If the tumor only grows within the venous cavity, it is undoubtedly the best result and everyone is happy. The surgeon only needs to remove the part of the inferior vena cava.
There are many surgical techniques for resection. If the tumor is small enough, you can do a wedge-shaped resection of part of the veins and use artificial blood vessels to repair the resected part. If the length of the resection is too long and it cannot be repaired, you can only use your own blood vessels.
Or use artificial blood vessels for transplantation.
Among them, using your own blood vessels is not a good choice, because the inferior vena cava is too thick, and it is difficult to find similar blood vessels in the human body to replace it. As a result, it is easy to transplant blood vessels that are too thin to meet the needs of the human body after surgery, thus causing other complications.
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Is the tumor in front of me small? It is definitely not small. Patients all have Budd-Chiari syndrome. It is obvious that the tumor is so large that it blocks the porta hepatis.
When the surgical exploration reaches the stage that determines the life or death of the patient, it is necessary to explore the condition of the hepatic vein. If the tumor only blocks the opening of the hepatic vein, surgery can be performed, and only this section needs to be carefully removed. If the tumor infiltrates into the opening of the hepatic vein
, Theoretically speaking, surgery cannot completely remove the disease, which means there is no need to do this surgery.
Teacher Lu's breathing deepened and accelerated.
"Maybe there is no infiltration, just blockage." Yu Xuexian said.
He, a physician, made this judgment after looking at the surgery. Everyone in the surgery knew that he made his remarks based on emotion, mainly taking into account the mentality of Teacher Lu present.
Receiving the looks of people around him, Yu Xuexian said deliberately: "I can make a bet with you."
Zhu Huicang curled his lips after hearing this and said to him, no one would bet with him on this matter. Because if the bet wins, no one will be happy. If the bet loses, it is meaningless.
"What do you think you are planning to do?" Yu Xuexian asked him again about the surgery plan, trying to divert the teacher's attention.
"If you want to do anything on the inferior vena cava, it is related to the right atrium, and we must contact our cardiothoracic system." Zhu Huicang's tone was natural and complacent. A surgical operation affects the whole body, among which the heart and brain, which determine the center of human life, are the key.
No one can escape from the two major specialties.
"No, what I'm asking is, how do you doctors use the TEE at the beginning?" Yu Xuexian said.
This question is going to stun Zhu Huicang. According to the original surgical plan drawn up by Fu Xinheng, as far as their colleagues in the department knew, this was not included in the plan.
The people in the back row, General Foreign Language 2, are also thinking about this issue.
"She didn't mention this last time." Shi Xu remembered that Xie Wanying didn't mention TEE when she introduced them to them last time. It just so happened that she didn't seem like someone who would hide her words when discussing cases. She was single-minded.
His personality is that he will speak out when he has something to say.
"I don't rule out that something happened later that reminded her of this." Tan Kelin spoke out after a long silence. His voice had a cold air as usual, and was professional and cold.
When the others saw that he finally spoke, they all thought in their minds: This person is indeed a proud disciple who cares about them. He suddenly spoke up when they heard an important topic related to Xie Wanying.
What happened made Xie Wanying think of TEE?
Xie Wanying thought of her grandpa. She had planned TEE in advance, and she would do it for her grandpa when she became a practicing doctor in two years.
Since Yangyang's mother's condition was not as hidden as her grandfather's, she did not think of using this test at first.