It was past four o'clock in the afternoon.

Emergency Department.

Director Qian’s office.

"Senior brother, are you busy?" Dai Yaowen, deputy director of general surgery, walked in with a smile.

Director Qian raised his head and looked at Dai Yaowen and said, "If you have a fart, please let it go!"

“…”

The senior brother who understands me is!

"See senior brother, come and have a diagnosis~" Dai Yaowen smiled.

"What aspect?" Director Qian asked.

Some time ago, the senior director of general surgery had already changed jobs. Dai Yaowen, as the deputy director of general surgery, is currently the acting class teacher. I guess he will become a full director in a few years!

Unfortunately, in Director Qian's eyes, the level of junior brother Dai Yaowen needs to be improved. Recently, I have encountered some difficult problems and always come to him to help him.

It's really a mess that can't be supported by the wall!

Of course, Dai Yaowen's surgery level is actually very high, otherwise he would not be able to achieve the level of deputy director. However, in the eyes of Director Qian, the senior brother, is still much worse than him, so he is so sorry for his failure to become strong.

If Dai Yaowen knew what Director Qian was thinking, he would be mp in his heart. Senior brother, you are a general practitioner, and you are a well-known figure in the No. 1 Affiliated Hospital of the Magic City. Where can he compare with you?

You think everyone is a genius ~

"Renal cancer, local recurrence of rectal cancer is close to the sacrum, and the situation is very difficult!" Dai Yaowen replied.

After hearing Dai Yaowen's words, Director Qian frowned and asked incisively: "How many times have they relapsed?"

"3 times, closer to the sacrum than once!"

"3 times?" Director Qian was shocked. Local recurrence of rectal cancer is close to the sacrum. It is one of the most difficult situations in the medical field at present. Because the blood vessels near the sacrum are rich and nerves are numerous, the amount of bleeding can be as high as 200 ml in seconds. Such a blood loss rate can "slay" anyone in seconds.

Such an operation can be said to be to open the "blood valve" and release the "devil locked in the bottle". The risk can be imagined. Therefore, there are few attempts to resection in the domestic medical community, and more through radiotherapy and chemotherapy. The disadvantage of radiotherapy and chemotherapy is that the efficacy is poor, and the median survival period may be only 10 to 12 months.

The patient also relapsed three times, proving that the previous few surgeries may have been unclear removal, mainly because the surgery is very difficult to close to the sacrum. It is not ordinary rectal cancer. It is hell-level rectal cancer!

But it may also be that the cancer cells have metastasized and have not been found.

However, the recurrence is closer to the sacrum three times and then again, and the difficulty is almost increasing every time!

"Yes, that's why I came to find you, senior brother. You are a general practitioner and the leader of the general surgery industry in the magic city back then." Dai Yaowen flattered.

Dai Yaowen did not boast about this. His senior brother was born in the general surgery department back then and was one of the best general surgeons in many hospitals in the Magic City. Unfortunately, Director Qian is determined to be a general practitioner.

"Go and have a look, I don't know if I'm sure."

The two soon arrived at the general surgery consultation room.

It was discovered that the director of orthopedics, Shao Dagang, was also there.

This surgery requires orthopedics to do it together, because the sacrum needs to be removed during the surgery!

"Director Qian, you are here." Shao Dagang greeted.

"Um."

Director Qian checked the patient's examination results and found that the cancerous lesion was almost attached to the sacrum.

The situation is very complicated and tricky.

"Director Qian, are you sure about this operation?" Shao Dagang asked with concern.

"It's very difficult to do, it's too close to the sacrum! I suggest transferring to the hospital to the Magic City Cancer Hospital to take a look." Director Qian said.

This sentence is equivalent to a sentence of the patient to be sentenced to death!

"Director Qian, the patient was transferred from the Magic City Cancer Hospital in the morning. The patient is my second uncle. He has seen it in Yangcheng Hospital, Magic City 101 Hospital, and Magic City Cancer Hospital. The doctors there are not sure about this operation." Shao Dagang continued with a wry smile: "Director Qian, for my sake, can you think of another way?"

His second uncle went to several major hospitals and was sentenced to death.

In every way, I had no choice but to ask Director Qian to try my luck!

As the director of orthopedics, he also knows that this surgery is extremely difficult!

Now that he heard Director Qian say that there was nothing he could do, he suddenly felt cold.

"Wait a minute, this patient is your second uncle?" Dai Yaowen glanced at Shao Dagang strangely!

"Yes, what's wrong?"

"I remember one time last year you took leave and went back to your hometown to go to the funeral of your second uncle? Why did you, the second uncle, resurrect again?" Dai Yaowen had a good relationship with Shao Dagang on weekdays.

His wife was introduced to Shao Dagang's wife. Last year, when the other party went back to attend the funeral, he also heard his wife say that it was something that Shao Dagang's wife told his wife and he only knew about it.

"Uh, this second uncle is another second uncle, a distant relative of mine, so it's not very close." Shao Dagang was sweating. His real second uncle was indeed dead.

This fake second uncle is actually his mistress's father, and he made it up casually.

Didn’t expect Dai Yaowen to know about his funeral last year?

Come on, it must be my wife who revealed it to the other wife and it was heard in his ears!

"Oh..." Dai Yaowen didn't doubt anything after hearing this.

"Director Qian, let's think of another way?" Shao Dagang brought back the topic. In fact, this situation is so difficult that it is completely a restricted area for surgery.

Even if you go to several top hospitals in Beijing, you may not be sure of being too sure.

Almost all of them do their best, leave their destiny and luck!

Mainly, Magic City Cancer Hospital is the top in the field of rectal cancer in the country.

They are unwilling to take risks, and other top hospitals are not willing to take risks.

Now Shao Dagang is trying his luck, and at worst he can be treated as a dead horse.

The main reason is that he knows very well that Director Qian is also a big shot in this area!

Everyone knows the truth and is also a colleague, and you can still hear how confident the other party is!

"I have one solution, but it is not ideal to grasp it. That is, first use the abdominal aortic balloon to completely block the arterial blood flow and reduce blood flow near the sacrum; then your orthopedics assist in rapid cutting of the sacrum; then conduct follow-up tumor resection and treat the anterior sacral venous plexus to properly stop the bleeding." Director Qian thought about it and came up with the most appropriate surgical plan.

"I am worthy of being the leader of ordinary surgery back then. So, how confident is it?" Shao Dagang's eyes lit up and he slapped his thighs.

"I guess it's only 30% sure! It's mainly because the blood vessels near the sacrum are rich and there are many nerves. How can we avoid not damaging blood vessels and nerves? It requires extremely delicate surgical operations. If it is injured, how can we stop bleeding quickly!" Director Qian threw out this most important problem.

Several top hospitals in Beijing have also performed many such difficult sacral surgery for rectal cancer, but the success rate is not high and there are many cases of major bleeding. Therefore, more doctors recommend radiotherapy and chemotherapy treatment.

"Senior brother, isn't Ruan Bin from your emergency department famously fast and delicate operation?" Dai Yaowen reminded.

"Huh? Right!" Director Qian suddenly remembered that there was a genius Ruan Bin, who was known as "nanometer" operation in their hospital!

He removed the cancer tissue at the root of the mesenteric vein that Professor Chen didn't dare to take action back then.

Maybe, you can give it a try!
Chapter completed!