"Get a few large cups and make some of this. It smells a bit fragrant, maybe girls will like it." There were rarely any girls coming to the house, so when the junior sister came, she needed to be treated well, Tao Zhijie thought.
The dining table in the dining room was quite large, and several people sat at it and started the meeting.
"The surgical plan proposed by Xiao Song is as follows." Tao Zhijie showed the others the preliminary surgical diagram drawn by Song Xuelin.
Qiu Ruiyun took notes on behalf of He Jiuliang who was not present.
"First of all, we know that the false negative rate of CT scan for pancreatic cancer is very high. Whether the operation can be performed cannot be fully determined by CT scan alone, unless it is in the late stage and has spread obviously. Especially in distinguishing between stage one, stage two and stage three, whether the cancer can be removed or not, it is best to do a laparoscopic exploration first to determine. So, the operation on Monday is arranged like this. Xiao Song will be the surgeon, and the laparoscopy will be used to do an exploration first. Determine the exact location of her pancreatic tail tumor and whether it is benign or malignant, and whether the degree of invasion to the surrounding tissues, especially the retroperitoneum, spleen and blood vessels is consistent with the results of CT scan. This must be clearly identified. It is possible that the operation cannot be performed after the exploration, so everyone should be mentally prepared." After saying this opening remark, Tao Zhijie flipped through his notebook.
The atmosphere at the conference table was relatively silent.
The laptop not far away was open, but it seemed useless. The pancreas is 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 very easy to metastasize and hides deep. For example, a tumor in the tail of the pancreas is hidden too deep. When obvious symptoms appear, it is usually discovered by doctors after metastasis. It is called the king of cancer for a reason.
In other words, the 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 3D modeling software cannot play a role.
It just so happened that Li Yaxi had a pancreatic tail tumor, which was more difficult to diagnose than the more common pancreatic head cancer. No more than 15% of pancreatic cancers can be operated on. If the cancer has metastasized and surgery cannot be performed, the patient may not survive more than a year, let alone two years.
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In this case, experienced doctors probably don’t have any solution for this, so it’s better to let the newcomer try an exploratory operation first.
Xie Wanying lowered her head and studied Dr. Song's surgical illustrations in detail.
Qiu Ruiyun, who was sitting next to her, almost fainted when he saw it: What is this drawing by a fellow student from the same school? Why does it look like a bunch of ghostly drawings? He couldn't even tell whether it was the pancreas.
It’s over. How is he going to convey this to He Jiuliang?
"This is what Dr. Song drew."
Hearing Xie Wanying speak, Qiu Ruiyun asked: "Do you understand what he painted?"
"Whether pancreatic cancer can be operated on is determined by clinical staging, not the commonly known TNM staging. Borderline pancreatic cancer may be resectable or not, and this is what surgeons strive for, to see if the tumor and blood vessels can be removed together. So, based on this, Dr. Song made several predictions. It is roughly about at which point the operation cannot be performed, and at which point the operation can still be performed to prolong the patient's survival time." Xie Wanying said.
After her explanation, Qiu Ruiyun finally understood that the talismans drawn by his junior brother were actually a bunch of time arrows.
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