"It's not clear." He Jiuliang had reservations when he reported to him. "They think the tumor can be removed, and they are going to conduct 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 in the peritoneum, so it was not easy to cut it clean."
Cancer is cancer, no matter whether it is a low-malignant cancer or not, if it is left unchecked and left unchecked, it will recur and lead to death.
"Do you think it can be cut cleanly?" Tao Zhijie asked the two newcomers himself.
Song Xuelin, who was holding a laparoscope, glanced at Xie Wanying opposite him with his brows outside the mask.
What does his look mean? Tao Zhijie and He Jiuliang thought.
Does the surgeon think that whether a clean cut can be done depends on one's help and not on one's own?
He Jiuliang directly asked the surgeon again, in fact, he was reminding the surgeon: "If you want to cut it cleanly, should the spleen be removed altogether?"
All doctors believe that if there is an opportunity, they should thoroughly clean up and eliminate all cancer cells.
Removing the spleen alone will not have a big impact on the patient's survival. On the contrary, if there are cancer cells left, it will have a fatal impact on the patient's survival. Moreover, the tail of the pancreas is located next to the spleen, so splenic metastasis is inevitable.
However, if it is a low-grade tumor, doctors can try to preserve the spleen as much as possible. The spleen is the largest immune organ in the human body. It has anti-infection and anti-tumor functions. It plays a great role in the patient's post-operative recovery and continued anti-cancer.
If spleen preservation is considered, the operation is probably more difficult than splenectomy, as it involves the separation of large blood vessels such as the splenic artery and splenic vein.
To preserve the spleen, it is best to preserve the arteries and veins of the spleen together, otherwise the possibility of splenic infarction is very high. If a second operation is needed to remove the spleen in the end, it is better not to preserve it at the beginning.
What matters most is the skill and judgment of the surgeon.
Regarding this question, Song Xuelin glanced at the opposite side again.
He Jiuliang caught his look again and criticized him: "You are the chief surgeon and what do you think Yisuke is doing? Do you think she is not good enough to cooperate with you? You can say something and Teacher Tao can ask for someone else."
This guy must have just graduated. He may have seen similar surgeries in Beidu but is not familiar with them, so he is timid. He Jiuliang thought. The question depends on what an intern does. Xie Wanying is just an intern. She has less surgical experience and probably has never participated in this kind of surgery. She doesn't know how the surgery can help.
Looking at Tao Zhijie again, standing next to Xie Wanying, he looked at Junior Sister Fan's hands with warm eyes: his left hand grasped the separation forceps, and his right hand grasped the suction tube. He seemed to be a bit experienced as an assistant, and his performance on the mirror arm was roughly the same as last time. She doesn't look like a young girl who doesn't understand anything at all.
However, the mirror holder can follow the surgeon. Issuke is different, he has to support certain positions of the main surgeon at critical moments. For example, at the moment of heavy bleeding, the surgeon is too busy, and the first assistant must play the role of a divine assist at the fatal moment.
Choosing a good and reliable assistant has always been one of the factors that the surgeon considers when calculating whether various surgeries can be performed.
It is understandable that Song Xuelin looked at Yisuke again and again.
Can I make a substitution? Tao Zhijie and He Jiuliang considered it in different directions, and concluded that it probably wouldn't work.
Qiu Ruiyun couldn't understand the surgical diagrams drawn by Song Xuelin, so he passed them to He Jiuliang, who also couldn't understand them. Otherwise, it would not have happened that soon after the exploration started, He Jiuliang said directly that the operation could not be performed. Xie Wanying insisted on being in the main surgeon camp.
