"Not sure." He Jiuliang was reserved when he gave him the report. "They think the tumor can be removed. They plan to do a pathological analysis during the operation to further determine the surgical method."
The two newcomers are very confident.
He Jiuliang continued, "They suspected it was a borderline tumor. However, there was metastasis to the peritoneum, so it would not be easy to remove it completely."
Cancer is cancer, no matter whether it is a low-grade cancer or not. If it is not completely removed and left untreated, it will recur and cause death.
"Do you think you can cut it cleanly?" Tao Zhijie asked the two newcomers in person.
Song Xuelin, holding a laparoscope in his hand, glanced at Xie Wanying opposite him through his mask.
What does his look mean? Tao Zhijie and He Jiuliang wondered.
The surgeon believes that whether a clean cut can be made depends on an assistant rather than himself?
He Jiuliang asked the surgeon directly again, in fact, he was reminding him: "If we want to cut it cleanly, should we remove the spleen as well?"
...
...
All doctors believe that if there is a chance, cancer cells should be completely eliminated.
Removing the spleen alone will not have a big impact on the patient's survival. On the contrary, if cancer cells are left behind, it will have a fatal impact on the patient's survival. Moreover, the tail of the pancreas is adjacent to the spleen, so splenic metastasis is inevitable.
However, if the tumor is of low degree of deterioration, the doctor can try to preserve the spleen as much as possible. The spleen is the largest immune organ in the human body, with anti-infection and anti-tumor functions, and plays a great role in the patient's postoperative recovery and continued anti-cancer.
If the spleen preservation is considered, the operation is probably more difficult than splenectomy, as it involves separating large blood vessels such as the splenic artery and splenic vein.
It is best to preserve the spleen by saving both the splenic arteries and veins. Otherwise, there is a high possibility of splenic infarction. If a second operation is needed to remove the spleen in the end, it is better not to preserve it in the first place.
The most important thing is the skill and judgment of the surgeon.
In response to this question, Song Xuelin glanced at the opposite side again.
He Jiuliang caught his look again and criticized him: "You are the lead surgeon, why are you looking at the assistant surgeon? Do you think she is not good enough to cooperate with you? You can ask Teacher Tao to replace her."
This guy must have just graduated. He may have seen similar surgeries in Beijing, but he is not familiar with them, so he is afraid. He Jiuliang thought. Why is he visiting an intern? Xie Wanying is just an intern. She has even less surgical experience and should not have participated in such surgeries. She doesn't even know the surgical steps and how she can help.
Looking at Tao Zhijie again, he was standing next to Xie Wanying and examining the hands of the little junior sister with his warm eyes: he was holding the separation forceps in his left hand and the suction tube in his right hand, looking like an experienced assistant, and his performance was roughly the same as last time when he was holding the mirror. He didn't look like a young girl who knew nothing at all.
However, the cameraman can follow the main surgeon. The first assistant is different. He must take over certain positions of the main surgeon at critical moments. For example, at the moment of heavy bleeding, the main surgeon is too busy to handle it, so the first assistant must play the role of a god at the critical moment.
Choosing a good and reliable assistant has always been one of the factors that the surgeon considers when considering whether various operations can be performed.
It is understandable that Song Xuelin repeatedly looked for help.
Is it okay to replace someone? Tao Zhijie and He Jiuliang thought in different directions and came to the conclusion: probably not.
Qiu Ruiyun couldn't understand the operation diagram drawn by Song Xuelin, so she passed it to He Jiuliang, who still couldn't understand it. Otherwise, He Jiuliang wouldn't have said that the operation couldn't be performed soon after the exploration began. Xie Wanying insisted on standing in the main surgery camp.
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