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Great Doctor Ling Ran

By Village Of Ambitious Birds

748. Chapter 738 is the general election (seeking a monthly pass)

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Chapter 738 is the big question (seeking a monthly pass)

Two 100-inch large screens lit up at the same time.

One of the screens is a video conference consisting of four picture-in-pictures, and the other screen is now screensavers ready to play the required video.

Lloyd, who had changed his surgical gown, lighted his arms and hair on his chest, and argued with four doctors in four videos.

"From the information you provide, the degree of differentiation of the tumor is not low, and it is likely to be a poorly differentiated tumor. In this case, I suggest to expand the scope of the resection. In addition, whether the patient's current requirements should be considered Liver transplantation? If you can do a liver transplant, the survival time can be greatly improved."

"Patients do not have the conditions to do liver transplantation. Chinese hospitals are very conservative in organ transplantation, and the source of organs is very small. This patient is neither qualified to receive a donor nor has money to do such a large operation..."

"In this case, I think that the scope of resection should not be expanded. However, the position of the resection can be considered again. The position of the resection selected is not too cautious. Only the partial resection of the left liver is performed. The position of the resection is also very strange. How did the doctor think about this?"

Lloyd talked with the doctors in the video for more than ten minutes. When I turned around, I saw Ling Ran, who had watched the MRI for a long time, facing the empty walls and waving his arms, as if in the simulated surgery.

Lloyd frowned and asked: "Dr. Ling, are you willing to join us?"

"How to join?" Ling Ran is still busy doing simulations, only took the time to answer one sentence.

Lloyd looked at the back of the line and said: "You can stand next to me, let's discuss this operation together."

"Okay." Ling Ran did not resist resolutely.

In general, Lloyd's help is still beneficial to the patient.

The remote consultation he held and the four experts he participated in were all well-known surgeons. It can be said that the theory and experience are quite rich.

In fact, even the Anderson Cancer Center usually does not convene four senior experts for teleconsultation. Two or so experts are already very face-to-face. Because the Anderson Cancer Center is a world-class medical center, they are not only for local telemedicine, but also for systematic remote consultations in underdeveloped areas. Therefore, the consultation resources are quite tight.

However, after Lloyd's emotional description, the four remote consultation experts are extremely serious.

After knowing that Ling Ran was the chief surgeon, the four people just praised the handsome and age of Ling Ran and quickly stepped into the topic:

"Ling Ran doctor, can you explain your surgical thinking? The range of pre-resection you choose is relatively small, but there are more sections involved. If I just saw it, there is a rear inner section, a front inner end, and a right front. The outer segment, the inner and lower segments... the bile ducts and blood vessels involved are also very complicated. In this case, is it better to perform liver segment resection directly?""The liver segment is cut and cut too much. I am afraid that the patient can't wake up." Ling Ran does not hide his thoughts. If the other person has a better surgical plan, he does not mind using it. In fact, there are still some expectations. The four plus one expert in front of you can give yourself good advice.

Because of this, Ling Ran did not hesitate to say his own reasons and reasons for the decision.

Ling Ran was originally unwilling to do liver cancer surgery. Now I choose to do it for the benefit of the patients. Therefore, I hope that I can do well. The better I do, the better. Compared with this consideration, Ling Ran I don't care much about right or wrong or fame.

Unless there is a fundamental change in cancer treatment, there will be no frequent cancer surgery, and the reputation in this regard is not within his consideration.

The four experts on the screen, when they heard Ling Ran, were collectively silent for more than ten seconds.

"Using the segmental resection, it will indeed remove more, then, reduce the removal of several liver segments?" The previous expert frowned, and then made recommendations.

"These liver segments have cancer cells invading, reducing the scope of resection, it is not clean." Ling Ran replied.

"Really... However, if the survival goal is three years, it will be more secure in this way."

"It’s too arbitrary to say three years now."

"It is not necessary to make such a compromise for the removal of the liver."

Ling Ran also said: "Three years is indeed a request from patients, but we still hope to achieve better results."

"It's good to be able to reach 3 years. How many tumors are there, 8 cm right? It's good to survive. Three years is the expectation."

8 cm sounds like ordinary, but in the doctor's world, more than 5 cm of liver tumors are difficult to deal with. Because of the abundant blood supply of the liver, large tumors are often connected to multiple blood vessels. The devastating consequences of all the wind and grass movements during the resection process are not said. Even if the resection is successful, the liver is occupied by a large number of useless cancer cells. The rest of the organization is also facing a test.

To be a doctor, you must consider that the remaining liver tissue is available, and you must consider the problem of diffusion during the resection process, and then want to cut clean...

In general, the worse a patient's physical condition is, the more problems need to be considered and the worse the prognosis.

8 cm of liver tumors, it is very difficult to get a good prognosis. The reason why Ling Ran is willing to do this surgery is also true. As far as his judgment is concerned, this patient is handed over to He Yuanzheng for liver resection. It should be able to successfully survive the operation, but after the operation, there is nothing to be.

With the technique of He Yuanzheng, if you don't pay attention to it, you may cause the patient to fall into a liver coma. Even if it is not, the next weak condition will make the patient feel pain in chemotherapy. Whether it will come over or not will be a great The test.

Chemotherapy may cause the patient to stay in bed for a long time, and may even stay in bed for a year or so. At the same time, recurrent cancer may destroy its last hope...Needless to say, several doctors present know the most likely direction of surgery.

Because of the difficulty of the operation, Lloyd will find the doctors who are going to the remote consultation. Otherwise, he is enough to give advice.

Lingran across the screen and listened carefully.

It must be said that in some small aspects, Anderson's experts can make quite constructive opinions. Considering their identity and considering their suggestions, the old man who first proposed the liver segment resection is likely to have a master. The level of hepatectomy, the other three, is not necessarily the master of hepatectomy, but the rumors of general surgery or cancer are not low.

However, with only remote assistance, masters of liver resection can not rely on language to give decisive help.

He may be skilled in liver segment resection, and has a lot of experience for the patient's prognosis, but Ling Ran is not a doctor who grew up in the era of hepatectomy, his master liver resection, the best is not the liver. Segmentectomy.

On the other hand, there are a lot of masters and perfect level skills. For this operation alone, the level is likely to be more than the old man on the other end of the screen.

Therefore, after a brief consultation, Ling Ran decided to start surgery, still using his own way, only slightly modified.

"In this case, the risk is still great."

"Lloyd, I would recommend that you send the patient to Anderson."

"We may be able to find a foundation to do this."

Several doctors picked up on the screen, but the face was gradually serious: "Scalpel. Turn off the sound."

"Yes." Ling Ran's surgery group did not hesitate to operate.

For the current Ling treatment group, what expert scholar Anderson Cancer Center is just embellished.

Liver resection, it is a big bang!

(End of this chapter)

Great Doctor Ling Ran

748. Chapter 738 is the general election (seeking a monthly pass)

748. Chapter 738 is the general election (seeking a monthly pass)

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Great Doctor Ling Ran

748. Chapter 738 is the general election (seeking a monthly pass)

748. Chapter 738 is the general election (seeking a monthly pass)

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