The technique of thoracoscopy has matured. A 35cm incision is made under the ribs, 7 layers of tissue are cut, and the incision protective sleeve is placed, and then the device is inserted|inserted from the opened position to operate.
People under general anesthesia have no self-awareness, rely on intubation to breathe, their body temperature is lower than usual, and their complexion looks a little pale.
But Ji Ling's handsome and profound facial features, as well as his distinct facial contours, against the backdrop of the low temperature, turned out to be a bit more stern and handsome.
Some little nurses looked at him, their eyes could not stop drifting towards him.
When the scalpel broke through the first layer of skin, some people's cheeks gradually turned red.
"The pecs...wow."
"Body...ah, so young, how can it be highly suspected of lung cancer?"
Even though someone was talking in a low voice, the two directors were still focused and paid attention to his situation.
The electronic display next to the operating bed reflected the images inside Ji Ling's chest.
The head of the cardiothoracic surgery department raised his head and frowned.
"Qiyan, is this patient your friend? Why does he have smoking lung at such a young age?"
Gong Qiyan did not expect that the lungs of a person lying on the operating bed would look like this.
I didn't have much reaction when I had a bronchoscopy before. I didn't expect that there would be some discoloration after seeing the lungs directly... Although it is not particularly serious, if it is caused by short-term smoking, it is enough to explain how much tar and nicotine he inhales every day.
The corners of the lips hidden behind the surgical mask straightened up, Gong Qiyan frowned, and then relaxed.
The action paused for a moment, and then quickly returned to the operation state.
Holding the surgical instrument with his fingers, he cut off the piece of cauliflower-like tissue cleanly and swiftly, and sent it to be frozen.
……
The 40 minutes of the freezing test was neither long nor short, but for Ji Luo, every minute and every second he spent standing outside waiting was a torment.
Even though Gongci Medical is equipped with a good waiting area for surgery, as well as tea, fruit, and comfortable sofas for family members, how can Ji Luo be in the mood to use these...
When the door of the operating room opened temporarily, Gong Qiyan, who was wearing a dark blue surgical gown, had just revealed a figure, and Ji Luo rushed in three steps at a time!
"Successful." Gong Qiyan spoke first.
Ji Luo let out a long sigh of relief.
Glancing at it, seeing Gong Qiyan's laboratory test form between his fingers, his heart clenched again.
Gong Qiyan didn't hand it to Ji Luo, but asked a question first: "I remember he didn't smoke before."
Ji Luo: "..."
"The image of the lungs doesn't look very good." Gong Qiyan said the facts plainly, "You have studied medicine, you should know what a smoking lung looks like. He has at least mild tissue invasion, which led to this report results."
While speaking, Gong Qiyan shook the report card in his hand.
When Ji Luo heard him speak, his heart skipped a beat.
After a while, he said in a hoarse voice: "Cause, report the result? You mean..."
Gong Qiyan nodded: "Yes. Unfortunately, the frozen results show that although 80% of the tumors are conjunctive tumors, 20% are at least malignant. In addition to his own lung problems... Ji Luo, what do you think? According to our operation If the plan is discussed and carried out, it is recommended to remove the middle lobe of the right lung."
Ji Luo felt his eyes suddenly go dark.
Ji Junde next to him didn't understand medicine, and continued to ask Gong Qiyan questions.
But Ji Luo knows...
The purpose of this operation is to remove the lung nodules and take them out for testing to see if they are malignant.
If it is borderline, it is lucky, the lungs can be preserved, and there is no need for chemotherapy after surgery.
But the viciousness of 20 means...
"Does it have to be removed?" Ji Luo clenched his fists and said, "I can't, Paul..."
Gong Qiyan looked at Ji Luo, but didn't make a sound.
Ji Luo fell silent.
Whether to remove or not to remove, there is no real answer to the future development of the disease.
Considering the current level of medical treatment, there is no absolute cause for the development of cancer, and the understanding of gene mutations in cancer cells is not complete.
Postoperative chemotherapy is a hurdle, and recurrence and metastasis are another hurdle.
Some patients did not receive chemotherapy or radiotherapy after surgery, and they lived to the age of 80 without any problem.
Some patients have exhausted all means, but still relapsed in a short period of time with multiple metastases.
According to the current medical level, cutting out the tissue that may be "contaminated" is a desirable means to reduce the possibility of recurrence.
But... not absolutely.
Moreover, we still need to wait for the results of immunohistochemistry to determine the next chemotherapy regimen.
Of course you won't get the right answer today.
There are also no further metrics to refer to for use.
So for Ji Luo and Ji Junde, whether to remove one of Ji Ling's lungs is a choice without a standard answer, based on luck and prayer.
Resection, will face sequelae of lobectomy.
If it is not removed, it may face the difficulty of future disease recurrence.
Ji Luo's chest heaved and fell, and his eyes were as red as a rabbit.
……
Why is it vicious.
Brother obviously hasn't smoked for a long time, why is this happening.
……
It's all my fault...
If I wasn't mad at him, if I were with him well, how could he——! ! !
The clenched fists trembled more and more, Ji Luo felt buzzing in his ears, his heartbeat accelerated violently, and he blamed himself so much that he was about to collapse!
After understanding the situation in detail, Ji Junde calmly made a decision: "No lobe removal."
Ji Luo... Only then did he come back to his senses.
He looked at Ji Junde uncertainly, then at Gong Qiyan, and said in a trembling voice after a while: "Father, if you don't cut it off, then if it recurs in the future..."
Ji Junde stroked the curly hair of the little rabbit with red eyes: "So, you must never be angry with him again, understand?"
"……dad."
Gong Qiyan also said lightly: "He must never smoke again. Ji Luo, although I don't know why he, a person who didn't smoke before, exercised regularly, and had very good eating habits and work and rest, got this disease, but the consequences have already been seen. , no matter what, you can no longer smoke in the future.”
Ji Luo's small Adam's apple rolled, and he understood these principles in his heart.
But he is more aware of the more serious consequences that may result from not removing the lung lobes.
...Of course he didn't want Ji Lingduo to suffer any suffering. Ji Luo knew how much damage a body tissue would do to his body, but he always had a hope in his heart. He wanted an expert in this field to tell him that he didn't need to cut it off. There may also be hope...
Unfortunately, no one can give him a definite answer.
He himself had no answer.
Only Ji Junde decided not to remove the lung lobe.
Gong Qiyan sighed softly, looked up at the clock hanging on the wall, "Make a decision as soon as possible. Uncle, if you don't remove the lung lobes, you will indeed face many risks."
"There are risks in everything you do." Ji Junde is very calm, "People live with risks every day, the important thing is how to bear, control, and face it. It doesn't matter if there is a problem, solve the problem, and maintain a Optimistic, positive attitude is the most important thing. Luoluo?"
Gong Qiyan nodded, then looked at Ji Luo: "Ji Luo, what do you think? Time is urgent, so I can't think about it any longer."
Prolonged general anesthesia and keeping the chest open is very bad for the patient.
Ji Luo couldn't make up his mind.
...he hardly ever had a moment of indecision.
But this time, he was really scared.
On the one hand, I am afraid that my brother will suffer, and on the other hand, I am afraid that I will face another cancer in the future.
What should I do.
Who will tell him...
what to do……! ! !
"Ji Luo." Gong Qiyan calmly called his name, waking Ji Luo up from a state of shock, gnashing his teeth and trembling, "Don't hesitate."
"..."
But I'm really afraid, Ji Luo thought.
Never before have so many helpless emotions appeared in the twinkling peach blossom eyes. Ji Luo was extremely confused, and the ticking sound of the clock hand was echoing in his ears, and what appeared in front of his eyes was a man lying on the operating bed who had lost his life. A vision of consciousness.
what to do! ! ……what to do……
Why is he the one lying there.
He did nothing wrong.
it was my fault...
Let him bear the consequences.
Woo...why didn't I lie in it and suffer...
Gong Qiyan stared at Ji Luo for a while, then slowed down his voice, and said, "Before anesthesia, he even said something to me."
Ji Luo looked up suddenly.
"He said, he doesn't blame you." Gong Qiyan said slowly, "No matter what the result is, he doesn't blame you. Ji Luo, I can tell that he loves you very much. So... he also Let you, help him make these decisions. You think about it, and then tell me your decision, okay?"
"..."
Ji Junde also looked at Ji Luo.
His eyes were full of encouragement and love.
Ji Luo calmed down, lowered his head, and covered his eyes.
"No, don't cut it off..." In the range that no one could notice, the young man's voice was dyed with subtle cries, "Don't cut it off...he will be fine, he will be fine..."
……
……
When Ji Ling opened his eyes again, he had already returned to the anesthesia room.
Ji Luo and Ji Junde were exempted from entering the anesthesia room, and they were by his side, accompanying him.
He is still wearing a ventilator, and his physical functions have not yet fully recovered, so he cannot speak for the time being.
When Ji Luo saw that he woke up, he leaned over and kissed the man on the forehead first.
'pooh'
... Ji Ling moved his eyelids helplessly, trying to raise his hand to rub Ji Luo's head.
Ji Luo was very obedient, understood what he meant, and rubbed his furry head over by himself.
Then he grabbed the man's wrist and let him spread his fingers.
He also spread his fingers, together with Ji Ling's, in a 'high five' gesture.
The boy wore two rings on his slender and fair hands.
One is his own engagement ring, and the other is for Ji Ling to wear, his ring.
"The operation was successfully completed, it's great." Ji Luo said, took off the ring belonging to Ji Ling on his ring finger, and gently put it back on him, "Brother, you are not allowed to smoke in the future. If you have a cigarette addiction... Well, you just kiss me, like this."
After finishing speaking, the little koala leaned over again, and kissed the man's cheek again, which had not yet recovered its warmth.
"..." Ji Ling looked at Ji Luo with a smile and nodded silently.
Where does he have any addiction to cigarettes.
His addiction is called Ji Luo.
……
That night, Ji Luo stayed on the bed and stayed up all night.
He has been sitting by the man's bed and never leaves.
He couldn't eat or drink for 24 hours after the operation, but he was on a ventilator, so his lips and mouth were very dry. Ji Luo frequently wiped Ji Ling with a cotton swab dipped in water to keep his skin moist.
Also move your legs frequently to prevent blood clots.
Although he had been injected with anticoagulation, Ji Luo still did it by himself, and he massaged and dredged him at a certain frequency at night.
……
Ji Luo never thought that there would be a day when she would take care of others like this.
I have lived a life of being served since I was born, and I am so arrogant that I have not even rinsed the cup by myself, let alone doing these tiring jobs.
...But Ji Luo is willing.
Throughout the night, Ji Luo looked at the man's familiar and handsome sleeping face, listened to his soft breathing, and held his hand with clear bones.
Their fingers are intertwined, tightly inseparable.
Although the "didi" sound of the ECG monitoring equipment is noisy, to Ji Luo's ears, it is more beautiful and pleasant than all the music in the world.
It represents the continuation of life.
On behalf of...the person he loves the most is safe and safe.
People under general anesthesia have no self-awareness, rely on intubation to breathe, their body temperature is lower than usual, and their complexion looks a little pale.
But Ji Ling's handsome and profound facial features, as well as his distinct facial contours, against the backdrop of the low temperature, turned out to be a bit more stern and handsome.
Some little nurses looked at him, their eyes could not stop drifting towards him.
When the scalpel broke through the first layer of skin, some people's cheeks gradually turned red.
"The pecs...wow."
"Body...ah, so young, how can it be highly suspected of lung cancer?"
Even though someone was talking in a low voice, the two directors were still focused and paid attention to his situation.
The electronic display next to the operating bed reflected the images inside Ji Ling's chest.
The head of the cardiothoracic surgery department raised his head and frowned.
"Qiyan, is this patient your friend? Why does he have smoking lung at such a young age?"
Gong Qiyan did not expect that the lungs of a person lying on the operating bed would look like this.
I didn't have much reaction when I had a bronchoscopy before. I didn't expect that there would be some discoloration after seeing the lungs directly... Although it is not particularly serious, if it is caused by short-term smoking, it is enough to explain how much tar and nicotine he inhales every day.
The corners of the lips hidden behind the surgical mask straightened up, Gong Qiyan frowned, and then relaxed.
The action paused for a moment, and then quickly returned to the operation state.
Holding the surgical instrument with his fingers, he cut off the piece of cauliflower-like tissue cleanly and swiftly, and sent it to be frozen.
……
The 40 minutes of the freezing test was neither long nor short, but for Ji Luo, every minute and every second he spent standing outside waiting was a torment.
Even though Gongci Medical is equipped with a good waiting area for surgery, as well as tea, fruit, and comfortable sofas for family members, how can Ji Luo be in the mood to use these...
When the door of the operating room opened temporarily, Gong Qiyan, who was wearing a dark blue surgical gown, had just revealed a figure, and Ji Luo rushed in three steps at a time!
"Successful." Gong Qiyan spoke first.
Ji Luo let out a long sigh of relief.
Glancing at it, seeing Gong Qiyan's laboratory test form between his fingers, his heart clenched again.
Gong Qiyan didn't hand it to Ji Luo, but asked a question first: "I remember he didn't smoke before."
Ji Luo: "..."
"The image of the lungs doesn't look very good." Gong Qiyan said the facts plainly, "You have studied medicine, you should know what a smoking lung looks like. He has at least mild tissue invasion, which led to this report results."
While speaking, Gong Qiyan shook the report card in his hand.
When Ji Luo heard him speak, his heart skipped a beat.
After a while, he said in a hoarse voice: "Cause, report the result? You mean..."
Gong Qiyan nodded: "Yes. Unfortunately, the frozen results show that although 80% of the tumors are conjunctive tumors, 20% are at least malignant. In addition to his own lung problems... Ji Luo, what do you think? According to our operation If the plan is discussed and carried out, it is recommended to remove the middle lobe of the right lung."
Ji Luo felt his eyes suddenly go dark.
Ji Junde next to him didn't understand medicine, and continued to ask Gong Qiyan questions.
But Ji Luo knows...
The purpose of this operation is to remove the lung nodules and take them out for testing to see if they are malignant.
If it is borderline, it is lucky, the lungs can be preserved, and there is no need for chemotherapy after surgery.
But the viciousness of 20 means...
"Does it have to be removed?" Ji Luo clenched his fists and said, "I can't, Paul..."
Gong Qiyan looked at Ji Luo, but didn't make a sound.
Ji Luo fell silent.
Whether to remove or not to remove, there is no real answer to the future development of the disease.
Considering the current level of medical treatment, there is no absolute cause for the development of cancer, and the understanding of gene mutations in cancer cells is not complete.
Postoperative chemotherapy is a hurdle, and recurrence and metastasis are another hurdle.
Some patients did not receive chemotherapy or radiotherapy after surgery, and they lived to the age of 80 without any problem.
Some patients have exhausted all means, but still relapsed in a short period of time with multiple metastases.
According to the current medical level, cutting out the tissue that may be "contaminated" is a desirable means to reduce the possibility of recurrence.
But... not absolutely.
Moreover, we still need to wait for the results of immunohistochemistry to determine the next chemotherapy regimen.
Of course you won't get the right answer today.
There are also no further metrics to refer to for use.
So for Ji Luo and Ji Junde, whether to remove one of Ji Ling's lungs is a choice without a standard answer, based on luck and prayer.
Resection, will face sequelae of lobectomy.
If it is not removed, it may face the difficulty of future disease recurrence.
Ji Luo's chest heaved and fell, and his eyes were as red as a rabbit.
……
Why is it vicious.
Brother obviously hasn't smoked for a long time, why is this happening.
……
It's all my fault...
If I wasn't mad at him, if I were with him well, how could he——! ! !
The clenched fists trembled more and more, Ji Luo felt buzzing in his ears, his heartbeat accelerated violently, and he blamed himself so much that he was about to collapse!
After understanding the situation in detail, Ji Junde calmly made a decision: "No lobe removal."
Ji Luo... Only then did he come back to his senses.
He looked at Ji Junde uncertainly, then at Gong Qiyan, and said in a trembling voice after a while: "Father, if you don't cut it off, then if it recurs in the future..."
Ji Junde stroked the curly hair of the little rabbit with red eyes: "So, you must never be angry with him again, understand?"
"……dad."
Gong Qiyan also said lightly: "He must never smoke again. Ji Luo, although I don't know why he, a person who didn't smoke before, exercised regularly, and had very good eating habits and work and rest, got this disease, but the consequences have already been seen. , no matter what, you can no longer smoke in the future.”
Ji Luo's small Adam's apple rolled, and he understood these principles in his heart.
But he is more aware of the more serious consequences that may result from not removing the lung lobes.
...Of course he didn't want Ji Lingduo to suffer any suffering. Ji Luo knew how much damage a body tissue would do to his body, but he always had a hope in his heart. He wanted an expert in this field to tell him that he didn't need to cut it off. There may also be hope...
Unfortunately, no one can give him a definite answer.
He himself had no answer.
Only Ji Junde decided not to remove the lung lobe.
Gong Qiyan sighed softly, looked up at the clock hanging on the wall, "Make a decision as soon as possible. Uncle, if you don't remove the lung lobes, you will indeed face many risks."
"There are risks in everything you do." Ji Junde is very calm, "People live with risks every day, the important thing is how to bear, control, and face it. It doesn't matter if there is a problem, solve the problem, and maintain a Optimistic, positive attitude is the most important thing. Luoluo?"
Gong Qiyan nodded, then looked at Ji Luo: "Ji Luo, what do you think? Time is urgent, so I can't think about it any longer."
Prolonged general anesthesia and keeping the chest open is very bad for the patient.
Ji Luo couldn't make up his mind.
...he hardly ever had a moment of indecision.
But this time, he was really scared.
On the one hand, I am afraid that my brother will suffer, and on the other hand, I am afraid that I will face another cancer in the future.
What should I do.
Who will tell him...
what to do……! ! !
"Ji Luo." Gong Qiyan calmly called his name, waking Ji Luo up from a state of shock, gnashing his teeth and trembling, "Don't hesitate."
"..."
But I'm really afraid, Ji Luo thought.
Never before have so many helpless emotions appeared in the twinkling peach blossom eyes. Ji Luo was extremely confused, and the ticking sound of the clock hand was echoing in his ears, and what appeared in front of his eyes was a man lying on the operating bed who had lost his life. A vision of consciousness.
what to do! ! ……what to do……
Why is he the one lying there.
He did nothing wrong.
it was my fault...
Let him bear the consequences.
Woo...why didn't I lie in it and suffer...
Gong Qiyan stared at Ji Luo for a while, then slowed down his voice, and said, "Before anesthesia, he even said something to me."
Ji Luo looked up suddenly.
"He said, he doesn't blame you." Gong Qiyan said slowly, "No matter what the result is, he doesn't blame you. Ji Luo, I can tell that he loves you very much. So... he also Let you, help him make these decisions. You think about it, and then tell me your decision, okay?"
"..."
Ji Junde also looked at Ji Luo.
His eyes were full of encouragement and love.
Ji Luo calmed down, lowered his head, and covered his eyes.
"No, don't cut it off..." In the range that no one could notice, the young man's voice was dyed with subtle cries, "Don't cut it off...he will be fine, he will be fine..."
……
……
When Ji Ling opened his eyes again, he had already returned to the anesthesia room.
Ji Luo and Ji Junde were exempted from entering the anesthesia room, and they were by his side, accompanying him.
He is still wearing a ventilator, and his physical functions have not yet fully recovered, so he cannot speak for the time being.
When Ji Luo saw that he woke up, he leaned over and kissed the man on the forehead first.
'pooh'
... Ji Ling moved his eyelids helplessly, trying to raise his hand to rub Ji Luo's head.
Ji Luo was very obedient, understood what he meant, and rubbed his furry head over by himself.
Then he grabbed the man's wrist and let him spread his fingers.
He also spread his fingers, together with Ji Ling's, in a 'high five' gesture.
The boy wore two rings on his slender and fair hands.
One is his own engagement ring, and the other is for Ji Ling to wear, his ring.
"The operation was successfully completed, it's great." Ji Luo said, took off the ring belonging to Ji Ling on his ring finger, and gently put it back on him, "Brother, you are not allowed to smoke in the future. If you have a cigarette addiction... Well, you just kiss me, like this."
After finishing speaking, the little koala leaned over again, and kissed the man's cheek again, which had not yet recovered its warmth.
"..." Ji Ling looked at Ji Luo with a smile and nodded silently.
Where does he have any addiction to cigarettes.
His addiction is called Ji Luo.
……
That night, Ji Luo stayed on the bed and stayed up all night.
He has been sitting by the man's bed and never leaves.
He couldn't eat or drink for 24 hours after the operation, but he was on a ventilator, so his lips and mouth were very dry. Ji Luo frequently wiped Ji Ling with a cotton swab dipped in water to keep his skin moist.
Also move your legs frequently to prevent blood clots.
Although he had been injected with anticoagulation, Ji Luo still did it by himself, and he massaged and dredged him at a certain frequency at night.
……
Ji Luo never thought that there would be a day when she would take care of others like this.
I have lived a life of being served since I was born, and I am so arrogant that I have not even rinsed the cup by myself, let alone doing these tiring jobs.
...But Ji Luo is willing.
Throughout the night, Ji Luo looked at the man's familiar and handsome sleeping face, listened to his soft breathing, and held his hand with clear bones.
Their fingers are intertwined, tightly inseparable.
Although the "didi" sound of the ECG monitoring equipment is noisy, to Ji Luo's ears, it is more beautiful and pleasant than all the music in the world.
It represents the continuation of life.
On behalf of...the person he loves the most is safe and safe.
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