"It's not clear." He Jiuliang had reservations when he reported to him. "They think the tumor can be removed, and they are going to do pathological analysis during the operation to further determine the surgical method."
The two newcomers have great confidence.
He Jiuliang continued: "They suspected it was a borderline tumor. However, there was metastasis in the peritoneum, so it was not easy to cut it clean."
Cancer is cancer, no matter whether it is a low-malignant cancer or not, if it is left unchecked and left unchecked, it will recur and lead to death.
"Do you think it can be cut cleanly?" Tao Zhijie asked the two newcomers himself.
Song Xuelin, who was holding a laparoscope, glanced at Xie Wanying opposite him through his mask.
What does his look mean? Tao Zhijie and He Jiuliang thought.
Does the surgeon think that whether a clean cut can be done depends on one's help and not on one's own?
He Jiuliang directly asked the surgeon again, in fact, he was reminding the surgeon: "If you want to cut it cleanly, should the spleen be removed altogether?"
All doctors believe that if there is an opportunity, they should thoroughly clean up and eliminate all cancer cells.
Removing the spleen alone will not have a great impact on the patient's survival. On the contrary, if there are cancer cells left, it will have a fatal impact on the patient's survival. Moreover, the tail of the pancreas is located next to the spleen, so spleen metastasis will inevitably occur.
.
However, if the tumor is a low-grade tumor, the doctor can try to preserve the spleen as much as possible. The spleen is the largest immune organ in the human body. It has anti-infection and anti-tumor functions, and is beneficial to the patient’s post-operative recovery and continued anti-cancer effects.
Very big.
If spleen preservation is considered, the operation is probably more difficult than splenectomy, as it involves the separation of large blood vessels such as the splenic artery and splenic vein.
To preserve the spleen, it is best to preserve the arteries and veins of the spleen together, otherwise the possibility of splenic infarction is very high. If a second operation is needed to remove the spleen in the end, it is better not to preserve it at the beginning.
The most important thing is to look at the surgeon’s skill and judgment.
Regarding this question, Song Xuelin glanced at the opposite side again.
He Jiuliang caught his look again and criticized him: "You are the chief surgeon and what do you think Yisuke is going to do? Do you think she is not good enough to cooperate with you? You can just say something and Teacher Tao can ask for someone else."
This guy must have just graduated. He may have seen similar surgeries in Beijing but is unfamiliar with them, so he is timid. He Jiuliang thought, the question is, what does an intern do? Xie Wanying is just an intern, with less surgical experience, she should not have participated in this kind of surgery.
I can't figure out how surgery or the steps can help.
Look at Tao Zhijie again, standing next to Xie Wanying, looking at the hands of Junior Sister Fan with warm eyes: the left hand is holding the separation forceps, and the right hand is holding the suction tube, as if he is a bit experienced as an assistant, and his performance is roughly the same as the hand holding the mirror last time.
She doesn't look like a young girl who doesn't understand anything at all.
However, the mirror supporter can run with the surgeon. The first assistant is different. He has to support certain positions of the surgeon at critical moments. For example, at the moment of heavy bleeding, the surgeon is too busy, so the first assistant must play the role of a divine assist at the fatal moment.
Choosing a good and reliable assistant has always been one of the factors that the surgeon considers when calculating whether various surgeries can be performed.
It is understandable that Song Xuelin looked at Yisuke again and again.
Is it possible to substitute? Tao Zhijie and He Jiuliang have different considerations, and the conclusion is: probably not.
Qiu Ruiyun couldn't understand the surgical diagram drawn by Song Xuelin, so he passed it to He Jiuliang, who also couldn't understand it. Otherwise, shortly after the exploration started, He Jiuliang said that the operation could not be performed. Xie Wanying insisted on standing in the chief surgeon's camp.
