The extrahepatic bile ducts in Ling Ran’s vision are covered with tumors.

The bile duct, like a tree branch, was originally a channel for secreting bile, but now it has been blocked by a cancer pluripotent and has become a channel for cancer to spread, like a sewer that has lost its function, just a place where dirt is hidden.

However, unlike real sewers, the bile ducts are not only without drawings, but also crisscrossing with adjacent small blood vessels, forming various dangerous structures.

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

Ling Ran agrees with palliative care, but he never does similar surgery.

Now that patients are queuing for treatment, Ling Ran's surgery is more aggressive than day by day.

Intentionally or unintentionally, his surgical choices and the patient's choices for him suddenly became an offensive atmosphere.

In today's surgery, Ling Ran even took a full-scale offensive attitude. The cancerous pills that are visible, regardless of size, age or young, will be stripped of them.

This is a relatively rare model in traditional surgery. Traditional open surgery, which is done more carefully, is to peel off larger cholangiocarcinoma thrombus and remove small and dense parts.

This is certainly a surgical strategy, but just like all surgical strategies, the purpose of using new technologies and new methods is not necessarily to deny old strategies, but more to expand larger boundaries, just like from Newton to Einstein.

If open surgery is used, Ling Ran will mostly use liver cutting. Not only can't see clearly, but it is also difficult for the patient to support a long-term open surgery because of the patient's physical condition.

In comparison, the patient's tolerance is much better with the Da Vinci robot surgery. Moreover, the robot's robot is particularly flexible after being proficient in using it. Through them, it can completely remove the cancer thrombus one by one in the direction of the growth of the cancer thrombus 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 more eye-catching.

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

"No, no blood vessels are touched throughout the whole process?"

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

Holding in the corner, Yu Yuan, who was a little tired, showed her head from behind the round stool and said in surprise: "It seems that she really didn't touch the blood vessels?"

"Because it is very dangerous to touch the blood vessels." Ling Ran raised his head at this time, relaxing the cervical muscles for a moment, and explained to the doctors below: "At the current location, if you touch the blood vessels, it is likely to cause organ failure and the patient's death."

"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 enough. With Ling Ran's reminder, he quickly found the reason.

Ling Ran nodded gently and said, "In theory, liver removal can be remedy, but the significance of this operation does not exist. Moreover, as far as the patient's current situation is concerned, it will be difficult to remedy."

"The remaining liver is not enough." Even Zuo Cidian can easily make speculations.

Ling Ran nodded, returned to the operating position, and asked the nurse inside to take out another specimen bag, then stuffed it into the patient's abdominal cavity, continued to peel off the cancer thrombus, and put it into the specimen bag.

This process is still long and tedious.

If surgery is compared with car repair, the workload of taking a cancer plug is about the same as maintaining the engine of a car. And countless cancer plugs take an infinite time.

In fact, most doctors are prone to omissions when facing such long-term work, and it is normal to give up further.

If it weren't for the strong motivation and motivation of accomplishment, it would be difficult for normal doctors to persist in such surgery.

Doctors who watched the surgery through live broadcasts increased steadily after a long bottleneck period.

In fact, it is impossible for people who can see five or six or seven hours of surgery to give up when they see this.

The live broadcast system established by Yunli is a professional platform that requires professional equipment to play images. The high threshold makes its live broadcast generally less than the number of people, and it is normal for a few people or even no one to watch live broadcasts.

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

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

Just having the number of viewers and fans' appreciation is nothing new to Ling Ran, and it is even less likely to be his goal. In comparison, what professional viewers learn or get through his surgical process is what Ling Ran likes more.

His skills are easy to obtain, and if they can be extended, Ling Ran would be happy to see them.

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

As the saying goes, penguins are worse than stealing. When you find that your surgery is great, those who are willing to steal will work very hard.

As for the long operation, it is not a problem.

Are you still afraid that you have been practicing martial arts 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 100.

Director Liang was a little envious.

From the perspective of the medical community, hundreds of audiences have been a small medical conference. In the past, there were so many people who had to gather to watch themselves undergo surgery, and a small vault that had been saved for several months in an ordinary department.

"The operation went smoothly?" Liang Xue came to Zuo Cidian and praised.

"Doctor Ling is in good condition." Zuo Cidian replied a little proudly.

"That's right. What about you, have you learned?" Director Liang asked the doctors around with his hands behind his back.

The closest senior instructor also had a long time of surgery. His eyes were a little straight. He shook his legs first and said, "I feel very awesome, and then I'll be awesome all the way."

Liang Xue couldn't help but recall the experiences of the past few hours and found that they could completely turn into the same sentence.

Director Liang nodded slowly, and then said in a calm and wise tone: "So, you must study with Dr. Ling well. Many people have done thrombectomy surgery, but who can do this, right?"

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

The senior attendant was silent for a few seconds, and suddenly felt that the opportunity was impossible to miss. He boldly said, "I think I have learned a little, and I can try it next time."

"Oh?" Liang Xue looked over and was really surprised.

It is difficult to blow from the air to do surgery, but it is not impossible to blow, but if you say that you are blowing in front of your face, especially in front of your superior doctor, you will not be able to blow anyway.

Liang Xue looked at the main treatment in front of him up and down, and said in a deep voice: "Cancer thrombosis surgery is not so easy to do."

"I... I have never had a liver resection, but I have been watching Dr. Ling's cancer thrombosis for several hours. I think I can try it." The attending answered in a low voice, thinking for a long time.

Ling Ran's surgery has been performed for so long, but it is very difficult, but it is extremely repetitive. After watching the main treatment for a long time, I tried it several times with my bare hands. At this moment, I finally couldn't hold it in.

If he doesn't mention it now, there may not be a chance to let him say this in the future. Even if he says the same thing tomorrow, he will not be able to get the chance to do surgery even if he says the same thing tomorrow.

Of course, it may not be possible to obtain it now, and there is some hope after all.

"Doctor Ling has been doing it for so long, but he has not even touched a single blood vessel." Liang Xuedao.

"I...I think if I find an early- and mid-stage cancer thrombosis surgery, I should be able to do it too. Dr. Ling's technique is very delicate and should be able to effectively improve the success rate." As much as possible, the main treatment is to be strived for. Da Vinci robots have not been popular yet, and there are only a few people who are willing to see Ling Ran's cancer thrombosis surgery, and there are much fewer people who can watch the whole process.

Unlike most doctors, when other doctors focus on difficult operations such as blood vessels, the main reason is to constantly understand Ling Ran’s skills of “extracting cancer thrombus”.

The long-term similar surgery process is like a question being taught and a few times of exercise books, and it constantly accumulates confidence for the main treatment.

This technique may become relatively normal in two or three years, three or four years, when Da Vinci is relatively popular, but at the current time point, if Ling Ransan's success can be reproduced, it will be a rare highlight moment for an ordinary hospital in a Grade A hospital.

"You can find out if there are any suitable patients." Liang Xue did not say he died, but he also left a crack in the door.

"Okay. OK." The attendee responded repeatedly, wishing he could run back to find the patient now.
Chapter completed!