Chapter 914: The Horn of Victory

Pen. "Ling Ran stretched out his hand, then retracted it, and began to draw lines on the patient's body.

A long, long, long opening line, almost tore apart the patient's abdominal cavity.

The combination of liver and stomach also almost opened the patient's abdominal cavity completely.

The nurses and assistants present unconsciously became serious when they saw Ling Ran's scribing action.

Surgery with such a large opening must be taken seriously in any hospital or operating room.

Ling Ran's expression was even more solemn.

The patient Xiao Dai's abdominal cavity has been opened more than once through the virtual human, and he knows the situation inside even with his eyes closed. But even so, with such a complicated operation, when the actual combat started, he still didn't dare to say it was a sure thing.

Keep repeating, keep repeating, write down every detail, accurate to every microsecond, and then get the best result at the moment of actual combat, that is the thinking of facing the game.

Reality is always more complicated.

Not to mention the stress response of the patient's body, the cooperation between the anesthesiologist and the assistant will always be a mystery.

After being a doctor for a long time, you will know that people not only get sick and have strange diseases, but also make mistakes and make strange mistakes.

Even if everything goes well, the process and direction of the operation will inevitably lead to chaos. When there are enough steps and the operation time is long enough, accidents will happen frequently.

Before the so-called big mistake, there are always 300 small mistakes. Just because there are no dead people on the operating table does not mean that everything on the operating table is going smoothly and smoothly.

No matter how high the level of the surgeon is, he cannot prevent the strange changes in the patient's body, nor can he prevent the changes in the blood products injected into the patient's body, let alone whether the anesthesiologist's operation is proper and perfect...

What made Ling Ran most uncertain was the prognosis of the patient.

He can use the virtual human to influence the operation, but the prognosis of the operation is unpredictable.

Surgical treatment of liver metastases from gastric cancer faces many problems because of poor prognosis. Of course, any current treatment method for liver metastases from gastric cancer can be called poor prognosis.

The five-year survival rate of 15% or even less than 10% is a sword hanging over the heads of patients with liver metastases from gastric cancer.

Even if Ling Ran cut the lesion cleanly, he still cannot be sure whether the cancer will recur or whether it will metastasize. Of course, the most stringent tumor-free operation can reduce the probability of metastasis, but the possibility still exists.

Because of this, the surgical treatment of liver metastases from gastric cancer is still controversial.

Many doctors are in favor of palliative surgery, that is, to deal with bleeding, perforation, and obstruction caused by cancer, so as to improve the patient's survival treatment and prolong the survival time.

Ling Ran also had a plan for this.

After all, if the patient's abdominal cavity is really opened, anything can happen.

"Knife." Hundreds of thoughts ran through Ling Ran's mind, and the movements in his hands were still done according to the established steps.

Zhang Anmin and other assistants stared at the operation area, like a large dog staring at a rice bowl.

Su Jiafu also kept his eyes on the screen, watching his deputy director add and subtract the dose of medicine. Today's operation is too big, even if Ling Ran agrees, he dare not carry it out by himself.

The skin, under the cutting of the scalpel, was slightly spattered like the pastry of bread.

The yellowed fat layer has a fashionable grainy texture and a greasy feeling like Wenwan. Under the light of the shadowless lamp, it has a timeless taste.

"Fortunately not fat." Zhang Anmin said in a low voice, making the atmosphere a little more relaxed.

Lu Wenbin looked up at Zhang Anmin, and then gave Ma Yanlin, who was at the farthest side, an undetectable wink: "Look at Zhang Anmin, it's really different when he becomes the deputy director. How many people are there in the observation room?" Sitting, I dare to tell jokes, and the jokes I tell are not interesting. Now that people are so impetuous, can the deputy director of hepatobiliary surgery be regarded as the deputy director? He Yuanzheng, the director of the Hepatobiliary Surgery Department, is starting to look for a new home now. Even a fool would not know how to learn a trick from Dr. Ling. Moreover, they are all deputy directors. Quickly, this deputy director is used to gain face, right? With so much extra salary every month, can't you buy a good mask? I cook two pots of pig's trotters and know how to keep them...

Ma Yanlin: ?━┳━━┳━

"The situation is very complicated." Zhang Anmin waited for Ling Ran to open the patient's abdominal cavity, and sighed beside him. The main purpose was to send an assist.

Patients with liver metastases from gastric cancer do not need to open the abdominal cavity to know that the situation inside is very complicated.

The reason why Zhang Anmin said something specially was to cheer Ling Ran up.

Unsurprisingly, Ling Ran gave an "En" and only reminded "Pay attention to suction", and then immersed himself in the operation.

He has practiced the previous steps with the virtual human. For today's operation, Ling Ran spent a full 20 minutes of the virtual human's time. It is clear to the chest.

However, the really accident-prone situations are all in the later stage, and the time of the virtual person is limited. For this kind of operation that takes several hours at every turn, it is impossible to rely on the virtual person to pile up the past. Therefore, Ling Ran was very cautious in the whole process.

Radical surgery can only be done if everything goes well, otherwise, its significance is very small, and it may not be as long as palliative surgery to prolong the survival time.

Ling Ran hopes to achieve the goal of radical surgery as much as possible.

This is where the real strengths of surgical treatment options lie.

No matter how high the two-year and five-year survival rate is for other surgical options, in the final analysis, all other treatment options are palliative and can only prolong survival time.

Only surgical treatment is possible to cure it.

The odds are very low, even lower than the game lottery. However, Ling Ran has stockpiled a whole body of weapons, and even set the organization separation to the perfect level, isn't it for the purpose of increasing the probability of the lottery draw?

"Gauze." Ling Ran straightened his waist and ordered in a low voice, without showing the slightest expression on his face.

...

The waiting area of ​​Yunyi Emergency Center.

Everyone can see Xiaofeng's restless expression.

A middle-aged man noticed Xiaofeng, but his heart lit up. He stood up involuntarily, handed out a piece of corn, and said with a smile: "I see you have been here for a long time, and you haven't eaten breakfast. I bought too much corn." Yes, why don't you take a pad to pad your stomach first."

"Thank you, no need." Xiaofeng shook her head slightly, showing the gentleness of a Jiangnan woman.

The man looked even more itchy, put away the corn, and opened the chat mode: "Is the family member sick? What surgery?"

"It's a major operation." Xiaofeng was not very happy to talk to the other party.

The middle-aged man smiled understandingly and sympathetically: "Don't worry too much, my brother had a stomach perforation before, and he had to cut his stomach. The whole family seemed to be scared, and that's how it ended up."

"Yeah?"

"Your family's surgery is bigger than this?"

"kindness."

"Cut what?"

"The stomach must be cut too."

"Stomach cut too? Subtotal gastrectomy? This one is relatively large, but don't worry, like I have a cousin who cut four-fifths of her stomach before..." The man said, self Feeling a bit triumphant, he smacked his lips: "Let's add a WeChat account. If you have any questions in the future, you can ask me..."

"There's still a liver." Xiaofeng listened to the other party's nonsense, but felt a little more at ease, so she said another sentence.

The middle-aged man was stunned: "Surgery on the liver is quite dangerous. My second uncle had it done before, and he lived for many years after that..."

"Cut together."

"What?"

"For my husband's operation, the liver and stomach are cut together." Xiaofeng said slowly.

The middle-aged man thought hard, and slowly said: "I have a cousin who cut several meters of intestines at a time. If you count, he cut the colon and rectum at the same time..."