【1033】rare diseases
Some big guy admitted it.
"The angle is also achieved well, and we can see it at a glance."
Live surgery is not a general surgery. Not only does it take for the main surgery to see clearly, but the audience needs to see clearly. Think about the main surgery as a team of doctors, which leads to the main surgery being cut by the mirror handler at will, even if the main surgery cannot be seen clearly, it can be understood based on the patient's situation that was figured out before the operation. However, the audience is different. Without the main surgery, they can only know the situation while watching.
The importance of mirror handlers is once again reflected.
This mirror holder seems to be more than just smooth movements and skillfully playing skills, so he should be at a medium and high level.
Doctors from other hospitals immediately understood: "Yeah."
Why did Tao Zhijie let a relatively rare female doctor join his team? Isn’t it because of this? Surgery does not rule out female doctors. As long as the female doctor has a super skill level and good physical strength, no one has time to say anything.
The silence and admiration of these people confirmed that Xiao Xie had done his best to speak with his strength, and all kinds of inexplicable suspicions naturally disappeared.
The surgical picture on the curtain was positioned in the inferior vena cava, and everyone could clearly see the lesion area there.
Teacher Lu coughed gently and said, "It looks like a primary inferior vena cava tumor."
Jiang Mingzhu handed the thermos she brought to the teacher.
"No." Teacher Lu waved his hand, probably because he was not in the mood to drink water.
The current surgical investigation results are not ideal, not nothing is happening, so no one will be in a good mood.
It is not a metastatic tumor thrombus, but an extremely rare primary inferior vena cava tumor. This disease is said to account for the majority of malignant diseases, and the most common one is inferior vena cava leiomyosarcoma.
PIVCLMS inferior vena cava leiomyosarcoma is no different from metastatic cancer, and the prognosis is also very poor. Moreover, chemotherapy and other methods have little effect on it. If you want to prolong the patient's survival, surgical surgery can only be taken as much as possible.
But it is difficult to complete such surgery, not to mention laparoscopy, traditional open surgery methods.
The origin of PIVCLMS is the smooth muscle in the IVC wall of the inferior vena cava. Therefore, the wall of the inferior vena cava is thin and the tumor cannot be peeled off. Only resection can be performed. The scope of resection needs to include tissues such as the inferior vena cava, liver, kidney, and surrounding lymph invasion by the tumor.
If you only look at the scope of this disease, you can feel that the current operation is very difficult.
After all, the inferior vena cava is a large vein in the human body and is anatomically super-length. If a tumor develops inside, it is divided into specialties, and there are no multiple surgical specialties.
Some doctors divide the inferior vena cava from bottom to top into four sections based on this disease.
The first section reaches the renal vein plane, the second section goes from the deep vein to the third hepatic portal, the third section goes from the third hepatic portal to the diaphragm plane, and the fourth section is the upper diaphragm to the right atrium. The first section belongs to the category of urology, and the second section may involve urology and hepatobiliary surgery. And so on, the third section is mainly about hepatobiliary surgery, and the fourth section requires cardiothoracic surgery.
Going back to the current surgical cases, the results of CT imaging show that, coupled with the patient's obvious Buga syndrome, tumor obstruction mainly occurs in the third segment of the inferior vena cava, so hepatobiliary surgery is responsible.
Chapter completed!