Chapter 643： Blood vessel

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"Lao Du, take care of your body. Collect this site ┏Ⅹ④③⑨⑨┛"

"Academician Du, take a good rest and actively prepare for surgery."

"Don't worry about it at home, we all help you watch."

Academician Du really lived in the ward, and colleagues of the unit, students, officials and relatives and friends came in one after another.

To talk about, most of the people who come to visit the patients are knowledgeable and interesting. Most of the people who saw them came and left, while others helped out in the ward, raised water, picked up people, and communicated. Doctors and nurses ... there are so many people that there are always overcrowded people in the ward.

Ling Ran was full of roast duck, then returned to the hospital, and shouted Xu Wen to go to the room to eat, and when he reached the single ward, he saw that the door was blocked by water.

"The doctor is here, please let me know." The visitor was very polite, greeted each other, and put Ling Ran and Xu Wen in, but there were people talking all the way:

"Doctor, you can worry a lot, Academician Du is the pillar of our Chinese Geology ..."

"How good was Academician Du's previous health. How could it be impossible? Is it a misdiagnosis?"

"Doctor, Academician Du's tumor, can it be done without surgery? So old, it is very hard to do surgery."

Xu Wen could not help but look back at Ling Ran. Similar words, he often listened, but Ling Ran was young after all ...

Ling Ran walked into the ward silently, without being disturbed by the language of the crowd at all. To him, this level of babbling was indeed some pediatrics.

At that time, someone rushed up crying and shouting. Waving a banner or anything was simple. When I met a girl flying a thousand paper cranes, I had to help others calm down in order to maintain a stable situation.

"Isn't the visit time over yet?" Xu Wen turned to ask the nurse who maintained order inside.

The little nurse was anxious: "I said they were left, but they didn't leave."

Xu Wen said with gratitude, "You shout again."

"Oh." The nurse raised her throat aggrieved, and said, "The patient is going to have an operation tomorrow, and it's time to rest. Everyone go back ..."

"The visiting time is extended, and the operation time tomorrow will also be postponed. If it is too late, the operation will not be performed. You must complete the examination before the operation." Xu Wen then reminded and said something.

Then everyone started to move:

"That line, I'll go back first."

"Academician Du, take a good rest. Let's come back and see."

Academician Du also smiled mildly, greeting everyone, and looked like a kind old teacher.

"Doctor Ling?" Xu Wen watched as the visitors were gone, leaving only the three family members of the patients, and then put away a straight expression.

"I'll do a personality check for you." Ling Ran said nothing else, so he stood up and put Academician Du first.

The update of a virtual person requires human contact.

When Ling Ran touched Academician Du again, he could renew his dummy.

Of course, before the operation tomorrow, he will turn on the virtual person again, and it will take longer, but according to his current experience, it is better to open two short ones and then a relatively long one.

A blue body appeared in front of Ling Ran.

Ling Ran didn't even think about it. He reached for a virtual scalpel, dissected the virtual human, removed the liver inside, and rubbed it with his hands to open the normal tissue, exposing the cancerous tissue during the package.

Under the blue **** dummy, Academician Du blinked his eyes, not understanding what Ling Ran was doing with such a large-scale movement.

Others in the ward wanted to ask rather than ask.

Xu Wen can clearly see that Ling Ran seems to be performing a simulated operation. However, to say that it is a liver operation, Xu Wen feels it is impossible, so he can only watch it silently, as if it were Part of Ling Ran's maverick.

There are more maverick doctors, and surgeons who need to be consulted by a psychiatrist are not uncommon. Xu Wen feels that there is something special in front of him, and it makes people feel normal.

If you do things the same way as ordinary people and have a high level of double quotient, you do n’t have a strange hobby. Xu Wen thinks that is really strange. As a professional disciple who worships a hundred teachers, Xu Wen said that such a master must be difficult to lick.

Ling Ran himself, at this time, did not even consider the ideas of others.

As far as his experience is concerned, the large number of ideas of a large number of people must be a lot of strange. It is too difficult to take care of everyone, it is better to do their own thing.

This is like when the elementary school sports meet, when he lifted up the little athlete who was lying around, he would even make a sob around, and a water bottle would be thrown over. When he returned the water bottle to the owner, the crying sounds around him would become even louder.

Soon, Ling Ran understood that sometimes people always do n’t understand and disapprove when doing things, but when it is time to lift others, you must lift up others, and when you return the water bottle, you still have to return the level. Use the amount of crying around to determine whether you are doing something right and whether it is correct.

At this time, it is correct to expand the virtual person and do a basic analysis based on the performance of the virtual person. This is a judgment made by Ling Ran based on his own knowledge, experience, and logical thinking. He will not change his own practices because of other people's facial expressions.

He gently rubbed Academician Du's virtual liver with his hands.

Ling Ran focused on the depth of infiltration of cancerous tissue, especially the erosion of the bile ducts and portal vein system of the liver.

The main reason why liver cancer is called the king of cancer is that the blood supply of the liver is too abundant. In order to supply the whole body, the liver can be said to use every cell in the blood-related fields. Correspondingly, it is There are also plenty of blood vessels inside the liver.

These blood vessels, in the slightest rupture during surgery, will cause a lot of blood loss and delay the progress of the operation, which will affect the effectiveness of the operation.

Similar to heart surgery, liver surgery is also a race against time.

If the liver system cuts off blood flow for 1 hour, it will be dangerous. Two hours is basically the limit. In fact, stopping the liver blood supply for one hour is already dangerous enough. No doctor will pursue the limit in this regard.

In practice, the pattern of blocking the blood supply to the liver for 15 minutes, then recovering, and then blocking is also very popular. The purpose is to reduce the effect of liver ischemia.

It can be imagined that in this race against time, problems with large blood vessels, even if the main knife has the ability to repair the first time, is very dangerous, and it will affect the effect of the entire operation, and further, it will affect Patient's life length and quality of life.

In ordinary liver resection, the risk of blood vessels has been so great that a surgeon who has been practicing for 10 years dares not get started easily. By the time of liver cancer surgery, the risks of blood vessels and bile ducts in the liver are even greater.

Cancerous tissue is easy to dissociate, and blood vessels and bile ducts in the liver infected with cancer cells increase the risk of spread. Cancerous tissue can not perform normal functions, and the probability of resecting or damaging blood vessels is greatly increased ...

The difficulty of liver cancer surgery is that because the blood vessels in the liver are too large, interconnected and nutrient-rich, even early cancers can easily expand to the blood vessels. Once the blood vessels have spread to the blood vessels, even the early liver cancer surgery also has Becomes extremely difficult.

Just like Academician Du.

Dignified academicians, hospitals across the country can go, doctors across the country can be found, but no doctor dares to give Academician Du a positive answer.

Old age, many basic diseases, tumor location is not good, not to mention, the portal vein system was infiltrated at a young age, so that the complexity of surgery is not inferior to advanced patients ...

That is, I wish Academician Du and Academician Du have a better relationship, so that they can recommend Academician Du to a certain degree.

Ling Ran squeezed Academician Du's virtual liver and thought for two minutes before he waved his hand to cancel the virtual human.

Regarding the location of cancer, it can be seen very clearly by CT, NMR and PET, but it is not easy to deal with it.

"Dr. Ling, no problem." Academician Du looked at Ling Ran, but he was not guilty.

"No problem, take a good rest." Ling Ran nodded slightly and got up to end the rounds.

Inside the room, there was a murmur of deliberations from the Du family.

Xu Wen glanced down at the phone, followed up with Ling Ran, and whispered, "Some doctors have heard about Academician Du's operation tomorrow ~ www.novelhall.com ~ and want to see it. Professor Feng Zhixian will also come. Wang Yuan Chang wants to ask, is it necessary to make a demonstration operation? Or to close the operating room and refuse to visit? "

Different doctors have different performances in different states. Dean Wang is not familiar with Ling Ran and also shows respect.

Ling Ran walked in the corridor and said, "You don't have to refuse to visit, you can do a demonstration operation."

"Okay." Xu Wen's small heart couldn't help but jump quickly, but the operation was getting worse. ,

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