Pen. "Ling Ran extended his hand, retracted it, and began to draw lines on the patient's body.
A long, long line was drawn, and it almost tore open the patient's abdominal cavity.
The liver and stomach were joined together, and the patient's abdominal cavity was almost completely opened.
The nurses and assistants on the scene looked at Ling Ran's drawing action, and their expressions subconsciously became solemn.
Such a surgery with such a large opening must be treated seriously in any operating theater in any hospital.
Ling Ran's expression became even more solemn.
He had used the Virtual Human to open Young Dai's abdominal cavity more than once. He knew the situation inside even with his eyes closed. But even so, such a complicated surgery, when it really began to be used in actual combat, he still did not dare to say that he was very confident.
Keep repeating, keep repeating, remember every detail, and be accurate to every microsecond. Then, at the moment of actual combat, get the best result. That was the way to think when facing a game.
Reality was always much more complicated.
Forget about the patient's body's reaction to stress, just the cooperation between the anesthetist and the assistant would always be a mystery.
After being a doctor for a long time, one would know that people would not only get sick and get strange diseases, but also make strange mistakes.
Even if everything went smoothly, the process and direction of the surgery would inevitably lead to chaos. When there were enough steps and the surgery time was long enough, accidents would happen frequently.
There would always be three hundred small mistakes before a big mistake. No one died on the operating table, but it did not mean that everything on the operating table was step-by-step and smooth.
No matter how skilled the surgeon was, he could not stop the strange changes in the patient's body, whether the blood products transfused into the patient's body would change, and whether the anesthetist's operation was perfect …
What Ling Ran was most uncertain about was the patient's prognosis.
He could use the Virtual Human to influence the surgery, but he could not predict the prognosis of the surgery.
The surgical treatment of liver metastasis from gastric cancer faced many problems because the prognosis was not good. Of course, any current treatment method for liver metastasis from gastric cancer could be said to have a poor prognosis.
The five-year survival rate of 15% or even less than 10% was a sword hanging over the head of patients with liver metastasis from gastric cancer.
Even if Ling Ran cut the lesion clean, he could not be sure whether the cancer would relapse or metastasize. Of course, the probability of metastasis could be reduced with the strictest tumor-free operation, but the possibility still existed.
Because of this, the surgical treatment of hepatic metastasis from gastric cancer was still controversial.
Many doctors were in favor of performing palliative surgery, which was to deal with bleeding, perforation, obstruction, and other problems caused by cancerous tumors to improve the patient's survival treatment and prolong their survival time.
Ling Ran also had a plan prepared for this.
After all, once the patient's abdominal cavity was opened, anything could happen.
"Saber." Hundreds and thousands of thoughts flashed through Ling Ran's mind, but his hands still moved according to the set steps.
Zhang Anmin and the other assistants stared at the surgical field like large dogs staring at a rice bowl.
Su Jiafu's eyes were also glued to the screen as he watched his deputy director increase and decrease the dosage of the medicine. Today's surgery was too big. Even if Ling Ran agreed to it, he did not dare to do it alone.
Under the scalpel's incision, the skin was like the crust of bread, slightly splashing open.
The yellowish layer of fat had a stylish graininess and the greasy feeling of a literary toy. Under the illumination of the shadowless lamp, it gave off a lasting flavor.
"Good thing you're not fat," Zhang Anmin said in a low voice, making the atmosphere a little more relaxed.
Lu Wenbin raised his head and glanced at Zhang Anmin. Then, he gave Ma Yanlin, who was sitting right next to him, a meaningful look. 'Look at Zhang Anmin. He's really different now that he's a deputy department director. There are so many people sitting in the visitation room above us, but he still dares to tell jokes. People nowadays were so impetuous. Could an associate chief physician of the Department of Hepatobiliary and Pancreatic Surgery be considered an associate chief physician? Even the department director of the Department of Hepatobiliary and Pancreatic Surgery, He Yuanzheng, had started to look for his next job. Even an idiot would not learn a thing or two from Doctor Ling. Moreover, he was already an associate chief physician, but he still managed to flatter Doctor Ling so quickly. Was this associate chief physician a shameless person? Could he not buy a good facial mask or sticker when he was paid so much more every month? I cooked two pots of pig trotters and even knew to maintain them …
"?" ━ ━ ━ ━ ━ ━
"The situation is very complicated." Zhang Anmin waited for Ling Ran to open the patient's abdominal cavity before he sighed. His main goal was to assist the patient.
He did not need to open the abdominal cavity of a patient with hepatic metastasis from gastric cancer to know that the situation inside was very complicated.
The reason why Zhang Anmin deliberately said this was also to support Ling Ran.
"Okay," Ling Ran was not surprised. He only reminded Zhang Anmin to pay attention to aspiration before he buried himself in the surgery.
He had practiced the first steps using the Virtual Human. For today's surgery, Ling Ran used a total of twenty minutes of the Virtual Human's time. In the process of cutting and cutting without regard for the consequences, he had long understood the first steps.
However, the situations that were really prone to accidents happened in the later stages. The time of the Virtual Human was limited. For this kind of surgery that could easily take a few hours, it was impossible to rely on the Virtual Human to complete it. Therefore, Ling Ran carried out the whole process very carefully.
Radical surgery could only be carried out when everything went well. Otherwise, the meaning of the surgery itself was very small. Perhaps it would not be as long as palliative surgery to prolong the patient's survival.
Ling Ran hoped to achieve the goal of radical surgery as much as possible.
This was also the real advantage of the surgical treatment plan.
No matter how high the survival rate of two to five years was with other surgical plans, in the end, all other treatment plans were palliative, and they could only prolong the patient's survival.
Only the surgical treatment plan had a probability of curing the patient.
The probability was very low, even lower than the lucky draw in games. However, Ling Ran had a full set of weapons, and even the tissue separation was at Perfect Level. Was it not to increase the probability of winning the lucky draw?
"Gauze." Ling Ran straightened his back and ordered in a low voice. He did not show any expression on his face.
…..
In the waiting area of Yun Hua Emergency Medical Center.
Anyone could see Young Feng's anxious and uneasy expression.
A middle-aged man noticed Young Feng, and his heart lit up. He could not help but stand up, hand over a corn, and said with a smile, "I see that you've been here for a long time, and you haven't had breakfast, right? I bought a lot of this corn. Why don't you take it to fill your stomach first?"
"Thank you, but there's no need." Young Feng shook her head slightly. She was graceful and gentle as a Jiangnan woman.
The man looked at her, and his heart was itching. He put away the corn and opened the chat mode. "Is your family sick? What kind of surgery is it? "
"It's a major surgery." Young Feng did not seem very willing to talk to him.
The middle-aged man smiled with understanding and sympathy. "You don't have to worry too much. My brother had a stomach perforation before, and he had to have his stomach removed. His whole family was scared, and in the end, it was just like that."
"Is that so?"
"Your family's surgery is bigger than this?"
"Yes."
"What's the surgery?"
"The stomach needs to be removed too."
"The stomach needs to be removed too? Subtotal gastrectomy? This is a bigger surgery, but you don't have to worry. I have a cousin who had four-fifths of her stomach removed before … "As the man spoke, he smacked his lips, feeling a little victorious." Let's add each other on WeChat. If you have any questions later, you can ask me … "
"There's also the liver." Young Feng listened to the man pestering her endlessly, and she felt a little more at ease, so she added another sentence.
The middle-aged man was stunned. "Liver surgery is quite dangerous. My second uncle had done it before, and he lived for many years afterward …"
"It was done together."
"What?"
"My husband's surgery was to remove the liver and the stomach together," Young Feng said slowly.
The middle-aged man thought hard and slowly said, "I have an uncle who cut a few meters of intestines in one go. If you want to do the math, it's equivalent to him cutting the colon and rectum at the same time …"
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