This doctor is very stable

Chapter 257 Big Thunder, Cancer of the Head of Pancreas 】

Walking into the operating room, Lin Ran consciously took the position of the chief surgeon.

Fang Junhui successfully won the position of first aid due to his good driving skills.

Of course, this position was not for Lin Ran.

But...

Boss Gu didn't go into the operating table, but stood with Sun Ruhai who was at the side, pretending to reduce surgical pollution!
Sun Ruhai was a little surprised, but the patient hadn't been anesthetized yet!So he just kept the surprise in his heart.

The door of the operating room was closed, and Lin Ran looked at the middle-aged anesthetist who was sitting on a small bench with his eyes closed.

"Teacher anesthesiologist, please give me anesthesia! General anesthesia, one hour."

The middle-aged anesthetist stepped forward to prepare the medicine. He glanced at Lin Ran, and his eyes were still a bit incredulous. If not for the presence of their extrahepatic director and a group of attending doctors, they would have thought that the extrahepatic intern had gone to the wrong place. Woolen cloth.

The patient lying on the operating table also stared at Lin Ran while Lin Ran was speaking.

Not only did Lin Ran look young, but his voice was too young, which made people feel unreliable.

But in the end, the patient didn't raise any doubts, and a bunch of doctors were watching!You can't go wrong just by looking at this posture!
And he also knew before that the surgeon who performed the operation on him today flew over from the province to perform the operation, so he wouldn't charge too much money, but the hospital would find him a half-baked intern to perform the operation!

After the anesthesiologist gave the medicine, Lin Ran and the others waited quietly for seven or eight minutes.

The anesthetic began to take effect, and the patient fell into a deep sleep.

Turning his gaze away from the life monitor, Lin Ran looked at the patient's abdomen.

【V4 patients】

[Liver under abdomen is red, liver cirrhosis, right liver lobe cirrhosis 1/3...]

[The pancreas under the abdomen is red, the cancer of the head of the pancreas is in the early stage, and the tumor area is 1.5cm...]

【Abdomen is red, liver ascites is early stage, drainage treatment is required...】

…………

Lin Ran looked at the patient's slightly raised abdomen, and frowned!
Checked and overturned.

There is also a bomb hidden under the patient's liver cirrhosis.

Pancreatic head cancer!
The pancreas is originally hidden in the deep part of the abdominal cavity, and early pancreatic head cancer is generally hidden in the head of the pancreas.

Even with laparoscopic liver resection, it is generally difficult to find!

If it is another doctor who performs the surgery, it may be after the liver resection.

When the patient's body resistance drops to the lowest point, pancreatic cancer will develop rapidly.

Then it will explode!
Thinking of this, Lin Ran couldn't help breaking out in a cold sweat.

As soon as it came up, there was a big thunder, which made people shudder!

At this moment, he still didn't know how to speak. After thinking about it, Lin Ran didn't dare to make a move.

It is definitely not acceptable to act recklessly.

Liver cirrhosis with carcinoma of the head of the pancreas, although the two may not have a direct metastatic relationship.

But this is cancer of the head of the pancreas!
It is a malignant tumor. If you decide to resect it together, you have to re-evaluate the patient's physical tolerance, and you have to get the signature of the patient's family members and inform them of the risks during the operation. Otherwise, if something goes wrong, it will be completely dead. up.

And if you want to do radical surgery for pancreatic head cancer, that is, pancreaticoduodenectomy, you have to involve the anatomical dissociation of the pancreaticoduodenal colon, and that surgery is a fourth-level surgery.

It is the most difficult and complicated operation in the abdominal cavity, and it is impossible for Lin Ran to cooperate with Fang Junhui and He Shaoqiu to do it.

Boss Gu had to be asked to take over, whether it was the chief surgeon or Lin Ran's assistant.

The possibility of completing this operation under the laparoscope is almost zero.

Thinking of this, Lin Ran said, "Teacher, Director Sun, I want to see the patient's video data, can I?"

"Ok!"

Boss Gu couldn't help being surprised when he heard what Lin Ran said.

This guy can't be too nervous because of throwing the knife!
But he stood up anyway.

"Lin Ran, what's wrong?"

From the perspective of the other doctors in the Second Hospital of Jiangning City, Lin Ran must have been scared before the operation!Even Sun Ruhai thought so.

After all, Lin Ran's age is at a certain level, and what he is going to do now is liver resection for cirrhosis!Tertiary surgery, the risk is relatively high.

However, Sun Ruhai still took the trouble to look at the resident doctor at the side and ordered, "Bring over all the patient's films and test sheets."

The resident doctor who had been prepared for a long time took out the prepared films and materials.

"Look at the B-ultrasound first."

Lin Ran asked Xiaozhu doctor to examine them one by one.

It is difficult to identify early pancreatic head cancer just by looking at the film, let alone the diagnosis room of the imaging department.

Nagan, an experienced doctor, would not read the report of the consulting room.

"Teacher, look at the position of the head of the pancreas, isn't it too big?"

Under targeted inspection, it doesn't matter whether the film looks normal or not.

As long as Lin Ran raises doubts, it will be impossible for this operation to proceed normally.

This is the result Lin Ran wanted. On the basis of liver cirrhosis, a biopsy is definitely required to really confirm whether it is cancer of the head of the pancreas.

Then this operation can't be carried out smoothly.

Boss Gu frowned, "Do you suspect that the patient has pancreatic head cancer?"

If Boss Chen from Hengshan City was here, he must have stopped the operation.

But Boss Gu is not Boss Chen!

He had never seen Lin Ran see a brain tumor when someone in the capital threw a knife.

So he couldn't believe Lin Ran's words more or less in his heart.

Of course this is not a fault.

It is a good thing to have a questioning heart in clinical practice.

Be careful, there is no big mistake, right?
In addition to the video, Lin Ran quickly found favorable evidence from the test sheet.

Such as, serum alkaline phosphatase, γ-glutamyl transferase, elevated,
Such as, blood, urine amylase increased, glucose tolerance test was positive.

and many more……

Hearing that Lin Ran moved out more and more things, Sun Ruhai at the side was no longer calm.

Under the mask of cirrhosis, these possible overlapping details could have been overlooked.

If this is really the case, then the patient was found to have cancer of the head of the pancreas before he was discharged from the hospital. Wouldn't it be harmful to others if it exploded?

Thinking of this, Sun Ruhai took a step forward, "Director Gu, why don't we suspend the operation and do a biopsy first?"

After Gu Tian thought about it, he could only do this!
He was not so overwhelmed with the operation of pancreatoduodenectomy in a second-class hospital. The more difficult the operation, the higher the risk. If it failed, the consequence would definitely be the end of his career.

It doesn't matter to him, after all, he has been the director of the department for several years, and his family background is very solid.

But it would be a pity if Lin Ran, a young man with a bright future, was implicated.

Boss Gu glanced at Lin Ran and nodded heavily, and said: "I agree to suspend the operation and have a re-examination. If it is diagnosed as pancreatic head cancer, then we cannot perform this operation here, and let the patient be directly transferred to our Zhongshan Third Hospital." !"

Sun Ruhai also nodded, looked at the anesthetist and said, "Suspend the medication and wake up from anesthesia!"

When he said this, the operation was really suspended.

The anesthetist was still a little surprised, strange things happen every year, especially this year!
Lin Ran, a little doctor in his 20s, can throw knives, and that's fine.

The key point is that he really stopped the operation in front of his teacher!
This kind of courage and confidence is really admirable.

You must know that it is a taboo to question the diagnosis of a superior physician clinically.

Even if the problem is found out afterwards, the superior doctor will probably feel uncomfortable!
After all, if any junior doctor dared to stand up and question the diagnosis of the senior chief physician, would the chief physician still have the authority?

But he was just an anesthetist, the director and the chief surgeon gave orders, so he could only obey.

That is to say, one less surgical performance.

The attending physicians who were preparing to observe the operation were also dumbfounded.

They have seen flying knives succeed perfectly, they have seen flying knives collapse, and they have even seen flying knives fail, but they have never seen flying knives call a timeout before they start.

Long experience.

And they also saw Gu Tian's love and protection for Lin Ran!
If Gu Tianyi didn't believe that he didn't love Lin Ran, how could he support Lin Ran in this situation?

Fang Junhui on the side also stared at He Shaoqiu.

what's going on!
The promised flying knife is very cool and handsome!

Don’t go all the way to Jiangning to eat a bowl of snail noodles!
Um... No!
It's a formal lunch.

But Yangcheng also has lunch!

After the anesthetist completes the patient's anesthesia wake-up and the patient's vital signs stabilize.

The door of the operating room was opened.

The family members of the patients outside saw that the door of the operating room was closed, and it was opened within 10 minutes.

My heart couldn't help but thump.

Sad from the heart!

in danger...

Boss Gu and Sun Ruhai walked out of the operating room together, and the patient's two young and strong sons greeted him.

"Doctor, how is my dad?"

They didn't ask about surgery they asked people directly!

Boss Gu and Sun Ruhai were more embarrassed.

The patients were all sent to the operating room, and they were about to undergo surgery. Now tell the family members of the patients that the patients may have cancer of the head of the pancreas?

This kind of behavior is no less than slapping yourself in the face!

But medicine is a rigorous discipline, if you can fool the patient's family, you cannot fool yourself!

"We haven't started Mr. Wang's operation. Before the operation, our chief surgeon, Dr. Lin, found that the patient may also have pancreatic diseases, so further examinations are needed to determine whether the operation can be performed, but please rest assured. , Our hospital will not deduct the operation fee."

In the end, it was Sun Ruhai who spoke. After all, this is Jiangning No. [-] Hospital, and he was the one who contacted the flying knife.

The patient's two sons are both in their early twenties, but they are both mature and stable in appearance.

"Director Sun, do you mean that you really suspect that my father has other pancreas diseases besides liver cirrhosis?"

The pancreas is a very delicate organ!
It is even more expensive than liver.

Sun Ruhai nodded, "It is not certain yet, and further examinations are needed. If there are no other problems in the examination results, then we can arrange surgery at night, or arrange surgery tomorrow, but if it is diagnosed that there is a disease of the pancreas, we may not Need to be transferred."

(End of this chapter)