Chapter 480： Extreme liver

Lu Wenbin was undergoing surgery and secretly observed the little nurses around him, as well as the little nurses and female doctors who were watching.

Lu Xun is right. Rabbits don't eat nest grass, and Lu Wenbin doesn't want to find the other half in the emergency center-even if someone wants to, he will probably refuse!

However, hepatobiliary surgery is different.

Hepatobiliary surgery can no longer be said to be littoralis, here is far enough from the litter.

Lu Wenbin's attention was particularly attracted by the equipment nurse.

It seems that the young instrument nurse has a small cheek, a small chin, a small breast, a small calf, and the movement of the device is quite gentle ...

"Suction." Ling Ran ordered.

Lu Wenbin trained his chest, raised his head, sucked his belly, and at the same time, he squeezed his hands subconsciously.

A swelling of blood was sucked out of the abdominal cavity, exposing some stiff liver.

"Liver cirrhosis is more serious, and now it is bluntly separated." Ling Ran spoke, holding the liver up, and hesitated to wave the liver without hesitation.

This is more used, for Lu Wenbin and others, there is no visual impact.

Recently, they have eaten grapefruit, and they all use hands to peel the liver to practice their hands-grapefruit skin is used to sew, and grapefruit meat is used to peel the liver. It can be said that the whole body is precious.

However, for reporters, Ling Ran's action was very shocking.

He quickly raised the lens, and clicked the shutter with a click, while pressing it, he had no time to adjust the angle.

Ling Ran didn't even see the reporter and continued to perform his own surgery.

Reporters are nothing new to him. Even Lu Wenbin and others are now in a habitual state.

"Would you like to cut a little more?" He Yuanzheng, who didn't comment much on the whole operation, made suggestions at this time.

He is an "old" doctor in hepatobiliary surgery. He is experienced and most importantly, he has extensive experience in liver cancer surgery. At this point, he is stronger than Ling Ran, who has master-level liver resection.

Ling Ran apparently hesitated and said, "In terms of the volume removed now, the recovery of the liver has been very reluctant."

After the liver is cut off, it has the ability to regenerate itself, which is also the basis of liver resection.

However, even if it is self-regenerating, it needs a certain foundation. If too much liver is cut off, regeneration will be slow. Of course, it is more likely that liver function is inadequate, and the patient hangs up without ICU.

He Yuanzheng relied on experience and said, "Just looking at the stump now, I think that to clean up the cancer cells, I need to cut a little more. Of course, this is also my personal habit. I am used to cutting a little more ..."

Lü Wenbin and others couldn't help but converge their expressions, and listened to the conversation between the two.

If there is something good, then quietly glanced at the reporter, and secretly looked forward to the next plot.

The chief surgeon and the actual surgeon diverged on the next surgical plan. In the operating room, this is second only to doctors and nurses.avi, doctors and patients.avi, nurses and patients.avi, doctors and patients nurses.avi, leaving patients Break into the operating room. Avi ... wonderful and intense.

Especially if there is a reporter, it will undoubtedly increase the intensity of the incident.

Even though Lu Wenbin was a little worried, he didn't dare to look up at this time. Director Huo is here, where can I get him to speak.

Ling Ran also looked up at He Yuanzheng at this time, then the reporter and others.

He Yuanzheng said: "The recurrence rate of liver cancer is very high. It is difficult to guarantee the effect without cutting more."

Ling Ran groaned: "Cut off a little more, the patient may be very dangerous."

"If there is a short-term relapse, it is better to die than to live." He Yuanzheng said earnestly. He has had such a long history of liver cancer surgery, and he really knows it.

If the patient has a stable cancer and can have a relatively high quality of life, then even if he relapses or metastases, he will be more confident to undergo another round of dangerous surgery, chemotherapy, radiotherapy, etc ...

However, if the patient's cancer has a short plateau and has just recovered from the pain and is again suffering, then the patient's desire to survive will be greatly reduced.

The reporter raised his camera gently.

Huo Congjun frowned, trying to stop him. This is the practice of intensifying contradictions.

At this time, Ling Ran had already made a decision: "Listen to you, let's cut more."

Looking forward to watching a crowd of people waiting for a good show, can not help but show disappointment.

If this shows a wave of tearing drama, what director of hepatobiliary surgery tears Ranran, and the emergency center invades hepatobiliary surgery. There are countless scenes to play!

Ling Ran looked down at the patient's liver, and then held it up a half.

"It is expected that the operation time will increase by 15 minutes." Ling Ran reminded the anesthesiologist before he was re-entered into the state of cricket liver.

But this time, Ling Ran's will be much more detailed.

Today's patient is more than 60 years old. He is a patient treated by hepatobiliary surgery himself. His living habits are not good. Liver cancer is also caused by repeated hepatitis and cirrhosis.

This result led to an abnormally poor quality of his liver. In Ling Ran's opinion, if he cuts a little more, it may not be possible to have surgery.

However, He Yuanzheng's experience as director of hepatobiliary surgery also had to be considered by Ling Ran.

As it says, short-term recurrence is a life-threatening experience for patients with liver cancer. Many patients who do not have a strong desire for survival at this stage often give up active treatment and switch to palliative care.

It's too painful, just like torture, not everyone can stand it.

Regardless of the quality of life or the length of life, reducing the recurrence rate of cancer is what the surgeon should do.

Ling Ran carefully patted his liver, and no more talented axe.

The patient's liver function is poor, and there is a lot of liver tissue removed. Even if I get an operating table, ICU can't be produced, and ICU can't be produced. This kind of thing that depends on luck has never been the main consideration of Ling Ran.

It is necessary to remove not only cancerous tissues but also some tissues that have not become cancerous, but may proliferate cancer cells ... Based on this, a little more liver function must be preserved ~ www.novelhall.com ~ Na Lingransuo What can be done is to remove more waste liver cells.

It's a difficult balance.

Ling Ran made a decision, bowed his head, and entered the operational phase.

As far as the surgeon is concerned, the faster the decision, the better the decision is, is it the optimal decision? Only when it comes to the death discussion can it be clear.

He Yuanzheng was also somewhat surprised by Ling Ran's attitude.

In his imagination, a young star doctor such as Ling Ran, not to be taunted, the surgeon's inherent pride should also be extremely serious.

Unexpectedly, Ling even said that he accepted his opinions, so he accepted them.

On the contrary, he admired He Yuanzheng slightly.

Turning his head, He Yuanzheng looked more seriously at Ling Ran's operation. Looking at it, He Yuanzheng gradually found out that Ling Ran's operation was so fine-although it said that Ling Ran's previous operation was also detailed enough, but the relative Compared to the current operation, it seems like the gap between braised tofu and VanceInfo tofu.

He Yuanzheng was excited, all nervous.

No surgeon will be bored and inexplicably increase the burden of his surgery.

It is as if professional athletes must compete with professional athletes in order to obtain their best personal results.

He Yuanzheng believed that Ling Ran raised the complexity of the surgery so high that it would not be targeted. The only reason is that the proportion of liver resection is really reaching its limit.

This is a dig at the edge!

"I'm here to help Dr. Ling." He Yuanzheng saw the surge of blood after seeing the operation for a moment.

Not every kind of extreme surgery can be done at any time. Athletes can participate in various high-level events, and surgeons can only wait.

Extreme liver surgery, even He Yuanzheng, can not do surgery!