Chapter 613 Best Usage

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Ling Ran watched Qi Yuquan's film once, then scanned his biochemical report, closed his eyes and thought for a moment, and called out the virtual human again.

Ling Ran stood up, shrugged his shoulders, stretched his muscles and bones, and massaged his neck with massage.

Immediately afterwards, a virtual person of Qi Yuquan lay flat in front of him, and glowed with blue light, and then the light gradually faded.

There was a thought in Ling Ran's mind, and he stretched out his hand again, and a No. 4 knife handle fell into his hand. It was too late, but Ling Ran did not wait for the light to dissipate. The patient had a large L-shaped incision with a length of 50 cm, and it was a direct deep incision, regardless of the layering.

In a normal surgical incision, the fascia, fat, skin, etc. must be consciously layered out to facilitate sutures. Now Ling Ran is facing a virtual person, but there is no need for sutures.

Ling Ran naturally chose the time-saving solution, and even the current incision is absolutely exceeding the standard.

Now when performing liver cancer surgery, doctors are eager to make a small incision of a few centimeters to facilitate postoperative recovery, but during the operation, the obstacles caused by the small incision needless to say.

The 50 cm long incision is half a meter long. If other doctors see it, they will be envious to death.

Ling Ran reached in, first fished out the liver, and then carefully looked around.

As far as the naked eye can see, there is no large piece of cancerous tissue. However, this judgment is not comprehensive. The invasion of cancer cells is diverse. Therefore, in order to reduce the possibility of recurrence, surgeons usually surround the lesion three to five times. Centimeters of normal tissue are removed.

For a patient of Qi Yuquan's age, cutting five centimeters or even three centimeters more could be fatal.

As far as his physical condition is concerned, the result of over-resection may be several months of pain in the IU, and then he died of liver failure. If he is lucky, his body may be able to compensate for it, but will it induce other diseases? It's hard to say, but what is certain is that the life expectancy will be shortened, and the quality of life will be greatly reduced.

Ling Ran waved his hand, ending this round of virtual human use.

Then, Ling Ran opened Qi Yuquan's MRI film and read it carefully.

After reading the book a hundred times, you can see its meaning. For Ling Ran, the magnetic resonance film is the same.

Qi Yuquan passed the magnetic resonance film taken by the private hospital,

The advantage is that you can take the original film to different hospitals for consultation.

The original MRI film is not the one image given to the patient by the hospital, but thousands of images stored in the computer. Doctors who know how to read MRI can see a lot of information through them.

However, it is also because the MRI data of many hospitals are not connected to each other. In order to make money, there is no motivation to get through, and the mutual distrust between doctors in the hospital, patients need to change hospitals and retake the scan.

Qi Yuquan saved this process. The private hospital prepared a full set of original MRI films for him, and it is a 3.0t version with a higher main magnetic field strength, and the resolution is more common than that of 1.5t and 0.5t. Duoyun Medical has only one 3.0t. The MRI machine is usually full of queues, and doctors who don't want to wait will not ignore the 3.0 and force to take the 1.5t.

"System, give me a new simulation of Qi Yuquan." Ling Ran didn't know how to manipulate the virtual human's functions, so he simply expressed it in words.

The system gave a new Qi Yuquan without any problems.

Ling Ran cut it open again savagely, and then found a lesion that could be discerned with the naked eye, a little bit outward, took a scalpel, and cut off a piece of liver.

In the abdominal cavity of the virtual person, blood was bubbling, like a small fountain, which soon filled the abdominal cavity.

Ling Ran didn't do anything to stop the bleeding in advance.

"Suction." Ling Ran said something in the air, and saw that there was indeed a suction device, so he immediately asked: "Is there a microscope? There are also pathological examination equipment, microscopes, glass slides and so on."

While the blue light was flashing, the system moved to Ling Ran's side without saying a word, and simulated a set of pathological examination equipment again, including microscopes, glass slides, etc. that Ling Ran wanted.

"Yes." Ling Ran gave a small compliment.

Then, Ling Ran sliced ​​the cut liver into a thin slice around the periphery, put it on a glass slide, handed over the medicine, and put it under a microscope for observation.

He was looking for cancer cells, and the boundaries of cancerous tissue.

If the microscope shows cancer cells with clear borders, it means that the cancerous tissues have been removed. On the contrary, if the boundary is not clear, it means that the cancerous tissue still exists and has spread farther, and more cuts are needed.

This method of combining pathology with surgery has gradually become popular in many hospitals, and its benefits are also obvious. By observing the cell boundaries, it is possible to remove as little normal tissue as possible and at the same time remove cancer tissue.

However, in actual operation, it takes time for the pathology department to send for inspection. Moreover, it is often encountered that there are two inspections, three inspections, and still no clear boundary. If you are in a hurry, it is because the infiltration ability of cancer cells often reaches the level of three or four centimeters.

However, in the mode of pathological examination, the contention is actually a width of one or two centimeters.

However, liver cancer surgery rarely adopts such a model.

During the inspection period, the patient waited with his abdomen open. If the intestines were cut or something, the patient would be able to wait. Liver surgery is often not so cheap.

Regardless of whether it is to block the portal of the liver or where, the safe time for liver ischemia is 1 hour. If it exceeds an hour, it is better to cut an extra three centimeters. In this way, the number of inspections is limited, and the prognosis is not good, and the case inspection becomes a matter of taking off your pants and deflated.

Ling Ran was also not sure. The tissue infiltrated by cancer cells could be removed once or twice during the operation. Moreover, Qi Yuquan still had satellite lesions, so the resection area was larger and more complicated. It was impossible to adopt the conventional method. The inspection mode.

Instead of using this method, Qi Yuquan's body obviously couldn't take it anymore.

This is also one of the reasons why Meng Shan referred her here.

Qi Yuquan's liver cancer is still at the early to mid-stage level, but his physical health is at an advanced stage. The superposition of the two phases makes it impossible to formulate a surgical plan.

Unless, like Ling Ran, a virtual human is used.

In the virtual human state, Ling Ran can remove the liver at will, and then determine the boundaries of the cancerous tissue. Even, Ling Ran can finally confirm the development of the cancerous tissue before the operation. Compared with MRI or PET examination, I don't know how many times more accurate .

Ling Ran felt that this was the best way to use the dummy.

none of them.

Rebuttal not accepted!

"Zuo Cidian, prepare for Qi Yuquan's surgery, and ask Qi Yuquan himself and his family members to sign a consent form..." Ling Ran did a rough inspection, confirmed that the plan was available, and ended the virtual human state.

So far, the virtual human has 3 hours and 21 minutes left.

Zuo Cidian, who received the call, felt very uneasy and asked, "Do you really want to operate on Qi Yuquan? The old man is 73, seventy-three, eighty-four, and the king of Hades won't come..."

"The surgical plan is the most beneficial to the patient, you have to explain it to the patient and the family." Ling Ran interrupted Zuo Cidian's words, and explained his attitude at the same time.

Arrogance, or in other words, arrogance is the label of a surgeon. A doctor who is afraid of wolves and tigers will not be able to do surgery well.

Hearing Ling Ran's tone, Zuo Cidian knew that he was powerless to persuade him.

Zuo Cidian hung up the phone, hesitated again and again, and still dialed Huo Congjun's number. After a brief explanation, Zuo Cidian went to the Special Needs Building to have a pre-operative talk with Qi Yuquan and his family.

The special needs building of the hospital has always been exposed like a fishing net. When Zuo Cidian entered the ward and said the word "surgery", the news spread.

The medical staff in the special needs building are much freer than those in the emergency department.

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