【709】Sounds bright
"The two of them are giving in to each other." As soon as they help, He Guangyou took the lead in speaking quickly and helped the leader name the student, "Xie Wanying, you talk first."
Xie Wanying originally thought that the leader wanted to ask Dr. Song, as a student, he should work hard to answer questions, and quickly find out the knowledge points in his mind:
"The function of the liver lies in liver cells, and liver cells have a very rapid reproduction ability after partial liver resection, and half a liver can grow in three months. Therefore, the liver can be divided into eight parts to be independent donors."
Well, everyone heard her talk and found that she became more and more fluent in the more she spoke, which was a bit like a repeater.
"The classification standard for the eight-part division is to use the Couinaud segmentation method, marked in the clockwise direction of the portal system, specifically the caudal lobe, the upper left outer lobe of section II, the lower left outer lobe of section III, the lower right inner lobe of section IV, the lower right anterior lobe of section V, the lower right posterior lobe of section VI, the upper right posterior lobe of section VII, and the upper right anterior lobe of section VI. In addition to guiding surgical procedures, it is also used to guide ct imaging diagnosis. In terms of actual operation, it is impossible to use eight sections alone. Surgeons often use the left hepatic Ⅰ-Ⅳ sections, the left outer lobe of section II-Ⅱ-Ⅲ and the right hepatic V-Ⅴ-Ⅷ sections."
Xie Wanying finished the answer in one breath, effortless.
Obviously, her repeater reads an excellent textbook sample, with a clear voice and accurate pronunciation, just like a teacher in class.
The teacher listened to her voice, and her ears were bathed in spring breeze. She was very enjoyable in hearing, making people linger and eager to ask. So Deputy Director Xue continued to ask her: "Let's talk about it, this patient is a patient with cirrhosis and has liver cancer. We also have liver cancer patients in our department. Can they do liver transplant?"
This question is more realistic. Xie Wanying thought quickly and answered the teacher: "First of all, we Asian hepatocellular carcinoma is referred to as HCC, and most of them have hepatitis and cirrhosis backgrounds. From this point of view, instead of waiting for liver cancer to be treated before treatment, it is better to do a good job in hepatitis prevention and treatment and slow down the development of cirrhosis. It is better to do liver transplantation from the period of cirrhosis when it is necessary."
Yes, the answers are immediately coordinated with the question and are about to focus on clinical priorities. It is not just about the general discussions like scholars that turn into castles in the air, which makes the old professors' eyes lit up.
She was right. Domestic doctors basically performed all the surgeries for domestic patients. Of course, domestic patients are patients with Asian diseases. As a clinical surgeon, we must start from reality and discuss the issue based on the existing clinical cases around us. Just like, this female doctor student has a sense of clinical awareness and is not talking about it on paper.
Deputy Director Xue looked back at her, as if he wanted to remember her appearance in his mind. After all, it is rare for medical students like her to be.
"Let me tell you, under what circumstances can liver transplant surgery be performed for liver cancer?"
Xie Wanying replied: "Small liver cancer can be done, that is, liver cancer with a tumor diameter less than five centimeters. The survival rate of such patients in five years after liver transplantation can reach 70 to 80%. Compared with traditional resection surgery, there are certain advantages. Because of HCC, less than 20% of patients undergoing liver tumor resection can be cured."
"Where are other patients?"
Chapter completed!