Back to the Republic of China as a doctor

Chapter 211 209. I Can't Guarantee He Will Live For A Few Years (Please Subscribe A Monthly Pass)
in the operating room.

The preoperative preparation is complete and the patient is anesthetized.

Yu Wen entered the abdomen with a knife, opened the greater omentum a little, and saw a part of the patient's stomach that was extremely red, and looked at Jiang Lai, "Your uncle... this fortune-telling is a big one, I almost wore it .”

Jiang Lai nodded, "Well, it was almost there."

It was just a little bit, and it was pierced. If that was the case, I would have to suffer a lot.

"Cut it."

"cut."

The two cooperated and performed a subtotal gastrectomy quickly and nimbly. Of course, they also checked the remnant stomach and the anastomotic intestinal end again. The mucous membrane was intact. After cleaning up the original blood stains, there was no activity. Bleeding, this is the last anastomosis.

In this era, there was no stapler, and both of them were stitched together one by one. In less than two hours, Gu Tongen's blood pressure and heart rate were both stable than before the operation.

"Next, it's angiography." Jiang Lai had already taken a good look at Gu Tongen's liver. The texture was soft, and the volume seemed to shrink a little. In terms of color, it wasn't that pink and tender, and the color was a bit darker. The surface isn't that smooth either.

Just looking at the shape, he felt that it was not very good.

"This liver...is really old and old." Before the operation, I didn't pay attention to the liver. Now that it's done, Yu Wen also observed it, and then raised his eyebrows. The big ulcer is fine, but this liver will kill him sooner or later, which means he has money!"

Jiang Lai shook his head helplessly, "If you have money, you have to have life."

On the side, Xia Yu also looked at Mr. Gu's liver, indeed...it seemed different from the livers of many surgery patients she had seen before.

"Such a liver..." Yu Wen frowned.

"Quit alcohol, protect the liver..." Jiang Lai also shook his head, although Gu Tongen's liver should not be diagnosed with cirrhosis, at least it should be alcoholic liver.

If some symptoms do not appear now, it means that the liver function is compensating.

Once it is decompensated, various symptoms will appear. Of course, the most difficult complication of hepatitis with various causes such as hepatitis B, fatty liver, and alcoholic liver is liver cancer.

This is why Jiang Lai wanted to perform an angiography on this man.

He was afraid...he had liver cancer.

As for cancer, I am afraid that it will already be in the advanced stage when it is detected. If it is in the early stage, the prognosis of most cancers is not bad.

……

"This is?" Yu Wen saw the angiography for the first time, and looked at the image in surprise, "General liver, inherent, left liver, right liver...that's right!"

"Wait a while and take another picture." Jiang Lai exhaled. Every angiographic examination is a challenge for him; the angle, thickness, and blood flow of each person's blood vessels are different. Which blood vessel has been reached will ultimately need to be judged by angiography.

He also finally found the target blood vessel after several trials and errors.

"This is..." On the second effective film, it seems to see a small gray-black shadow.

"New blood vessels." Jiang Lai's tone sank, a mess of new blood vessels.

The growth of a tumor needs a lot of nutrients. For this reason, countless blood vessels will be born to plunder nutrients from the surrounding tissues, like the one he saw now... Undoubtedly, it is a bad thing.

"It's really a tumor?" Yu Wen was slightly taken aback, the normal X-ray, because the liver is under the ribs, and X-rays are better at developing high-density things, so the liver is generally invisible.

But this time... Looking at the direction of the blood vessels and the messy blood vessels about 2 centimeters, he knew for the first time that the improvement of inspection methods can really bring hope to the patient's health.

"It's more or less the same. For the final judgment, it needs to be cut out for pathological sectioning." Jiang Lai frowned, "I'll inject contrast agent again and take another picture."

"it is good."

……

Jiang Lai walked out of the operating room, frowned, looked at Mrs. Gu, and sighed when he thought that Gu Tongen had no children, "Aunt Xing."

"Hey..." Mrs. Gu's surname is Xing. Seeing Jiang Lai, she also stood up, "Benefits to him..."

"The stomach has been cut. This is his big ulcer, about 5 centimeters, so it is bleeding very badly." Jiang Lai unfolded the tray and showed the cut tissue to the patient's family. never mind."

"Is this the human stomach?" Miss Sheng Qi glanced at it in surprise. Although she felt bloody and bloody, she felt that the human stomach seemed to have an unexpected beauty.

"Yes." Jiang Lai nodded, but still looked at Mrs. Gu, "Aunt Xing, there is another news, it's not very good, you have to be mentally prepared."

"Did Tong En have an accident?" Mrs. Gu's only psychological preparation was that Gu Tong En had an accident on the operating table, and then tears began to fall down.

At this time, Jiang Yunting and Du Yuesheng also looked over, with disbelief in their eyes.

Had an accident during Jiang Lai's operation?
Unlikely, right?
Is Gu Tongen really so unlucky?
"No, Uncle Gu Shi's vital signs are all stable now, and he's fine." Jiang Lai shook his head.

Crowd: ...

"But I said earlier that I would do another examination for Gu Shishu. During the examination, I saw a space occupying about 1.8cm on the right lobe of Gu Shishu's liver. It was densely packed with new blood vessels, and the so-called space occupying is the tumor. Possibly." Jiang Lai explained.

In this era, people's awareness of cancer is not as good as that of later generations.

But most of the people present have seen the market. Cancer... Although they haven't seen it with their own eyes, they have heard of it. In short, it is a disease that cannot be cured.

"Then..." Mrs. Gu no longer knew what Jiang Lai was talking about.

"It can be cut off together in this operation, but in this way, it will take some time before the operation is completed. Most importantly, even if the operation is performed, I cannot guarantee how many years Uncle Gu Shi will live."

"Ah..." Madam Gu finally understood, it's an incurable disease.

"Now, there are two options." Jiang Lai put down the iron plate in his hand, and looked at Mrs. Gu seriously, "The first option is to cut it off, but I'm not sure if the cancer cells have metastasized, at least the existing In terms of inspection conditions, I mean, in terms of the technical conditions of this era, it should not be possible to fully check, so even if it is cut off, I am not sure about the prognosis; the second option, if you don’t cut it, you don’t have to tell Uncle Gu. But after that, I have to quit smoking and drinking completely, and find an old doctor to use traditional Chinese medicine to recuperate, as for the prognosis, I don’t guarantee it.”

Yes, in this era, Jiang Lai discovered cancer patients for the first time.

One, a cancer patient who left his name in history.

A 38-year-old liver cancer patient is too young even if he is put in later generations. Therefore, alcohol is poison for the intestines.

I'm afraid Gu Tongen drank a lot since he was a teenager.

"Nephew Jiang Xian, you can't guarantee that..." Du Yuesheng organized his words.

"For now, whether to cut it or not depends on luck; if there is no metastases, then it is best to cut it off; but if it has already metastasized, cutting it is useless."

　Chapter 2.

　　As the title.

　　
　
(End of this chapter)