Chapter 736： Is the big guy

Two large 100-inch screens light up at the same time.

One of the screens is a video conference consisting of four picture-in-pictures, and the other screen is now a screen saver, ready to play the required video and other information at any time.

Lloyd, who had changed into a surgical gown, glowed with arm hair and chest hair, arguing with four doctors in four videos.

"From the information provided by you, the degree of tumor differentiation is not low, and it is likely to be a poorly differentiated tumor. In this case, I recommend expanding the scope of resection. In addition, in terms of the current requirements of patients, should we consider Liver transplantation? If liver transplantation can be done, the survival time can be greatly improved. "

"The patient does not have the conditions to perform a liver transplant. Chinese hospitals are very conservative in organ transplantation, and there are few sources of organs. This patient is neither qualified for donors, nor money to perform such a large operation ..."

"In this case, I don't think that the scope of resection should be expanded, but the location of the resection can be considered. Is the choice of the resection position too cautious? Only the partial resection of the left liver is also very strange. How does your doctor think about this? "

Lloyd discussed with the doctors in the video for more than ten minutes. When he looked back, he saw Ling Ran who had watched the MRI for a long time, facing the empty wall, waving his arms, as if he was simulating the surgery process.

Lloyd frowned and asked, "Dr. Ling, would you like to join us?"

"How to join?" Ling Ran was still busy doing simulations, only taking a moment to answer.

Lloyd looked at Ling Ran's back and said, "You can stand next to me and let's discuss this operation together."

"Okay." Ling Ran did not resolutely resist.

Overall, Lloyd's help is good for patients.

In the remote consultation he convened, the four experts involved were all well-known surgeons, which can be said to be quite rich in theory and experience.

In fact, even the Anderson Cancer Center usually does not convene 4 senior experts for remote consultations. Two or so experts are already very face-saving. Because the Anderson Cancer Center is a world-class medical center, they not only target local telemedicine, but also conduct systematic remote consultations for areas with less developed medical standards. Therefore, consultation resources are quite tight.

However, after Lloyd's sentimental explanation, the four remote consultation experts were extremely serious.

After knowing that Ling Ran was the chief doctor, the four just marveled at Ling Ran's handsomeness and age, and quickly entered the topic:

"Doctor Ling Ran, can you explain your surgical ideas? The range of pre-resection you chose is relatively small, but there are many sections involved. If I just saw it, there is a posterior inner segment, an anterior inner end, and an anterior right. The outer segment, the inner lower segment ... The bile ducts and blood vessels involved are also very complicated. In this case, is it better to perform a hepatectomy directly? "

"Hepatectomy, too many cuts, I'm afraid the patient won't wake up." Ling Ran doesn't hide his thoughts. If the other party has a better surgical plan, he doesn't mind adopting it. In fact, Ling Ran has some expectations. The four plus one expert in front of me can give you good suggestions.

Because of this, Ling Ran did not hesitate to say the reason for his encouragement and decision.

Ling Ran was unwilling to undergo liver cancer surgery. Now she chooses to do it for the benefit of patients. Therefore, Ling Ran hopes that she can do well, and the better she can do, the better. Compared with this consideration, Ling Ran Does not care much about right or wrong or reputation.

Unless there is a fundamental change in cancer treatment, Ling Ran will not frequently perform cancer surgery, and his fame in this regard is far from his consideration.

The four experts on the screen heard the words of Ling Ran, but were collectively silent for more than ten seconds.

"Using hepatectomy, it will indeed remove more. So, how many hepatectomy is reduced?" The previous expert frowned, and then made suggestions.

"These liver segments have cancer cells invading, and the extent of resection is reduced, so it is not clean." Ling Ran replied.

"It is ... but if the survival goal is 3 years, it will be more secure to adopt this method."

"It's too arbitrary to say three years now."

"It's not necessary to make such a compromise for hepatectomy."

Ling Ran also said: "3 years is indeed a patient's request, but we still hope to achieve better results."

"It's very good to be able to reach 3 years. How many tumors are there, right? 8 centimeters, it's good to survive, and 3 years are all expected values."

8 cm sounds like ordinary, but in the world of doctors, liver tumors over 5 cm are difficult to handle. Because the liver's abundant blood supply, large tumors are often connected to multiple blood vessels. All the wind and grass during the resection process can cause devastating consequences. Not to mention, even if the resection is successful, the liver is occupied by a large number of useless cancer cells. The organization, the rest, is also facing trials.

As a doctor, you must consider not only the remaining liver tissue that is available, but also the issue of diffusion during the resection, and then you want to cut it clean ...

In general, the worse the patient's physical condition, the more questions need to be considered, and the worse the prognosis.

8 cm liver tumors, it is very difficult to get a good prognosis. The same is true of Ling Ran's willingness to perform this operation. In his judgement, the patient was handed over to He Yuanzheng for liver resection. It should be able to survive the operation smoothly, but after the operation, there should be no need.

With He Yuanzheng's technology, a little inattention may cause the patient to fall into a liver coma. Even if it is not the case, the subsequent weakness will make the patient feel pain during chemotherapy. Whether it can survive it will be a great deal. Test.

Chemotherapy may cause patients to stay in bed for a long time, and may even be in bed for about a year. At the same time, recurring cancer may destroy their last hope ...

Needless to say, Ling Ran, several doctors present ~ www.novelhall.com ~ know the most likely direction of the operation.

Because of the difficulty of the surgery, Lloyd would have come to the doctors at the remote consultation, otherwise he would be enough to give advice alone.

Ling Ran stood across the screen, listening carefully.

I have to say that in some small aspects, Anderson's experts can make quite constructive opinions. Considering their identity and considering their suggestions, the old man who originally proposed hepatectomy was probably a master. Grade three liver resection techniques are not necessarily masters of liver resection, but their accomplishments in general surgery or cancer will not be low.

However, with only remote assistance, the master hepatectomy can't rely on language to give decisive help.

He may be good at hepatectomy, and has a lot of experience in the prognosis of patients. However, Ling Ran was not a doctor who grew up in the era of hepatectomy. His master liver resection is not the best at liver Segment resection.

On the other hand, Ling Ran also has a variety of master-level and perfect-level skills. For this operation alone, the level is likely to be higher than the old man at the other end of the screen.

Therefore, after a brief consultation, Ling Ran decided to start the operation, still using his own method, with only minor corrections.

"In this case, the risks are still great."

"Lloyd, I even recommend that you send the patient to Anderson."

"We may be able to find a foundation to do this."

Several doctors stunned in the screen, but Ling Ran's face gradually became serious: "Scalpel. Guan Xiaosheng."

"Yes." Ling Ran's operation team also operated without hesitation.

For the current Ling treatment group, what experts and scholars Anderson Cancer Center are just embellishment.

Liver resection, Ling Ran is the big brother!