Two 100-inch large screens lit up at the same time.
One of the screens was showing a video conference made up of four picture-in-picture videos, and the other screen was showing a screensaver, ready to play the video and other information that was needed at any time.
Lloyd, who had changed into a surgical gown, showed the hair on his arms and chest, and argued fiercely with the four doctors in the four videos.
"From the information provided by you, the degree of differentiation of the tumor is not low, and it is very likely to be a poorly differentiated tumor. In this case, I suggest that we expand the scope of resection. Also, based on the patient's current request, should we consider a liver transplant? If we can do a liver transplant, the survival time can be greatly increased. "
"The patient is not qualified for a liver transplant. The hospitals in China are very conservative when it comes to organ transplants, and there are very few sources of organs. This patient is not qualified to get a donor, and he does not have the money for such a major surgery …"
"If this is the case, I don't think we should expand the scope of resection. However, the location of resection can still be considered. Isn't the location of resection too cautious? We're only doing partial resection of the left liver, and the location of the resection is also very strange. How did the chief surgeon think about this?"
Lloyd discussed with the doctors in the video for more than ten minutes. When he turned around, he saw Ling Ran, who had been looking at the MRI scan for a long time, facing the empty wall and waving his arms as if he was simulating the process of the surgery.
Lloyd frowned and asked, "Doctor Ling, are you willing to join us?"
"How do I join?" Ling Ran was still busy with the simulation, and he only took the time to answer.
Lloyd looked at Ling Ran's back and said, "You can stand next to me, and we can discuss this surgery together."
"Okay." Ling Ran did not resist resolutely.
In general, Lloyd's help was still beneficial to the patient.
The four experts who participated in the remote consultation that he held were all famous surgeons, and they could be said to have rich theories and experience.
In fact, even the Anderson Cancer Center would not usually gather four senior experts for a remote consultation. Two or so experts were already very respectful. This was because the Anderson Cancer Center was a world-class medical center. They not only focused on local telemedicine, but also carried out systematic remote consultation for areas with less developed medical standards. Therefore, the resources for consultation were quite scarce.
However, after Lloyd's emotional explanation, the four experts in the remote consultation were still extremely serious.
After knowing that Ling Ran was the chief surgeon, the four of them only praised Ling Ran's good looks and age before they quickly got down to business.
"Doctor Ling Ran, can you explain your thought process for the surgery? The range of preresection you chose is relatively small, but it involves more segments. From what I saw just now, there are posterior medial segment, anterior medial segment, right anterior lateral segment, lower medial segment … The involved bile ducts and blood vessels are also very complicated. In this case, is it better to perform segmental hepatectomy directly? "
"Segmental hepatectomy. If we cut off too much of the liver, I'm afraid the patient won't wake up." Ling Ran did not hide his thoughts. If the other party had a better surgical plan, he would not mind using it. In fact, Ling Ran was even looking forward to the four experts in front of him giving him good advice.
Because of this, Ling Ran did not hesitate to voice out his encouragement and the reason behind his decision.
Ling Ran was originally not willing to perform liver cancer surgery. Now, he chose to do it for the patient's benefit. Therefore, Ling Ran hoped that he could do it well, and the better, the better. Compared to this aspect, Ling Ran did not really care about whether it was right or wrong, or his reputation.
Unless there was a fundamental change in cancer treatment, Ling Ran would not perform cancer surgery frequently. His reputation in this aspect was not within the scope of his consideration.
The four experts on the screen fell silent for more than ten seconds when they heard Ling Ran's words.
"If we use segmental hepatectomy, we will indeed remove more of the liver. Then, how many segments of the liver should we remove?" The previous expert frowned and suggested again.
"These few segments of the liver have cancer cells invading. If we reduce the range of resection, we won't be able to remove all of them," Ling Ran answered.
"Indeed … but if the goal of survival is three years, it will be safer to use this method."
"It's too arbitrary to say three years now."
"There's no need to make such a compromise for the sake of segmental hepatectomy, right?"
Ling Ran also said, "Three years is indeed the patient's request, but we still hope to achieve a better result."
"It's already very good if we can achieve three years. How big is this tumor? It's six inches, right? It'll be good if we can survive. Three years is already our expectation."
Six inches sounded normal, but in the world of doctors, liver tumors that were more than six inches were very difficult to deal with. Due to the rich blood supply of the liver, large tumors were often connected to multiple blood vessels. During the process of resection, even the slightest movement could cause devastating consequences. Even if the resection was successful, the remaining parts of the liver that were occupied by a large number of useless cancer cells would also face a challenge.
As a doctor, he had to consider the remaining liver tissues that could be used, and he also had to consider the problem of cancer spreading during the resection process. He also had to make sure that the resection was clean …
In general, the worse the patient's physical condition was, the more problems he had to consider, and the worse the prognosis.
It was already very difficult to get a good prognosis for a liver tumor that was six inches long. This was also the reason why Ling Ran was willing to perform this surgery. Based on his judgment, if this patient was handed over to He Yuanzheng for hepatectomy, he should be able to survive the surgery smoothly. However, after the surgery, he should not be able to survive.
With He Yuanzheng's skills, a slight carelessness might cause the patient to fall into hepatic coma. Even if that was not the case, the subsequent weakened state would make the patient feel even more pain during chemotherapy. Whether or not the patient could survive would be a great challenge.
Chemotherapy might cause the patient to be bedridden for a long time, and he might even be bedridden for about a year. At the same time, the recurrence of cancer might destroy his last hope …
There was no need for Ling Ran to explain. The doctors in the room knew the most likely direction of the surgery.
It was precisely because of the extreme difficulty of the surgery that Lloyd asked the remote consultation doctors to come over. Otherwise, he alone would be enough to give suggestions.
Ling Ran stood across the screen and listened attentively.
He had to admit that the experts in Anderson Hospital could give quite constructive suggestions in some minor aspects. Considering their status and their suggestions, the old man who first suggested segmental hepatectomy might very well have Master Level Hepatectomy. The other three might not necessarily have Master Level Hepatectomy, but their attainments in general surgery or cancer would not be low.
However, if it was just remote assistance, the Master Level Hepatectomy experts could not rely on words to provide decisive help.
He might be skilled in segmental hepatectomy and had a lot of experience in patients' prognosis, but Ling Ran was not a doctor who grew up in the era of segmental hepatectomy. His Master Level Hepatectomy was also not his forte in segmental hepatectomy.
On the other hand, Ling Ran had mastered many Master Level and Perfect Level skills. In terms of this surgery alone, his level might very well be higher than the old man on the other side of the screen.
Therefore, after a short consultation, Ling Ran decided to start the surgery. He would still use his own method, and he only made some slight adjustments.
"In this case, the risk is still very high."
"Lloyd, I suggest that you send the patient to Anderson Hospital."
"We might be able to find a foundation to do this."
A few doctors started chattering on the screen, but Ling Ran's expression gradually became serious. "Scalpel. Lower the volume. "
"Yes." Ling Ran's surgery group also started operating without hesitation.
For the current Ling Treatment Group, experts and scholars from Anderson Cancer Center were just decorations.
Ling Ran was the boss in hepatectomy!
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