Chapter 914： Horn of victory

pen. "Ling Ran stretched out his hand, retracted it, and began to draw lines on the patient.

A long, long open line almost breaks the entire abdominal cavity of the patient.

The combination of liver and stomach also almost opened the patient's abdominal cavity.

The nurses and assistants present at the scene looked at Ling Ran's markings, and their expressions became unconsciously serious.

Such a large opening operation must be taken seriously in any hospital and in any operating room.

Ling Ran's expression was solemn.

The patient's abdominal cavity, he has passed through the virtual human, opened more than once, and he knew what was inside with his eyes closed. But even so, when such a complicated operation really started, he still did not dare to say that it was invincible.

Keep repeating, repeating, writing down every detail, accurate to every microsecond, and then at the moment of actual combat, get the best results, that is the idea of ​​facing the game.

Reality is always much more complicated.

Not to mention the stress response of the patient's body, the cooperation of the anesthesiologist and assistant will always be a mystery.

After working as a doctor for a long time, you will know that people will not only get sick, but also get strange diseases, and people will make mistakes and make strange mistakes.

Even if everything goes well, the progress and direction of the operation will inevitably lead to chaos. When there are enough steps and the operation is long enough, accidents often occur.

Before the so-called big mistake, there were always 300 small mistakes. The fact that there are no dead people on the operating table does not mean that everything on the operating table is in order and smoothly.

No matter how high the surgeon's level is, it cannot prevent strange changes in the patient's body, nor can there be any changes in the blood products imported into the patient's body, let alone know whether the operation of the anesthesiologist is proper and complete ...

What makes Ling Ran most uncertain is the patient's prognosis.

He can use virtual humans to influence the operation, but the prognosis of the operation is unpredictable.

The surgical treatment of gastric cancer liver metastasis faces many problems because of poor prognosis. Of course, any current treatment method for gastric cancer liver metastasis can be described as poor prognosis.

The five-year survival rate of 15% or even less than 10% is a sword hanging on the head of patients with liver metastasis from gastric cancer.

Even if Ling Ran cuts the lesion clean again, he cannot be sure whether the cancer will recur and whether it will metastasize. Of course, with the strictest tumor-free operation, the probability of metastasis can be reduced, but the possibility still exists.

Because of this, surgical treatment of gastric cancer liver metastases is still controversial.

Many doctors are in favor of palliative surgery, that is, to deal with bleeding, perforation, and obstruction caused by cancerous tumors, improve the survival treatment of patients, and extend the survival time.

Ling Ran also had a plan for this.

After all, the patient's abdominal cavity is really opened, and anything can happen.

"Knife." Ling Ran thought through hundreds and thousands of thoughts, and the movements in his hands still followed the established steps.

Zhang Anmin and other assistants stared at the surgery area closely, like a large dog staring at the rice bowl.

Su Jiafu stared at the screen with the same eyes, watching her deputy director increase or decrease the dose. Today's surgery is too big, and even if Ling Ran agrees, he would not dare to carry it out by himself.

The skin, like the meringue of bread, was slightly splattered under the scalpel.

The yellowish fat layer has a stylish grainy feel and a greasy feel like a play, and is illuminated by a shadowless lamp with a timeless flavor.

"Fortunately not fat." Zhang Anmin whispered, eased the atmosphere a little easier.

Lu Wenbin looked up at Zhang Anmin, and then made Ma Yilin next to him a hard-to-detect look: You look at Zhang Anmin's puppet, it is really different to be a deputy director. How many people are there in the room I still dare to tell a joke when sitting, and the joke is not interesting. Now that people are so impetuous, can the deputy director of hepatobiliary surgery be the deputy director? He Yuanzheng, Director of Hepatobiliary Surgery, is now starting to find a family. Fools do n’t know how to learn a trick from Dr. Ling, and they are all deputy directors. It ’s fast. This deputy director is used to cheek. Can I buy a good mask? I also know how to make maintenance when I cook two pots of trotters ...

Ma Yanlin:? ━┳━━┳━

"The situation is very complicated." Zhang Anmin and Ling Ran opened the patient's abdominal cavity and sighed next to him. The main purpose was to send out an assist.

Patients with liver metastasis from gastric cancer do not need to open the abdominal cavity to know that the situation inside is complicated.

The reason why Zhang Anmin specifically said something was to support Ling Ran.

Ling Ran didn't make an unexpected "En" sound, only reminded him to "Pay attention to suction", and then buried his head for surgery.

He has practiced the previous steps through a virtual person. For today's operation, Ling Ran took out 20 minutes of the virtual person's time. In the process of reckless rendition, the previous steps were all early. Knowing the chest.

However, accidents that are prone to accidents are all in the late stage, and the time of virtual humans is limited. It is impossible to rely on virtual humans to pile up this kind of surgery that takes several hours. Therefore, Ling Ran did everything very carefully.

Radical surgery can only be performed if everything goes well. Otherwise, the significance of it itself is very small, and it may not be as long as palliative surgery.

Ling Ran hopes to achieve the goal of radical surgery as much as possible.

This is the real advantage of surgical treatment.

No matter how high the two-year and five-year survival rate of other surgical schemes are, in the final analysis, all other treatment schemes are palliative and can only prolong the survival time.

Only surgical treatment has a chance of cure.

The odds are very low, lower than the game draw. However, Ling Ran's reserve of weapons has even perfected the separation of organizations, so as not to increase the probability of lottery?

"Gauze." Ling Ran straightened his waist and whispered, the expression on his face was not exposed.

...

Waiting area of ​​Yunyi Emergency Center.

Xiaofeng's anxious expression can be seen by individuals.

A middle-aged man noticed Xiaofeng, but his heart brightened, he couldn't help but stood up, handed out a corn, and smiled, "Look, you have been here for a long time, and haven't had breakfast. I bought more corn. Yes, you'd better hold your belly first. "

"Thank you, no need." Xiaofeng shook her head slightly, the gentleness of the Jiangnan woman showed tenderly.

The man looked even more itchy, put away the corn, and opened the chat mode: "Are you sick at home? What surgery?"

"It's a major operation." Xiaofeng wasn't happy to look after each other.

The middle-aged man smiled with understanding and sympathy: "Don't worry too much. My brother had a perforated stomach before. He had to cut his stomach. What the whole family looked like was scary, and that was the end."

"is it?"

"Your family's operation is bigger than this?"

"Yep."

"What to cut?"

"Stomach has to be cut too ~ www.novelhall.com ~ Stomach has to be cut too? Is there a major gastrectomy? This is a big one, but don't worry about it, like I have a cousin, I used to cut four fifths Cut it ... "the man said, pouting a little triumphantly:" Let's add a WeChat, you can ask me any questions you have ... "

"And the liver." Xiaofeng listened to the other party's entanglement, but instead calmed down, so she said something.

The middle-aged man froze: "Surgery on the liver, this is very dangerous. My second uncle has done it before, and he has lived for many years ..."

"Cut it together."

"What?"

"My husband's surgery, the liver and stomach were cut together." Xiaofeng said slowly.

The middle-aged man meditated hard and slowly said, "I have a cousin who cut several meters of intestines at a time. If you count, he cuts the colon and **** at the same time ..."