Chapter Six Hundred and Eleventh Scope

Qi Yuquan's liver cancer was detected at an early stage, and I didn't have any symptoms or feelings. In terms of shape and size, it was a relatively small liver cancer (less than 5 cm in diameter).

According to the guideline, such small liver cancer also has the best treatment effect.

Qi Yuquan's good habit of getting physical examinations on time, or in other words, good income has brought certain returns.

However, judging from the condition of the virtual person that Ling Ran dissected, Qi Yuquan's luck is not very good.

The probability of liver cancer cells invading the portal vein in the early stage is about half, and Qi Yuquan was hit. The probability of invading the surrounding liver tissue is about half, and the probability of Qi Yuquan being hit, and satellite foci appearing is about 40%, and Qi Yuquan is also hit.

To sum up, Qi Yuquan is the unluckiest 10% of small liver cancer patients.

Coupled with his age and underlying diseases, it is quite difficult for Qi Yuquan to remove the liver tissue invaded by cancer cells, and then get off the operating table smoothly, let alone a good prognosis.

Ling Ran roughly dissected the virtual human, confirmed the extent of the cancer, and quickly ended the first attempt.

Before the body glowing with blue light disappeared, the system displayed a line of words:

"Virtual Human" (Master) - 3 hours and 52 minutes remaining.

Just to cut out the approximate extent of the cancer, Ling Ran cut it for 5 minutes.

Ling Ran shook his head secretly, he was still a bit too disciplined, doing the anatomy of the virtual human in the way of the general anatomy teacher, wasting some time for nothing.

"Doctor Zuo, please send over Qi Yuquan's examination materials." Ling Ran didn't activate the avatar again, but decided to look at the materials first.

Qi Yuquan has done quite comprehensive examinations in the private hospital, from simple X-rays, to CT, to PET, which is considered expensive by ordinary people, as well as various biochemical tests, Child-Pugh's liver function classification, indocyanine Green's retention rate and so on have also been done in full.

Regardless of whether it is for making money or not, this set of private hospitals is very helpful in describing Qi Yuquan's physical condition - for senior surgeons, or senior physicians who can do surgery, through all the imaging data and biochemical reports, It is time to construct the situation in Qi Yuquan's abdominal cavity in his mind: the approximate range of cancer cells, the current status of the invaded tissue...

If you go a little deeper, you can also guess the differentiation speed of cancer cells, the possibility of tissue invasion, and so on.

However, for a young surgeon like Ling Ran, it is very difficult to do half of it in a non-intuitive way.

In fact, even at the level of He Yuanzheng, the director of Hepatobiliary Surgery of Yunyi, many indications would be ignored.

A big doctor in the capital, like Professor Feng, may be able to study it carefully if he studies it carefully... This shows the benefits of private hospitals. They have plenty of time to compare with doctors and patients to study the patient's condition carefully.

One person is not enough, a few people, a few people are not enough, and then ask for foreign aid... The most important thing is to ask for foreign aid. Public hospitals can't let go of asking for foreign aid, and private hospitals are too casual. They often pay the directors of public hospitals. The annual salary ranging from 10,000 yuan to more than 100,000 yuan is always offered, so that I can ask for advice at any time when I need it.

Of course, the wool comes from the sheep, and the patient's film is sent for a "consultation". The hospital does not have much cost, but the patient has to pay tens of thousands of yuan in expenses, which is quite good.

However, after all the examinations are completed, if the result is really bad and a difficult case is encountered, the private hospital will still push the patient out without hesitation - refer the patient to a public hospital, and maybe earn another fortune.

For low-risk cases, no matter how troublesome and complicated they are, private hospitals will not dislike them, just give them money.

For high-risk cases, private hospitals will be selective.

Even a rich man like Qi Yuquan was eventually launched into Yunyi by Meng Shan like a missile.

At this time, the various checks on Qi Yuquan turned into motivation to push him out.

If Ling Ran was not good enough and couldn't find foreign aid, it would be easy to make mistakes in Qi Yuquan's complicated operation.

In fact, Qi Yuquan's case was sent to the capital, and the final conclusion was drawn by a talented person. As far as Yun doctor, who is relatively weak in hepatobiliary surgery, Ling Ran couldn't find any strong foreign aid for consultation in the hospital.

He is the strongest person in Yunyi's hepatobiliary surgery.

As far as this item is concerned, Meng Shan's move can be regarded as hitting a pain point.

"Doctor Ling, do you really want to operate on Qi Yuquan?" Zuo Cidian personally delivered the materials. When he handed it to Ling Ran, he was still full of worries.

Zuo Cidian didn't know how complicated Qi Yuquan's condition was, but he considered Meng Shan's existence. He doesn't feel at ease.

Ling Ran said "En", and said, "Qi Yuquan's situation is indeed complicated, but it is within the controllable range."

Zuo Cidian didn't believe in such things as "controllable", and persuaded: "Doctor Ling, if you want to do liver cancer surgery, just grab people from the hepatobiliary surgery department, why accept a patient sent by a doctor with ulterior motives."

"The patient is not at fault." Ling Ran paused for a moment, and said, "This patient's liver cancer happens to be something I can handle. The hospital beds in the group are also free, and the operating room is not full, so there is no reason to turn him away. ..."

Zuo Cidian thought to himself, "Dangerous" is the reason to keep people out.

However, now that he is familiar with Ling Ran, he knows that this will not convince Ling Ran, so he can only say from a medical point of view: "You never performed liver cancer surgery before, if you do it now, you can be sure."

"For this patient, Qi Yuquan, I'm afraid it will be difficult to find a more suitable doctor than me." Ling Ran answered very positively.

Zuo Cidian was immediately speechless.

He even looked behind carefully so as not to be overheard.

"You are so confident..." Zuo Cidian felt both helpless and admired.

Ling Ran nodded affirmatively.

If he didn't have the skills of a dummy, Ling Ran probably wouldn't have accepted Qi Yuquan, at least not immediately.

If the patient is admitted and cannot be given good treatment, then from Ling Ran's point of view, the admission of the patient is not only useless, but also harmful. Especially for patients with liver cancer like Qi Yuquan, under normal circumstances, his survival period is at least one year, or even longer. In the doctor's conservative words, he would have to say more than 6 months.

But if the operation fails, there is a possibility that you will not be able to get off the operating table on the spot, and there is also the possibility that the chemotherapy will completely destroy the patient's immune system and cause the patient to die after three or four months...

In this regard, the gap between excellent surgeons and ordinary surgeons may be more than 5 years, and the gap between top surgeons and ordinary surgeons may extend to ten years or even longer.

If there is no virtual person, Ling Ran is sure to be excellent, but it is hard to say whether he can be the top. In that case, Ling Ran would rather introduce the patient to He Yuanzheng——since Ling Ran began to perform hepatectomy for intrahepatic bile duct stones, He Yuanzheng has gradually favored surgery for liver cancer, and he can do excellently.

Or, let Qi Yuquan go to the capital for medical treatment, presumably with his conditions, he can also get very good treatment.

However, with the help of the virtual person, Ling Ran not only greatly increased his confidence, but in fact, his strength also increased greatly.

He was originally a master-level liver resection. He has a frighteningly high success rate for non-cancerous liver tissue, and his prognosis is not good. It can be said that he has few rivals in China.

As for liver cancer, although Ling Ran couldn't change his fate and completely cure the cancer, for the 73-year-old Qi Yuquan, perhaps what he needs most is not the elimination of cancer, but two somewhat contradictory requirements: One, as much as possible to cut away the tissue infected by cancer cells; second, to cut as little tissue as possible.

His age and physical condition are doomed to not be able to withstand extensive resection.

However, the spread of his cancer cells is very wide, such a patient can be said to be very difficult to treat.

However, with the help of a virtual person, Ling Ran could be more confident.

If everything goes well, Ling Ran estimates that he should be able to extend Qi Yuquan's life by about 10 years, and it will be ten years with a relatively good quality of life.

Qi Yuquan is 73 years old. If he can live to 83 years old with high quality, then the impact of cancer on him can be said to be minimal. As far as the medical effect is concerned, it is probably equivalent to liver resection for intrahepatic bile duct stones.

This kind of cancer surgery is exactly what Ling Ran likes.