Chapter 1395: It’s Better to Steal a Penguin

The extrahepatic bile duct in Ling Ran's field of vision was full of tumors.

The branch-like bile duct was originally a channel for bile secretion, but now it is blocked by a tumor embolus and has become a channel for the spread of cancer. It is like a sewer that has lost its function and is just a place to hide dirt.

However, unlike real sewers, bile ducts not only have no drawings, but also criss-cross with adjacent small blood vessels to form various dangerous structures.

They are located inside the liver, and there are so many blood supply connections, it can be said that it is typical to affect the whole body. In the traditional treatment of hepatobiliary surgery, the treatment of hepatobiliary tumor embolus has always been a big problem. In other words, there is no better treatment plan at all. In many cases, only palliative care is available.

Ling Ran agrees with palliative care, but he himself has never done similar surgeries.

In today's situation where patients are waiting in long queues for treatment, Ling Ran's surgical aggressiveness is getting stronger day by day.

Intentionally or not, his choice of surgery, and the patient's choice of him, implicitly became an offensive atmosphere.

For today's operation, Ling Ran took an all-out offensive stance. For visually seen tumor thrombi, no matter how big or small, regardless of age, all are peeled off.

This is a relatively rare pattern in traditional surgery. The traditional open surgery is more delicate, that is, the large bile duct cancer thrombus is stripped, and the small and dense part is generally removed.

Of course, this is also a surgical strategy, but like all surgical strategies, the purpose of using new technologies and methods is not necessarily to negate the old strategies, but to expand a larger boundary, that is, Like going from Newton to Einstein.

If open surgery is used, most of Ling Ran will still use the method of liver incision. Not only can he not see clearly, but also because of the patient's physical condition, it is also difficult to support a long-term laparotomy.

In comparison, the patient's tolerance is much better for surgery using the da Vinci robot. Moreover, the robot's manipulator is also extremely flexible after being used proficiently. Using them, Ling Ran can completely remove the tumor thrombus one by one along the direction of the growth of the tumor thrombus without damaging any blood vessels.

At the beginning of the operation, everyone only noticed the former, but as the operation progressed, the latter gradually became more noticeable.

Because of the long operation time, someone suddenly spoke on the Yunli live broadcast platform, which was somewhat silent:

"No, it doesn't touch the blood vessels in the whole process?"

Because no one spoke for a while, this sentence suddenly became conspicuous.

Standing in the corner, Yu Yuan, who was somewhat tired, poked her head out from behind the round stool, and said in surprise, "It seems that the blood vessel really hasn't been touched?"

"Because it is very dangerous to touch blood vessels." Ling Ran raised his head at this time, let the cervical muscles relax for a moment, and explained to the doctors below: "As far as the current position is concerned, touching blood vessels is likely to lead to organ failure, and further resulting in the death of the patient."

"Because if the blood vessel is broken at this time, there may not even be a chance to remove it?" Yu Yuan's theoretical knowledge is still sufficient, and with Ling Ran's reminder, she quickly found the reason.

Ling Ran nodded lightly, and said: "Theoretically, it is possible to cut the liver for salvage, but the meaning of this surgery does not exist. Moreover, given the patient's current condition, salvage will be very difficult."

"The remaining liver is not enough." Even Zuo Cidian can easily make a guess.

Ling Ran nodded, returned to the operating position, and asked the nurse inside to take out another specimen bag, then stuffed it into the patient's abdominal cavity, continued to peel off the tumor thrombus, and put it into the specimen bag.

This process is still lengthy and cumbersome.

If surgery is compared to car repair, the workload of removing a tumor embolus is about the same as maintaining a car engine. And countless tumor thrombi, it takes an infinitely long time.

In fact, most doctors are prone to omissions in the face of such long work.

Further giving up is normal.

If it is not motivated by a strong sense of initiative and a sense of accomplishment, it is basically difficult for normal doctors to persevere in such operations.

After a long bottleneck period, the number of doctors who watched the operation through live broadcast increased steadily.

In fact, people who can watch five or six, six or seven hours of surgery, it is basically impossible to give up when they see this time.

The live broadcast system established by Yunli is a professional platform, which requires the cooperation of professional equipment to play images. The high threshold makes its live broadcasts generally have a small number of people, and it is normal for a few people or even no one to watch the live broadcast.

However, it's the closest live system comes to the state of the operating room.

Professional doctors see professional surgeries, and thus form some fixed group relationships, which is the core charm of Yunli. For Ling Ran, this is also a more meaningful state.

Just having the number of viewers and the appreciation of fans is nothing new to Ling Ran, and it is even less likely to be his goal. In comparison, what professional observers learned or obtained through his operation process was what Ling Ran liked the most.

His skills were easy to obtain, and Ling Ran would be happy to see them if they could be generalized.

However, just like Professor Ling Ran, Lu Wenbin, Ma Yanlin and others, he is not used to nagging during the operation. For the audience in the live broadcast room, simply watching the operation becomes a bit of a steal mean.

As the saying goes, it is better to steal than a penguin. When you find out that your surgery is good, those who are willing to steal will work very hard.

As for the long operation time, it is not a problem.

Stealing the teacher is also afraid that you have practiced for too long?

When director Liang Xue and the others turned around again, they saw that the number of viewers on the live broadcast screen had already exceeded a hundred.

Director Liang was a little envious.

From the point of view of the medical community, hundreds of spectators are already a small-scale medical conference. In the past, to gather so many people to watch their own surgery, an ordinary department had to save a small coffers for several months.

"The operation went very smoothly?" Liang Xue approached Zuo Cidian and praised him.

"Doctor Ling is in good condition." Zuo Cidian answered with a little pride.

"That's right. How about you, have you learned anything?" Director Liang asked the doctors around with his hands behind his back.

The nearest senior attending doctor also watched the operation for a long time, his eyes were a little straight, he shook his legs first, and then said: "It feels really awesome, and then the whole way is awesome."

Liang Xue couldn't help recalling the experience of the past few hours, and found that it could be turned into the same sentence.

Director Liang Xue nodded slowly, and then said in a calm and wise tone: "So, you should learn from Dr. Ling, many people have done thrombectomy, but who can do this, right? ?”

"Yes..." Everyone cooperated with Director Liang Xue's words.

The senior attendant was silent for a few seconds, suddenly felt that the opportunity must be missed, boldly said: "I think I have learned something, and I can try to do it next time."

"Oh?" Liang Xue looked over and was really surprised.

For things like surgery, it's difficult to blow air from a distance, but it's not impossible to blow air, but if you want to blow air in person, especially in front of your own superior doctor, you can't blow air anyway.

Liang Xue looked up and down at the attending doctor in front of him, and said in a deep voice, "Tumor embolus surgery is not so easy to do."

"I... I have never had a liver resection, but I have watched Dr. Ling's removal of the tumor thrombus for several hours, and I think I can try it." The attending doctor replied in a low voice, also after thinking for a long time.

Ling Ran's operation has been done for so long, the difficulty is the difficulty, but the repeatability is extremely high. I watched this indication for a long time, and tried several times empty-handed. At this moment, I finally couldn't hold back.

If you don't bring it up now, there may not be a chance in the future. Let him say this. Even tomorrow, on another occasion, if he said the same thing again, there would be no chance of surgery.

Of course, it may not be possible to obtain it now, after all, there is some hope.

"Dr. Ling has been working for so long, but he hasn't broken a single blood vessel." Liang Xuedao.

"I... I think that if I find a surgery for early and mid-stage tumor embolism, I should be able to do it. Dr. Ling's technique is very delicate, and it should be able to effectively increase the success rate." The attending doctor strived for it as much as possible. Da Vinci robots have not yet been popularized, and there are only a few people who are willing to watch Ling Ran's tumor embolus surgery, and there are far fewer people who can watch the whole process.

The difference from most doctors is that when other doctors focus on difficult operations such as blood vessels, the main treatment is to constantly try to figure out Ling Ran's "removal of tumor thrombus" skills.

The long-term similar operation process is like giving lectures and reading the exercise book countless times, which continuously accumulates confidence for the attending.

This kind of technique may become relatively common in two or three years, three or four years, when Da Vinci is relatively popular, but as far as the current time point is concerned, if Ling Ran's three-successful power can be reproduced , For an ordinary attending doctor in a tertiary hospital, it is a rare highlight moment.

"You can search to see if there are any suitable patients." Liang Xue didn't say he was dead, but he also left a gap in the door.

"Okay. Okay." The attending doctor responded repeatedly, wishing he could run back to find the patient right now. 8)