Chapter 688 Calm Down
"The conditions on the ship may not be suitable for liver cancer surgery..." Lin Honghou thought for a long time before hesitatingly said.
If it were the same as before, he would categorically say no.
The conditions for liver resection are so harsh. The most complicated part lies in the countless blood vessels and the extremely rich blood supply. It can be said that if a resection is performed incorrectly, it will cause uncontrollable bleeding in the blink of an eye. Speaking of Lin Honghou's hemorrhage just now, it is definitely the attitude of Dawu's father looking at his grandson.
Therefore, even in the operating room of a tertiary hospital, whether it is possible to touch the liver is a very serious topic. Before a liver cancer operation, the check-ups also required a book.
Ling Ran shook his head and said, "If you don't do it now, you won't be able to do it when you go back."
The patient's hemorrhage just now can be said to be very serious, and when he is brought back to the second palace, and considering the possible spread of cancer, the survival rate will definitely drop like a cliff.
As for Ling Ran, judging from the condition of the patient's liver, it was only in the middle and early stages at most, so he might as well take the risk of doing it on the boat.
Of course, this is under the premise that someone can perform the operation.
Lin Honghou didn't know what to think. After hearing Ling Ran's words, he still shook his head and said, "You may not understand the risks of performing surgery on a hospital ship. Even if the hospital ship is parked in a sea area far away from the storm area, the location of the operating room is also carefully selected." It has been carefully selected, but on the ocean, the frequency of unexpected fluctuations is too high. Even if you want to do this kind of surgery, you have to sail back to the dock with our ship, and then perform the surgery on a calm dock.”
Ling Ran thought for a few seconds before saying, "The patient may not be able to wait until he returns to the pier."
"That's better than dying on the operating table." Lin Honghou gritted his teeth and said, and then showed the posture of "that's all."
Ling Ran gave Lin Honghou a strange look, and said, "It's fine as long as it's cured."
"Liver cancer surgery... aren't you afraid that a sudden shaking will puncture the liver?"
"Unexpected risks always exist, if they happen, find a way to deal with them." Ling Ran's expression was indifferent. He likes a controlled situation very much, but he has a much deeper understanding of out-of-control surgery than Lin Honghou.
Lin Honghou really wanted to say, "It's not that easy", but after thinking about it, Lin Honghou recalled the scene where Ling Ran just stopped the bleeding with his bare hands.
The biggest risk of liver surgery is bleeding, or in other words, the biggest risk of any surgical operation is bleeding,
As long as the bleeding is well controlled, there will be plenty of time to deal with other difficulties.
Of course, bleeding control and bleeding control are not the same concept.
Lin Honghou is also able to control the bleeding. He is good at trauma surgeries, and his daily surgeries often deal with all kinds of bleeding. Like the surgery just now, if Ling Ran hadn't been involved, Lin Honghou might not have been able to do it. It was nothing more than to rule out all other possible bleeding sites, and then return to impossible sites, such as the spleen. Of course, the amount of bleeding may be surprisingly large, but the patient is still relatively young, and may be able to persist until 12,000 or 16,000 blood transfusions...
In general, Lin Honghou didn't give up on controlling the bleeding just now, but he still had the confidence to control the bleeding. This is also one of the techniques mastered by a 5-year-old excellent senior attending.
It's just that there is a big difference in Ling Ran's technical level.
Lin Honghou looked at Ling Ran, and couldn't help but imagine the next possible surgical scenario: Ling Ran was undergoing a liver resection operation, and when the scalpel fell, or when the forceps were lowered, the hull trembled, and then the blood surged like training... Then, Ling Ran stretched out his hand to pinch it, stopped the bleeding with bare hands, quickly sewed it up, and continued with the operation...
Lin Honghou had to admit that it felt like there was nothing wrong with it.
Although it is said that after such an operation, the patient's prognosis is definitely not good, but the survival rate will really be higher than that of being sent back to the dock.
Lin Honghou lowered his head slightly. He didn't want to go along with Ling Ran anymore, but he couldn't object, so he could only keep silent.
Huo Congjun looked at Lin Honghou's uncertain expression, and suddenly felt like laughing.
Why do senior doctors have a master-apprentice influence on junior doctors, why do senior doctors seem to have a sense of oppression like martial arts sects on junior doctors? In the final analysis, it is all technical crushing.
Just like what Ling Ran is like now, even if Lin Honghou wanted to object to the viewpoint he put forward, unless he lost his mind, he would have no way to object at all.
Even if Lin Honghou really lost his mind—the doctor has never been afraid of mental illness.
Ling Ran operated quietly.
Today is not a simple liver cancer operation, he has to handle the whole thing properly, and then he will have liver surgery.
But in Lin Honghou's view, Ling Ran was simply showing off his skills naked.
For example, a good blood vessel is just a suture. This is on a boat. Is there really no pressure?
The spleen that was treated by him just now was also pulled up again by Ling Ran. With a single operation, the spleen that originally looked like a northern bun was made round and delicate like a southern bun.
Lin Honghou looked and looked, looked and looked, slowly, his expression became calm, and the remaining anger was frozen, just like a bonfire, being poured with buckets of ice cubes. At first, the bonfire There will also be a piercing cry, and after that, there will be only the sound of ice cubes falling.
After a while, the call for the pathological examination also came back.
"It's a malignant tumor." The itinerant nurse answered the phone with admiration in her eyes.
Ling Ran nodded, adjusted his position again, and said, "Then let's start mobilizing the hepatic ligament. This...doctor, have you ever had a liver resection?"
Lin Honghou's face flushed red: "No...no."
"Come help." After Ling Ran finished speaking, he looked at Lin Honghouyuan's assistant who had been his assistant just now, and asked, "Do you want to rest for a while?"
"No need." The latter was excited, but he didn't dare to show it.
Ling Ran nodded, observed the state of the liver again, and said, "The tumor's coverage should not be large, and the portal vein and inferior vena cava need to be paid attention to..."
While speaking, Ling Ran moved over, took a few steps, and directed Lin Honghou:
"Hepatic round ligament cut."
"Be flexible with your fingers."
"Hands knotted, deep."
This can be said to be Ling Ran's habit. He is now flying knives outside all year round, and when he is in the operating room, he uses doctors from other hospitals as assistants, and he will inevitably be asked various questions, or various requirements for getting started.
Sometimes, the flying knife surgery that Ling Ran participated in was directly a nanny surgery - the other doctor wanted to do it independently, but his own hospital didn't have a doctor who could do the surgery independently, so he had to spend money to hire a doctor from a higher-level hospital to be a nanny .
Ling Ran has never been very picky about the content of surgery, and he is willing to give other doctors a chance, especially when the results of the surgery are not bad.
Now, although Lin Honghou didn't make a request, Ling Ran never categorized weak chickens. Since other weak chickens could get the chance to get started, Ling Ran would not deliberately deny Lin Honghou a chance.
Therefore, Lin Honghou was inevitably rewarded: to work under the guidance of Dr. Ling Ran.
Lin Honghou was reluctant in his heart, but his body honestly followed suit...
In Lin Honghou's mind, there seemed to be two villains. One is the body villain, and the other is the inner villain.
The villain in the body constantly comforts the villain in the heart.
The body villain spoke earnestly: This is a liver resection!
The villain at heart: the most important thing in life is to follow the heart, so what about liver resection?
The villain of the body earnestly said: When you encounter pickled goods, if you want to make a liver for a while, you will have to sleep with it if you fail.
The villain at heart haha: Sleeping with you is a matter of your body, it's none of my business.
The body is small, hehe: eat fatty intestines at night, and watch elderly intestinal obstruction surgery.