"The conditions on the ship might not be suitable for liver cancer surgery …" Lin Honghou thought for a long time before he said hesitantly.
If it were just now, he would have firmly said that it was not possible.
The conditions for hepatectomy were very harsh. The most complicated part of hepatectomy was that there were countless blood vessels and an incredibly rich blood supply. It could be said that if there was a slight mistake in the hepatectomy, the patient would bleed uncontrollably. Compared to Lin Honghou's massive hemorrhage just now, Ling Ran's condition was definitely similar to how a father would look at his grandson.
Therefore, even in the operating theater of a tertiary Grade A hospital, it was a very serious topic whether the patient could touch the liver. Before a liver cancer surgery, the examination results would be enough to fill a book.
Ling Ran shook his head and said, "If we don't do it now, we won't be able to do it when we get back."
The massive hemorrhage of the patient just now was already very serious. If the patient was dragged back into the uterus for a second time and the cancer might spread, his survival rate would definitely plummet.
Judging from the patient's liver condition, he was at most in the early stage. It was better to take the risk and perform the surgery on the ship.
Of course, this was under the premise that there was someone who could perform the surgery.
Lin Honghou felt that it was not possible no matter how he thought about it. After he heard Ling Ran's words, he still shook his head and said, "You might not understand the risks of performing surgery on a hospital ship. Even if the hospital ship is docked in the sea far away from the storm zone, and the location of the operating theater is carefully selected, the frequency of accidents happening on the ocean is too high. Even if you want to perform this kind of surgery, you have to wait until our ship returns to the port, and then perform the surgery at a calm port. "
Ling Ran thought for a few seconds and said, "The patient might not be able to wait until we return to the port."
"That's still better than dying on the operating table, right?" Lin Honghou gritted his teeth and said. Then, he looked like he had said everything he wanted to say.
Ling Ran looked at Lin Honghou strangely and said, "It's fine as long as he's cured."
"Liver cancer surgery … Aren't you afraid that the sudden movement might puncture the liver?"
"Unexpected risks always exist. Once they happen, we have to think of a way to deal with it." Ling Ran's expression was calm. He liked situations that were under control very much, and he had a much deeper understanding of losing control of surgeries than Lin Honghou.
Lin Honghou wanted to say, "It's not that easy," but when he thought about it, he recalled how Ling Ran stopped the bleeding with his bare hands just now.
The biggest risk in hepatectomy was bleeding. In other words, the biggest risk in any surgery was bleeding. As long as the bleeding was well controlled, there would be plenty of time to deal with other difficulties.
Of course, bleeding control and bleeding control were two different concepts.
Lin Honghou could also control bleeding. He was an expert in trauma surgeries, and he often had to deal with all kinds of bleeding during his daily surgeries. For example, if Ling Ran had not participated in the surgery just now, Lin Honghou might have been able to perform it. He just needed to eliminate all the other possible bleeding spots and find the spots that were impossible to bleed, such as the spleen. Of course, the amount of blood loss might be shocking, but the patient was still relatively young. He might be able to last until the blood volume was 0 …
All in all, Lin Honghou did not give up on controlling the bleeding just now because he was still confident that he could control the bleeding. This was also one of the skills mastered by a thirty-five-year-old excellent attending physician.
However, there was a huge difference between his skill level and Ling Ran's.
Lin Honghou looked at Ling Ran and could not help but imagine the possible surgery scene next. When Ling Ran performed hepatectomy, the body of the ship would tremble when the scalpel or forceps were put down, and hot blood would surge … Then, Ling Ran would reach out and pinch it, stop the bleeding with his bare hands, quickly suture it, and continue the surgery …
Lin Honghou had to admit that there was really nothing wrong with it.
Even though the patient's prognosis would definitely not be good after such a surgery, his survival rate would still be higher than if he was sent back to the port.
Lin Honghou lowered his head a little. He did not want to agree with Ling Ran anymore, but it was not appropriate for him to object, so he could only remain silent.
Huo Congjun looked at Lin Honghou's changing expression, and he suddenly felt like laughing.
Why did senior doctors have the influence of a master and apprentice over junior doctors, and why did senior doctors seem to have the pressure of a martial arts sect over junior doctors? At the end of the day, it was all because of their skills.
Just like what Ling Ran was doing right now, no matter how much Lin Honghou wanted to object to his point of view, he would not be able to do so unless he lost his mind.
Even if Lin Honghou really lost his mind, doctors were never afraid of mental patients.
Ling Ran operated quietly.
Today was not just a simple liver cancer surgery. He had to take care of the beginning and the end of the surgery before he carried on with the liver surgery.
And from Lin Honghou's perspective, Ling Ran was simply showing off his skills.
For example, he just sutured a perfectly fine blood vessel. This was a ship, after all. Was there really no pressure at all?
The spleen that he had treated just now was also pulled out by Ling Ran. After a series of operations, the spleen, which originally looked like a northern steamed bun, became as round and delicate as a southern steamed bun.
Lin Honghou watched and watched. Slowly, his expression became calm, and his remaining anger was also frozen. It was like a bonfire that had been poured with buckets of ice cubes. In the beginning, the bonfire would still let out sizzling sounds, but after that, there was only the sound of ice cubes falling on the ground.
After a while, Ling Ran received a call from the pathology department.
"It's a malignant tumor," the circulating nurse answered. There was admiration in her eyes.
Ling Ran nodded. He adjusted the position of the patient and said, "Then, let's start separating the hepatic ligament. Excuse me … doctor, have you performed hepatectomy before? "
Lin Honghou's face turned red. "No … no."
"Come and help." After Ling Ran said that, he looked at Lin Honghou's former assistant who had been working as his assistant just now and asked, "Do you want to rest for a while?"
"No need." The latter was excited, but he did not dare to show it.
Ling Ran nodded. He observed the state of the liver and said, "The tumor should not cover a large area. We need to pay more attention to the portal vein and inferior vena cava …"
As he spoke, Ling Ran operated on the patient. After a few steps, he instructed Lin Honghou.
"Cut the round ligament of the liver.
"Be more flexible with your fingers.
"Tie a knot with both hands. Make it deeper."
This was Ling Ran's habit. He was a freelance surgeon all year round. When he was in the operating theater and used doctors from other hospitals as his assistants, it was inevitable that he would be asked all kinds of questions or asked to learn how to perform the surgery.
Sometimes, the freelance surgeries that Ling Ran participated in were like babysitting surgeries. The other doctors wanted to perform the surgery on their own, but their own hospital did not have any doctors who could perform the surgery on their own to protect them. Hence, they could only spend money to hire doctors from higher-level hospitals to babysit them.
Ling Ran was never picky when it came to the content of the surgery. He was also willing to give other doctors a chance, especially when the effect of the surgery was not bad.
Now, although Lin Honghou did not make any requests, Ling Ran never categorized weak chickens. Since other weak chickens could get the chance to learn, Ling Ran would not deliberately not give Lin Honghou a chance.
Therefore, Lin Honghou could not avoid being rewarded. He would work under Ling Ran's guidance.
Lin Honghou was reluctant, but his body obediently followed Ling Ran's instructions …
There seemed to be two people in Lin Honghou's mind. One was the physical person, and the other was the mental person.
The physical person continuously comforted the mental person.
The physical person said earnestly, 'This is a hepatectomy!'
The mental person chuckled. 'The most important thing in life is to follow your heart. So what if it's a hepatectomy?'
The physical person advised earnestly, 'If you encounter a filthy person, you might even have to sleep with him if you want to perform a liver surgery.'
The mental person chuckled. 'Sleeping with him is his body's business. It's none of my business.'
The physical person chuckled. 'I'll eat pork intestines at night and watch elderly patients perform intestinal obstruction surgeries.'
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