Chapter 480 Extreme Liver (Repeated From the Previous Chapter)

Lu Wenbin was doing the operation, secretly observing the nurses around him, as well as the nurses and female doctors who came to watch.

Lu Xun said it well, rabbits don’t eat grass beside their nests, and Lu Wenbin doesn’t want to find a partner in the emergency center—even if someone wants to, he will probably refuse!

However, hepatobiliary surgery is different.

Hepatobiliary surgery can no longer be said to be grass on the edge of the nest, it is far enough away from the nest.

Lu Wenbin's attention was especially attracted by the equipment nurse.

The instrument nurse who looks young has small cheeks, small chin, small breasts, and small calves, and the movement of delivering the instruments is quite gentle...

"Puff." Ling Ran ordered.

Well-trained, Lu Wenbin raised his chest and raised his head, sucking up his stomach. At the same time, he subconsciously squeezed the instrument with his hands.

A puddle of dirty blood was sucked away from the abdominal cavity, re-exposing the somewhat stiff liver.

"The cirrhosis of the liver is more serious, and now it is bluntly separated." Ling Ran held up the liver as he spoke, and waved his hand to break it without hesitation.

This trick has been used too much, and to Lu Wenbin and others, it has no visual impact.

They eat grapefruit recently, and they all use the mode of peeling the liver by hand to practice their hands-the grapefruit skin is used for sewing, and the grapefruit meat is used to peel the liver. It can be said that the whole body is full of treasures.

However, for the reporter, Ling Ran's action was very shocking.

He quickly raised the lens, clicked the shutter button, and only had time to adjust the angle while pressing it.

Ling Ran didn't even look at the reporter, and continued with his operation.

Reporters are not new to him either. Even Lu Wenbin and others are now in a state of habit.

"Do you want to cut more?" He Yuanzheng, who hadn't expressed much opinion during the whole operation, made a suggestion at this time.

He is an "old" doctor in hepatobiliary surgery. He has rich experience. Most importantly, he has rich experience in liver cancer surgery. In this regard, he is better than Ling Ran who has mastered liver resection.

Ling Ran obviously hesitated for a moment, and said, "In terms of the volume removed now, the recovery of the liver 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 slow. Of course, the more likely situation is that the liver function is insufficient, and the patient can't get out of the ICU and hangs up.

Relying on his experience, He Yuanzheng said: "Looking at the current stump, I think that to clean up the cancer cells, we need to cut more. Of course, this is also my personal habit. I am used to cutting more..."

Lu Wenbin and the others couldn't help but restrain their expressions, and listened to their conversation with lowered eyebrows.

If something good happened, they quietly glanced at the reporter, secretly looking forward to the next plot.

The chief surgeon and the actual chief surgeon had a disagreement on the next surgical plan. In the operating room, this is second only to doctor nurse.avi, doctor patient.avi, nurse patient.avi, doctor patient nurse.avi, runaway patient. Breaking into the operating room. avi... the excitement and intensity.

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 speak at this moment. With Director Huo here, where is it his turn to speak.

At this time, Ling Ran also looked up at He Yuanzheng, and then at the reporter and others.

He Yuanzheng said: "The recurrence rate of liver cancer is very high. It is difficult to guarantee the effect without cutting more."

Ling Ran pondered: "Cut off a little more, and the patient may be very dangerous."

"If there is a short-term recurrence, life would be better than death." He Yuanzheng spoke earnestly. He has done liver cancer surgery for so long, and he really has a deep understanding of this.

If the patient's cancer is in a stable stage and can have a relatively high-quality life, then even if it recurs or metastasizes, he will be more confident to undergo another round of dangerous surgery, chemotherapy, radiotherapy, etc...

but,

If the patient's cancer stable period is very short, and just recovered from the pain, he fell into pain again, then the patient's desire to survive will be greatly reduced.

The reporter gently raised the camera.

Huo Congjun frowned, trying to stop him. This is a way of intensifying conflicts.

At this time, Ling Ran had already made a decision: "Listen to you, let's cut more."

Looking forward to a good show, the crowd waited, and couldn't help showing disappointment.

If there is a wave of tearing drama, such as the hepatobiliary surgery director tearing up Ling Ran, and the emergency center invading the hepatobiliary surgery, there are countless dramas that can be played!

Ling Ran lowered his head to observe the patient's liver, and then lifted it up halfway.

"It is estimated that the operation time will be increased by 15 minutes." Ling Ran reminded the anesthetist before returning to the state of breaking the liver.

But this time, Ling Ran was much more careful.

Today's patient is over 60 years old. He is a patient admitted by the Department of Hepatobiliary Surgery. His living habits are not good. The liver cancer is also caused by repeated hepatitis and cirrhosis.

Such a result led to the abnormally poor quality of his liver. From Ling Ran's point of view, if he cut it a little more, he might not be able to undergo surgery.

However, He Yuanzheng's experience as the director of hepatobiliary surgery also had to be considered by Ling Ran.

As he said, short-term recurrence is a life-like experience for patients with liver cancer. Many patients who do not have a strong desire to survive often give up active treatment and switch to palliative care at this stage.

It was so painful, like torture, not everyone could bear it.

Regardless of the quality of life or the length of life, reducing the recurrence rate of cancer is what the surgeon should do.

Ling Ran carefully broke his liver, and there was no such drastic action as before.

The patient's liver function is not good, and too much liver tissue has been removed. Even if he gets off the operating table, he won't be able to get out of the ICU. Getting out of the ICU—this kind of thing that depends entirely on luck, has never been the focus of Ling Ran's consideration.

Not only to remove possible cancerous tissues, but also to remove some non-cancerous tissues that may proliferate with cancer cells... Based on this, a little more liver function should be preserved, so what Ling Ran can do is more Remove some waste residue type liver cells.

It's a difficult balance.

After Ling Ran made a decision, he lowered his head and entered the operation stage.

For surgeons, the sooner the decision is made, the better. Whether it is the best 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 rebellious, should have an extremely serious conceit inherent in surgeons.

Unexpectedly, Ling Ran actually said that he would accept his opinion, so he accepted his opinion.

This instead made He Yuanzheng feel a little admiration.

Turning his head, He Yuanzheng looked at Ling Ran's operations more seriously. As he watched, He Yuanzheng gradually discovered that Ling Ran's operations were so delicate—although Ling Ran's previous operations were also detailed enough, but it is still relatively Compared with the current operation, it seems to be the gap between braised tofu and Wensi tofu.

He Yuanzheng was so excited that his whole body became tense.

No surgeon would be bored and inexplicably greatly increase his surgical burden.

It's as if professional athletes must compete with professional athletes in order to achieve their personal best.

He Yuanzheng believed that Ling Ran's sudden increase in the complexity of the operation was not aimless. The only reason was that the proportion of liver resection had really reached its limit.

This is digging on the edge of the limit!

"I'm here to help Dr. Ling." He Yuanzheng watched the operation for a while, and felt his blood surging.

Such extreme surgeries are not always available. Athletes can participate in various high-level competitions, but surgeons can only wait.

Extreme liver surgery, even He Yuanzheng couldn't do it!