Chapter 1395： Penguin is better to steal (1/2)

The extrahepatic bile duct in Ling Ran's field of vision was full of tumors.

The branch-like bile duct was originally a channel for secretion of bile, but now it is blocked by cancer thrombi and becomes a channel for cancer to spread. It is like a drain that has lost its function, but is where the dirt and dirt are hidden.

However, unlike the real sewer, the bile duct not only has no drawings, but also crisscrosses with the adjacent small blood vessels, forming various dangerous structures.

They are inside the liver, and there are so many blood connections, which can be said to be a typical move to the whole body. In the treatment of traditional hepatobiliary surgery, the treatment of hepatobiliary duct tumor thrombus has always been a big problem. In other words, there is no better treatment plan at all. In many cases, only palliative care is available.

Ling Ran agrees with palliative treatment, but he himself has never performed similar operations.

With patients waiting in long queues for treatment, Ling Ran's surgical aggressiveness is getting stronger day by day.

Intentionally or unconsciously, his choice of surgery, and the patient's choice of him, invisibly became an offensive atmosphere.

Today's surgery, Ling Ran even adopted a full-scale offensive posture. Regardless of the size of the tumor thrombi that can be seen visually, no matter how old they are, they are all stripped off.

This is a relatively rare model in traditional surgery. Traditional open surgery is done more delicately, that is, to remove the larger tumor thrombi of the bile duct, and usually remove the small and dense parts.

This is certainly a surgical strategy, but like all surgical strategies, the purpose of using new techniques and new methods is not necessarily to deny the old strategy, but to expand a larger boundary. It's like going from Newton to Einstein.

If it is an open surgery, most of Ling Ran will still use the method of liver resection, not only can't see clearly, but also because of the patient's physical condition, it is difficult to support a long open surgery.

In comparison, the patient's tolerance is much better with Da Vinci robot surgery. Moreover, the robot's manipulator, after being proficient in use, is also extremely flexible. Through them, Ling Ran could completely take out the tumor thrombi one by one in the direction of growth of the tumor thrombi without damaging any blood vessels.

At the beginning of the operation, everyone only noticed the former, but as the operation progressed, the latter gradually became noticeable.

Because of the long operation time, and on the quiet Yunli live broadcast platform, someone suddenly spoke:

”No way, not touching the blood vessels at all?”

Because no one spoke for a while, this sentence suddenly became conspicuous.

Guarding in the corner, Yu Yuan, who was a little tired, showed her head from behind the round stool, and said in surprise: ”It doesn't seem to have touched the blood vessels?”

”Because touching the blood vessels is very dangerous.” Ling Ran raised his head at this time and let the cervical spine muscles relax for a moment. By the way, he explained to the doctors underneath: ”As far as the current position, if the blood vessels are touched, it is likely to cause organ failure, and then Cause the death of the patient.”

”Because if the blood vessel is broken at this time, there may not even be a chance of resection?” Yu Yuan's theoretical knowledge was still sufficient, and Ling Ran quickly found the reason when she reminded her.

Ling Ran nodded lightly and said, ”Theoretically, the liver can be cut and remedied, but the significance of this operation is no longer there. Moreover, given the patient's current condition, remedy will be very difficult.”

”The remaining liver is not enough.” Even Zuo Cidian could easily make a guess.

Ling Ran nodded, returned to the operating position, and asked the nurse inside to take out another specimen bag, then stuff it into the patient's abdominal cavity, continue to strip the tumor thrombus, and put it into the specimen bag.

This process is still long and cumbersome.

If you compare surgery with repairing a car, the workload of taking a cancer plug is about the same as maintaining the engine of a car. And for countless cancer thrombi, it takes infinite time.

In fact, most doctors are prone to omissions in the face of such a long work, and it is normal to give up further.

If it weren't for a strong motivation and sense of accomplishment, it would be difficult for normal doctors to stick to such an operation.

After a long period of bottleneck, the number of doctors who watched operations through live broadcasts has steadily increased.

In fact, people who can watch five, six, six or seven hours of surgery, seeing this time, it is basically impossible to give up.

The live broadcast system established by Yunli is a professional platform that requires professional equipment to play images. The high threshold makes its live broadcasts generally small, and live broadcasts with a few people or even no one watching it are normal.

However, it is the live broadcast system closest to the state of the operating room.

Professional doctors see professional operations, and thus form some fixed group relationships, which is the core charm of Yunli. For Ling Ran, this is also a more meaningful state.