"They are both trying to give way to each other." As soon as the help came, He Guangyou took the lead in speaking quickly and helped the leader to call out the names of the students, "Xie Wanying, you go first."
Xie Wanying originally thought that the leader was going to ask Dr. Song, and as a student, she had to work hard to answer the question and quickly find the knowledge points in her mind:
"The function of the liver lies in liver cells, and liver cells have a very fast reproduction ability after a portion of the liver is removed. Half a liver can grow in three months. Therefore, the liver can be divided into eight parts for independent donors."
Well, everyone who listened to her found that she became more and more fluent, a bit like a tape recorder.
"The eight segments are divided according to the Couinaud segmentation method, which is marked in a clockwise direction along the portal vein system. Specifically, they are segment I caudate lobe, segment II upper segment of left lateral lobe, segment III lower segment of left lateral lobe, segment IV left internal lobe, segment V lower segment of right anterior lobe, segment VI lower segment of right posterior lobe, segment VII upper segment of right posterior lobe, and segment VIII upper segment of right anterior lobe. In addition to guiding surgical operations, it is also used to guide CT imaging diagnosis. In actual operation, it is impossible to use the eight segments separately. Surgeons often use segments I-IV of the left liver, segments II-III of the left lateral lobe, and segments V-VIII of the right liver."
Xie Wanying answered all the questions in one breath, effortlessly.
Apparently, what she was repeating on this tape recorder were excellent examples from the textbooks. Her voice was clear and her pronunciation was precise, just like a teacher giving a lecture in the classroom.
The teacher felt a spring breeze on his ears when he heard her voice. He was very happy and could not help asking more questions. So Deputy Director Xue continued to ask her: "Tell me more. This patient is a liver cirrhosis patient who needs a liver transplant. We also have liver cancer patients in our department. Can they have liver transplants?"
This question is more practical. Xie Wanying thought quickly and answered the teacher: "First of all, it should be noted that most Asians with hepatocellular carcinoma (HCC) have a background of hepatitis and cirrhosis. From this point of view, it is better to prevent and treat hepatitis and slow down the development of cirrhosis first, rather than waiting until liver cancer is diagnosed. It is better to do liver transplantation from the stage of cirrhosis."
...
...
Yes, the answer immediately got to the point of clinical focus in line with the question, instead of just general talk like scholars which became castles in the air. It was refreshing to hear the old professors.
She was right. Domestic doctors basically perform surgeries on domestic patients, and domestic patients are of course patients with Asian-specific diseases. To be a clinical surgeon, you need to start from reality and discuss problems based on existing clinical cases around you. It seems that this female medical student has a strong sense of clinical awareness, not just theoretical knowledge.
Deputy Director Xue looked back at her, as if he wanted to memorize her appearance. After all, medical students like her were relatively rare.
"Can you tell me more? Under what circumstances can liver cancer undergo a liver transplant?"
Xie Wanying replied: "It can be done for small liver cancers, that is, liver cancers with a tumor diameter of less than five centimeters. The five-year survival rate of such patients after liver transplantation can reach 70 to 80 percent. It has certain advantages over traditional resection surgery. Because for HCC, less than 20 percent of patients can be cured by liver tumor resection."
"What about the other patients?"
"For patients with advanced liver cancer and portal vein cancer thrombus, the chance of recurrence after transplantation is too high, and most of them do not live for more than a year. Domestic liver sources are scarce, so it is best to follow the Milan criteria proposed internationally to implement liver transplant indications for liver cancer."
Continue read on readnovelmtl.com
