"Doctor Ling, is that all?" Liu Cishan from the First People's Hospital of Wuxin City was an associate chief physician who specialized in hepatobiliary surgery. Of course, before he came into contact with Ling Ran, he basically did not dare to perform hepatectomy. He mainly performed cholecystectomy and did some research on the liver.
The result of inviting Ling Ran to perform hepatectomy for a long period of time was that Liu Cishan and the others' abilities increased exponentially. Now, they could directly act as chief surgeons for minor liver surgeries. However, they still needed Ling Ran to be their chief surgeon. Otherwise, if there was an accident, it would be too late to send the patient from Wuxin City to Yun Hua Hospital.
With Ling Ran's personality, even if he received money to perform guided surgeries, he would still say whatever he wanted to say. Although it was easy to make people unhappy in the beginning, Liu Cishan and the others were used to being unhappy.
Liu Cishan was in the same operating theater as Ling Ran, and he was also used to asking questions directly.
As an associate chief physician who was approaching his fifties, he also wanted to cure liver cancer.
Ling Ran's answer was also very straightforward. "Cut as small as possible. It's good for postoperative recovery."
Liu Cishan was not used to it, and he said, "But … it's not clean like this, right?"
"We'll see when the test results are sent."
Liu Cishan suspected that he heard wrong, and he could not help but ask, "If the test results show that it's not clean, what should we do?"
"Then cut a little more, and we'll check again."
"What if it's not clean?"
"Then cut a little more and end the surgery." Ling Ran's mind was clear. If it was not clean after two cuts, it would be a joke if he forced his neck to keep more organs.
However, if the patient had too much liver cut today, it would be a problem if he could wake up again. Therefore, this became a dilemma.
If it had to be said, Meng Shan from Eastern Science Hospital really chose a good case to send the patient over.
If he did well, the hospital would give him a bonus, and if he did poorly, the hospital would give him a severance pay.
The doctors in the operating theater looked at each other.
From their point of view, Ling Ran's attitude was a little casual. In other words, he had become overly serious again.
Liu Cishan whispered, "Hepatectomy usually doesn't take so long to wait for test results. What I mean is, it's fine to wait once or twice, but isn't it too long to wait three times? "
It was considered normal to control the time of liver ischemia within an hour, but three examination reports would take up to an hour. Moreover, hepatectomy was extremely complicated. Every time they performed hemostasis and suture, they would waste a lot of time.
Ling Ran said, "The third incision is the bottom line. Normally, the second incision should be able to confirm the result."
"I don't understand." Liu Cishan was obviously educated. Otherwise, he would be too embarrassed to say that he didn't understand.
Since they were in between surgeries, all the doctors had their hands crossed as they waited for the report from the Medical Laboratory Department. "The patient, Qi Yuquan, is seventy-three years old this year. His liver function is relatively weak. Even after hepatoprotective measures were taken, many of his indicators were only at the passing line. In this case, we need to remove as little of his tissue as possible. At the same time, the incision had to be as clean as possible because the patient could not tolerate chemotherapy. Therefore, according to the test results, the minimal liver resection is the only solution. "
If the cancerous tissue could be removed completely, there was not much need for chemotherapy. At most, they would need one or two low-dose preventive chemotherapy surgeries.
However, if the cancerous tissue could not be removed completely, the frequency and intensity of chemotherapy would be different. Ling Ran did not think that Qi Yuquan could survive.
The doctors from other hospitals were hesitant. They had a lot of things to say, but they were too embarrassed to say it out loud.
"Because such a patient is not suitable for surgery at all."
A group of doctors sat together in the meeting room of Eastern Science Hospital, and they laughed when they saw it.
"Professor Bao is right," Meng Shan said casually.
Professor Bao, who was sitting opposite him, was the doctor who first examined Qi Yuquan. However, unlike Meng Shan, Professor Bao still worked in a public hospital. He only came to the private Eastern Science Hospital to earn some money when he had patients.
Most of the doctors in private hospitals were like this. They treated ordinary people in public hospitals, rich people in private hospitals, and people with power in the VIP patient building. It could be said that they were very societal.
Professor Bao himself was a specialist in the General Surgery Department. At that moment, he looked at the surgical video on the screen and said, "Qi Yuquan's family owns a mine. So, after he got sick, he went to several hospitals. If the hospitals in the United States dared to operate on him, he would have gone to the United States. There was no need for him to go to a hospital in Yun Hua."
"The doctors in the United States did not dare to operate on him either."
"There's no other way. Some patients with cancer can be operated on, and some can't. What can you do? "Professor Bao said calmly," Young people always think that they can do it. In fact, some things can only be done if they say they can't. "
"Professor Bao is right." Meng Shan basically had a flattering attitude toward these part-time professors.
Part-time professors were paid according to their workload. In a place like a private hospital, the workload was not high to begin with. So, they had to be nice to them in order to keep them.
Of course, full-time associate hospital directors like Meng Shan earned a lot. He did not mind flattering his colleagues a little.
Professor Bao was very happy to be flattered, so he said, "As surgeons, we have to act according to our capabilities. With Qi Yuquan's physical condition and age, if he got cancer, we can only treat him with palliative care. Ling Ran has a good idea. He wants to perform a simultaneous pathological examination for bowel cancer. Why didn't he think that if we could do it, we would have done it … "
"Indeed, we can't do it." The doctor next to him was also a General Surgery Department doctor, so he played along.
Professor Bao nodded. "This is a waste of time. When the time comes, the patient will be fine if he can leave the operating table. The patient and his family don't even think about it. Can a seventy-three-year-old old man really survive a major surgery that will take a few hours? "
"If the cancer cells can be completely removed, then there's a need to do it. If we can't do it, then we'll be treating human life like grass. "
"So, he must have cut a lot of cancer cells …"
Right after Professor Bao finished speaking, the phone in the operating theater on the screen rang.
"Operating Theater 1." The circulating nurse ran to pick up the phone.
A few seconds later, the circulating nurse hung up the phone and shook her head at Ling Ran. "The boundary is not clear."
Everyone in the operating theater sighed in unison.
The doctors who were watching the surgery from all over the country could not calm down.
Lu Wenbin and Yu Yuan, who were acting as assistants, also looked at Ling Ran with slight uneasiness.
"Let's cut a little more. There should be no problem. " Ling Ran smiled and repeated the previous steps again. He cut a thin layer of the patient's liver.
He actually cut the edge of the liver just now. After all, when it came to actual operation, he needed to make judgments based on his memory. If his hand slipped, he might have cut an extra centimeter of liver. For a patient like Qi Yuquan, an extra centimeter of liver thickness would definitely affect his lifespan.
Therefore, Ling Ran tended to be conservative when he performed the hepatectomy. It did not matter if he made a wrong guess during the first hepatectomy. The blood flow to the liver had been blocked anyway, and within an hour, there would not be a big difference.
Now, Ling Ran cut a little more liver to ensure that the cancer cells were cleared, and he could ensure that more liver was left.
Ling Ran performed the hepatectomy confidently and asked the nurse to send the slice for examination. When he raised his head again, all he saw were worried expressions.
"Doctor Ling, why don't you be more careful and cut a little more?"
"Don't send it for the second examination."
"The cut is too thin. Why don't you cut another piece?"
Most doctors prioritized stability. They did not have a Virtual Human, so they could only persuade Ling Ran from the side.
Ling Ran crossed his arms and smiled. He was not moved.
Similar scenes had happened many times in his life, and Ling Ran was already used to it.
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