Qi Yuquan's liver cancer was discovered early, and he did not have any symptoms or feelings. In terms of shape and size, it was a small liver cancer with a diameter of less than three inches.
According to the guidelines, this kind of small liver cancer was also the most effective treatment.
Qi Yuquan's good habit of doing physical examinations on time, or rather, his good income had brought him some returns.
However, based on the condition of the Virtual Human that Ling Ran cut open, Qi Yuquan's luck was not so good.
The probability of liver cancer cells invading the portal vein in the early stage was about 50%, and Qi Yuquan was affected. The probability of liver cancer invading the surrounding liver tissue was about 50%, and Qi Yuquan was affected. The probability of satellite lesions appearing was about 40%, and Qi Yuquan was affected.
All in all, Qi Yuquan was the unluckiest ten percent of patients with small liver cancer.
Coupled with Qi Yuquan's age and underlying diseases, it would be difficult for Qi Yuquan to remove the liver tissue that had been invaded by cancer cells and get off the operating table smoothly, let alone get a good prognosis.
Ling Ran roughly cut open the Virtual Human and confirmed the scope of the cancer. Then, he quickly ended his first attempt.
Before the blue human disappeared, the system showed a row of words.
[Virtual Human (Master Level). Remaining time: 3 hours and 52 minutes.]
Ling Ran took five minutes just to cut open the general scope of the cancer.
Ling Ran secretly shook his head. He was still a little too disciplined. He dissected the Virtual Human the way he dissected a cadaver, and he wasted some time.
"Doctor Zuo, send me Qi Yuquan's examination data." Ling Ran did not activate the Virtual Human again. He decided to look at the data first.
In the private hospital, Qi Yuquan had already gone through a comprehensive check-up, from simple X-rays to CT scans to PET scans that ordinary people would find expensive. He had also gone through various biochemical tests, such as Child-Pugh's liver function grading, indocyanine green's retention rate, and so on. He had also gone through all of them.
Regardless of whether it was for the sake of making money, the method used in the private hospital was very useful in describing Qi Yuquan's physical condition. For senior surgeons or senior internists who knew how to perform surgeries, through all the imaging data and biochemical reports, they should be able to construct the situation in Qi Yuquan's abdominal cavity in their minds: the general scope of the cancer cells, the current condition of the invaded tissue …
If they went deeper, they could also guess the differentiation speed of the cancer cells, the possibility of tissue invasion, and so on.
However, for a young surgeon like Ling Ran, it was very difficult for him to achieve even half of what he needed to do in a non-intuitive way.
In fact, even He Yuanzheng, the department director of the Department of Hepatobiliary and Pancreatic Surgery in Yun Hua Hospital, would ignore many indications.
If the big shots in Beijing, like Professor Feng, studied it carefully, they might be able to find out … This was the advantage of a private hospital. They had the time and the doctor-patient ratio to carefully study the patient's condition.
If one person was not enough, they would hire a few people. If a few people were not enough, they would hire external help … Hiring external help was the most important thing. Public hospitals could not afford to hire external help, but private hospitals were too casual about it. They often offered annual salaries ranging from tens of thousands to hundreds of thousands of RMB to the chief physicians of public hospitals, and they would always offer them a salary so that they could consult them at any time when they needed it.
Of course, the wool comes from the sheep's back. The hospital did not have much cost to send the patient's radiographic films for a 'consultation', but the patient had to fork out tens of thousands of yuan in expenses.
However, after all the examinations were completed, if the results were really bad and they encountered a difficult case, the private hospital would not hesitate to push the patient out of the door and transfer the patient to a public hospital. They might even be able to earn another sum of money.
For low-risk cases, no matter how troublesome and complicated they were, private hospitals would not turn their backs on them as long as they paid.
For high-risk cases, private hospitals would be picky.
Even a rich man like Qi Yuquan was eventually sent to Yun Hua Hospital by Meng Shan like a missile.
At this time, the various examinations for Qi Yuquan became the motivation to push him out of the hospital.
If Ling Ran was not good enough and could not find external help, it would be very easy for him to make mistakes in Qi Yuquan's complicated surgery.
In fact, Qi Yuquan's medical case was sent to Beijing, and the final conclusion was made by an expert. Yun Hua Hospital's Department of Hepatobiliary and Pancreatic Surgery was relatively weak, and Ling Ran could not even find external help for the consultation in the hospital.
He was the strongest person in Yun Hua Hospital's Department of Hepatobiliary and Pancreatic Surgery.
In this regard, Meng Shan's move could be considered to have hit a sore spot.
"Doctor Ling, are you really going to operate on Qi Yuquan?" Zuo Cidian personally sent the information. When he handed it to Ling Ran, he was still full of worry.
Zuo Cidian did not know how complicated Qi Yuquan's condition was, but considering Meng Shan's existence. He did not feel at ease.
Ling Ran hummed in acknowledgment and said, "Qi Yuquan's condition is indeed complicated, but it's within a controllable range."
Zuo Cidian did not believe in controllable things. He tried to persuade Ling Ran again, "Doctor Ling, if you want to perform liver cancer surgery, you can just snatch patients from the Department of Hepatobiliary and Pancreatic Surgery. Why do you need to accept patients sent by doctors with ulterior motives?"
"The patient is not in the wrong." Ling Ran paused for a moment and said, "This patient's liver cancer is something that I can handle. The hospital beds in the group are empty, and the operating theater is not full. There's no reason to keep people out … "
Zuo Cidian thought, 'Danger is the reason to keep people out of the operating theater.'
However, he was familiar with Ling Ran now, and he knew that he could not convince Ling Ran with this. He could only say from a medical point of view, "You never performed liver cancer surgery before. If you do it now, how confident are you?"
"This patient, Qi Yuquan, I'm afraid it's hard to find a doctor more suitable than me," Ling Ran answered very firmly.
Zuo Cidian was instantly speechless.
He even carefully looked behind him to avoid being overheard.
"You're so confident …" Zuo Cidian felt helpless and impressed.
Ling Ran nodded with certainty.
If he did not have the Virtual Human's skills, Ling Ran would probably not have accepted Qi Yuquan, at least not immediately.
If he accepted the patient but could not give him good treatment, from Ling Ran's point of view, accepting the patient was not only not beneficial, but also harmful. This was especially true for patients with liver cancer like Qi Yuquan. Under normal circumstances, he could live for at least one year, or even longer. Doctors would say that he could live for more than six months.
However, if the surgery failed, there was a possibility that he could not get out of the operating table on the spot. There was also a possibility that the patient's immune system would be completely destroyed after three to four months of chemotherapy, and the patient might die …
In this regard, the difference between an excellent surgeon and a normal surgeon might be more than five years of life. The difference between a top surgeon and a normal surgeon might be ten years or more.
If he did not have the Virtual Human, Ling Ran was confident that he could perform excellent surgeries, but it was hard to say whether he could perform top-notch surgeries. If that was the case, Ling Ran would rather introduce the patient to He Yuanzheng. Ever since Ling Ran started performing hepatectomy for patients with hepatolithiasis, He Yuanzheng had slowly leaned towards liver cancer surgeries, and he could perform them excellently.
Or, he could ask Qi Yuquan to go to Beijing for treatment. With his conditions, he could probably get very good treatment.
However, with the help of the Virtual Human, not only did Ling Ran's confidence increase, but his strength also increased.
He was already a Master Level Hepatectomy. When it came to non-cancerous liver tissue, his success rate was terrifyingly high, and his prognosis was also very good. It could be said that there were few people in the country who could match him.
Although Ling Ran could not change fate and completely cure the cancer, for Qi Yuquan, who was already seventy-three years old, what he needed the most was not the elimination of cancer, but two slightly contradictory requirements. First, he had to remove as many tissues as possible that were infected by cancer cells as possible, and second, he had to remove as few tissues as possible.
His age and physical condition made it impossible for him to endure a wide range of resection.
However, his cancer cells had spread to a wide range, and such a patient could be said to be very difficult to handle.
However, with the help of the Virtual Human, Ling Ran could be more confident.
If everything went smoothly, Ling Ran estimated that he should be able to extend Qi Yuquan's life by about ten years, and it would be ten years with a relatively good quality of life.
Qi Yuquan was already seventy-three years old. If he could live to eighty-three years old with a good quality of life, the impact of cancer on him could be said to be very small. In terms of medical effects, it might be comparable to hepatectomy for patients with hepatolithiasis.
This kind of cancer surgery was exactly the kind of cancer surgery Ling Ran liked.
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
