688 Calm Monthly Pass)
"The conditions on the ship may not be suitable for liver cancer surgery..." Lin Honghou thought for a long time before he said hesitantly.
If it had been the same as before, he would have said categorically that it would not work.
The conditions for liver resection are so demanding. The most complicated part lies in the countless blood vessels and the extremely rich blood supply. It can be said that if a resection operation is wrong, there will be an uncontrollable surge of blood in the blink of an eye.
Considering Lin Honghou's heavy bleeding just now, it was definitely the way a powerful witch father looked at his grandson.
Therefore, even in the operating room of a tertiary hospital, whether the liver can be touched is a very serious topic. Before a liver cancer operation, you need to collect a book for the examination.
Ling Ran shook his head and said, "If you don't do it now, you won't be able to do it when you get back."
This patient's massive bleeding just now can be said to be very serious. If he is pulled back to enter the uterus for the second time, and the possible spread of cancer is taken into account, the survival rate will definitely drop off a cliff.
Ling Ran looked at the patient's liver condition and found that it was in the middle to early stage at best, so he might as well risk having it done on the ship.
Of course, this is only if someone can do the surgery.
Lin Honghou thought no matter what he thought, but after listening to Ling Ran's words, he still shook his head and said: "You may not understand the risks of surgery on a hospital ship. Even if the hospital ship is parked in the sea far away from the storm area, the location of the operating room is carefully chosen.
It has been carefully selected, but on the ocean, the frequency of unexpected fluctuations is too high. Even if you want to do such an operation, we will have to sail our ship back to the dock and then perform the operation on a calm dock."
Ling Ran thought for a few seconds and said, "The patient may not be able to wait until he returns to the dock."
"That's better than dying on the operating table." Lin Honghou gritted his teeth and said, and then showed a "I'll say it now" attitude.
Ling Ran gave Lin Honghou a strange look and said, "It'll be fine as long as it's cured."
"Surgery for liver cancer... aren't you afraid that a sudden shake will puncture your liver?"
"Unexpected risks always exist. If they happen, we will find ways to deal with them." Ling Ran's expression was indifferent. He really liked controlled situations, but his understanding of the loss of control during surgery was much deeper than Lin Honghou's.
Lin Honghou wanted to say, "How can it be so easy?", but then he thought about it again, and recalled the scene where Ling Ran stopped the bleeding with his bare hands just now.
The biggest risk of liver surgery is bleeding, or in other words, the biggest risk of any surgical operation is bleeding. As long as the bleeding is well controlled, there will be plenty of time to deal with other difficulties.
Of course, controlling bleeding and controlling bleeding are not the same concepts.
Lin Honghou can also control bleeding. He is good at trauma surgeries, and daily surgeries often deal with various kinds of bleeding. Like the surgery just now, if Ling Ran hadn't participated, Lin Honghou might not have been able to do it.
It is to eliminate all other possible bleeding locations and then find the impossible locations, such as the spleen. Of course, the amount of bleeding may be shocking, but the patient is still relatively young and may be able to persist until the exchange transfusion is 12,000 or 16,000...
…
In general, Lin Honghou did not give up on controlling the bleeding just now, but he still had confidence that it was possible to control the bleeding. This is also one of the techniques mastered by a 35-year-old outstanding senior surgeon.
It's just that there is a huge gap between his technical level and Ling Ran's.
Lin Honghou looked at Ling Ran and couldn't help but imagine the possible operation scene next: Ling Ran was performing a liver resection, and when the scalpel fell or the forceps were put down, the ship's hull trembled, and then the blood boiled up...
Then, Ling Ran stretched out his hand to pinch, stopped the bleeding with his bare hands, quickly sutured, and then continued the operation...
Lin Honghou had to admit that it felt like there was nothing wrong with him.
Although the prognosis of the patient after such an operation is definitely not good, the survival rate is really higher than that of being sent back to the dock.
Lin Honghou lowered his head slightly. He didn't want to agree with Ling Ran anymore, but he couldn't object, so he could only respond silently.
Huo Congjun looked at Lin Honghou's uncertain expression and suddenly felt like laughing.
Why do superior doctors have a master-disciple-like influence on subordinate doctors? Why do senior doctors seem to have a martial arts-like sense of oppression on junior doctors? In the final analysis, it is all about technology crushing.
Just like how Ling Ran is now, even if Lin Honghou wants to object to the point of view he puts forward, unless he loses his mind, he will not be able to object at all.
Even if Lin Honghou really lost his mind, the doctor would never be afraid of mental illness.
Ling Ran operated quietly.
Today was not just a liver cancer surgery. He had to deal with it from beginning to end before performing liver surgery.
In Lin Honghou's view, Ling Ran simply showed off his skills nakedly.
Just like a good blood vessel, it is just a suture. This is on a ship. Is there really no pressure?
The spleen that he had just processed was also pulled up again by Ling Ran. With one operation, the spleen, which originally looked like a northern bun, was made as round and delicate as a southern bun.
Lin Honghou looked and looked and looked. Slowly, his expression became calmer, and the remaining anger was frozen. It was like a bonfire, poured with buckets of ice cubes. At first, the bonfire
There will also be a squealing cry, and then the only sound left is the sound of ice cubes falling.
After a while, the call for a pathological examination came back.
"It's a malignant tumor." The circulating nurse answered the phone, admiration shining in her eyes.
Ling Ran nodded, adjusted his position, and said: "Then let's start to free the hepatic ligament. This...doctor, have you ever had a liver resection?"
Lin Honghou's face turned red: "No...no."
"Come and help." After Ling Ran finished speaking, he looked at his assistant Lin Honghou who had been his assistant just now and asked, "Do you want to take a rest?"
"No need." The latter was excited, but did not dare to show it.
Ling Ran nodded, observed the condition of the liver again, and said: "The coverage of the tumor should not be large. What needs to be paid attention to is the portal vein and inferior vena cava..."
While talking, Ling Ran came over and took a few steps, then directed Lin Honghou:
"Severing of the round ligament of the liver."
"Be more flexible with your fingers."
"Tie the knot with both hands, it's deep."
This can be said to be Ling Ran's habit. Now he has been performing surgery outside all year round. When he goes to the operating room and uses doctors from his hospital as assistants, he is always asked various questions or uses of various techniques.
requirements.
Sometimes, the flying knife surgeries that Ling Ran participated in were directly nanny surgeries. The other doctor wanted to perform the surgery independently, but there was no doctor in his own hospital who could perform the surgery independently, so he had to spend money to hire doctors from higher-level hospitals to be the nanny.
Ling Ran has never been very picky about the content of surgeries, and is willing to give other doctors a chance, especially when the surgical results are not bad.
Now, although Lin Honghou did not make a request, Ling Ran had never classified the weak chickens. Since other weak chickens could get a chance to get started, Ling Ran would not deliberately deny Lin Honghou a chance.
Therefore, Lin Honghou was inevitably rewarded: working under the guidance of Dr. Ling Ran.
Lin Honghou was reluctant in his heart, but his body honestly obeyed...
In Lin Honghou's mind, there seemed to be two villains. One was the physical villain, and the other was the inner villain.
The little person in the body constantly comforts the little person in the heart.
The body villain said earnestly: This is a liver resection!
Villain at heart haha: The most important thing in life is to follow the heart, so what about liver resection?
The body villain said sincerely: If you encounter someone who is pickled, if you want to do liver surgery, you will have to sleep with him if you can't do it.
The villain at heart haha: Sleeping with you is a matter of your body, not my business.
Chapter completed!