"The two of them are showing humility to each other." As soon as they came to help, He Guangyou took the lead in speaking quickly and helped the leader to call the students, "Xie Wanying, you speak first."
Xie Wanying originally thought that the leader was going to ask Dr. Song. As a student, she had to work hard to answer the questions and quickly find out the knowledge points in her mind quickly and accurately:
"The function of the liver lies in hepatocytes, and hepatocytes have the ability to reproduce very quickly after partial liver resection. Half of a liver can grow in three months. Therefore, the liver can be divided into eight parts to serve as independent donors."
Well, everyone listened to her and found that she became more and more fluent as she spoke, a bit like a repeater.
“The eight parts are divided according to the Couinaud segmentation method, which is marked clockwise according to the portal system, specifically the caudate lobe of segment I, the upper left outer lobe of segment II, the lower left outer lobe of segment III, and the left inner lobe of segment IV.
, the lower segment of the right anterior lobe of segment V, the lower segment of the right posterior lobe of segment VI, the upper segment of the right posterior lobe of segment VII, and the upper segment of the right anterior lobe of segment VIII. In addition to being used to guide surgical operations, it is also used to guide CT imaging diagnosis. In terms of actual operation, it is impossible to do it.
When the eight segments are used separately, surgeons often use segments I-IV of the left hemi-liver, segments II-III of the left lateral lobe and segments V-VIII of the right hemi-liver."
Xie Wanying answered the question in one breath, effortlessly.
It was obvious that her repeater was repeating excellent examples of textbooks. Her voice was clear and her articulation was precise, just like a teacher teaching in a classroom.
Listening to her voice, the teacher felt like a spring breeze in his ears. He was enjoying the hearing very much. It made him linger and wanted to ask more questions. So Deputy Director Xue continued to ask her: "Tell me more. This patient is a patient with cirrhosis undergoing liver transplantation. We
There are also liver cancer patients in the department, can they do liver transplantation?"
This question became more practical. Xie Wanying thought quickly and answered the teacher: "First of all, it needs to be explained that most of us Asians with hepatocellular carcinoma, abbreviated as HCC, have a background of hepatitis and cirrhosis. From this point of view,
Instead of waiting for liver cancer to be treated, it is better to prevent and treat hepatitis and slow down the development of cirrhosis. If necessary, it is better to perform a liver transplant from the stage of cirrhosis."
Yes, the answer suddenly matches the question and cuts into the clinical focus. It is not just a scholar's general talk that turns into a castle in the air. It makes even the old professor's eyes light up.
She is right. Doctors in China basically perform surgeries on domestic patients. Of course, domestic patients are patients with diseases with Asian characteristics. To be a clinical surgeon, one must proceed from reality and learn from the existing clinical conditions around him.
We went to discuss the issues after taking the cases. It was obvious that this female medical student had a strong sense of clinical awareness and was not just talking on paper.
Deputy Director Xue looked back at her, as if he wanted to remember her appearance in his mind. After all, medical students like her are relatively rare.
"Tell me again, under what circumstances can liver transplantation be performed for liver cancer?"
Xie Wanying replied: "Small liver cancer can be treated, that is, liver cancer with a tumor diameter less than five centimeters. The five-year survival rate of such patients after liver transplantation can reach 780%. Compared with traditional resection surgery, it has certain advantages. Because HCC
If so, less than 20% of patients can be cured by liver tumor resection."
"Where are the other patients?"
"Patients with intermediate-to-late liver cancer and portal vein tumor thrombi have a high chance of recurrence after transplantation, and most of them live less than a year. Domestic liver sources are scarce, so it is best to implement liver transplantation adaptation for liver cancer in accordance with the internationally proposed Milan standards.
