Great Doctor Ling Ran
chapter-737

Chapter 737: He’s the Expert Indeed

Two 100-inch big screens were lit up at the same time.

One of the screens displayed a video conference formed by four pictures, while another screen was on its screen saver, but nevertheless ready to be used for relevant information, including videos.

Lloyd, who had changed into scrubs that revealed his hairy arms and chest, argued heatedly with the other four doctors in the video conference.

“Based on the information you provided, the differentiation level of the tumor is not low, so it is probably a poorly differentiated tumor. In this case, I suggest expanding the removal range. Besides, according to the patient’s current request, should we consider liver transplantation? If we can perform liver transplantation, her prognosis can still be improved.”

“The patient’s current condition is ill-suited for liver transplantation. The Chinese doctors are very conservative when it comes to organ transplantation, and they have very few organ donors. This patient is not qualified to get a donor, and she does not have the money for this major surgery…”

“In this case, I think we should not expand the resection area, but the removal position can still be considered. Don’t you think the current resection area makes it seem like the doctor is being too careful? He’s only removing the left lobe of the liver, and the location of the resection is very strange. How did the chief surgeon approve this?”

Lloyd discussed with the doctors in the video for at least ten minutes. When he turned around, he saw Ling Ran, who had been reading MRI scan for a long while, was now facing the empty wall and waving his arms, as if he was simulating the surgical process.

Lloyd frowned and asked, “Doctor Ling, would you like to join us?”

“How should I?” Ling Ran was still busy with the simulation, and he only afforded a distracted response.

Lloyd stared at Ling Ran’s back and said, “You can stand by me and we can discuss this surgery together.”

“Alright.” Ling Ran did not refuse the invitation resolutely.

At the end of the day, Lloyd’s help still benefited the patient.

Four specialists had participated in this remote consultation that he initiated, and all of them were rather famous surgeons, and they could be considered to be very good at medical theory and had a lot of experience.

In fact, even back in Anderson Cancer Center, the doctors would not gather four high-class specialists for remote consultation. If two specialists joined the remote consultation, they would already be considered to be respecting the surgeon by a large margin. After all, Anderson Cancer Center was a world class medical center. They not only focused on telemedicine in the country, but also focused on areas with underdeveloped medical facilities and carried out systematic remote consultation. Therefore, they were actually very tight with their resources for consultation.

However, after Lloyd’s emotional persuasion, the four specialists involved in the remote consultation responded to his hails.

After they learned that Ling Ran was the chief surgeon, four of them only praised Ling Ran for his good looks and young age before they got to the topic.

“Doctor Ling Ran, could you please describe your train of thought for this surgery? You’ve chosen a smaller prediction area for your incision, but such a surgery is rather extensive. Just now, I saw that the areas involved are the posterior inner segment, anteromedial segment, right anterior segment, inner lower segment… The affected bile duct and blood vessels are also very complex. In this case, isn’t it better if you directly perform hepatic segmentectomy?”

“Hepatic segmentectomy removes too many areas. I’m afraid that the patient might not be able to wake up.” Ling Ran did not hide his thoughts. If they had a better surgical plan, he did not mind taking it up. In fact, Ling Ran slightly hoped that these five experts could provide him with a good suggestion.

Because of this, Ling Ran voiced his considerations and the reason for his decision without any hesitation.

Ling Ran was not willing to perform the liver cancer surgery. He chose to perform it now for the patient’s benefit. Therefore, Ling Ran hoped he could do it well. The better he did, the better the condition of the patient would be. When he thought about things from this perspective, Ling Ran did not really bother about whether he was right or wrong, and he also did not bother about his own reputation.

Unless the treatment of cancer could provide a radical change, Ling Ran would not frequently perform cancer surgery. He did pay any heed to his reputation in this field either.

When the four specialists on the screen heard what Ling Ran said, all of them remained silent for more than ten seconds.

“Using hepatic segmentectomy will indeed remove more areas of the liver, so, what about reducing a few segments for hepatic segmentectomy?” The specialist who spoke up before this frowned and suggested again.

“These hepatic segments are invaded by cancer cells, and if we reduce the resection area, then the cancer cells will not be removed completely,” Ling Ran answered.

“True… But if the target for survival is three years, it will be safer with this method.”

“Aren’t you being too confident by stating that she will survive three years right now?”

“There’s no need to make such a compromise for hepatic segmentectomy.”

Ling Ran also said, “The three year goal is the request made by the patient, but we still hope to get a better outcome.”

“It’ll be great if she can survive for three years. How big is this tumor? 3 inches, right? It’ll be good if she can survive, but three years is already a dream.”

3 inches might sound pretty normal, but in the doctors’ world, a liver tumor that exceeded 2 inches was already very hard to handle, and because of the rich blood supply in the liver, it caused the big tumor to be connected with many blood vessels. The slightest action during the removal process might cause devastating consequences. Even if the removal was successful, the remaining liver tissues which had not been occupied by a huge amount of useless cancer cells might face challenges afterward.

The doctors needed to consider whether the remaining liver tissues could be used, and they needed to subsequently consider the proliferation problem during the resection process, they also had to think about how to remove all cancer cells completely…

In short, the worse the patient’s body condition, the more problems they needed to consider, and the worse the prognosis would be.

It was very difficult to get a good prognosis for a patient with a 3-inch liver tumor. It was also the reason why Ling Ran had been willing to perform this surgery. From his perspective, if this patient was passed to He Yuanzheng for hepatectomy, she should be able to successfully survive the surgery, but after the surgery, she will definitely die shortly after.

With He Yuanzheng’s skill, if he were not careful, he could easily cause the patient to be in hepatic coma. Even if this did not happen, the subsequent feeble condition the patient would inevitably be in would also make the patient suffer a lot during chemotherapy. Surviving it was another great challenge.

Chemotherapy might cause the patient to lay on the bed for a long time, and she might even need to be bedridden for almost a year. At the same time, the relapse of cancer might destroy her last hope…

There was no need for Ling Ran to even mention it, the few doctors in the area also knew about the most probable direction of the surgery.

It was precisely because of the extremely high difficulty rate for this surgery that Lloyd looked for those doctors to perform remote consultation, otherwise, he could give sufficient suggestions alone.

Ling Ran stood in front of the screen while he listened to them seriously.

It must be said that in some tiny matters, the specialists from Anderson could point out very constructive suggestions. When he considered their status before their suggestions, the old man who first suggested hepatic segmentectomy was probably equipped with Master Level Hepatectomy. While the other three might not have Master Level Hepatectomy, their attainment in the field of general surgery or cancer diseases were definitely not low.

However, if they could only provide remote consultation, the specialist with Master Level Hepatectomy could also not rely on words to provide decisive help.

He might be specialized in hepatic segmentectomy and had a large amount of experience to aid him in providing a good prognosis for the patients, but Ling Ran was not a doctor who grew up during the time of hepatic segmentectomy, and Ling Ran’s best skill in Master Level Hepatectomy was not hepatic segmentectomy.

Meanwhile, Ling Ran, who owned many Master Level and Perfect Level skills, probably surpassed the old men on the other side of the screen in this surgery.

Therefore, after a short consultation, Ling Ran decided to start the surgery. He still used his own method but only minor amendments to it.

“If that’s the case, the risk is still very high.”

“Lloyd, I suggest you send the patient to Anderson.”

“Maybe we can get a foundation to handle this.”

The few doctors started to nag from the other side of the screen, but Ling Ran’s face slowly became serious. “Scalpel. Lower the volume.”

“Yes.” Ling Ran’s surgery group started to operate without any hesitation.

For the current Ling Treatment group, specialists, academicians, and Anderson Cancer Center were all just decorative titles.

When it came to hepatectomy, Ling Ran was the expert!