Create an artificial blood vessel to connect the right atrium and the inferior vena cava, bypassing the obstructed inferior vena cava.
Another doctor proposed further ideas based on the real-life images.
"It may not be cavitary-atrial transfer, it may also be intestinal-atrial transfer or splenic-atrial transfer. Since it is not certain which method is better, they use TEE to estimate which surgical procedure is most beneficial to the patient."
The intestinal-atrial bypass and splenic-atrial bypass are the same as the caval-atrial bypass. As the name suggests, the only difference is that the end of the inferior vena cava is replaced by the superior mesenteric vein or splenic vein to connect to the right atrium. An artificial blood vessel is also built to bypass the obstructed segment.
"What you said makes sense, but if Dr. Tao's team wants to try it, I think they can be a little bolder and try it. They can do a combination of these circulation techniques."
This conjecture may be the ultimate answer.
Many studies on circulatory surgery and Budd-Chiari syndrome have been published in medical journals. So colleagues are not unfamiliar with it when talking about it, and they are sure that the surgery in the video must be a circulatory surgery.
Colleagues from the neighboring hospital seemed to have reached a conclusion, but the area where the surgeons from the National Association of Surgeons sat was almost silent. The silence made people feel the solemnity of professionalism.
It should be said that when they saw this unexpected surgical scene, they were as shocked as their colleagues from other hospitals.
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The main reason is that I have never seen the hepatobiliary surgery department of my hospital perform such a bold and alternative surgical method. The hepatobiliary surgery department is a conservative group. Never expect them to do something that seems incomprehensible in a surgery that is not an emergency. Besides, apart from the hepatobiliary surgery department, probably no one in other departments dares to do this.
"Is it Tao Zhijie who is doing it?" Yu Xuexian was very skeptical, and turned around to ask the people in the second general surgery department quietly. He was an internal medicine doctor who rarely went to the operating room, and he was not like the second general surgery department who knew Tao Zhijie's surgery.
A look of hesitation appeared on the face of the man from General Foreign Affairs II.
"It's classmate Xiao Xie." Sun Yubo blurted out, and then realized that he seemed to have let the cat out of the bag, so he quickly covered his mouth and glanced nervously at Tan Kelin, fearing that he would be scolded.
In fact, Tan Kelin doesn't like to let his favorite disciples show off.
"Who are you talking about? Xie Wanying?" Yu Xuexian thought he had misheard and turned to ask Zhu Huicang, "They said it was her, do you know?"
Zhu Huicang shook his head and looked back at him: How could I know? If I wasn't in the operating room and couldn't see it, how could I know the specific situation in the operating room?
The people in General Foreign Language Class 2 are talking nonsense, Yu Xuexian thought.
Some of the doctors from the external hospital on the opposite side who liked to talk a lot seemed very excited. They were intoxicated by their own ideas and continued to debate incessantly.
"Doctor Tao tried one blood vessel after another to find out which blood vessel connection would have the least impact on the heart and best fit the patient's original hemodynamics. Once a new blood vessel connection is established, it is equivalent to a major collateral circulation, which can minimize the risk of massive bleeding, the most dreaded part of the operation. Because this patient's heart seemed to be in trouble."
Each of these people who were talking seemed to have become a worm in Tao Zhijie's stomach. They thought they understood Tao Zhijie's surgical ideas very well and praised Tao Zhijie loudly.
"This is a new idea that we had not thought of, and it has broadened our surgical thinking. Dr. Tao is a well-known young and middle-aged hepatobiliary surgery expert in China. Today, he is going to continue to open our eyes."
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