【843】Must be cut clean
"I don't know." He Jiuliang reserved when reporting to him. "They thought the tumor could be removed and prepared for pathological analysis during the operation before further determining the surgical method."
The two newcomers are very confident.
He Jiuliang continued: "They suspect it is a border tumor. However, the peritoneum has metastasis and it is not easy to remove it cleanly."
Cancer is cancer. Whether it is a cancer with low malignancy or not, if it is not clean and let it go, it will recur and cause death.
"Do you think it can be clean?" Tao Zhijie asked the two newcomers in person.
Song Xuelin, holding a laparoscopy in his hand, glanced at Xie Wanying opposite him with his eyebrows outside the mask.
What does his look mean? Tao Zhijie and He Jiuliang thought.
The chief surgeon believes that whether the cutting can be clean depends on one's help rather than himself?
He Jiuliang asked the main surgery again, but actually reminded the main surgery: "If you want to cut it clean, should you remove the spleen together?"
Any doctor thinks that if you have the chance, you should thoroughly clean up the cancer cells.
If the spleen is removed alone, it does not have a great impact on the patient's survival. On the contrary, if there are cancer cells left behind, it will have a fatal impact on the patient's survival. Moreover, the position of the pancreatic tail is next to the spleen, and spleen metastasis is inevitable.
However, if this is a tumor with a low degree of deterioration, doctors can try to retain the spleen as much as possible. The spleen is the largest immune organ in the human body, with anti-infection and anti-tumor functions, and has great effect on the patients' later recovery after surgery and continuing to fight cancer.
If you consider protecting the spleen, surgery is probably more difficult than resection of the spleen, and it involves isolating large blood vessels such as the spleen artery and spleen veins.
To protect the spleen, it is best to protect the arteries and veins of the spleen together, otherwise there is a high possibility of spleen infarction. If the spleen needs to be removed again, it is better not to protect it at the beginning.
The most important thing is to see the surgeon's skills and judgment.
Regarding this question, Song Xuelin glanced at the opposite side again.
He Jiuliang caught his eyes again and criticized him: "What do you think Ichisuke is doing when you are the chief scientist? Do you think she is not good enough and can't cooperate with you? You can open your words, and Teacher Tao can make a substitution."
This guy should have just graduated. He may have seen similar operations in Beidu, but he is not familiar with his hands, so he is timid. He Jiuliang thought. What should he do if he is a trainee? Xie Wanying is just an intern and has less experience in surgery. He should not have participated in this type of surgery. He can't figure out what he can do if the surgery steps can help.
Looking at Tao Zhijie again, standing beside Xie Wanying, he looked at the hands of the junior sister Fan with warm eyes: grabbing the separation pliers with his left hand and grabbing the attraction tube with his right hand, as if he was a little sophisticated in the face of Ichisuke, which was roughly the same as his last time in the mirror-holding hand. He didn't look like a young girl who didn't know anything at all.
However, the mirror-help can follow the main sword. Ichisuke is different. At critical moments, you have to take some positions of the main sword. For example, when the main sword is too busy, Ichisuke must play the role of the divine assist in the deadly moment.
Choosing a useful and reliable help has always been one of the factors that the main surgeon can mentally calculate whether various surgeries can be performed.
Song Xuelin's idea of looking at Ichisuke over and over again is understandable.
Is it okay to replace someone? Tao Zhijie and He Jiuliang are considering different directions, and the conclusion is: I guess it won’t work.
Chapter completed!