Chapter 1395： Penguin is better to steal

The extrahepatic bile duct in Ling Ran's field of vision was full of tumors.

The branch-like bile duct was originally a channel for secretion of bile, but now it is blocked by cancer thrombi and becomes a channel for cancer to spread. It is like a drain that has lost its function, but is where the dirt and dirt are hidden.

However, unlike the real sewer, the bile duct not only has no drawings, but also crisscrosses with the adjacent small blood vessels, forming various dangerous structures.

They are inside the liver, and there are so many blood connections, which can be said to be a typical move to the whole body. In the treatment of traditional hepatobiliary surgery, the treatment of hepatobiliary duct tumor thrombus has always been a big problem. In other words, there is no better treatment plan at all. In many cases, only palliative care is available.

Ling Ran agrees with palliative treatment, but he himself has never performed similar operations.

With patients waiting in long queues for treatment, Ling Ran's surgical aggressiveness is getting stronger day by day.

Intentionally or unconsciously, his choice of surgery, and the patient's choice of him, invisibly became an offensive atmosphere.

Today's surgery, Ling Ran even adopted a full-scale offensive posture. Regardless of the size of the tumor thrombi that can be seen visually, no matter how old they are, they are all stripped off.

This is a relatively rare model in traditional surgery. Traditional open surgery is done more delicately, that is, to remove the larger tumor thrombi of the bile duct, and usually remove the small and dense parts.

This is certainly a surgical strategy, but like all surgical strategies, the purpose of using new techniques and new methods is not necessarily to deny the old strategy, but to expand a larger boundary. It's like going from Newton to Einstein.

If it is an open surgery, most of Ling Ran will still use the method of liver resection, not only can't see clearly, but also because of the patient's physical condition, it is difficult to support a long open surgery.

In comparison, the patient's tolerance is much better with Da Vinci robot surgery. Moreover, the robot's manipulator, after being proficient in use, is also extremely flexible. Through them, Ling Ran could completely take out the tumor thrombi one by one in the direction of growth of the tumor thrombi without damaging any blood vessels.

At the beginning of the operation, everyone only noticed the former, but as the operation progressed, the latter gradually became noticeable.

Because of the long operation time, and on the quiet Yunli live broadcast platform, someone suddenly spoke:

"No way, not touching the blood vessels at all?"

Because no one spoke for a while, this sentence suddenly became conspicuous.

Guarding in the corner, Yu Yuan, who was a little tired, showed her head from behind the round stool, and said in surprise: "It doesn't seem to have touched the blood vessels?"

"Because touching the blood vessels is very dangerous." Ling Ran raised his head at this time and let the cervical spine muscles relax for a moment. By the way, he explained to the doctors underneath: "As far as the current position, if the blood vessels are touched, it is likely to cause organ failure, and then Cause the death of the patient."

"Because if the blood vessel is broken at this time, there may not even be a chance of resection?" Yu Yuan's theoretical knowledge was still sufficient, and Ling Ran quickly found the reason when she reminded her.

Ling Ran nodded lightly and said, "Theoretically, the liver can be cut and remedied, but the significance of this operation is no longer there. Moreover, given the patient's current condition, remedy will be very difficult."

"The remaining liver is not enough." Even Zuo Cidian could easily make a guess.

Ling Ran nodded, returned to the operating position, and asked the nurse inside to take out another specimen bag, then stuff it into the patient's abdominal cavity, continue to strip the tumor thrombus, and put it into the specimen bag.

This process is still long and cumbersome.

If you compare surgery with repairing a car, the workload of taking a cancer plug is about the same as maintaining the engine of a car. And for countless cancer thrombi, it takes infinite time.

In fact, most doctors are prone to omissions in the face of such a long work, and it is normal to give up further.

If it weren't for a strong motivation and sense of accomplishment, it would be difficult for normal doctors to stick to such an operation.

After a long period of bottleneck, the number of doctors who watched operations through live broadcasts has steadily increased.

In fact, people who can watch five, six, six or seven hours of surgery, seeing this time, it is basically impossible to give up.

The live broadcast system established by Yunli is a professional platform that requires professional equipment to play images. The high threshold makes its live broadcasts generally small, and live broadcasts with a few people or even no one watching it are normal.

However, it is the live broadcast system closest to the state of the operating room.

Professional doctors see professional operations, and thus form some fixed group relationships, which is the core charm of Yunli. For Ling Ran, this is also a more meaningful state.

Just the number of viewers and the appreciation of fans were nothing new to Ling Ran, let alone his goal. In comparison, what professional viewers learn or gain through his surgery is what Ling Ran prefers.

His skills were easy to acquire, and Ling Ran would be happy to see them if they could be generalized.

However, just like Ling Ran Professor Lu Wenbin, Ma Yanlin and others, he is not used to nagging during surgery. For the audience in the live broadcast room, simply watching the surgery becomes a bit of a steal. Mean it.

As the saying goes, penguins are not as good as stealing. When you find that your surgery is very good, people who are willing to steal the teacher will work hard.

As for the length of the operation, it is not a problem.

Stealing the teacher is afraid that you will practice the exercises for too long?

When Director Liang Xue and others turned around again, they saw that the number of viewers on the live broadcast screen was already over one hundred.

Director Liang is a little bit envious.

From the medical perspective, hundreds of audiences are already a small-scale medical conference. In the past, so many people had to gather to see themselves undergoing operations, and an ordinary department would have to save a small vault for several months.

"The operation went smoothly?" Liang Xue approached Zuo Cidian and gave a compliment.

"Doctor Ling's condition is very good." Zuo Cidian replied a little proud.

"Yes. What have you learned?" Director Liang asked the surrounding doctors with a little aura with his hands behind his back.

The nearest senior attending physician had also seen the operation for a long time. His eyes were a little straight, and he shook his legs first before saying, "It feels really awesome, and then all the way is awesome."

Liang Xue couldn't help but recall the experience of the past few hours, and found that it could be completely translated into the same sentence.

Director Liang Xue nodded slowly, and then said in a calm and wise tone, "So, you have to learn from Dr. Ling. Many people have done thrombus removal operations, but who can do it, right? ?"

"Yes..." Everyone cooperated with Director Liang Xue's words.

The senior attendant was silent for a few seconds, suddenly felt that he could not lose his chance, and boldly said: "I think I have learned a bit, and I can try to do it next time."

"Oh?" Liang Xue looked over, really surprised.

It is difficult to blow things like surgery in the air, but it is not impossible to blow it, but if you say it in front of your face, especially in front of your own superior doctor, you can’t blow it anyway.

Liang Xue looked up and down at the attending doctors before him, and said in a deep voice, "Cancer thrombus surgery is not so easy to do."

"I...I haven't done a liver resection, but Dr. Ling's move to take the tumor thrombus has been reading for several hours, and I think I can try it." The attendant replied in a low voice. I thought about it for a long time.

Ling Ran's surgery has been performed for so long. The difficulty is difficult, but the repetitiveness is extremely high. After watching this attendance for a long time, I tried it several times empty-handed. At this moment, I finally couldn't hold it back.

If you don't raise it now, you may not necessarily have the opportunity to let him say this in the future. Even if he waits until tomorrow, on another occasion, if he says the same thing again, he won't be able to get the chance of surgery.

Of course, it may not be available now, after all, there is some hope.

"Dr. Ling has been doing this for so long, but a blood vessel hasn't been broken." Liang Xuedao.

"I... I think that if I find an early or mid-term cancer thrombus surgery, I should be able to do it. Dr. Ling's technique is very delicate and should be able to effectively increase the success rate." The attending physician strives as much as possible. Da Vinci robots have not yet become widespread, and only a few people are willing to see Ling Ran's tumor thrombus surgery, and far fewer can see the whole process.

What is different from most doctors is that when other doctors focus on difficult operations such as blood vessels, their main treatment is to constantly try to figure out Ling Ran's "cancer thrombus" technique.

The long-term identical surgery process is like talking about the questions and brushing the exercise book countless times, continuously accumulating confidence for the attending.

This technique may be in another two to three years, three to four years, and when Da Vinci becomes more popular, it will become relatively normal, but as far as the current time point is concerned, if it can reproduce Ling Ran’s three successful powers , For a general attending a tertiary hospital, it is a rare highlight moment.

"You can find out if there are suitable patients." Liang Xue didn't say dead, but he also left a gap in the door.

"Okay. Okay." The attendant answered repeatedly, wishing to rush back to find the patient now. 8)