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Chapter 643 Blood Vessels

"Lao Du, take care of yourself."

"Academician Du, have a good rest and actively prepare for the surgery."

"Don't worry about it at home, we'll take care of it for you."

Academician Du was actually admitted to the ward, and colleagues from the work unit, students, former officials, relatives and friends came one after another.

Speaking of which, most of the people who come to visit patients are well-informed and knowledgeable. There are so many people coming, most of them just turn around and leave. Others are helping in the ward, bringing boiled water, picking up people, and communicating.

Doctors and nurses...but there were so many people coming that the ward was always crowded with overcrowded people.

After Ling Ran finished eating the roast duck, he returned to the hospital and called Xu Wen to check the ward for digestion. When he arrived at the single ward, he saw that the door was blocked with water.

"The doctor is here, please give in." The visitors were very polite. They greeted each other and let Ling Ran and Xu Wen in. However, there were people talking along the way:

"Doctor, please be more worried. Academician Du is the backbone of our geological science in China..."

"Academician Du's health was so good before. Why do you say it won't work if it doesn't work? Could it be a misdiagnosis?"

"Doctor, is it possible to treat Academician Du's tumor without surgery? At such an old age, surgery is very difficult."

Xu Wen couldn't help but look back at Ling Ran. He often heard similar words, but Ling Ran was young after all...

Ling Ran walked into the ward silently, not bothered by everyone's words at all. To him, this level of chatter was indeed a bit childish.

I think back then, some people would rush up to me crying and shouting, waving flags or something else would be considered simple. But when I met a girl who let fly paper cranes, in order to maintain the stability of the situation, I had to help others calm down.

"Isn't the visiting time over yet?" Xu Wen turned around and asked the nurse who was maintaining order inside.

The little nurse was very worried: "I told them to leave, but they didn't leave."

Xu Wen said "yes" and said: "You shout again."

"Oh." The little nurse raised her voice aggrievedly and said: "The patient will have surgery tomorrow, so it's time to rest. Everyone, please go back..."

"The visiting hours have been extended, and tomorrow's operation time will also be postponed. If it is too late, the operation will not be performed. All examinations must be completed before the operation." Xu Wen then said as a reminder.

Only then did everyone start to move:

"Okay, I'll go back first."

"Academician Du, please have a good rest. We will see you later."

Academician Du also smiled gently and greeted everyone, looking like a kind old teacher.

"Dr. Ling?" Xu Wen saw that all the visitors had left, leaving only three family members of the patients, and then he put away his serious expression.

"I'm going to do a physical examination for you." Ling Ran didn't say anything else, but stood up and put Academician Du down first.

The update of the virtual human requires human contact.

Ling Ran can re-update his avatar by touching Academician Du again.

Of course, before the surgery tomorrow, he will turn on the virtual man again, and the time will be longer, but based on his current experience, it may be better to turn on two short ones first, and then a relatively long one.

A blue human body appeared in front of Ling Ran.

Without thinking, Ling Ran reached out for a virtual scalpel, cut open the virtual man, took out the liver inside, and rubbed away the normal tissue with his hands, exposing the cancerous tissue during the wrapping process.

Beneath the blue avatar, Academician Du blinked his eyes, wondering what Ling Ran was doing by making such a large movement.

Others in the ward wanted to ask but were too embarrassed to ask.

Xu Wen could tell that Ling Ran seemed to be simulating an operation. However, Xu Wen felt that it was impossible to say that it was a liver surgery, so he could only watch silently and regard it as a liver surgery.

Part of Ling Ran's uniqueness.

There were more and more unique doctors, and it was not uncommon for surgeons to need consultation from psychiatrists. Xu Wen felt that Ling Ran, who was a bit special in front of him, made people feel more normal.

If you do things like ordinary people, have a very high quotient, and don't have any weird hobbies, Xu Wen thinks that is really weird. As a professional disciple who worships hundreds of masters, Xu Wen said that this way

The master must be very difficult to lick.

Ling Ran himself didn't consider other people's thoughts at all at this time.

From his experience, a large number of people have a lot of strange ideas. It is simply too difficult to take care of everyone. It is better to do your own thing.

It's like at a primary school sports meeting, when he helped the little athlete who fell next to him, there would even be sobbing sounds and water bottles thrown at him. And when he returned the water bottle to the owner, there were cries all around.

It will become even bigger.

Soon, Ling Ran understood that sometimes there will always be people who don't understand and disagree with things. However, when it's time to lift others up, you still have to lift them up. When it's time to return the water bottle, you still have to return the level. You can't

Based on the loudness of the crying around you, you can judge whether something is done and whether it is correct.

At this time, it is the right thing to unfold the avatar and make a basic analysis based on the avatar's performance. This is Ling Ran's judgment based on his own knowledge, experience and logical thinking. He will not be influenced by other people's expressions.

action and change one's approach.

He gently rubbed Academician Du's virtual liver with his hands.

Ling Ran focused on observing the depth of infiltration of cancerous tissue, especially the erosion of the intrahepatic bile ducts and portal vein system.

The main reason why liver cancer is called the king of cancers is that the blood supply of the liver is too rich. In order to supply the whole body, the liver can be said to use every cell in blood-related fields. Correspondingly,

There are also a large number of blood vessels inside the liver.

Any rupture of these blood vessels during surgical operations will cause a large amount of blood loss and delay the progress of the operation, thus affecting the effectiveness of the operation.

Similar to heart surgery, liver surgery is also a time-sensitive operation.

If the liver system cuts off blood flow for one hour, it will be dangerous. Two hours is basically the limit. In fact, if the blood supply to the liver is stopped for one hour, it is dangerous enough. No doctor will pursue the limit in this regard.

In actual operations, it is also very popular to block the blood supply to the liver for 15 minutes, then restore it, and block it again. The purpose is to weaken the impact of liver ischemia.

It is conceivable that in this kind of time-consuming operation, if there is a problem with a large blood vessel, even if the surgeon has the ability to repair it immediately, it is still very dangerous, and it will affect the effect of the entire operation, and further speaking, it will affect the patient's health.

length and quality of life of patients.

In ordinary liver resections, the risks posed by blood vessels are already so great that even a surgeon with 10 years of practice would not dare to do so easily. When it comes to liver cancer surgery, the risks posed by intrahepatic blood vessels and bile ducts are even greater.

Cancerous tissue is easy to dissociate, and intrahepatic blood vessels and bile ducts infected by cancer cells will increase the risk of spread. Cancerous tissue cannot function normally, and the probability of removing or damaging blood vessels greatly increases...

The difficulty in liver cancer surgery is that because the blood vessels in the liver are too large, interconnected, and rich in nutrients, even early-stage cancer can easily spread to blood vessels. Once it spreads to blood vessels, even early-stage liver cancer surgery will be difficult.

It became extremely difficult.

Just like Academician Du.

As a dignified academician, you can go to hospitals across the country and find doctors across the country, but no doctor dares to give a definite answer to Academician Du.

Advanced age, multiple underlying diseases, not to mention the location of the tumor, which has infiltrated the portal vein system at a young age, making the surgery as complex as that of patients with advanced stages...

That is to say, I wish Academician Zhu and Academician Du have a better relationship, so that I can recommend Academician Du here with more certainty.

Ling Ran pinched Academician Du's virtual liver and thought for two minutes before waving his hand to cancel the virtual person.

Regarding the location of cancer, we can see it very clearly through CT, MRI and PET, but it is not that easy to deal with it.

"Doctor Ling, is it okay?" Academician Du looked at Ling Ran, feeling very guilty.

"No problem, have a good rest." Ling Ran nodded lightly, stood up and finished the ward round.

In the room, the Du family was discussing in low voices.

Xu Wen lowered his head and looked at his phone, then followed Ling Ran and whispered: "Some doctors heard about Academician Du's surgery tomorrow and want to come. Professor Feng Zhixiang will also come. Dean Wang wants to ask, what should be done?

Is it a demonstration operation? Or is it to close the operating room and refuse to visit?"

Different doctors behave differently in different situations. Dean Wang is not familiar with Ling Ran, but he is expressing respect.

Ling Ran walked in the corridor and said, "You don't have to refuse the visit. You can also do a demonstration operation."
Chapter completed!
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