If the tumor grows only within the venous cavity, it is undoubtedly the best outcome and everyone is happy. The surgeon only needs to remove that part of the inferior vena cava.
There are also many surgical methods for resection. For example, if the tumor is small enough, a wedge resection of part of the vein can be performed, and the resected part can be filled with an artificial blood vessel. If the length of the resection is too long, it cannot be filled and can only be transplanted with autologous blood vessels or artificial blood vessels.
Using one's 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 fill the gap. As a result, the transplanted blood vessels are easily too thin to meet the requirements of the human body after surgery, which in turn causes other complications.
Is this tumor small? It is definitely not small. The patient has Budd-Chiari syndrome, and it is obvious that the tumor is so large that it blocks the liver portal.
When the surgical exploration reaches the stage of deciding the patient's life or death, it is necessary to check the condition of the hepatic vein. If the tumor only blocks the opening of the hepatic vein, the surgery can be performed, and only this section needs to be carefully cut off. If the tumor has infiltrated the opening of the hepatic vein, theoretically speaking, it is basically impossible to completely remove it by surgery, which means that there is no need to do this surgery.
Teacher Lu's breathing deepened and quickened.
"Maybe there is no infiltration, just blockage," said Yu Xuexian.
As an internal medicine doctor, he made this judgment while watching the surgical footage. Everyone in the surgical department knew that he made his remarks based on emotion, mainly considering the mentality of Mr. Lu who was present.
Receiving the gazes from the people around him, Yu Xuexian deliberately said, "I can make a bet with you."
...
...
Zhu Huicang turned his mouth and said to him, no one would bet with him on this matter. Because if he won, no one would be happy. If he lost, it would be meaningless.
"What do you plan to do in the cardiothoracic surgery department?" Yu Xuexian pulled him aside again to ask about the surgical plan, trying to divert the teacher's attention.
"If we want to do something to the inferior vena cava, it will affect the right atrium, so we must contact our cardiothoracic surgery department." Zhu Huicang's tone was matter-of-fact and complacent. A surgical operation affects the whole body, and 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 want to ask is how your doctors should use the TEE at the beginning," said Yu Xuexian.
This question stumped Zhu Huicang. According to the original surgical plan drawn up by Fu Xinheng, as far as his colleagues in the department knew, this thing was not in the plan.
The students in the second class of General Foreign Languages in the back row were also thinking about this question.
"She didn't mention this last time." Shi Xu remembered that Xie Wanying didn't mention TEE when she introduced it to them last time. It just so happened that she didn't seem like the kind of person who would hide her words when discussing cases. She was a stubborn person who would speak her mind.
"It is possible that something happened later that made her remember this." Tan Kelin spoke after a long silence. His voice was as cold and professional as usual.
When the others saw that he finally spoke, they all thought in their hearts: This man really cares about his favorite disciple. He suddenly spoke when he heard an important topic related to Xie Wanying.
Something happened that made Xie Wanying think of TEE.
Xie Wanying was thinking of her grandfather. She had planned to have a TEE done on her grandfather in two years, when she became a practicing physician.
Because Yangyang's mother's illness was not as hidden as her grandfather's, she did not think of using this test at first.
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