Chapter 613： Best usage

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Ling Ran watched Qi Yuquan's film again, scanned his biochemical report again, and closed his eyes for a moment, thinking of a virtual person.

Ling Ran got up, shrugged, moved his muscles, and massaged his neck by massage.

Immediately afterwards, a dummy of Qi Yuquan lay flat in front of him, and a blue light appeared, and then the light gradually faded.

With a thought in Ling Ran's mind, he reached out his hand again, and a long No. 4 knife handle fell into his hand. He said that it was fast, but when Ling Ran waited for the light to dissipate, he stroked it and gave The patient had a large 50-cm L-shaped incision, which was made directly deep, regardless of stratification.

For normal surgical incisions, fascial fat and skin must be layered out consciously to facilitate suture. Ling Ran is now facing a virtual person, but does not need sutures.

Ling Ran naturally chose a time-saving solution. Even the current incision is an absolute standard incision.

At present, for liver cancer surgery, doctors are eager to make a small incision of a few centimeters to facilitate postoperative recovery, but during the operation, the obstacles caused by the small incision needless to say.

The 50 cm long incision is half a meter long. If other doctors see it, they must be envious of death.

Ling Ran reached in and took out the liver first, then looked at the surroundings carefully.

The naked eye does not see large pieces of cancerous tissue. However, this judgment is not comprehensive. The invasion of cancer cells is diverse. Therefore, in order to reduce the possibility of recurrence, surgeons usually Centimeters of normal tissue were removed.

For patients as young as Qi Yuquan, cutting five centimeters or even three centimeters can be fatal.

As far as his physical condition is concerned, the result of over-resection may be months of pain in iu, and then liver failure and death. If you are lucky, your body may be able to compensate for it, but will it cause other diseases? It is also difficult to say. It is certain that life expectancy will be shortened and the quality of life will be greatly reduced.

Ling Ran waved his hand, ending the use of virtual humans in this round.

Then, Ling Ran opened Qi Yuquan's magnetic resonance film and read it carefully.

Reading the book a hundred times makes sense, for Ling Ran, magnetic resonance films are the same.

Qi Yuquan's magnetic resonance film taken by a private hospital has the advantage that he can bring the original film to different hospitals for consultation.

The original magnetic resonance film is not the one given to the patient by the hospital, but thousands of images stored in the computer. Doctors who understand magnetic resonance reading can see a lot of information through them.

However, it is also because the magnetic resonance data of many hospitals are not connected with each other. In order to make money, there is no motivation to get through, and because doctors in the hospital do not trust each other, the sick people need to change to a hospital and retake a film.

Qi Yuquan saved this process. The private hospital prepared a complete set of original magnetic resonance films for him, and it was a 3.0t version with a higher main magnetic field strength, and the clarity was also more common than that of 1.5t and 0.5t. There was only one 3.0t cloudy medical doctor. The nuclear magnetic resonance instrument is usually full of doctors who do not want to wait, and there will not be 3.0 without watching, forcing 1.5t to shoot.

"The system, give me a new simulation of Qi Yuquan." Ling Ran didn't know how to manipulate the function of the virtual person, so he simply expressed it in words.

The system gave nothing new and gave a new Qi Yuquan.

Ling Ran cut it open again brutally, and then found the lesion that was discernible to the naked eye. He went out a little bit, asked for a scalpel, and cut off a piece of liver.

In the virtual man's abdomen, the blood was sloppy, like a small fountain, and quickly filled the abdomen.

Ling Ran didn't do any operations such as hemostasis in advance.

"Suction." Ling Ran said in isolation, and saw that a suction device really appeared, so he immediately asked: "Are there any microscopes? And pathological examination equipment, microscopes, slides and so on."

In the blue light flashing, the system spoke to Ling Ran without a word, and once again simulated a set of pathological examination equipment, including the microscope and slides that Ling Ran wanted.

"Yes." Ling Ran gave a small compliment.

Next, Ling Ran cut the sliced ​​liver thinly around the periphery, put it in a glass slide, put the medicine in it, and put it under a microscope to observe.

He was looking for cancer cells, and the boundaries of cancer tissue.

If the microscope shows clear-cut cancerous tissue, then the cancerous tissue has been cut clean. On the contrary, if the boundary is not clear, it means that the cancerous tissue still exists, spreads farther, and needs to be cut more.

This method of pathology combined with surgery is gradually being promoted in many hospitals, and its benefits are also obvious. By observing the cell boundary method, it is possible to remove as few normal tissues as possible while removing cancerous tissues.

However, in reality, it takes time for the pathology department to submit the examination. Moreover, it is often encountered that two submissions and three submissions still fail to find a clear boundary. The previous surgeon cut more than three or five centimeters. I was too busy, because the invasive capacity of cancer cells often reached three to four centimeters.

The pathological examination mode is actually a width of one or two centimeters.

However, liver cancer surgery rarely uses this model.

During the examination, the patient waited with his abdominal cavity open. If he had to cut an intestine or something, the patient would be able to afford it. Liver surgery is often not so cheap.

Regardless of where the hilum is blocked, the safe time under liver ischemia is 1 hour. If it is more than an hour, it is better to cut an extra three centimeters. In this way, the number of examinations is limited, and the prognosis is not good.

Ling Ran was also not sure. In one or two times during the operation, the tissues infiltrated by cancer cells could be cleaned. Furthermore, Qi Yuquan also had a satellite stove. The resection area was larger and more complicated. Using the conventional model, there was no way to use cases. The mode of submission.

Without this method, Qi Yuquan's body is obviously unbearable.

This is one of the reasons why Meng Shan referred people.

Qi Yuquan's liver cancer is still at the early and middle levels, but his physical health is late, and the two phases overlap, making the surgical plan impossible to formulate.

Unless, like Ling Ran, use a virtual person.

In the state of a virtual human, Ling Ran can remove the liver at will, and then determine the boundary of cancerous tissue. Even, Ling Ran can finally confirm the development of cancerous tissue before surgery. It is not as accurate as MRI or PET. .

Ling Ran feels that this is the best use of virtual humans.

none of them.

Do not accept rebuttal!

"Zuo Cidian, prepare for Qi Yuquan before surgery, and let Qi Yuquan sign a consent form with his family ..." Ling Ran made a rough inspection to confirm that the plan was available, and ended the virtual human status.

At this point, the virtual person has 3 hours and 21 minutes left ~ www.novelhall.com ~ Zuo Cidian received the call and felt uneasy. He asked, "I really want to have Qi Yuquan undergo surgery? Father 73, seventy-three, eighty Fourth, the king will not come ... "

"The surgical plan is the most beneficial to the patient. You have to explain it to the patient and family." Ling Ran interrupted Zuo Cidian's words and explained his attitude.

Arrogance, or in other words, is the label of the surgeon. Doctors who are afraid of wolves and tigers are not good at surgery.

Listening to Ling Ran's tone, Zuo Cidian knew that he was unable to persuade him.

Zuo Cidian hung up the phone, hesitated again and again, and still called Huo Congjun's phone. After a brief explanation, Zuo Cidian went to the special needs building with a whistle and had a pre-operative conversation with Qi Yuquan and his family.

The special needs building of the hospital was always exposed like a fishing net. When Zuo Cidian entered the ward and said the word "operation", the news spread out.

The medical staff in the special needs building is much more busy than the emergency department.

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