A big shot admitted it.
"The angle is also good, we can see it clearly."
Live surgery is not an ordinary surgery. It is not only necessary for the surgeon to see clearly, but also for the audience to see clearly. Think about it, the surgeon is a member of a team of doctors. If the camera operator cuts the camera randomly, the surgeon can understand the situation based on the patient's condition before the operation. But the audience is different. Without the surgeon's understanding of the situation, they can only know it while watching on the spot.
The importance of the camera hand is once again demonstrated.
This cameraman not only seems to have smooth movements but also skilled techniques, and should be at a medium to high level.
Doctors from other hospitals immediately understood: “Yeah.”
This is why Tao Zhijie allowed a rare female doctor to join his team. Surgery does not exclude female doctors. As long as the female doctor has superb technical skills and strong physical strength, no one has the time to make irresponsible remarks.
The silence and admiration of this group of people proved that Xiao Xie had done his best to speak with his strength, and all kinds of inexplicable suspicions naturally disappeared.
The surgical screen was positioned on the inferior vena cava, and everyone could clearly see the diseased area there.
...
...
Teacher Lu cleared his throat twice and said, "From this point of view, it is a primary inferior vena cava tumor."
Jiang Mingzhu handed the thermos cup she brought to the teacher.
"No need." Teacher Lu waved his hand, probably not in the mood to drink water.
The current results of surgical exploration are not ideal, but it is not that there is nothing wrong, so no one is in a good mood.
It is not a metastatic tumor thrombus, but an extremely rare primary inferior vena cava tumor. This disease is said to be mostly malignant, and the most common is inferior vena cava leiomyosarcoma.
PIVCLMS, or inferior vena cava leiomyosarcoma, is no different from metastatic cancer and has a poor prognosis. Chemotherapy and other methods have little effect on it, and surgery is the only option to extend the patient's survival.
Unfortunately, it is difficult to complete such an operation using traditional open surgery, not to mention laparoscopy.
The origin of PIVCLMS is the smooth muscle of the wall of the inferior vena cava IVC. Therefore, the wall of the inferior vena cava is thin and the tumor cannot be removed. Resection is the only option. The resection range needs to include the inferior vena cava, liver, kidney, surrounding lymph nodes and other tissues invaded by the tumor.
Just looking at the scope of this disease, you can feel that the current surgery is extremely difficult to perform.
After all, the inferior vena cava is a large vein in the human body and is anatomically excessively long. If a tumor grows inside it, it will require multiple surgical specialties according to the specialty classification.
Some doctors theorize that the inferior vena cava can be divided into four sections from bottom to top based on this disease.
The first section is from the renal vein plane, the second section is from the deep vein opening to the third hepatic hilum, the third section is from the third hepatic hilum to the diaphragmatic plane, and the fourth section is from the supradiaphragmatic section to the right atrium. The first section belongs to the urology department, the second section may involve urology and hepatobiliary surgery. By analogy, the third section is mainly about hepatobiliary surgery, and the fourth section requires the intervention of cardiothoracic surgery.
Back to the current surgical case, according to the CT angiography results, coupled with the patient's obvious Budd-Chiari syndrome, the tumor obstruction mainly occurred in the third segment of the inferior vena cava, so the hepatobiliary surgery department was responsible.
At this time, the hepatobiliary surgeon needs to further clarify during the exploratory operation whether the tumor is growing only inside the vein, outside the vein, or both.
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