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    Chang Jiawei estimated that people from other departments sitting here, including his old classmate Fu Xinheng, might not be able to explain the content of their orthopedics department more fluently than what classmate Xie just said.

    Dr. Liu curiously lowered his head, looked at classmate Xie Wanying, and then asked her a question: "Tell him about en-blocresection again."

    This is because the senior has been intrigued by her and wants to discuss it in depth with her.  Anyway, after her speech, she could continue to help them explain the family members, killing two birds with one stone.

    "En-blocresection is a surgical concept. The surgical concept is not specific and can be widely used to guide any surgical operation, not just spinal surgery." Xie Wanying said while trying to help Geng recall relevant medical knowledge.  Point, "For example, the radical resection of cervical cancer that we discussed in the gynecology department this afternoon can be said to be an interpretation of en-blocresection."

    ??This analogy is easy to understand.  The others nodded frequently.

    En-blocresection is directly translated as: en bloc resection.  Such nouns do not have a specific prefix, and indeed they do not refer to any specific surgery. It is as if what Xie Wanying said is just a concept and principle that is suitable for any surgical operation in any department.  To sum it up in a simple sentence, it¡¯s called full cut.  Regardless of the area occupied by the tumor, as long as the entire anatomical area occupied by the tumor is completely removed.

    The biggest benefit of total resection is self-evident, which is to minimize the problem of tumor spread during surgery.  However, for patients and their families, hearing the words "cut off everything" will inevitably be irritating, and it is difficult to accept the result of cutting off a whole piece.

    The doctor¡¯s choice of whether to perform a complete resection cannot depend on the mood of the patient and his family. He must first look at the specific cases and consider them individually.

    When he thought about his stepmother¡¯s illness, he didn¡¯t advocate complete surgery.  Now my brother's surgery requires cutting off the entire vertebrae of his brother, which is the spine. He is a medical student who knows very well what it means to have a missing vertebrae.  Geng Yongzhe's face was green and his heart ached, and he said: "Isn't it said to be benign? Why do you need to cut off all the vertebrae? Isn't there any other surgical method?"

    Spine surgery is definitely like other surgeries, there are many surgical methods.  For example, it is often heard that palliative decompression surgery only removes the lamina for late-stage patients, there is early curettage surgery that only removes the tumor part visible to the naked eye, and there is WBB staged resection surgery developed on this basis. See  The extent of quasi-tumor invasion should be limited and the tissue should be preserved as much as possible.  However, later clinical practice has proved that spinal surgery, such as staged surgery, does not always achieve good results such as breast-preserving and uterine-preserving surgery.  Bones are hard pieces that are easier to pathologically distinguish and cut than soft tissues.

    "The spine is a special place. For example, in cases of spinal tuberculosis, all vertebrae need to be removed. Doctors mainly look at the degree of bone destruction. If the bone damage is very large, it is more or less a matter of whether you can remove all vertebrae. On the other hand, whether it is benign or  It is malignant. Because this area involves the spinal cord, it is difficult for doctors to partially dissect and remove it. Many tumors are prone to recurrence. It is not that benign tumors will not recur after being removed. For example, benign uterine fibroids we see in gynecology. Your brother is young, and the doctor must prevent recurrence.  The possibility should be considered higher. It is best to remove all vertebrae, even if it is a malignant metastasis, the possibility of recurrence of all vertebrae can be minimized." Xie Wanying told classmate Geng.  (Remember the website address: www.hlnovel.com
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