"Dr. Ling, are you just going to cut this much?" Liu Cishan from Wuxin City No. 1 Hospital is the deputy chief physician who specializes in liver and gallbladder surgery. Of course, before coming into contact with Ling Ran, he basically did not dare to cut the liver, and mainly did gallbladder surgery.

Surgery, and then do some work around the liver.

As a result of long-term invitation to Ling Ran to perform liver resection surgery, Liu Cishan and others' abilities have been upgraded. Now they can directly perform minor liver surgeries. However, Ling Ran still has to be invited to take charge, otherwise, if something happens,

Unexpectedly, it was too late to send patients from Wuxin City to Yun Medical Hospital.

With Ling Ran's character, even if he was paid to provide guidance on surgery, he would say whatever he wanted. Although it was easy to make people unhappy at first, but once they got used to it... Liu Cishan and others got used to being unhappy.

Liu Cishan was in the same operating room as Ling Ran, and he was used to asking questions directly if he had any questions.

As a vice-president of Benwu, he also has a desire to cure liver cancer.

Ling Ran also answered directly: "Cut it as small as possible, which will help with postoperative recovery."

Liu Cishan said unaccustomedly: "But...it won't be clean like this."

"We'll wait for the results of the test."

Liu Cishan suspected that he had heard wrongly and couldn't help asking: "What if the results of the inspection show that the cut was not clean?"

"Then cut a little more and check again."

"What if it hasn't been cut clean yet?"

"Then cut some more and finish the operation." Ling Ran had a clear mind. If he couldn't cut it clean twice, it would be ridiculous to hold his neck up and preserve more organs.

However, if today's patient has too much liver removed, there will be a problem whether he can wake up again, so this turns into a dilemma.

To be honest, Meng Shan from Dongke really chose a good case by sending him here.

If you do a good job, the hospital will pay you a bonus; if you do a bad job, the hospital will pay you a severance pay, which is fine.

The doctors in the operating room looked at each other in confusion.

From their point of view, Ling Ran's attitude seemed a bit casual, or in other words, he became too serious.

Liu Cishan whispered: "If you have liver cancer removed, you usually don't have to wait that long for the test results. What I mean is, waiting once or twice is fine, but waiting three times is too long?"

The time of liver ischemia is controlled within one hour, which is relatively normal. However, the three test reports will take an hour. Not to mention, the liver resection is extremely complicated, with hemostasis and sutures required each time.

It will also waste a lot of time.

Ling Ran said: "The third time is the bottom line. Normally, the second time of resection should have a definite result."

"I don't understand." Liu Cishan has obviously been educated. Otherwise, he would be embarrassed to directly say "I don't understand."

Now is the interval between operations. The doctors are all tied up and waiting for the report from the laboratory department. Ling Ran simply talks about the contents of the operation: "The patient Qi Yuquan is 73 years old and his liver function is weak. After liver protection treatment, many indicators have improved."

It is just at the passing line. In this case, we need to remove as few of his tissues and organs as possible. At the same time, we need to cut them as cleanly as possible, because the patient also does not tolerate chemotherapy. Therefore, according to the test results, the minimum

Removing the liver is the only option."

If the cancerous tissue can be removed cleanly, there is less need for chemotherapy. At most, one or two low-dose preventive chemotherapy surgeries are required.

However, if the cancerous tissue cannot be completely removed, then the frequency and intensity of chemotherapy are irrelevant. Ling Ran does not think Qi Yuquan can survive.

Doctors in other hospitals were full of hesitation. They had countless things to say, but they were too embarrassed to say them out.

"Because such patients are not suitable for surgery at all."

In Dongke's conference room, a group of doctors were sitting together and they laughed out loud.

"Professor Bao is right." Meng Shan said casually.

Professor Bao, sitting opposite him, was the first doctor to examine Qi Yuquan. However, unlike Meng Shan, Professor Bao still worked in a public hospital. It was only when there were patients that he went to the private hospital to earn some money.

.

Most doctors in private hospitals are like this. They treat ordinary people in public hospitals, wealthy people in private hospitals, and powerful people in special-needs buildings. It can be said to be very social.

Professor Bao himself is an expert from the General Education Department. Looking at the surgical images on the screen, he said: "There is a mine in Qi Yuquan's house, really, so when you get sick, you should seek medical advice."

He has been to several hospitals. If an American hospital dares to perform an operation on him, he will go to the United States. There is no need to find a hospital in Yunhua."

"Doctors in the United States would not dare to operate on him."

"There's nothing you can do about it. Some things like cancer can be operated on, but some can't be operated on. What can you do?" Professor Bao said calmly: "Young people always think that they can do it.

In fact, some things can only be done if you say they are impossible."

"Professor Bao is right." Meng Shan basically had a supportive attitude towards these part-time professors.

Part-time professors are paid according to their workload. In a place like a private hospital, the workload is not high to begin with, so you have to have a better attitude towards them in order to retain them.

Of course, a full-time deputy dean like Meng Shan can earn a lot of money. He also doesn't mind a small compliment to his colleagues.

Professor Bao was very happy to be praised, so he added: "As surgeons, we have to act according to our ability. With Qi Yuquan's physical condition and age, if he gets cancer, he can really only receive palliative care.

.This Ling Ran thinks very well, like doing a simultaneous pathological examination for bowel cancer or something like that, but he doesn’t want to think about it. If we can do it, how could we not do it..."

"It really can't be done." The doctor next to him, who is also a general surgeon, complimented him.

Professor Bao nodded: "This is a waste of time. When the patient can get off the operating table, it will be considered good. The patient and his family members do not want to think about it. After such a major operation that lasts several hours, the 73-year-old man is really.

Can you survive this?"

"Only if the cancer cells can be removed completely, then it is necessary to do it. If it is not done, it will be a waste of human life."

"So, he must be multi-minded..."

As soon as Professor Bao finished speaking, the operating room phone on the screen rang.

"Operating Room 1." The circulating nurse ran to answer the phone.

A few seconds later, the circulating nurse hung up the phone and shook her head at Lingran: "The boundary is not clear."

In the operating room, there was a chorus of sighs.

Signals were connected to various places, and the doctors watching the operation couldn't calm down.

Lu Wenbin and Yu Yuan, who were working as assistants, also looked at Ling Ran slightly uneasily.

"Let's cut a little more. It should be fine." Ling Ran smiled and repeated the previous steps again, cutting out a thin layer of the patient's liver.

He actually cut out the liver just now by holding on to the edge. After all, in actual operation, he needs to make judgments based on memory. If his hand slips, he may cut out an extra centimeter of liver. For a patient like Qi Yuquan,

It is said that a liver that is one centimeter thicker and less thick will definitely affect life span.

Therefore, Ling Ran tended to be conservative when performing resection. It didn't matter if he guessed wrong for the first resection. The blood flow to the liver had been blocked anyway, and within an hour, the difference would not be particularly big.

Now, Ling Ran needs to cut off a little more of the liver to ensure that the cancer cells are removed and more liver remains.

Ling Ran performed the resection with confidence and asked the nurse to send the slices for examination. When he raised his head again, all he saw were worried expressions.

"Doctor Ling, why not be more cautious and cut more."

"Send it to the second inspection and forget about it."

"It's cut too thin, it's better to cut it into another piece."

Most doctors take the lead and do not have virtual people, so they can only persuade from the side.

Ling Ran tied his hands and smiled, unmoved.
Chapter completed!