Chapter Six Hundred and Sixteenth Inspection

"Doctor Ling, do you only cut this much?" Liu Cishan from the First Hospital of Wuxin City is the deputy chief physician who specializes in liver and gallbladder. Of course, before he came into contact with Ling Ran, he basically didn't dare to cut the liver, he mainly did gallbladder surgery, and then made some fuss about the liver.

The result of long-term invitation to Ling Ran to perform liver resection surgery is that the abilities of Liu Cishan and others have been upgraded in a straight line. Now they can directly perform minor operations on the liver. However, Ling Ran must be invited to sit in charge, otherwise, once something happens Unexpectedly, it was too late to send the patient from Wuxin City to Yunyi.

With Ling Ran's personality, even if he received money to guide the operation, he would say something. Although the people who were easy to provoke were unhappy at first, but he got used to it...Liu Cishan and others got used to being unhappy.

Liu Cishan and Ling Ran were in the same operating room, and they were used to asking any questions directly.

As a vice-senior vice-president, he also has a heart that wants to cure liver cancer.

Ling Ran also answered very directly: "Try to cut it as small as possible, which is conducive to postoperative recovery."

Liu Cishan couldn't get used to it and said: "But... this is not going to be clean."

"Wait for the results of the inspection."

Liu Cishan suspected that he had heard it wrong, so he couldn't help asking: "What should I do if the result of the inspection shows that the cut is not clean?"

"Then cut a little more and check again."

"If it hasn't been cut clean yet."

"Then cut more and end the operation." Ling Ran was clear-headed, if he didn't cut cleanly twice, it would be ridiculous to keep his neck straight and keep more organs.

However, if a patient has more livers removed today, it will be a question of whether he can wake up again, so this has turned into a dilemma again.

If you want to say, Meng Shan from Dongke really chose a good case when he sent someone here.

If it is done well, the hospital will give you a bonus;

The doctors in the operating room looked at each other.

From their point of view, Ling Ran's attitude seemed a bit casual, or in other words, became too serious.

Liu Cishan whispered: "If the liver cancer is removed, it usually doesn't take that long to wait for the test results. I mean, it's fine to wait once or twice. If it's three times, isn't it too long?"

The time of liver ischemia is controlled within 1 hour, which is relatively normal, but the time spent on the three test reports takes an hour. Not to mention, the liver resection is extremely complicated, and every time he stops bleeding and sutures, Also wasting a lot of time.

Ling Ran said: "The third time is the bottom line left. Normally, the second resection should have a definite result."

"I didn't understand." Liu Cishan was obviously educated, otherwise, he would be embarrassed to say that he didn't understand the three words.

Now it is an interval between surgeries, and the doctors are all struggling to wait for the report from the laboratory department. Ling Ran simply talked about the contents of the surgery: "The patient Qi Yuquan is 73 years old, and his liver function is weak. Only at the passing line. In this case, we need to remove his tissues and organs as little as possible. At the same time, we must cut as clean as possible, because the patient is also intolerant to chemotherapy. Therefore, according to the test results, the minimum Removal of the liver is the only option."

If the cancerous tissue can be cut cleanly, chemotherapy is not needed, at most one or two low-dose preventive chemotherapy operations.

However, if the cancerous tissue cannot be removed completely, then the frequency and intensity of chemotherapy is not a concept. Ling Ran didn't think Qi Yuquan could survive.

The doctors in other hospitals were full of hesitation. They had countless things to say, but they were just too embarrassed to say it.

"Because such patients are not suitable for surgery at all."

In Dongke's conference room, there were also a group of doctors sitting together, laughing out loud.

"Professor Bao is right." Meng Shan said casually.

Professor Bao, who was sitting on the opposite side of him, was the doctor who first examined Qi Yuquan. However, unlike Meng Shan,

Professor Bao still works in the public hospital, but only when there are patients, he goes to the private Dongke to earn some money for himself.

Most of the doctors in private hospitals are like this. It can be said that it is very social for ordinary people to see a doctor in a public hospital, for the rich to see a doctor in a private hospital, and for the powerful to see a doctor in a special-needs building.

Professor Bao himself is an expert with a background in general surgery. Looking at the operation images on the screen at this time, he said: "There are mines in this Qi Yuquan's house, there are really mines, so when you are sick, seek medical advice. He has been to several hospitals, if a hospital in the United States dares to operate on him, he will go to the United States, there is no need to find Yunhua's hospital."

"Doctors in the United States would not dare to operate on him."

"There is no way to do it. Some things like cancer can be operated on, and some can't be operated on. What can you do?" Professor Bao said calmly: "Young people always think that they can do it. In fact, there are some things that can’t be said before they can be done.”

"Professor Bao is right." Meng Shan basically favored these part-time professors.

Part-time professors are paid according to the workload. In a place like a private hospital, the workload cannot be high, so you have to treat them with a better attitude in order to retain people.

Of course, a full-time vice president like Meng Shan earns a lot. He also doesn't mind a little compliment to his peers.

Professor Bao was very happy to be praised, so he said again: "As surgeons, we have to do what we can. If Qi Yuquan has such a physical condition and such an age, if he has cancer, he really can only treat it with palliative care." This Ling Ran thinks very well, like doing a simultaneous pathological examination for bowel cancer, he doesn't think about it, if we can do it, how can we not do it..."

"It really can't be done." The doctor next to him is also a general surgeon, so he made a joke.

Professor Bao nodded: "This is a waste of time. It will be good if the patient can get off the operating table. The patient and his family members don't think about it. After such a major operation that lasted several hours, a 73-year-old man really Can you survive?"

"If the cancer cells can be completely removed, then it is necessary to do it. If you don't do it, it's a disregard for human life."

"So, he must have cut too much..."

As soon as Professor Bao finished speaking, the phone in the operating room on the screen rang.

"Operating Room No. 1." The itinerant nurse ran to answer the phone.

A few seconds later, the itinerant nurse hung up the phone and shook her head at Ling Ran: "The boundary is not clear."

In the operating room, Qiqi sighed.

The signal was connected everywhere, and the doctors watching the operation couldn't calm down.

Lu Wenbin and Yu Yuan, who were working as assistants, also looked at Ling Ran with a little anxiety.

"Let's cut a little more. It should be fine." Ling Ran smiled, and repeated the previous steps again, cutting off a thin layer of the patient's liver.

He actually cut the edge just now. After all, in actual operation, he needs to make judgments based on memory. With a slip of the hand, an extra centimeter of liver may be removed. For a patient like Qi Yuquan, a liver that is one centimeter thicker or one centimeter thicker will definitely affect life expectancy.

Therefore, when Ling Ran performed the excision, he tended to be conservative. It doesn’t matter if I guessed wrong for the first resection, the blood flow to the liver has been blocked anyway, within an hour, the difference will not be particularly big.

Now, Ling Ran can cut off a little more liver, which can not only ensure that the cancer cells are cleared, but also ensure that more liver remains.

Ling Ran performed the resection confidently, and asked the nurse to send the slices for examination. When he raised his head again, all he saw was worried expressions.

"Doctor Ling, why not be more cautious and cut more."

"Farewell to the second inspection."

"It's too thin, it's better to cut another piece."

Most of the doctors are stable words first, and they don't have a virtual person, so they can only persuade from the sidelines.

Ling Ran tied his hands together, smiling, unmoved.

Similar scenes had repeatedly appeared in his life, and Ling Ran was already used to them. (=easy to read novels)