The images on the computer show that mri shows that the liver has long t1 and short t2 signals, which are diffusely limited. The lump in the arterial stage is evenly strengthened and the flow is fast, and the delayed stage is cystic strengthened.

According to the strengthening characteristics, hepatocellular carcinoma can be initially diagnosed.

The surgery is actually not difficult.

Whether it is hepatobiliary surgery to remove the right lobe of the liver or interventional embolism treatment, it is an indication.

But the patient's condition was difficult for him to drink a lot of alcohol.

"The amount of ascites is too large and it is not suitable for surgery." Zheng Ren said: "It has been a long time since the ascites are reduced."

"Yeah." Professor Yang said: "Boss Zheng, look at the patient?"

Zheng Ren nodded, stood up and walked out with Professor Yang.

He seemed to have completely forgotten his purpose before coming - to work with hepatobiliary surgery to do projects.

When I arrived at the ward, the first thing that caught my eye was a raised belly.

The weather has become slightly hotter, and it is the season for dressing randomly.

The patient was wearing a black vest and his belly was exposed.

Although the amount of ascites has dropped a lot, it is still very large. It causes the belly button to rise high and even the navel to bulge slightly, which looks particularly strange.

"Old Yang, you are here." The patient was half lying on the bed, leaning against the quilt.

Seeing Professor Yang come in, he wanted to sit up. However, because his stomach was so swollen, his abdominal muscles contracted, his pressure increased, and his body's natural protective reaction did not get up all of a sudden and he lay down again.

Professor Yang was helpless and sighed, "Lying down well, Boss Zheng, please give me a look."

The patient was a little surprised when he saw Professor Yang bringing two young doctors in, but out of politeness, he did not speak.

Zheng Ren glanced at the system panel first, and it was the same as his diagnosis just now, without any difference.

However, the patient's stomach is much more severe than when he is doing magnetic films.

I recalled that the film was made 2 days ago.

Has it developed to this level in just 2 days? Zheng Ren's first feeling was that this patient was beyond help.

Although he thought so in his heart, Zheng Ren still checked the patient first.

After percussion, there was a lot of mobility and voice, Zheng Ren estimated that there was about 2,000 ml of abdominal fluid accumulation.

This amount of ascites, let alone liver stomp, cannot be performed even if you intervene in this minimally invasive surgery.

Zheng Ren looked at the patient's raised belly button and was particularly helpless.

The same is true for Professor Yang, but he is a classmate from the patient, which is completely different from facing other patients.

His face was full of unhappiness.

Zheng Ren nodded, looked at Professor Yang's eyes for a moment, and turned around and went out.

"Brother Yang, the patient's condition is not good, and he can't even do portal embolization." After leaving the house, Zheng Ren bluntly told Professor Yang.

Professor Yang naturally knew that he sighed long and said, "I told him to quit drinking and talk again. If it doesn't work, I can't do anything about it."

Hepatocyte growth factor mainly acts on the portal vein. Hepatocytes can proliferate after portal vein ligation. This phenomenon has been discovered since 1920.

In the past, portal vein ligation was a major surgery.

After interventional surgery, the portal branch can be directly embolized.

The portal branch is embolized to cause the contralateral liver lobe hyperplasia, so that the residual liver can compensate for the liver function after hepatic lobe resection.

After the portal branch is embolized, hepatocytes can undergo dedifferentiation and clonal hyperplasia.

If the residual liver is a normal liver, up to 75% of the liver can be removed while the patient still survives. However, the patient's alcoholic liver... cannot remove so many livers. However, the patient does not need to remove 75% of the liver, as long as the tumor is removed, it is enough.

However, embolization of the portal vein also has strict requirements. A large number of ascites in patients is one of the contraindications.

In theory, the effect of branch embolization of the affected side of the affected side before partial hepatic resection is not only the advantage of hyperplasia of the residual liver, but also avoids the sudden increase in portal pressure caused by partial hepatic resection and damage to the residual liver.

There are many benefits, and this is one of the projects that can be collaborated with by hepatobiliary surgery and interventional departments.

"Brother Yang." Su Yun said with a smile behind his back: "I saw you sneaky in the morning, that's all?"

Speaking of this, Professor Yang paused for a moment, then smiled and said, "How can Director Kong say that?"

Su Yun despised this thief.

If you have something to say, first ask Director Kong if he has said it or not, there will be more thoughts in it.

Zheng Ren didn't feel anything and smiled and said, "I said it."

"Boss Zheng, I'm not polite to you. What do you think about this?" Professor Yang asked immediately.

"Find a place and smoke a cigarette and talk in detail." Zheng Ren said.

Come to the duty room.

It was the morning when we went for surgery, and the duty room was empty and there was no one.

When Su Yun closed the door, he smoked, Zheng Ren asked directly: "Brother Yang, we are our own people, so we don't hide it. Do you have any needs here?"

When we first visited the docks everywhere, Professor Yang and Director Luo of the Department of Gastroenterology were the first people to support themselves.

If you repay your kindness, you should have this question.

Professor Yang was a little embarrassed, but seeing that Zheng Ren was very serious and serious, he thought about it and said, "This is not the deputy director Tian of the department who is going to retreat. I am thinking about competing for this position."

Zheng Ren was stunned for a moment, but he didn't expect that was the reason.

However, scientific research has nothing to do with the deputy director. It is not that the deputy director has not been able to do a good job in scientific research.

"The other conditions are not bad, the level... you must be incomparable to Boss Zheng, but compared with the rest of the Corey, we are not afraid of anyone." Professor Yang admitted: "Now there is a lack of momentum."

Zheng Ren and Su Yun didn't say anything, and quietly waited for Professor Yang to finish speaking in one breath.

"This is not the time when I met you recently, I communicated with the yard smoothly... To be honest, I just want to share with you Boss Zheng's light." Professor Yang said frankly, staring straight at Zheng Ren's eyes.

This was very true. Zheng Ren smiled and said, "Brother Yang, at the beginning, you have a lot of support for me. If you have any difficulties, I will definitely help."

Professor Yang knew there would be, but he listened intently.

"The operation should be broadcast live. Can you accept this on this side?" Zheng Ren asked.

"Yes." Professor Yang was very happy, "Live broadcast is the best!"

To build momentum, Professor Yang probably has other aid players, but that has nothing to do with him. Zheng Ren nodded.

"What do you think of Director Li?"

"Director Li supports me." Professor Yang said: "As long as you agree with Boss Zheng, I will start taking the patient immediately. I will be involved in the interventional operation and remove it in my bed for a period of time after the operation."

"OK."

There is nothing to hide from this matter, and each one takes what he needs.

"Boss Zheng, it won't delay your Nobel Prize project." Professor Yang asked nervously at last.
Chapter completed!