"Get a few big cups and brew some of this. This smells a bit fragrant, maybe girls like it." There are few girls at home. When the junior sister comes, she needs to be well entertained, Tao Zhijie thought.
There was a relatively large dining table in the dining hall, and several people sat at the dining table to start the meeting.
"The surgical plan proposed by Xiao Song now looks like this." Tao Zhijie showed Song Xuelin's preliminary surgical diagram to others.
Qiu Ruiyun took notes on behalf of He Jiuliang, who was absent.
"First of all, we know that CT false negatives for pancreatic cancer are very high. Whether this surgery can be performed cannot be completely determined by CT alone, unless the late stage spread is obvious. Especially in stage I and II cases that can be resected.
To distinguish between the three stages, it is best to do a laparoscopic exploration first. Therefore, Monday’s surgery is arranged like this. Xiao Song will be the surgeon and first use a laparoscope to do an exploration to determine the tail of her pancreas.
The exact location of the tumor in the body and whether it is benign or malignant, and whether the degree of invasion of the surrounding tissues, especially the retroperitoneal spleen and blood vessels, are consistent with the results that can be performed by CT, must be clearly identified. This operation may not be performed after the exploration is completed.
Everyone, please be mentally prepared first." After saying these opening remarks, Tao Zhijie flipped through his notebook.
The atmosphere at the conference table was relatively silent.
The laptop computer not far away is open, but it seems useless. The pancreas is an organ different from the liver. The pancreas is not covered by a capsule and is surrounded by too many organs and important blood vessels. It is easy to metastasize and is deeply hidden.
Tumors like pancreatic tail body tumors are hidden too deeply. When obvious symptoms appear, they are usually discovered by doctors only after they have metastasized. There is a reason why it is called the king of cancers.
This means that the current indicators detected by instruments outside the human body cannot accurately determine the specific conditions of the pancreas inside. The prediction value is inaccurate, and the three-dimensional modeling software cannot play its role.
It happened that Li Yaxi was suffering from pancreatic tail body tumor, which is more difficult to diagnose than pancreatic cancer, which has a higher incidence rate. No more than 15% of pancreatic cancer can be operated on. If it metastasizes, once surgery cannot be performed, this patient may be
If you can't survive more than a year, let alone two years.
In this case, the senior doctors may not be able to do anything about it, so it is better to let the newcomers do a test first.
Xie Wanying lowered her head and considered Dr. Song's surgical instructions in detail.
Qiu Ruiyun, who was sitting next to her, glanced at that and almost went blank: What did his fellow schoolmate draw? It looked like a bunch of ghostly symbols. He couldn't even figure out whether it was a pancreas.
It's over, how will he convey it to He Jiuliang later?
"Dr. Song drew this."
Hearing Xie Wanying speak, Qiu Ruiyun asked: "Do you understand the meaning of his painting?"
"Whether pancreatic cancer can be operated on depends on clinical staging, not the commonly referred to as TNM staging. Among them, borderline pancreatic cancer can be resectable or unresectable. This is the point that surgeons strive to see whether the tumor can be removed at the same time.
The blood vessels were cut off in one piece. So, based on this, Dr. Song made several prejudgments. It was probably at which points the surgery could not be performed and at which points the surgery could be performed to prolong the patient's survival time." Xie Wanying
explain.
After her explanation, Qiu Ruiyun finally understood that the ghost symbols drawn by his junior brother were actually a bunch of time arrows.