Great Doctor Ling Ran

Chapter 643 Blood Vessels

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"Old Du, take care of yourself. Bookmark this site ┏Ⅹ④③⑨⑨┛"

"Academician Du, take a good rest and actively prepare for the operation."

"Don't worry about it at home, we will help you look after it."

Academician Du really lived in the ward, and colleagues from the unit, old students, relatives and friends came in droves.

Speaking of which, most of the people who come to visit patients are knowledgeable and interesting. Seeing the large number of people coming, most of them just go around and leave, and some help in the ward, carry boiled water, pick up people, and communicate. Doctors and nurses...however, there were so many people that the wards were always overcrowded with overcrowded people.

After Ling Ran ate his fill of roast duck, he returned to the hospital and called Xu Wen to check the ward to digest food. When he arrived at the single ward, he saw that the door was blocked with water.

"The doctor is here, please give way." The visitors were very polite, greeting each other, and let Ling Ran and Xu Wen in, but there were people talking along the way:

"Doctor, don't worry too much. Academician Du is the pillar of our Chinese geology..."

"Academician Du's health was so good before, how can you say that it can't be done? Could it be a misdiagnosis?"

"Doctor, academician Du has a tumor, can it be done without surgery? At such an age, surgery is very hard."

Xu Wen couldn't help looking back at Ling Ran. He often heard similar words, but Ling Ran was young after all...

Ling Ran walked into the ward silently, and he didn't seem to be disturbed by everyone's words at all. For him, this level of gossip was indeed a little childish.

Back then, some people rushed forward crying and shouting, and waving flags was considered simple. When they met a girl who let fly a thousand paper cranes, in order to maintain the stability of the situation, they had to help them calm down.

"Is the visiting time over yet?" Xu Wen turned his head and asked the orderly nurse inside.

The little nurse was devastated: "I told them to leave, but they didn't leave."

Xu Wen said "En", and said, "Say it again."

"Oh." The little nurse raised her voice aggrievedly, and said, "The patient will have an operation tomorrow, so it's time to rest. Everyone, go back too..."

"Visiting hours extended,

Tomorrow's operation time will also be postponed. If it is too late, the operation will not be possible. Before the operation, all the examinations must be completed. "Xu Wen then said something like a reminder.

Then everyone started to move:

"Alright then, I'll go back first."

"Academician Du, take a good rest, let's look back later."

Academician Du also smiled gently and greeted everyone, looking like a kind old teacher.

"Doctor Ling?" Seeing that all the visitors had left, leaving only three family members of the patient, Xu Wen put away his serious expression.

"I'll give you a physical examination." Without saying anything else, Ling Ran stood up and laid Academician Du flat first.

The update of the virtual person requires human contact.

Ling Ran can renew his avatar by touching Academician Du again.

Of course, before the operation tomorrow, he will turn on the virtual human again, and the time will be longer, but based on his current experience, it may be better to turn on two short ones first, and then a relatively long one.

A blue and barky human body appeared in front of Ling Ran.

Without even thinking about it, Ling Ran reached out for a virtual scalpel, cut open the virtual human, took out the liver inside, rubbed it with his hands, and opened the normal tissue, exposing the cancerous tissue during wrapping.

Under the blue and barking virtual person, Academician Du blinked his eyes, not understanding what Ling Ran was doing with such a large movement.

The other people in the ward wanted to ask more but were not easy to ask.

Xu Wen could tell that Ling Ran seemed to be simulating the operation, but Xu Wen felt that it was impossible to say that it was a liver operation, so he could only watch silently, treating it as a Part of Ling Ran's uniqueness.

There are more maverick doctors, and it is not uncommon for surgeons to consult with psychiatrists, but Xu Wen feels that there is something special about Ling Ran in front of him, which makes people feel more normal.

If he does things like ordinary people, has a very high SQ, and doesn't have any strange hobbies, Xu Wen feels that that is the real strangeness. As a professional student who worships masters from hundreds of schools, Xu Wen said that such a master must be difficult to lick.

Ling Ran himself didn't even consider other people's thoughts at this time.

As far as his experience is concerned, a large number of ideas from a large number of people must be a large number of strange things. It is simply too difficult to take care of everyone. It is better to do your own thing.

It's like in the primary school sports meeting, when he helped up the little athlete who fell beside him, there was even sobbing and water bottles were thrown around. And when he returned the water bottle to the owner, the crying sounds around him became even louder.

Soon, Ling Ran understood that sometimes when doing things, there will always be people who don't understand and disagree, but when it's time to help others, you still have to help them up, and when it's time to return the water bottle, you still have to return the level. Judging whether to do something or not, and whether it is correct, is based on the size of the crying around.

At this time, it is the right thing to unfold the avatar and do a basic analysis based on the performance of the avatar. This was the judgment Ling Ran made based on his own knowledge, experience and logical thinking. He would not change his actions because of other people's expressions and actions.

He gently rubbed Academician Du's virtual liver with his hands.

Ling Ran focused on observing the infiltration depth of the cancerous tissue, especially the erosion of the intrahepatic bile duct and portal vein system.

The main reason why liver cancer is called the king of cancer is that the blood supply of the liver is too rich. In order to supply the whole body, the liver can be said to use every cell in the blood-related field. Correspondingly, it is There are also a large number of blood vessels inside the liver.

During the surgical operation, the slightest rupture of these blood vessels will cause a large amount of blood loss, delay the progress of the operation, and affect the effectiveness of the operation.

Similar to heart surgery, liver surgery is a time-consuming operation.

If the liver system cuts off the blood flow for 1 hour, it will be dangerous, and 2 hours is basically the limit. In fact, stopping the blood supply to the liver for 1 hour is already dangerous enough. No doctor will pursue the limit in this regard.

In actual operation, the mode of blocking the blood supply to the liver for 15 minutes, then recovering, and blocking again is also very popular. The purpose is to reduce the impact of liver ischemia.

It is conceivable that in such a race against time, if there is a problem with a large blood vessel, even if the chief surgeon has the ability to repair it immediately, it is very dangerous, and it will affect the effect of the entire operation. patient's length of life and quality of life.

In ordinary liver resection, the risks posed by blood vessels are so great that surgeons who have practiced for 10 years dare not easily do it. When it comes to liver cancer surgery, the risks posed by intrahepatic blood vessels and bile ducts are even greater.

Cancerous tissue is easy to dissociate, and intrahepatic blood vessels and bile ducts infiltrated by cancer cells will increase the risk of spread. Cancerous tissue cannot perform normal functions, and the probability of removing blood vessels or damaging blood vessels is greatly increased...

The difficulty of liver cancer surgery is that because there are too many blood vessels in the liver, they are interconnected and rich in nutrients, even early-stage cancer can easily spread to blood vessels, and once it spreads to blood vessels, even early-stage liver cancer surgery is difficult. become extremely difficult.

Just like Academician Du.

A dignified academician can go to hospitals all over the country and find doctors all over the country, but no doctor dares to give Academician Du a positive answer.

Advanced age, various underlying diseases, not to mention the bad location of the tumor, the portal vein system was infiltrated at a young age, so that the complexity of the operation is not inferior to that of advanced patients...

That is to say, I wish the relationship between Academician Du and Academician Du is good, so that I can recommend Academician Du with more certain words.

Ling Ran pinched Academician Du's virtual liver and thought for two minutes before canceling the virtual person with a wave of his hand.

The location of the cancer can be seen very clearly through CT, MRI and PET, but it is not so easy to deal with it.

"Doctor Ling, are you okay?" Academician Du looked at Ling Ran with a guilty conscience.

"No problem, take a good rest." Ling Ran nodded slightly, got up and finished the ward round.

In the room, there were the whispers of the Du family discussing.

Xu Wen looked down at his phone, followed Ling Ran, and said in a low voice, "Some doctors want to come to see Academician Du's surgery tomorrow after hearing about it. Professor Feng Zhixiang will also come. Dean Wang wants to ask, what to do?" Is it a demonstration operation? Or is the operating room closed and refused to visit?"

Different doctors behave differently in different situations. Dean Wang is not familiar with Ling Ran, so he also expresses his respect.

Ling Ran walked in the corridor and said, "You don't need to refuse the visit, you can do the demonstration operation."

"Okay." Xu Wen's little heart couldn't help beating fast, the operation is getting more and more powerful. ,

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