Chapter 420: Energetic
However, less than a minute later, Gao Shaojie knew he was wrong again.
The channel between the hepatic vein and the portal vein was established. The surgery was not over yet. The surgeon placed another 8mm retrievable stent.
He stood quietly in front of the screen and watched as the retrievable stent move slowly by the surgeon with full concentration.
Gao Shaojie did not understand why he had to use such a stent.
There were many uncontrollable factors when he had to go through the liver during the retrieving process. For example, bleeding! For example, when he takes the retrievable stent away, the membrane stent being taken off course.
Once bleeding happens or the position of the membrane stent being deviated, it would result in the failure of the whole TIPS surgery. Moreover, the patient would suffer more serious injuries and even face death.
In Gao Shaojie’s mind, he quickly sketched out a three-dimensional image of the patient’s liver and portal vein.
The best position for a retrievable stent was to completely overlap with the previous stent. The smaller the gap, the less likely it would be for an accident to occur when the stent was retrieved.
However… Gao Shaojie was very clear about how difficult it is.
Others would perceive it simply as the second stent. The channel had already been established, so what was the big deal about the next stent?
This was the thought of those who did not know about TIPS surgery.
Gao Shaojie had done similar surgeries before. Because the patient’s hepatic encephalopathy was more serious after TIPS surgery, the only way to improve the patient’s hepatic encephalopathy was to narrow the venous channel.
If the second stent was slightly off course, it would be easily washed away by the blood flow.
However, it was not easy for stents to stack on top and overlap each other. It was not like the lower limb artery was occluded. After the stent was opened, it would be blocked again. After the stent was opened again, the stent would be stacked on top of each other.
An artery stent was a dozen centimeters long. It would not matter even if it missed by a few centimeters. After all, the friction was enough.
However, a TIPS surgery stent was short. If he missed it by a little, the difference would be huge.
His mind was running wild with thoughts but the retrievable stent had already expanded…landed…and rooted.
Looking at the image, Gao Shaojie could tell that the two stents were almost exactly the same even without an angiogram.
It was simply breathtaking!
Gao Shaojie did not have the intention to fight for victory. He was not jealous. He was only curious.
Jealousy was only meaningful when the two of them were at the same level of skill.
Gao Shaojie understood and knew deeply, he only felt a sense of powerlessness.
Then, he just felt utmost respect.
The TIPS surgery was done so skillfully!
Even the Mayo Clinic could not do it this way!
Who was inside?
Imaging, the stent position was satisfactory, blood flow was smooth, and the completion rate of the surgery was 100%!
Zheng Ren turned around and left without any further remarks.
Professor Rudolf Wagner then stood at Zheng Ren’s position and began to a.s.sert pressure the puncture point to stop the bleeding.
Zheng Ren took off his gloves and threw them into the medical waste bin. He returned to the operator console room and said with a smile, “Director Ren, Director Zhang, it’s done. Thank you very much, the patients you have chosen are very suitable.”
Although they had experienced a batch of TIPS surgery, the two directors in the operator console room still could not believe that it had happened in front of their eyes.
“Thank you for your hard work, Chief Zheng. ” Director Zhang’s tone was dry. At this moment, he had forgotten his enthusiasm—it was already good enough that he could speak.
Director Zhang remembered that in the last batch of TIPS surgery, Zheng Ren and Professor Rudolf Wagner would occasionally… No, they would often have an argument.
It was very low-cla.s.s to be arguing over the operation table. However, the argument became irrelevant since the surgeries went well.
What was observed was during this batch of TIPS surgeries, Zheng Ren and Professor Rudolf Wagner rarely talked to each other throughout the whole process. They almost remained silent.
The surgery was done in silence.
Was an agreement formed between them after less than ten surgeries?
Although Director Zhang’s level was not that high, he had been doing clinical work for decades. Medicine was an empirical science. Every surgical method founded had to be honed in clinical practices for decades.
During this period, countless attempts would fail.
The foundation of success lay in countless failures.
But…the scene that happened before his eyes flipped Director Zhang’s worldview.
Was he going from one success to another?
It was too scary. The talent of the young man in front of him was simply too scary!
“The patient for stent removal can be sent up now.” Zheng Ren did not care about the silent atmosphere in the operating room.
In his opinion, silence was a hundred times better than the messy words of everyone.
“Oh, oh,” Director Zhang answered subconsciously. A young doctor turned around and left the operating room.
No one expected the surgery to be faster than the last time. Although the patient of this stent removal surgery had been instructed to stop drinking water and done other pre-surgery preparations, no one had expected that hethe surgery would happen.
“Chief Zheng, you should rest for a while.” Director Zhang’s stomach growled. His biological function indicated he was already here, or that it was past lunchtime.
“I’ll ask the canteen to send something over. What do you think?”
“No.” Zheng Ren rejected him directly. He did it sternly and without hesitation. “I have to go back in a while. I still have things to do at home.”
As he spoke, Zheng Ren picked up the phone on the operating table and made a call.
“Chang Yue, it’s me.
“Ask Miss Zheng to fast on water from now on.
“Yes, we’ll do the surgery when we get back. Oh right, tell Su Yun to contact the CT room. After work, we’ll do radiofrequency ablation.
“First, we’ll do an interventional embolism and use iodized oil to locate it. Then, we’ll push it down to do radiofrequency ablation.
“It’s not suitable during the day. There are no free machines in the CT room. Yes, even if it’s tomorrow, we have to do it at this time.
“Okay. By the way, you’re not busy at home today, right?
“Okay. I’ll probably be home in three hours. You should make preparations over there first.”
With that said, Zheng Ren hung up the phone.
It was crazy. He had to perform eight TIPS surgeries and eight second-stage TIPS surgeries a day. He had to travel to two hospitals and he had to do radiofrequency ablation when he went back.
Exactly how energetic was he?
Wait, radiofrequency?
“Chief Zheng, are you going to do radiofrequency ablation for liver cancer?” asked Director Zhang.
“Yes, there was a patient who underwent two interventional embolization surgeries. The tumor has shrunk to about four centimeters. This surgery is going to completely solve the problem.”
“I heard from you just now that you want to do an interventional embolization first and then radiofrequency? Two surgeries in one day?” Director Zhang was a little absent-minded.
The video ablation surgery was also carried out by the Secondary Hospital. Although the number of surgeries performed was not enough, it was a well-formed surgery.
It was no surprise that Zheng Ren wanted to do radiofrequency surgery. However, what did it mean to ‘do interventional embolization first and radiofrequency ablation later’?
“Hmm? Isn’t that what you guys do?” Zheng Ren did not understand the question. “If we don’t do the interventional procedure and inject iodine oil into it, how are we going to mark it?”
Director Zhang was sweating profusely.
“Chief Zheng, wouldn’t it be very traumatic for the patient to have two surgeries at the same time? Now, academically, it’s believed that the interventional embolization should be done one to two weeks in advance, and then the tumor tissue will be completely killed by radiofrequency. The effect will be very good,” Gao Shaojie walked out from the corner and said.