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Chapter 915: The Bugle for Victory

“Pen.” Ling Ran extended his hand before pulling it back. He started to draw lines on the patient’s body.

An extremely long incision line was drawn, and it looked as if Ling Ran wanted to open up the patient’s entire abdominal cavity.

Since Ling Ran would be working on the liver and stomach, the patient’s abdominal cavity would have to be basically completely opened.

Those nurses and assistants who were there subconsciously became serious as they observed Ling Ran drawing the line.

Any hospital or operating theater would treat this matter with seriousness when they had to perform a surgery with such a huge incision.

Ling Ran’s expression was even more serious.

He had already opened Young Dai’s abdominal cavity multiple times through the Virtual Human. He already knew the insides of the patient’s abdomen with his eyes closed. Even so, when he was about to really start such a complicated surgery, he still did not dare say that he was completely confident.

Constant repetitions needed to be done so that he could remember every detail, and he had to be accurate right down to the second. Then, during the moment of true battle, he could get the best results. This was a gamer’s mentality.

The reality was always much more complicated.

Forget about the patient’s stress reaction, the ability of how well his anesthetist and assistants could cooperate with him was already something of a constant mystery.

After being a doctor for a long time, one would know that sometimes, not only would people get odd illnesses, they would even make odd mistakes.

Even if everything went smoothly, the progress of the surgery and its direction would still be uncertain. Accidents happened frequently when there were a lot of steps in the surgery, and the surgery time was long.

They always said that a person would make three hundred minor mistakes before a major one. Even if a person did not die on the operating table, that did not mean that everything on the operating table went in an orderly and smooth manner.

Regardless of how high the level of a surgeon was, they would neither be able to prevent strange changes in the patient’s body nor predict whether the blood products imported into the patient’s body would change, let alone whether the anesthetist could complete all his maneuvers during a surgery perfectly.

What made Ling Ran most uncertain was the patients’ prognosis.

He could use a Virtual Human to influence the surgery, but the prognosis of the surgery could not be predicted.

The reason why surgical treatment for hepatic metastasis from gastric cancer faced many problems was because of poor prognosis. Of course, any current treatment method for hepatic metastasis from gastric cancer would still produce a poor prognosis.

The low five-year survival rate that was between ten percent to fifteen percent was like a sword hanging over the head of patients with hepatic metastasis from gastric cancer.

Even if Ling Ran made sure that all lesion was removed cleanly, he could not be certain whether cancer would recur or metastasize. Of course, the strictest tumor-free operation could reduce the probability of metastasis, but the possibility would still exist.

Due to this, there were still debates for the surgical treatment of hepatic metastasis from gastric cancer.

Many doctors preferred palliative surgeries. They had to deal with bleeding, perforation, and obstruction caused by the tumor, improve the treatment for the patient’s survival, and prolong the patient’s survival time.

Ling Ran also had a plan for this.

After all, anything could happen when the patient’s abdominal cavity was opened.

“Scalpel.” There were a myriad of thoughts in Ling Ran’s mind as his hands still moved according to the established steps.

Zhang Anmin and the other assistants fixed their gazes on the surgical area like large dogs staring at a bowl of rice.

Su Jiafu also kept his eyes on the screen as he watched his associate chief physician increase and decrease the dosage. Today’s surgery was too big. Even if Ling Ran agreed to it, Su Jiafu himself did not dare to do it on his own.

The scalpel cut through the skin, and the skin curled up slightly like the crust of bread.

The yellowish fat layer had a trendy, grainy look and greasy look belonging to well-oiled antiques. When illuminated by the shadowless lamp, it gave off a timeless scent.

“I’m glad he’s not fat,” Zhang Anmin whispered, which made the atmosphere a little less tense.

Lu Wenbin looked up at Zhang Anmin and snuck a glance at Ma Yanlin, who was next to him. ‘Look at Zhang Anmin. He became really different after being an associate chief physician. He is braver at telling jokes in the visitation room no matter how many people are in there, even if the jokes are not interesting. Nowadays, people are so flighty. How can they consider the associate chief physician of the Department of Hepatobiliary and Pancreatic Surgery as a true associate chief physician? Department Director He Yuanzheng from the Department of Hepatobiliary and Pancreatic Surgery is now looking for a successor. The fool doesn’t even know how to learn some skills from Doctor Ling.

‘Besides, now that Zhang Anmin is an associate chief physician, he’s still flattering Doctor Ling. How shameless is this associate chief physician’s face? With this much salary, can’t he get some good quality face masks for himself? Even I, who cooks two pots of pork trotters, know how to do skincare…’

Ma Yanlin: Unamused face.jpg

“The situation sure is complicated.” Zhang Anmin waited for Ling Ran to open up the patient’s abdominal cavity before he sighed beside him. His main purpose was to assist Ling Ran.

Without opening the abdomen, there was no way for them to know just how complicated was the insides of a patient with hepatic metastasis from gastric cancer.

The reason why Zhang Anmin specifically said this was to support Ling Ran.

Just as he expected, Ling Ran hummed and only reminded him to pay attention to suction. He then immersed himself in the surgery.

He had practiced the first few steps through a Virtual Human. For today’s surgery, Lin Ran spent twenty minutes on the Virtual Human. After recklessly chiseling and cutting into the Virtual Human, he gained very clear knowledge about what he should for the first few steps.

However, the later stage of the surgery was always the most accident-prone. He also only had a limited time with the Virtual Human. It was impossible to rely on a Virtual Human for this kind of surgery, which often could take several hours. So, Ling Ran was extremely careful during the whole process.

Radical surgery could only be carried out if everything went well. Otherwise, the significance of the surgery would be very small, and it may not prolong the patient’s survival time as long as palliative surgery.

Ling Ran really wanted to achieve the goal of performing radical surgery.

This was the real advantage of surgical treatment.

No matter how high the two-year or five-year survival rates of other treatment plans were, in the end, all other treatment plans were palliative treatments and could only prolong the survival period.

Only surgical treatment plans granted the possibility of curing the patients.

The odds were low, even lower than winning a lottery. However, Ling Ran had gathered a whole arsenal of weapons and acquired Perfect Level Tissue Separation. Was this not so that he could increase the probability of winning the lottery?

“Gauze,” Ling Ran straightened his back and gave instructions in a soft voice with an indifferent expression.

……

Young Feng was in Yun Hua Emergency Medical Center’s waiting area. Her anxious expression was super obvious.

A middle-aged man noticed Young Feng, and he found himself fancying her. He could not help but went to her and handed her a piece of corn. He said with a smile, “I noticed that you have been here for some time. I bet you haven’t eaten your breakfast. I brought a lot of corn. Why don’t you fill your stomach with it for now?”

“Thank you, but I don’t need it.” Young Feng shook her head, showing the tender side of a Jiangnan woman.

The man’s heart skipped a beat as he looked at her. He put away the corn and started a conversation. “Is your family member sick? What kind of surgery is he or she receiving?”

“It’s major surgery,” Yong Feng reluctantly replied.

The middle-aged man smiled with understanding and sympathy. “Don’t worry, my brother’s stomach was perforated before, and he had to remove his stomach. My whole family was so scared, but we still have to deal with it.”

“Really?”

“Is your family member’s surgery even more serious than that?”

“Yeah.”

“What is he or she removing?”

“The stomach as well.”

“Gastrectomy too? Is it subtotal gastrectomy? This is more serious, but don’t worry. I have a cousin who cut four-fifths of her stomach before…” the man said, feeling a little bit triumphant. He smacked his lips. “Let’s exchange our WeChat numbers. If you have any questions, you can ask me—”

As Young Feng listened on to his endless pestering, her mind became calmer, so she added that sentence. “And the liver.”

The middle-aged man was stunned. “Surgery on the liver is quite very dangerous. My second uncle has done it before and survived for many years later…”

“They’re removing them together.”

“What?”

“My husband is removing both his liver and stomach,” Young Feng said slowly.

The middle-aged man pondered about this and slowly said, “I have an uncle who had several meters of his intestines removed at a time. If you were to count, he removed both his colon and rectum as well…”