in Jianda perform Shou Bing so fiercely? Do they do it in the early morning?】
【Weird, whatever; anyway, it's after work, and it would be great if we could really do a Shou Bing all night.】
The barrage floated about, and not long after, light and shadow flickered, and the livestream started again.
The quick-handed doctor went straight to check the patient's case and records, but they were shocked to find it was actually the same patient as before.
【I go…… it's still the same patient, and the data hasn't changed.】
【Did the Shou Bing go wrong, requiring a second round?】
【No way, the Shou Bing just now was done exceptionally well, with no visible problems.】
【@Intervention Department Doctor, come speak, your time has come.】
The Intervention Department Doctor also froze for a moment, then realized the image appearing before him seemed to be a CT scan.
Is this going to be a Radiofrequency ablation?
Generally, radiofrequency ablation doesn't require wasting so much time on embolization surgery; you just inject iodized oil into the tumor as a marker, then after a week or two, you directly burn it.
The Hospital where he works lacks radiofrequency ablation equipment; he only encountered it a few years ago when he went to Di Du for further study.
Radiofrequency ablation, in theory, is equivalent to surgical resection.
But that's only in theory.
As for the actual effect, he had no idea.
So when others tagged him, he could only stay silent.
At this moment, his heart had already flown up, longing desperately to go for further study and learning.
Intervention Department Doctor, he's an ordinary middle-aged person. He rarely talks about his ideals, not that he doesn't have any; he just doesn't dare to say them.
Even the most boring middle-aged person, if he voices his ideal, can make people laugh.
Until now, his dust-covered ideal suddenly flashed with brilliant light again.
Life has already kneaded him into dough, but it can't knead away the ideal in his heart. That ideal, which when spoken can make people laugh, remains steadfast.
In the CT image, an irregular tumor 4 cm in diameter appeared. More than half of the doctors watching the livestream didn't know what the operator intended to do.
Radiofrequency ablation, although the technique has matured, is only widely carried out in provincial capital cities and above within the country.
【Radiofrequency ablation? I recall radiofrequency ablation should be done 1-2 weeks after interventional embolization, for the best effect.】
【Now there's also a view that doing radiofrequency directly after interventional embolization yields good results. But specifically, there's no large data sample, so nobody knows.】
【The operator has done two Shou Bing procedures in a row, awesome!】
The barrage was sparse; truly involving an unrelated specialty, everyone only had a rough idea, and if they really wanted to get into specifics, nobody had the confidence.
The first needle appeared on the right chest wall. Inserting the needle from the right chest wall, it passed through the diaphragm into the tumor tissue.
【I go…… the guts are too big.】
【Like this, really won't cause a pneumothorax? Waiting online, pretty urgent.】
【Thanks for the invite! The tumor's location is relatively close to the upper edge of the right liver. To achieve complete ablation, the best approach is to insert the needle from the chest wall. But complications are a headache, though not serious—just a pneumothorax.】
【Pneumothorax, just that, just that, upstairs, you're being too bold.】
【If a pneumothorax occurs, does that count as a medical accident?】
【Who knows, maybe Jianda has no medical disputes. I heard that at Mengte li'er Medical Center, just filling out a consultation form costs several thousand Canadian dollars. It's supply exceeding demand; who would dare cause trouble? Those who cause trouble are directly blacklisted.】
【Watch closely, your barrage is blocking my view.】
One needle inserted, two needles inserted, three needles inserted, then heating began, and ablation proceeded.
The ablation took a relatively long time, and the image showed no change, so everyone started chatting.
The Intervention Department Doctor was completely dumbfounded.
In the Surgery Livestream Room, the operator displayed a Shou Bing skill level that he could no longer comprehend at all.
Three Radiofrequency needles, inserted from different angles into the tumor tissue, with one of them still having been punctured through the thoracic cavity.
Is doing it like this really possible?
Medical progress is rapid; twenty years ago, open-chest and open-abdomen Shou Bing procedures have largely been replaced by thoracoscopes and laparoscopes.
Who can guarantee that twenty years from now, thoracoscopes and laparoscopes won't be replaced by newer, less invasive Shou Bing techniques?
Earlier, what was said in the barrage was merely a speculation of the Intervention Department Doctor.
But when he saw the Radiofrequency needle precisely begin heating, ablating the tumor tissue, he was quite certain the operator's Shou Bing method must have been honed through countless trials and would definitely work.
But…… Jianda is really far away. Moreover, even if I went there, who would pay attention to me?
Fifteen minutes later, the Radiofrequency needle was withdrawn, and a new abdominal and chest CT plain scan was performed.
No gas or liquid was seen in the thoracic cavity.
No fluid was seen in the abdominal cavity; the liver tumor's iodized oil-marked site was completely burned away.
The ablation zone extended 0.5 cm beyond the margin of the tumor tissue.
This is because the ablation must not be done carelessly; otherwise, any residual tumor tissue could necessitate further surgery later.
On imaging, although the tumor tissue's edge is irregular, the ablation range of the radiofrequency needle is also irregular.
It is clear that the operator devised a customized plan based on the patient's tumor extent, instead of following a standard protocol.
Precise, accurate, meticulous!
Just like a machine, it has no flaws whatsoever.
This is a flawless Shou Bing.
Even a doctor who does not understand Interventional surgery, as long as they can read an abdominal CT scan, can clearly see that the patient's tumor tissue has been completely burned away.
The effect is no different from surgical resection.
But the harm to the patient is worlds apart. After Radiofrequency ablation, the patient can get out of bed in 4–6 hours, whereas after liver cancer resection, they might still need bed rest three days post-op.
In the Surgery Livestream Room, silence fell.
No barrage comments flew by; even after the livestream room closed and nearly ten minutes passed, suddenly a barrage comment flew across.
【It's so fucking awesome, words can't describe it.】
End of Chapter
