"The two of them are showing humility to each other." As soon as the help came, He Guangyou took the lead and spoke quickly, helping the leader to name the students, "Xie Wanying, you speak first."
Xie Wanying originally thought that the leader was going to ask Dr. Song. As a student, she had to work hard to answer the questions, so she quickly found out the knowledge points in her mind quickly and accurately:
"The function of the liver lies in hepatocytes, and hepatocytes have the ability to reproduce very quickly after partial liver resection. Half of a liver can grow in three months. Therefore, the liver can be divided into eight parts to serve as independent donors."
Well, everyone listened to her and found that she became more and more fluent as she spoke, a bit like a repeater.
"The eight parts are divided according to Couinaud's segmentation method, which is marked clockwise according to the portal system, specifically the caudate lobe of segment I, the upper segment of the left outer lobe of segment II, the lower segment of the left outer lobe of segment III, and the left inner lobe of segment IV. , the lower right anterior lobe of segment V, the lower right posterior lobe of segment VI, the upper right posterior lobe of segment VII, and the upper right anterior lobe of segment VIII. In addition to being used to guide surgical operations, it is also used to guide CT imaging diagnosis. In terms of actual operation, it is impossible to do When the eight segments are used separately, surgeons often use segments I-IV of the left hemi-liver, segments II-III of the left lateral lobe, and segments V-VIII of the right hemi-liver."
Xie Wanying answered in one breath, effortlessly.
It was obvious that her repeater machine was repeating excellent examples of textbooks. Her voice was clear and her articulation was precise, just like a teacher teaching in a classroom.
When the teacher listened to her voice, her ears felt like a spring breeze, and she felt very enjoyable. It made people linger and wanted to ask more questions. So Deputy Director Xue continued to ask her: "Tell me more, this patient is a patient with cirrhosis who needs a liver transplant. There are also patients with liver cancer in our department. Can they get a liver transplant?"
This question became more practical. Xie Wanying thought quickly and answered the teacher: "First of all, it needs to be explained that most of us Asians with hepatocellular carcinoma, abbreviated as HCC, have a background of hepatitis and cirrhosis. From this point of view, Instead of waiting for liver cancer to be treated, it is better to prevent and treat hepatitis and slow down the development of cirrhosis. It is better to perform liver transplantation from the stage of cirrhosis when necessary."
Yes, the answer suddenly matches the question and cuts into the clinical focus. It is not just the general talk like a scholar that turns into a castle in the air. Listening to it makes the old professor’s eyes light up.
She is right. Doctors in China basically perform surgeries on domestic patients. Of course, domestic patients are patients with diseases with Asian characteristics. To be a clinical surgeon, you must proceed 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 and is not just talking on paper.
Deputy Director Xue looked back at her, as if he wanted to remember her appearance in his mind. After all, medical students like her are relatively rare.
"Tell me again, under what circumstances can liver transplantation be performed for liver cancer?"
Xie Wanying replied: "Small liver cancer can be treated, that is, liver cancer with a tumor diameter less than five centimeters. The five-year survival rate of such patients after liver transplantation can reach 780%. Compared with traditional resection surgery, it has certain advantages. Because HCC If so, less than 20% of patients can be cured by liver tumor resection."
"Where are the other patients?"
"Patients with intermediate-to-late liver cancer and portal vein tumor thrombi have a high chance of recurrence after transplantation, and most live less than a year. Domestic liver sources are scarce, so it is best to implement liver transplantation adaptation for liver cancer in accordance with the internationally proposed Milan standards. disease."
