Chapter 611： range

Qi Yuquan's liver cancer is an early detection. I do not have the slightest symptoms and feelings. As far as the size is concerned, it is a small liver cancer with a better condition (less than 5 cm in diameter).

According to the guidelines, such small liver cancer is also the best treatment.

Qi Yuquan's good habit of having a physical examination on time, or in other words, a good income brought a certain return.

However, judging from the situation of the virtual human beings that Ling Ran cut off, Qi Yuquan's luck is not very good.

It is about half the probability that liver cancer cells invade the portal vein in the early stage, and Qi Yuquan is hit. About half of the probability of invading the surrounding liver tissue, Qi Yuquan was hit, and satellite stoves appeared, with a probability of about 40%, and Qi Yuquan was hit.

All in all, Qi Yuquan is the most unfortunate 10% of patients with small liver cancer.

Coupled with his age and basic diseases, let alone Qi Qiquan want to get a good prognosis, it is very difficult to cut off the liver tissue invaded by cancer cells, and then smoothly walk down the operating table.

Ling Ran made a rough cut on the virtual human, confirmed the scope of the cancer, and quickly ended the first attempt.

Before the blue-lit human body disappears, the system displays a line of words:

"Virtual Man" (Master)-3 hours and 52 minutes remaining.

Just to get the approximate range of the cancer, Ling Ran cut for 5 minutes.

Ling Ran shook her head secretly, and she was still a little too formal. Doing the anatomy of a virtual human in the way of the general anatomy teacher, wasted some time in vain.

"Dr. Zuo, please send all Qi Yuquan's examination data." Ling Ran did not use the virtual person anymore, but decided to look at the data first.

Qi Yuquan has performed quite comprehensive examinations in private hospitals, from simple x-rays to ct to PET that ordinary people would find expensive, as well as various biochemical, Child-Pugh liver function classification, indocyanine The retention rate of green and so on are all completed.

Regardless of whether it is to make money, this set of private hospitals is very helpful to describe Qi Yuquan's physical condition-for senior surgeons or senior physicians who will perform surgery, through all imaging data and biochemical reports, The state of Qi Yuquan's abdominal cavity should be established in his mind: the approximate range of cancer cells, the current state of the affected tissues ...

If you go further, you can also guess the speed of cancer cell differentiation, the possibility of tissue invasion, and so on.

However, for a young surgeon like Ling Ran, it is very difficult to achieve half of them in a non-intuitive way.

In fact, even to the extent of He Yuanzheng, director of Hepatobiliary Surgery of Yunyi, many indications are ignored.

Beijing University, like Professor Feng, may study it carefully if you study it carefully ... Here are the benefits of private hospitals. Some of them have time and doctor-patient ratios to carefully study the condition of patients.

One person is not enough, a few people, a few people are not enough, and then foreign aid is requested ... Foreign aid is the most important. Public hospitals ca n’t let go and ask foreign aid. Private hospitals are too casual. They often prescribe public hospital directors. Annual salaries ranging from 10,000 yuan to 100,000 yuan are always offered, so that you can ask for advice whenever you need it.

Of course, the wool comes out of the sheep, and the patient's film is sent for a "consultation". The hospital does not have much cost, but the patient has to spend tens of thousands of dollars, which is quite good.

However, after all the inspections are completed, if the results are not good and a difficult case is encountered, the private hospital will not hesitate to push the patient out of the door—referral to a public hospital, maybe it will make another profit.

Small-risk cases, no matter how troublesome and complicated, private hospitals will not dislike them, just give money.

For high-risk cases, private hospitals will pick and choose.

Even rich people like Qi Yuquan were eventually launched into Yunyi by Meng Shan as a missile.

At this time, the various inspections made to Qi Yuquan have instead become the motivation to push him out.

If Ling Ran is not good enough and cannot find foreign aid, it is easy to make mistakes in Qi Yuquan's complicated operation.

In fact, Qi Yuquan's case was sent to Beijing and he found the final conclusions of the talented cattle. For Yun Yi, a weak hepatobiliary surgeon, he could not find any powerful foreign aid in Lingran's consultation.

He is the strongest person in Yunyi Hepatobiliary Surgery.

In this regard, Meng Shan's move can be regarded as a pain point.

"Dr. Ling, really want to have Qi Yuquan undergo surgery?" Zuo Cidian personally sent the materials. When he handed it to Ling Ran, he was still worried.

Zuo Cidian did not know how complicated Qi Yuquan's condition was, but considering the existence of Meng Shan. He didn't feel at ease.

Ling Ran said "en", "Qi Yuquan's situation is indeed complicated, but within the controllable range."

Zuo Cidian did not believe in "controllability" and advised: "Dr. Ling, if you want to perform liver cancer surgery, grab someone from liver and gallbladder surgery, why not accept patients from other doctors with ulterior motives."

"The patient itself is not wrong." Ling Ran paused and said, "This patient's liver cancer is exactly what I can handle. The beds in the group are also free, the operating room is not full, and there is no reason to keep people out. ... "

Zuo Cidian said, "Danger" is the reason to keep people out.

However, he is now familiar with Ling Ran, knowing that he cannot convince Ling Ran this way, and can only say from a medical point of view: "You haven't done liver cancer surgery before, now you can have a certain degree of certainty."

"This patient, Qi Yuquan, I'm afraid it's difficult to find a more suitable doctor than me." Ling Ran answered very positively.

Zuo Cidian was speechless right away.

He even looked back carefully to avoid being heard.

"You are so confident ..." Zuo Cidian was helpless and admired again.

Ling Ran nodded surely.

Without the skills of a virtual person, Ling Ran would probably not accept Qi Yuquan, at least not immediately.

If the patient is admitted and cannot be treated well, then from the perspective of Ling Ran, treating the patient is not only unhelpful but also harmful. Especially for patients with liver cancer like Qi Yuquan, under normal circumstances, his survival time is at least one year, or even longer. If the doctor's conservative language says it, it should be more than 6 months.

But if the operation fails, there may be no operating table on the spot. Chemotherapy for three or four months can completely destroy the patient's immune system and even cause the patient to die ...

In this regard, the gap between good surgeons and ordinary surgeons may be more than 5 years of life, and the gap between top surgeons and ordinary surgeons may extend to ten years or more.

Without a virtual person, Ling Ran is sure to be excellent, but it is difficult to say if he can be top-notch. In that case, Ling Ran would rather introduce the patient to He Yuanzheng. Since Ling Ran began to perform hepatectomy of intrahepatic bile duct stones, He Yuanzheng has gradually favored the surgery of the liver cancer department, but he can do well.

Or, let Qi Yuquan go to Beijing for medical treatment, presumably with his condition, he can get very good treatment.

However, with the help of a virtual person, Ling Ran not only increased his confidence, in fact, he also increased his strength.

He was originally a master-level hepatectomy. He had a high success rate against the non-cancerous liver tissues, and his prognosis was not good. It can be said that there are few domestic rivals.

For liver cancer, UU reads www.uukanshu. Although com Ling Ran cannot change his life and completely cure cancer, for Qi Yuquan, 73 years old, what he needs most may not be to eliminate cancer, but two contradictory requirements: first, Cut as much tissue as possible from cancer cells. Second, cut as little tissue as possible.

His age and physical conditions are destined to withstand large-scale resection.

The spread of his cancer cells is wide, and such patients can be said to be very difficult to handle.

However, with the help of a virtual person, Ling Ran was more confident.

If all goes well, Ling Ran estimates that he should be able to extend Qi Yuquan's life for about 10 years, and it will be a decade of quality of life.

Qi Yuquan is 73 years old. If he can live to 83 years of age with high quality, the impact of cancer on him can be said to be minimal. As far as the medical effect is concerned, it is probably equivalent to liver resection of intrahepatic bile duct stones.

This kind of cancer surgery is exactly the kind of cancer surgery that Ling Ran likes.