The extrahepatic bile duct in Ling Ran's field of vision was full of tumors.
The branch-like bile duct was originally the channel for bile secretion, but now it was blocked by the tumor thrombus, and it became a channel for cancer to spread. It was like a sewer that had lost its function, and it was just a place to hide evil.
However, it was different from a real sewer. Not only did the bile duct not have a blueprint, but it also intersected with the adjacent small blood vessels to form all kinds of dangerous structures.
They were in the liver, and there were so many blood connections. It could be said that it was a classic case of moving one part and affecting the whole body. In the treatment of traditional hepatobiliary and pancreatic surgery, the treatment of hepatobiliary cancer thrombus had always been a big problem. In other words, there was no better treatment plan at all. Most of the time, palliative treatment could only be carried out.
Ling Ran agreed with palliative treatment, but he had never performed similar surgeries.
In the situation where patients were queuing up for treatment, Ling Ran's surgery was also becoming more aggressive day by day.
Intentionally or unintentionally, his choice of surgery and the patient's choice of him had vaguely become an aggressive atmosphere.
In today's surgery, Ling Ran adopted an all-out offensive stance. He removed all the cancer thrombus he saw, regardless of its size, age, or age.
This was a relatively rare mode in traditional surgeries. Traditional open surgeries were more meticulous, which meant that the larger cholangiocarcinoma thrombus would be removed, and the smaller and densely packed parts would usually be removed.
This was naturally a surgical strategy, but like all surgical strategies, the purpose of the use of new technology and methods was not necessarily to negate the old strategy, but more to expand the boundaries, just like how it was done from Newton to Einstein.
If it was an open surgery, Ling Ran would mostly still use the hepatectomy method. Not only could it not be seen clearly, but it was also because the patient's physical condition made it difficult for them to endure open surgery for a long time.
In comparison, the patient's endurance was much better when they used the da Vinci robot in the surgery. Moreover, the robot's mechanical hand was also very flexible after it was used skillfully. Through them, Ling Ran could completely follow the growth direction of the cancer thrombus and remove the cancer thrombus one by one without damaging any blood vessels.
At the beginning of the surgery, everyone only paid attention to the former. However, as the surgery progressed, the latter slowly became more eye-catching.
Because of the long surgery time, Yunli Medical Company's live-stream platform was a little quiet.
"It can't be, right? He didn't touch his blood vessels the whole time?"
Because no one had spoken for a while, this sentence suddenly became conspicuous.
Yu Yuan, who was originally a little tired, popped her head out from behind the round stool. She said in surprise, "It seems like I really didn't touch any blood vessels?"
"Because it's very dangerous to touch the blood vessels." At this moment, Ling Ran raised his head and let his cervical muscles relax for a moment. Then, he explained to the doctors below him, "With the current position, if we touch the blood vessels, it is very likely that it will lead to organ failure, and then the patient will die."
"Because if the blood vessel ruptures at this time, there might not even be a chance to remove it?" Yu Yuan still had enough theoretical knowledge. With Ling Ran's reminder, she quickly found a reason.
Ling Ran nodded gently and said, "Theoretically, we can cut off the liver to salvage the situation, but the meaning of this surgery would no longer exist. Moreover, with the patient's current condition, it will be very difficult to remedy it. "
"There aren't enough livers left." Even Zuo Cidian could easily make a deduction.
Ling Ran nodded and returned to his operating position. He then asked the nurse inside to take out another specimen bag and stuff it into the patient's abdominal cavity. Then, he continued to remove the tumor thrombus and put it into the specimen bag.
This process was still very long and complicated.
If a surgery was compared to repairing a car, the amount of work needed to remove a tumor thrombus was about the same as maintaining a car's engine. And countless tumor thrombus would need an infinite amount of time.
In fact, when faced with this kind of long and arduous work, it was very easy for most doctors to make mistakes, and it was normal for them to give up further.
If they were not motivated by a strong desire to improve and a sense of achievement, it would basically be very difficult for normal doctors to persevere in this kind of surgery.
After a long period of bottlenecks, the number of doctors who watched surgeries through the live broadcast steadily increased.
In fact, it was basically impossible for those who could watch surgeries for six to seven hours to give up when they saw this.
The live broadcast system built by Yunli Medical Company was a professional platform. It needed the cooperation of professional equipment to be able to broadcast images. The relatively high threshold caused the number of people who watched its live broadcast to be on the low side. It was normal for there to be a few people or even no one watched the live broadcast.
However, it was the live broadcast system that was the closest to the operating theater.
Professional doctors watched professional surgeries, and because of this, some fixed group relationships were formed. This was considered the core charm of Yunli Medical Company. For Ling Ran, this was also a relatively meaningful state.
For Ling Ran, the number of viewers and the appreciation of his fans was really nothing new, and it was also impossible for it to be the goal he pursued. In comparison, Ling Ran liked the fact that the professional spectators could learn or gain something from his surgery.
It was easy to obtain his skills, and if he could promote it, Ling Ran would also be happy to see it happen.
However, just like Professor Ling Ran, Lu Wenbin, Ma Yanlin, and the others, he was not used to nagging when he performed surgeries. For the viewers in the live broadcast room, simply watching the surgery became a little like stealing someone else's skills.
As the saying went, stealing was better than learning from others. When they found out that your surgery was very good, those who were willing to steal someone else's skills would work very hard.
As for the long time of the surgery, it was not a problem.
Would they be afraid of learning from someone else for too long?
When Department Director Liang and the others turned around again, they saw that the number of viewers on the live broadcast screen had already exceeded one hundred.
Department Director Liang was a little envious.
From the point of view of the medical world, more than one hundred viewers was already considered a small-scale medical conference. In the past, an ordinary department would have to accumulate a few months' worth of money to gather so many people to watch them perform surgeries.
"The surgery was very smooth, huh?" Liang Xue looked for Zuo Cidian and praised him.
"Doctor Ling's condition is very good," Zuo Cidian answered a little proudly.
"That's right. What about you guys? Did you learn anything? "Department Director Liang put his hands behind his back and asked the doctors around him with a little aura.
The senior attending physician closest to him had also watched the surgery for a long time. His eyes were a little blank, and he first swung his legs before he said, "I just felt that it was very good, and it was very good all the way."
Liang Xue could not help but recall the experience of the past few hours, and he found that it could all be summed up into the same sentence.
Department Director Liang Xue nodded slowly. Then, he said in a calm and wise tone, "So, all of you must learn from Doctor Ling. Many people have performed embolectomy before, but who can do it like this, right?"
"Yes …" Everyone cooperated with Department Director Liang Xue's words.
The senior attending physician was silent for a few seconds. He suddenly felt that there was no time to lose this opportunity. He mustered up his courage and said, "I think I learned something, and I can try it next time."
"Oh?" Liang Xue looked over, and he was really a little surprised.
It was difficult to talk about surgeries from afar, but it was not impossible. However, it was impossible to talk about it in front of others, especially in front of their senior doctors.
Liang Xue sized up the attending physician in front of him and said in a low voice, "Cancer thrombectomy is not so easy."
"I … I've never performed hepatectomy before, but I've watched Doctor Ling remove the cancer thrombectomy for a few hours. I think I can try it," the attending physician answered in a low voice. He had also thought about it for a long time.
Ling Ran had been performing surgeries for a long time. Even though it was difficult, the repetitive nature of the surgery was extremely high. The attending physician watched for a long time and tried it a few times with his bare hands. At this moment, he finally could not hold it in anymore.
If he did not mention it now, he might not have the chance to say it in the future. Even if he waited until tomorrow and said the same thing on another occasion, he might not get the chance to perform the surgery.
Of course, he might not get it now, but there was still some hope.
"Doctor Ling has been doing it for a long time, but he hasn't ruptured a single blood vessel," Liang Xue said.
"I … I think if we find a surgery to remove a cancer thrombectomy in the early or middle stages, I should be able to do it. Doctor Ling's technique is very meticulous, and it should be able to effectively increase the success rate. "The attending physician tried his best to fight for it. The da Vinci robot had not been popularized yet, and there were only a few people who were willing to watch Ling Ran's surgery to remove the cancer thrombectomy.
Unlike most doctors, when other doctors focused on high-difficulty operations such as blood vessels, the attending physician kept trying to figure out Ling Ran's technique to remove the cancer thrombectomy.
The long period of the surgery was similar to the attending physician's, and it was as if he had explained the questions and gone through the exercise book countless times. It continuously accumulated confidence for the attending physician.
This kind of technique might become relatively common after two or three years, when the da Vinci robot became more popularized. But based on the current time frame, if an attending physician could recreate thirty percent of Ling Ran's skill, it would be a rare moment of glory for a normal attending physician in a tertiary Grade A hospital.
"You can look around and see if there are any suitable patients." Liang Xue did not give a definite answer, but he still left a gap.
"Alright, alright." The attending physician quickly agreed. He wanted to run back to look for patients right now.
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