Chapter 616： Submit

"Doctor Ling, can you cut that much?" Liu Cishan, the First Hospital of Wuxin City, is the deputy chief physician specializing in liver and gallbladder. Of course, before he came into contact with Ling Ran, he basically did not dare to cut the liver. He mainly performed gallbladder surgery, and then wrote about the liver.

The result of a long-term invitation to Ling Ran for liver resection is a straight upgrade of Liu Cishan's and others' ability. Now he can directly perform a minor liver operation. However, he still has to ask Ling Ran to sit in the office. Accidentally, it was too late to send patients to Wuyi from Wuxin City.

With Ling Ran's character, even if he received the money to guide the operation, there is still something to say. Although people who are prone to provoking are not happy, they are used to it ... Liu Cishan and others are used to it.

Liu Cishan and Ling Ran were in the operating room. They were used to asking any questions.

As a deputy high of Ben Wu, he also has a heart that wants to cure liver cancer.

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

Liu Cishan said uncomfortably, "But ... it's not clean."

"Look at the results of the inspection."

Liu Cishan suspected that he had heard it wrong, and couldn't help asking: "What if the inspection result shows that it was not cut clean?"

"Then cut a little bit more and check again."

"If it hasn't been cleaned yet."

"Then cut more and end the operation." Ling Ran's head was sober. If he hadn't cut it twice, it would be funny to hold his neck and retain more organs.

However, if today's patients have more liver cuts, it will be a problem whether they can wake up again, so this has turned into a dilemma.

If you want to say, Meng Shan from Dongke sent the person over, and he really chose a good case.

Well done, the hospital will issue bonuses, and if it is bad, the hospital will issue retirement pay, properly.

The doctors in the operating room looked at each other.

From their point of view, Ling Ran's attitude was somewhat casual, or in other words, it became too solemn.

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

It is normal to control the time of liver ischemia within 1 hour, and three test reports take an hour, not to mention, liver resection is extremely complicated, and each time hemostasis or something, A lot of time is wasted.

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 was embarrassed to say that he didn't understand three words.

Now it belongs to the surgical interval. Doctors are holding hands and waiting for the report of the laboratory. Ling Ran simply talked about the operation: "The patient Qi Yuquan is 73 years old, his liver function is weak. After liver protection treatment, many indicators also Just in 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 much as possible, because the patient is also intolerant to chemotherapy. Therefore, according to the results of the examination, the minimum Removal of the liver is the only option. "

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

However, if cancerous tissue cannot be removed, the frequency and intensity of chemotherapy is not a concept. Ling Ran doesn't think Qi Yuquan can survive it.

The doctors in other hospitals were hesitant. They had countless words to say in their stomachs, but they were not embarrassed to say it.

"Because such patients are not suitable for surgery."

In Dongke's conference room, there was also a group of doctors sitting together and laughing.

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

Professor Bao, who was sitting opposite him, was the earliest doctor to inspect Qi Yuquan. However, unlike Meng Shan, Professor Bao still works in a public hospital. Only when there are patients, he goes to the private Dongke to earn some personal money.

Most of the doctors in private hospitals do this. It is very social to treat ordinary people in public hospitals, wealthy people in private hospitals, and people with rights in special needs buildings.

Professor Bao himself was an expert from a general background. At this time, looking at the surgery image on the screen, he said, "This Qi Yuquan's house has mines. There are really mines. After several hospitals, if the American hospital dares to perform surgery on him, he will go to the United States. Where can I find Yunhua's hospital? "

"American doctors dare not perform surgery on him."

"There is no way to do it. Some things like cancer can be operated, some are not. What can you do?" Professor Bao said calmly: "Young people always think they can do it. Actually, there are certain things that can't be said to be true. "

"Professor Bao is right." Meng Shan basically held an attitude towards these adjunct professors.

Adjunct professors collect money according to workload. In places like private hospitals, workload is not high, so you have to have a better attitude towards them in order to retain people.

Of course, a full-time dean like Meng Shan earns a lot of money. He didn't mind the small crowd.

Professor Bao was very happy, so he reiterated: "We as surgeons must do what we can. A physical condition like Qi Yuquan, such an age, and cancer, can really only be treated with palliative treatment. This Ling Ran is thinking very well, such as doing bowel cancer and doing a synchronous pathological examination, he doesn't want to think, if we can do it, how could we not do it ... "

"It really can't be done." The doctor next to him was also general and took a poke.

Professor Bao bowed his head: "This way is a waste of time. It will be a good time for the patient to get off the operating table. The patient and his family don't want to think about it. Such a few hours long operation, a 73-year-old man, really Can you survive it? "

"If the cancer cells can be removed, then there is a need to do it. If you don't just do it, it will kill you."

"So he must have been cut ..."

Professor Bao's voice has just fallen ~ www.novelhall.com ~ The phone in the operating room on the screen, the bell rang.

"Operating Room 1." The itinerant nurse ran to answer the phone.

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

There were sighs in the operating room.

The signals were connected everywhere, and the doctors who watched the operation couldn't quiet down.

Lu Wenbin and Yu Yuan, who were working as assistants, looked at Ling Ran slightly uneasily.

"Let's cut a little more. There should be no problem." Ling Ran smiled and repeated the previous steps again, cutting the patient's liver thinly.

He actually cut off the edge just now. After all, in actual operation, he needs to make a judgment based on memory. If he slides his hand, he may cut an extra inch of liver out. For a patient like Qi Yuquan, a liver that is one centimeter thicker and one centimeter thicker must affect lifespan.

Therefore, Ling Ran tended to be conservative when doing resection. It doesn't matter if the first resection is wrong, the liver's blood flow has been blocked anyway. Within an hour, the difference will not be particularly great.

Now, Ling Ran cuts off a little more liver, which can ensure that the cancer cells are clear, but also ensure that more liver remains.

Ling Ran made the excision confidently, and asked the nurse to send the slice for examination, then raised her head again, and all she saw was a worried expression.

"Dr. Ling, it's better to be more cautious and cut more."

"Just leave the second inspection."

"It's too thin to cut another piece."

Most doctors are stable, they don't have virtual people, so they can only persuade them.

Ling Ran held hands, smiling, unmoved.

Similar scenes have appeared constantly in his life, and Ling Ran has long been used to it.

(= Easy to read novel)