Chapter 480 Limit Liver (repeated in previous chapter)
Lu Wenbin was performing the operation, secretly observing the young nurses around him, as well as the young nurses and female doctors who came to watch.
Lu Xun said it well, rabbits don’t eat grass from their nests, and Lu Wenbin doesn’t want to look for his partner in the emergency center. Even if someone is willing, he will probably refuse!
However, hepatobiliary surgery is different.
Hepatobiliary surgery can no longer be said to be a sideline. It is far enough away from the nest.
Lu Wenbin's attention was especially attracted by the equipment nurse.
The equipment nurse looks young, with small cheeks, small chin, small breasts, and small calves. Her movements of delivering equipment are quite gentle...
"Suck." Ling Ran ordered.
Lu Wenbin raised his chest and raised his head in a well-trained manner, sucking in his stomach. At the same time, he subconsciously squeezed the instrument with his hands.
A pool of dirty blood was sucked away from the abdominal cavity, revealing the somewhat hardened liver again.
"The cirrhosis of the liver has become more serious, and now it is being separated by blunt force." As Ling Ran spoke, he picked up the liver and without hesitation, moved his hands to break the liver.
This trick has been used so often that it no longer has any visual impact on Lu Wenbin and others.
They eat grapefruit recently, and practice peeling the liver by hand. The grapefruit skin is used for suturing, and the grapefruit flesh is used to peel the liver. It can be said that the whole body is full of treasures.
However, for reporters, Ling Ran's action was very shocking.
He quickly raised the lens and clicked the shutter button, while pressing it, he had time to adjust the angle.
Ling Ran didn't even look at the reporter and continued to perform his surgery.
Reporters are nothing new to him. Even Lu Wenbin and others are now used to it.
"Should we cut more?" He Yuanzheng, who had not expressed much opinion during the entire operation, made a suggestion at this time.
He is an "old" doctor in the Department of Hepatobiliary Surgery, with rich experience. Most importantly, he has rich experience in liver cancer surgery. In this regard, he is even better than Ling Ran, who has mastered master-level liver resection.
Ling Ran obviously hesitated for a moment and said: "Based on the volume removed now, the liver's recovery is already very difficult."
After a part of the liver is cut off, it has the ability to regenerate itself, which is also the basis of liver resection.
However, even self-regeneration requires a certain foundation. If too much liver is removed, regeneration will be very slow. Of course, the more likely situation is that the liver function is insufficient and the patient cannot survive the ICU and dies.
He Yuanzheng relied on experience and said: "Looking at the current stump, I feel that in order to clean up the cancer cells, we need to cut a little more. Of course, this is also my personal habit. I am used to cutting a little more..."
Lu Wenbin and others couldn't help but calm down their expressions, and listened to the conversation between the two with lowered eyebrows.
If something good happened, he would quietly glance at the reporter, secretly looking forward to what would happen next.
The chief surgeon and the actual surgeon had a disagreement about the next surgical plan. In the operating room, this is the second most common surgical procedure after doctor and nurse.avi, doctor-patient.avi, nurse-patient.avi, doctor-patient-nurse.avi, and runaway patient.
Breaking into the operating room.avi... is so exciting and intense.
Especially if there are reporters, it will undoubtedly increase the intensity of the incident.
Even though Lu Wenbin was a little worried, he didn't dare to raise his head and interrupt at this time. With Director Huo here, it was his turn to speak.
Ling Ran also looked up at He Yuanzheng, then the reporters and others.
He Yuanzheng said: "The recurrence rate of liver cancer is very high. It is difficult to ensure the effect without more incisions."
Ling Ran muttered: "If you cut off a little more, the patient may be in great danger."
"If there is a short-term recurrence, life would be worse than death." He Yuanzheng's words were serious. He has undergone liver cancer surgery for so long, and he really understands this deeply.
If the patient's cancer is in a stable stage and can have a relatively high quality of life, then even if it relapses or metastasizes, he will be more confident to go through another round of dangerous surgery, chemotherapy, radiotherapy, etc...
However, if the patient's cancer stable period is short-lived and he falls into pain again just after recovering from the pain, then the patient's desire to survive will be greatly reduced.
The reporter gently raised the camera.
Huo Congjun frowned and tried to stop it. This was a way to intensify the conflict.
At this time, Ling Ran had already made a decision: "Listen to you, let's cut more."
I was looking forward to a good show and saw the crowd waiting, but I couldn't help but feel disappointed.
If this were to be a big drama, with the director of the Hepatobiliary Surgery Department tearing Ling Ran apart, and the emergency center invading the Hepatobiliary Surgery Department, there would be countless dramas to play out!
Ling Ran lowered his head to observe the patient's liver, then half-cupped it.
"It is expected that the operation time will be extended by 15 minutes." Ling Ran reminded the anesthesiologist before he once again got into the state of tearing off the liver.
But this time, Ling Ran broke it off much more carefully.
Today's patient is over 60 years old and is a patient treated by the Hepatobiliary Surgery Department. His living habits are not good. Liver cancer is also caused by repeated hepatitis and cirrhosis.
As a result, the quality of his liver was abnormally poor. From Ling Ran's point of view, if more cuts were made, the operation might not be possible.
However, He Yuanzheng's experience as the director of hepatobiliary surgery had to be taken into consideration by Ling Ran.
As he said, short-term recurrence is an experience worse than death for liver cancer patients. Many patients who have a weak desire to live often give up active treatment and switch to palliative care at this stage.
It's really painful, like torture, and not everyone can bear it.
Whether in terms of quality of life or length of life, reducing the recurrence rate of cancer is what the surgeon should do.
Ling Ran carefully broke open the liver, no longer as bold as before.
The patient's liver function was not good, and too much liver tissue had to be removed. Even if he could get on the operating table, he would not be able to get out of the ICU. Being able to get out of the ICU, which depends entirely on luck, had never been the focus of Ling Ran's consideration.
Not only must we remove the cancerous tissue, but we must also remove more tissue that has not yet become cancerous but may proliferate cancer cells... Based on this, we must also retain more liver function. Then all Ling Ran can do is more.
Remove some waste liver cells.
It's a difficult balance.
Ling Ran made a decision, lowered his head and entered the operation stage.
For surgeons, the sooner the decision is made, the better. Whether it is the optimal decision can only be made clear when the death is discussed.
He Yuanzheng was also a little surprised by Ling Ran's attitude.
In his imagination, a star doctor like Ling Ran who became famous at a young age, not to mention being unruly, should also have an extremely serious ego as a surgeon.
Unexpectedly, Ling Ran actually said that he would accept his opinion, so he accepted his opinion.
This actually made He Yuanzheng slightly admired.
Turning his head, He Yuanzheng looked at Ling Ran's operations more seriously. As he watched, He Yuanzheng gradually realized that Ling Ran's operations were so precise. Although Ling Ran's previous operations were also meticulous enough, compared to now,
The operation is like the difference between braised tofu and Wensi tofu.
He Yuanzheng was agitated and his whole body became nervous.
No surgeon would be bored and inexplicably increase his surgical burden.
Just like professional athletes must compete with professional athletes in order to achieve their personal best results.
He Yuanzheng believed that Ling Ran's sudden increase in the complexity of the operation would not be without purpose. The only reason was that the proportion of liver resections had really reached the limit.
This is excavation at the edge of the limit!
"I'm here to help Dr. Ling." He Yuanzheng watched the operation for a moment, and he could already feel his blood surging.
Such extreme surgeries are not available all the time. Athletes can participate in various high-level events, but surgeons have to wait.
Chapter completed!