Two 100-inch large screens lit up at the same time.

On one of the screens, there is a video conference consisting of 4 picture-in-pictures. The other screen currently has a screensaver, ready to play the required video and other information at any time.

Lloyd, who had changed into a surgical gown, flashed the hair on his arms and chest, and argued fiercely with the four doctors in the four-block video.

"Judging from the information you provided, the degree of differentiation of the tumor is not low, and it is very likely to be a poorly differentiated tumor. In this case, I suggest expanding the scope of resection. In addition, based on the patient's current requirements, should we consider whether

Liver transplant? If liver transplant can be done, the survival time can be greatly improved."

"The patient is not qualified for a liver transplant. Chinese hospitals are very conservative in organ transplantation, and there are very few sources of organs. This patient is neither qualified to obtain a donor nor has the money to do such a major operation..."

"In this case, I don't think the scope of resection should be expanded. However, the location of the resection can be reconsidered. Is the current location of resection too cautious? Only a partial resection of the left liver is performed. The location of the resection is also very strange. The surgeon

How do doctors think about this?"

Lloyd followed the doctors in the video to discuss for more than ten minutes. When he turned around, he saw Ling Ran, who had been watching the MRI film for a long time, facing the empty wall and waving his arms, as if he was simulating the surgical process.

Lloyd frowned and asked, "Dr. Ling, would you like to join us?"

"How to join?" Ling Ran was still busy doing simulations and only took the time to answer.

Lloyd looked at Ling Ran's back and said, "You can stand next to me and we will discuss this surgery together."

"Okay." Ling Ran did not resist firmly.

Overall, Lloyd's help is beneficial to patients.

The four experts who participated in the remote consultation he held were all well-known surgeons. It can be said that they have rich theories and experience.

In fact, even Anderson Cancer Center usually does not convene four senior experts for remote consultation. Two or so experts are already very face-saving. Because Anderson Cancer Center is a world-class medical center, they not only provide

Local telemedicine, and systematic remote consultation for areas with underdeveloped medical standards. Therefore, consultation resources are quite scarce.

However, after Lloyd's emotional explanation, the four remote consultation experts were still extremely serious.

After knowing that Ling Ran was the chief surgeon, the four of them just praised Ling Ran's handsomeness and age, and then quickly got to the point:

"Dr. Ling Ran, can you explain your surgical approach? The scope of pre-resection you chose is relatively small, but it involves many sections. From what I saw just now, there are posterior medial segment, anterior medial segment, and right anterior segment.

The outer segment, inner lower segment...the bile ducts and blood vessels involved are also very complicated. In this case, is it better to perform segmental liver resection directly?"

"Segmental liver resection requires too much cutting. I'm afraid the patient won't be able to wake up." Ling Ran did not hide his thoughts. If the other party had a better surgical plan, he would not mind using it. In fact, Ling Ran still had some expectations.

, the four plus one expert in front of you can give you good advice.

Because of this, Ling Ran did not hesitate to tell the reason for his encouragement and decision.

Ling Ran was originally unwilling to undergo liver cancer surgery, but now he chose to do it for the benefit of the patient. Therefore, Ling Ran hoped that he could do a good job, and the better he did, the better. Compared with this consideration, Ling Ran

He doesn't care much about right or wrong or reputation.

Unless there are fundamental changes in cancer treatment, Ling Ran will not undergo frequent cancer surgeries, and his reputation in this area is not within the scope of his consideration.

The four experts on the screen were collectively silent for more than ten seconds after hearing Ling Ran's words.

"If liver segment resection is used, more liver segments will be removed. So, how many liver segments should be removed?" The previous expert frowned and made another suggestion.

"There are cancer cells invading these liver segments. If we reduce the scope of the resection, it will not be clean." Ling Ran replied.

"Indeed... However, if the survival goal is three years, it would be safer to adopt this method."

"To say three years now is too arbitrary."

"It's not necessary to make such a compromise for the sake of segmental liver resection."

Ling Ran also said: "Three years is indeed the patient's request, but we still hope to achieve better results."

"It's good to be able to reach 3 years. How big is the tumor, 8 centimeters, right? It's good to survive. 3 years is the expected value."

8 centimeters may sound ordinary, but in the world of doctors, liver tumors exceeding 5 centimeters are difficult to deal with. Because the liver has a rich blood supply, large tumors are often connected to multiple blood vessels, which makes the removal process difficult.

Not to mention the devastating consequences that may arise from all disturbances, even if the resection is successful, the remaining parts of the liver tissue occupied by a large number of useless cancer cells will also face challenges.

Doctors must not only consider the remaining liver tissue available, but also consider the problem of diffusion during the resection process, and then want to make a clean cut...

In general, the worse the patient's condition, the more issues need to be considered and the worse the prognosis.

It is already very difficult to get a good prognosis for an 8 cm liver tumor. This is also the reason why Ling Ran is willing to undergo this operation. Based on his judgment, this patient was handed over to He Yuanzheng for liver resection.

He should be able to survive the surgery smoothly, but after the surgery, there should be nothing.

With Iga Yuanzheng's technology, if you are not careful, the patient may fall into hepatic coma. Even if this does not happen, the subsequent weakness will make the patient feel even more painful during chemotherapy. Whether he can survive it will be a huge challenge.

test.

Chemotherapy may cause the patient to be bedridden for a long time, and may even remain in bed for about a year. At the same time, the recurrence of cancer may destroy his last hope...

There was no need for Ling Ran to explain. Several doctors present knew the most likely direction of the operation.

It was precisely because the operation was extremely difficult that Lloyd called in doctors for remote consultation. Otherwise, he alone would be enough to give advice.

Ling Ran stood opposite the screen and listened carefully.

It has to be said that in some small aspects, Anderson's experts can put forward quite constructive opinions. Considering their identities and their suggestions, the old man who originally proposed liver segment resection is probably a master.

The other three are not necessarily masters of liver resection, but their attainments in general surgery or cancer will not be low either.

However, if only remote assistance is provided, even a master liver resection expert cannot rely on words to provide decisive help.

He himself may be good at segmental liver resection and has a lot of experience in patient prognosis. However, Ling Ran is not a doctor who grew up in the era of segmental liver resection. His master liver resection is not what he is best at.

Segment resection.

On the other hand, Ling Ran, who also possesses a variety of master-level and perfect-level skills, is likely to surpass the old man on the other side of the screen in terms of this surgery alone.

Therefore, after a brief consultation, Ling Ran decided to start the operation, still using his own method with only slight modifications.

"In this case, the risk is still very high."

"Lloyd, I would rather you send the patient to Anderson."

"We might be able to find a foundation to do this."

Several doctors chattered on the screen, but Ling Ran's face gradually became serious: "Scalpel. Turn down the sound."

"Yes." Ling Ran's surgical team started operating without hesitation.

For the current Ling treatment team, the experts and scholars from Anderson Cancer Center are just embellishments.

After liver resection, Ling Ran is the boss!
Chapter completed!