An artificial blood vessel is built to connect the right atrium and inferior vena cava, bypassing the obstructed inferior vena cava.
Another doctor proposed further ideas based on real-life scenes.
"It doesn't have to be cavo-atrial circulation, it could also be intestinal-atrial circulation or splenic-atrial circulation. Since they can't determine which method is better, they use TEE to estimate which surgery is most beneficial to the patient."
Enteroatrial circulation and spleen-atrial circulation are the same as cavoatrial circulation. As the name suggests, the only difference is that the end of the inferior vena cava is replaced by the superior mesenteric vein or splenic vein to connect with the right atrium, and an artificial blood vessel is also built to bypass the obstructed segment.
"Everything you say makes sense, but if Dr. Tao's team wants to try this, I think they can be more bold and try to think about it. They can achieve a mixture of these transfer techniques."
This conjecture may be the ultimate answer.
There have been many studies published in medical journals on shunt surgery and Budd-Chiari syndrome. Therefore, it was not unfamiliar at all when colleagues talked about it, and they were sure that what was being done in the surgery scene was definitely a bypass surgery.
Colleagues from the hospital next door seemed to have come to a conclusion, but the area where the surgeons from the National Association were sitting was almost silent. There was silence, which made people feel the solemnity of professionalism.
It should be said that when they saw this unexpected operation scene, they were as shocked as their colleagues in the outer hospital.
The main reason is that I have never seen the hepatobiliary surgery department in my hospital perform such a bold and alternative surgical method. The people in the Department of Hepatobiliary Surgery are conservatives, and you should never expect them to do something that you can't even understand during an operation that is not yet an emergency. Besides, aside from hepatobiliary surgery, no one in other departments would dare to do this.
"Is Tao Zhijie doing it?" Yu Xuexian was very suspicious. He turned around and asked quietly about the group of general foreign students. He is a physician who rarely visits the operating room, unlike the second general foreigner who understands Tao Zhijie's surgeries.
There seemed to be some hesitation on the face of the second general foreigner.
"It's classmate Xiao Xie." Sun Yubo spat out, and then he knew that he seemed to have spilled the beans. He quickly covered his mouth where he was speaking quickly and looked nervously at Tan Kelin, for fear of being scolded.
Tan Kelin actually doesn't like to let his favorite disciple come out to show off.
"Who are you talking about? Xie Wanying?" Yu Xuexian thought he heard wrongly, and turned to Zhu Huicang, "They said it was her, do you know?"
Zhu Huicang shook his head and looked back at him: How could he know? How could he know the specific situation in the operating room if he couldn't see it without being in the operating room.
The people in the second grade of general foreign language talk nonsense. Yu Xuexian thought.
The doctors from the external hospital opposite who liked to talk a lot were very excited. They were intoxicated with their own ideas and continued to debate endlessly.
"Dr. Tao tried on blood vessels one by one to find out which blood vessel connection has the least impact on the heart and is most consistent with the patient's original hemodynamics. In this way, once a new blood vessel connection is established, it is equivalent to making a major Collateral circulation can minimize the risk of massive bleeding, which is the most terrible problem during surgery. Because this patient’s heart seems to have something wrong.”
Each of these people who spoke seemed to be like roundworms in Tao Zhijie's belly. They thought they understood Tao Zhijie's surgical ideas very well and praised Tao Zhijie loudly.
"This is a new idea that we have not thought of, and it broadens our way of thinking about surgery. As a well-known young and middle-aged hepatobiliary surgery expert in China, Dr. Tao will continue to open our eyes today."
