Ling Ran watched Qi Yuquan's film, scanned his biochemical report again, closed his eyes and thought for a moment, and then summoned the virtual man.

Ling Ran stood up, shrugged, moved his muscles and bones, and massaged his neck with massage.

Immediately afterwards, an avatar of Qi Yuquan lay flat in front of him, glowing with blue light, and then the light gradually faded.

A thought came to Ling Ran's mind, and he stretched out his hand again, and a long No. 4 knife with a handle fell into his hand. It was so fast, but Ling Ran didn't wait for the light to dissipate, and slashed it with the knife.

The patient received a large L-shaped incision of 50 cm long, and the incision was made directly and deeply, regardless of the layers.

Normal surgical incision requires conscious layering of fascia, fat, skin, etc. to facilitate suturing. Ling Ran was facing an avatar now, but no suturing was needed.

Ling Ran naturally chose the time-saving plan. Even the current incision was absolutely beyond the standard.

Nowadays, when performing liver cancer surgery, doctors are eager to make a small incision of a few centimeters to facilitate postoperative recovery. However, during the operation, the obstacles caused by small incisions need not be mentioned.

The 50 cm long incision is already half a meter long. If other doctors saw it, they would be jealous to death.

Ling Ran reached in and took out the liver first, then looked around carefully.

With the naked eye, no large pieces of cancerous tissue can be seen. However, this judgment is not comprehensive. The invasion of cancer cells is diverse. Therefore, in order to reduce the possibility of recurrence, surgeons usually surround the lesion with three to five

Centimeters of normal tissue were removed.

For a patient of Qi Yuquan's age, cutting more than five centimeters or even three centimeters could be fatal.

Judging from his physical condition, the result of excessive resection may be that he will suffer in IU for several months, and then die of liver failure. With luck, the body may be able to compensate, but will it induce other diseases?

It's hard to say, but what is certain is that life span will definitely be shortened and the quality of life will be greatly reduced.

Ling Ran waved his hand and ended this round of using the virtual human.

Then, Ling Ran opened Qi Yuquan's MRI film and read it carefully.

The meaning of the book becomes apparent after reading it a hundred times, and for Ling Ran, the same goes for magnetic resonance imaging.

Qi Yuquan took the MRI film through a private hospital. The advantage is that he can take the original film to different hospitals for consultation.

The original magnetic resonance image is not the one image given to the patient by the hospital, but thousands of images stored in the computer. Doctors who know how to read magnetic resonance images can see a lot of information through them.

However, it is also because the MRI data of many hospitals are not connected to each other, in order to make money, and there is no motivation to get through, and there is mutual distrust between doctors in the hospital, so the patient needs to change the hospital and have the MRI taken again.

Qi Yuquan saved this process. The private hospital prepared a complete set of original magnetic resonance films for him, and it was a 3.0t version with a higher main magnetic field intensity, and the resolution was also more common than 1.5t and 0.5t.

Qingming Duoyun Medical only has a 3.0t MRI machine, and the queue is usually full. Doctors who don't want to wait will not refuse to see the 3.0 machine and force the 1.5t machine to be taken.

"System, give me a new simulation of Qi Yuquan." Ling Ran didn't know how to control the functions of the virtual human, so he simply expressed it in words.

The system gave a new Qi Yuquan without any problems.

Ling Ran brutally cut it open again, and then found a lesion that was visible to the naked eye. He went a little further, asked for a scalpel, and cut out a piece of liver.

In the abdominal cavity of the avatar, blood was pouring out, like a small fountain, and the abdominal cavity was quickly overflowing.

Ling Ran didn't do anything to stop the bleeding in advance.

"Suction." Ling Ran said something from a distance. Then he saw that suction equipment really appeared, so he immediately asked: "Is there a microscope? There are also pathological examination equipment, microscopes, slides and so on."

While the blue light was flashing, the system turned to Ling Ran without saying a word and once again simulated a set of pathological examination equipment, including the microscope, slides and other items that Ling Ran wanted.

"Okay." Ling Ran gave a small compliment.

Then, Ling Ran cut a thin slice around the periphery of the cut liver, put it on a glass slide, handed over the medicine, and put it under a microscope for observation.

He is looking for cancer cells and the boundaries of cancer cells.

If what is revealed under the microscope is cancerous tissue with clear boundaries, it means that the cancerous tissue has been removed. On the contrary, if the boundaries are not clear, it means that the cancerous tissue still exists and has spread farther, and more needs to be removed.

This method of combining pathology with surgery has gradually become popular in many hospitals, and its benefits are also obvious. By observing cell boundaries, it is possible to remove as little normal tissue as possible while simultaneously removing cancerous tissue.

However, in actual operations, it takes time to send the pathology department for examination. Moreover, it is often encountered that the clear boundary cannot be found after sending the examination twice or three times. In the past, it was not enough for the surgeons to cut more than three to five centimeters.

If you are too busy, that's because the infiltration ability of cancer cells often reaches the level of three or four centimeters.

With the pathological examination model, what we are fighting for is actually a width of one or two centimeters.

However, liver cancer surgery rarely adopts this model.

During the examination, the patient has to wait with his abdomen open. If an intestine is cut or something, the patient can wait. Liver surgery is often not so cheap.

Regardless of whether it is blocking the porta hepatis or wherever, the safe time for liver ischemia is one hour. If it exceeds one hour, it is better to cut an extra three centimeters. In this way, the number of examinations is limited, and the prognosis is also uncertain.

No, sending cases for examination means taking off your pants to deflate the air.

Ling Ran was not sure that the tissue infiltrated by cancer cells could be removed in one or two operations. Furthermore, Qi Yuquan also had satellite lesions, so the resection area was larger and more complicated. Using the conventional model, there was no way to use case studies.

Submission mode.

If you don't use this method, Qi Yuquan's body will obviously not be able to bear it.

This is one of the reasons why Meng Shan referred people here.

Qi Yuquan's liver cancer is still at an early- to mid-stage level, but his health is at an advanced stage. The two factors overlap, making it impossible to formulate a surgical plan.

Unless, like Ling Ran, a virtual person is used.

In the state of a virtual human, Ling Ran can remove the liver at will and determine the boundaries of cancerous tissue. Lingran can even confirm the development of cancerous tissue before surgery, which is many times more accurate than MRI or PET examination.

.

Ling Ran felt that this was the best use of virtual humans.

none of them.

No rebuttal accepted!

"Zuo Cidian, make pre-operative preparations for Qi Yuquan, and have Qi Yuquan and his family members sign the consent form..." Ling Ran did a rough inspection, confirmed that the plan was available, and ended the avatar state.

At this point, the virtual person still has 3 hours and 21 minutes left.

Zuo Cidian felt very uneasy when he received the call and asked: "Do we really want to perform an operation on Qi Yuquan? The old man is 73, seventy-three or eighty-four, and the king of hell won't come..."

"The surgical plan is the most beneficial to the patient. You need to explain it to the patient and his family." Ling Ran interrupted Zuo Cidian and explained his attitude at the same time.

Arrogance, or in other words, insistence on having one's own way is the label of a surgeon. A doctor who is afraid of wolves and tigers will not be able to do surgery well.

Listening to Ling Ran's tone, Zuo Cidian knew that he was powerless to convince him.

Zuo Cidian hung up the phone, hesitated again and again, but dialed Huo Congjun's number. After a brief explanation, Zuo Cidian went to the special needs building to talk to Qi Yuquan and his family before the operation.

The special needs building of the hospital has always been exposed like a fishing net. When Zuo Cidian entered the ward and said the word "surgery", the news spread.

The medical staff in the special needs building are much freer than those in the emergency department.
Chapter completed!