Ling Ran looked at Qi Yuquan's scans and scanned through his biochemical report. He closed his eyes and thought for a moment before he summoned the Virtual Human.
Ling Ran stood up and shrugged. He moved his muscles and bones and massaged his neck with the Tuina Manipulation Technique.
Then, a Virtual Human of Qi Yuquan appeared in front of him. It shone with a blue light, and the light gradually faded.
A thought appeared in Ling Ran's mind. He extended his hand, and the hilt of a No.4 scalpel fell into his hand. Before the light faded, Ling Ran made a fifty-centimeter-long L-shaped incision on the patient. Moreover, he made a deep incision without caring about the stratification of the incision.
In a normal surgery, the fascia, fat, skin, and other parts of the incision had to be consciously separated to make it easier to suture. Ling Ran was now facing the Virtual Human, so he did not need to suture.
Ling Ran naturally chose the plan to save time. Even the incision he made was definitely an incision that exceeded the standard.
Nowadays, when performing liver cancer surgery, doctors would want to make a small incision of a few centimeters to facilitate postoperative recovery. However, during the surgery, there was no need to mention the obstacles caused by a small incision.
A fifty-centimeter incision was already half a meter long. If other doctors saw it, they would be envious.
Ling Ran reached into the wound and scooped out the liver. Then, he looked around carefully.
He could not see any large pieces of cancerous tissue with his naked eye. However, such a judgment was not comprehensive. Cancerous cells could invade in a variety of ways. Therefore, to reduce the possibility of recurrence, surgeons would usually cut off three to five centimeters of normal tissue around the lesion.
For a patient of Qi Yuquan's age, cutting off five or even three centimeters of normal tissue could be fatal.
In terms of his physical condition, the result of excision might be that he would suffer in the ICU for a few months, and then die of liver failure. If he was lucky, his body might be able to compensate, but it was hard to say whether it would induce other diseases. What was certain was that his lifespan would definitely be shortened, and his quality of life would be greatly reduced.
Ling Ran waved his hand and ended the use of the Virtual Human for this round.
Then, Ling Ran opened Qi Yuquan's MRI scan and read it carefully.
For Ling Ran, it was the same for MRI scans.
The advantage of Qi Yuquan getting his MRI scan from a private hospital was that he could bring the original scan to different hospitals for consultation.
The original MRI scan was not the same scan given to the patient by the hospital. Instead, it was thousands of scans stored in the computer. Doctors who knew how to read MRI scans could obtain a lot of information from them.
However, it was also because the MRI data in many hospitals were not connected to each other. In order to make money, they did not have the motivation to connect the MRI data. In addition, the doctors in the hospital did not trust each other. This was why the patients had to go to another hospital, and they would have to take another MRI scan.
Qi Yuquan, on the other hand, skipped the process. The private hospital had prepared a full set of MRI scans for him, and they were all 3.0T MRI scans with a higher main magnetic field strength. The resolution was also much clearer than the 1.5T and 0.5T MRI scans that were commonly seen. Yun Hua Hospital only had one 3.0T MRI scan, and there was always a long queue for it. Doctors who did not want to wait would not ignore the 3.0T MRI scan and force them to take the 1.5T MRI scan.
"System, simulate another Qi Yuquan for me." Ling Ran did not know how to control the functions of the Virtual Human, so he just expressed it in words.
The system did not hesitate and gave him a new Qi Yuquan.
Ling Ran cut it open savagely again and found a lesion that could be seen with the naked eye. He moved it slightly outward, asked for a scalpel, and cut off a piece of liver.
Blood gushed out of the abdominal cavity of the Virtual Human like a small fountain, and it soon filled the abdominal cavity.
Ling Ran did not do anything to stop the bleeding in advance at all.
"Aspirate." Ling Ran said through the air, and he saw that the aspirate equipment really appeared. So, he immediately asked, "Do you have a microscope? And the equipment for pathological examination, such as a microscope, slides, and so on. "
As the blue light flashed, the system simulated another set of equipment for pathological examination beside Ling Ran without saying a word. Among them were the microscope, slides, and so on that Ling Ran wanted.
"Not bad." Ling Ran gave it a small praise.
Then, Ling Ran cut a thin piece of the liver from the periphery and put it on the slide. He then passed the medicine to it and put it under the microscope to observe.
He was looking for the cancer cells and the boundaries of the cancerous tissue.
If the boundary of the cancerous tissue was clearly visible in the microscope, it meant that the cancerous tissue had been removed. On the other hand, if the boundary was not clear, it meant that the cancerous tissue still existed and had spread further, and more needed to be removed.
This method of combining pathology with surgery was gradually becoming popular in many hospitals. The benefits were also very obvious. By observing the boundary of the cells, they could remove as little normal tissue as possible while removing the cancerous tissue at the same time.
However, in reality, it took time for the Pathology Department to send the patient for examination. Moreover, there were often cases where the boundary of the cancerous tissue could not be found after two or three times being sent for examination. In the past, surgeons did not cut an extra three to five centimeters because they had nothing better to do. It was because the ability of the cancer cells to infiltrate would usually reach three to four centimeters.
And if they used the mode of sending the patient for examination, they were actually fighting for a width of one to two centimeters.
However, there were very few liver cancer surgeries that used this mode.
During the period of sending the patient for examination, the patient's abdominal cavity was open while he waited. If the patient had to cut the intestines, he could still wait, but liver surgery was usually not so cheap.
Regardless of whether the hepatic portal was blocked or any other place, the safe time for the liver to be deprived of blood was only one hour. If it was longer than one hour, it would be better to cut an extra three centimeters. In this way, the number of times the patient was sent for examination was limited, and the prognosis was not good. Sending the patient for examination was like taking off one's pants and letting out air.
Ling Ran was also not confident that he could remove the cancerous tissue in one or two surgeries. Moreover, Qi Yuquan had satellite lesions, and the area to be removed was larger and more complicated. If they used the conventional mode, they could not use the mode of sending the patient for examination.
If they did not use this method, Qi Yuquan's body would obviously not be able to take it.
This was also one of the reasons why Meng Shan referred the patient to Ling Ran.
Qi Yuquan's liver cancer was still at the early or middle stage, but his health was at the late stage. With these two factors added together, it was impossible to make a surgical plan.
Unless, of course, they used the Virtual Human like Ling Ran.
Ling Ran could casually remove the liver in the state of the Virtual Human and determine the boundary of the cancerous tissue. Ling Ran could even confirm the development of the cancerous tissue before the surgery. It was many times more accurate than MRI scans or PET scans.
Ling Ran felt that this was the best use of the Virtual Human.
There was no other way.
He would not accept any rebuttals!
"Zuo Cidian, make preoperative preparations for Qi Yuquan. Let Qi Yuquan and his family sign the consent form …" Ling Ran made a rough inspection and confirmed that the plan was feasible before he ended the Virtual Human.
At this point, there were still three hours and twenty-one minutes left in the Virtual Human.
Zuo Cidian, who received the call, felt very uneasy. He asked, "Are we really going to operate on Qi Yuquan? The old man is seventy-three, eighty-four years old. If the King of Hell doesn't come … "
"The surgical plan is the most beneficial for the patient. You have to explain it to the patient and his family." Ling Ran interrupted Zuo Cidian and stated his attitude at the same time.
Arrogance, or rather, stubbornness, was the trademark of surgeons. Doctors who were afraid of danger would not be able to perform surgeries well.
When Zuo Cidian heard Ling Ran's tone, he knew that he could not convince him.
Zuo Cidian hung up the phone. He hesitated for a long time before he still dialed Huo Congjun's number. After a brief explanation, Zuo Cidian dawdled and went to the VIP patient building to talk to Qi Yuquan and his family before the surgery.
The hospital's VIP patient building had always been like a fishing net. When Zuo Cidian entered the ward and said the word "surgery", the news spread.
The medical staff in the VIP patient building had much more free time than those in the Emergency Department.
…..
。 m.
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