209. I can't guarantee that he will live a few more years monthly pass
In the operating room.
The preoperative preparation has been completed and the patient has been anesthetized.
Yu Wen put a knife into his abdomen and slightly opened the omentum. He saw that the patient's stomach was very red. He looked at Jiang Lai, "You uncle... this time, you have a fortune teller, and you almost got it through."
Jiang Lai nodded, "Well, it's almost done."
It's just a little bit, it's just pierced. If that's the case, it's going to be a bit of a crime.
"Tsk."
"cut."
The two of them cooperated and quickly and quickly performed a large part of the stomach removal for this person. Of course, they also checked the residual stomach and the anastomotic intestinal ends again, and the mucosa was intact. After cleaning the original blood stains, no active bleeding was seen, and then the anastomosis was finally done.
In this era, there is no stapler, and both of them are sewing each other. In less than two hours, Gu Tongen's blood pressure and heart rate are even smoother than before the operation.
"Next, it's angiography." Jiang Lai had already looked at Gu Tongen's liver carefully. The texture was soft or not, and the volume seemed to be a little reduced. In terms of color, it was not that pink and tender, the color was darker, and the surface was not so smooth.
Just looking at the form, he felt that it was not very good.
"This liver... It turns out that old wine liver is old." I didn't pay attention to the liver before the operation. After the operation, Yu Wen also observed it for a while, then raised his eyebrows, "Drinking it like this, even if the large stomach ulcer is fine this time, this liver will be his life sooner or later, which means that he is rich!"
Jiang Lai shook his head helplessly, "If you have money, you have to have a life."
On the side, Xia Yu also looked at Mr. Gu's liver. Indeed... the livers of many surgical patients she had seen before seemed different.
"A liver like this..." Yu Wen frowned.
"Quick alcohol and protect your liver..." Jiang Lai shook his head. Although Gu Tongen's liver should not be diagnosed with cirrhosis, it should at least be an alcoholic liver.
If there are no symptoms yet, it means that liver function is being compensated.
Once decompensated, various symptoms will be manifested. Of course, one of the most difficult complications of hepatitis with various causes such as hepatitis B, fatty liver, alcohol liver, etc. is liver cancer.
This is why Jiang Lai wanted to do an angiography for this person.
He is afraid of...he has liver cancer.
I’m afraid that cancer is already in the progressive stage when it is detected. If it is early, most cancers will have a good prognosis.
...
"Is this?" Yu Wen saw angiography for the first time and looked at the image in surprise. "The liver is the main body, the liver is inherent, the liver is left, the liver is right... That's right!"
"Wait and take another photo." Jiang Lai breathed out. Every angiography examination was also a challenge for him; the angle, thickness, and blood flow of each person's blood vessels were different. The specific blood vessels inserted into the catheter also needed to be judged through the imaging.
He finally found the target blood vessel after trying several mistakes.
"This is..." The second effective film seemed to see a gray-black shadow.
"New blood vessels." Jiang Lai's tone sank, a mess of new blood vessels.
The growth of tumors requires a lot of nutrients, and for this reason, countless blood vessels will be produced to plunder nutrients from the surrounding tissues. Like the ball he sees now... it is undoubtedly a bad thing.
"Is it really a tumor?" Yu Wen was slightly unconscious. It was normal for X-rays because the liver was under the ribs and X-rays were better for high-density things, so the liver was generally unable to see clearly.
But this time... he saw the direction of blood vessels and the mess about 2 cm inches of blood vessels, for the first time he knew that the progress of examination methods could really bring hope to patients' health.
"I'm sure I can't tell you. The final judgment requires cutting it and doing pathological slices." Jiang Lai frowned, "I'll take another contrast agent and take another photo."
"good."
...
Jiang Lai walked out of the operating room, frowned, looked at Mrs. Gu, and thought that Gu Tongen had no children, he also sighed, "Aunt Xing."
"Oh..." Mrs. Gu's surname is Xing. When she saw Jiang Lai, she also stood up, "I beg him..."
"The stomach has been cut off. This is his big ulcer, about 5 cm, so the bleeding is very severe." Jiang Lai unfolded the tray and showed the patient's family the cut tissue, "However, after cutting it, it should be fine if you rest well."
"Is this the human stomach?" Miss Sheng Qi looked at her in surprise. Although she felt bloody and bloody, she felt that the human stomach seemed to have unexpectedly had a sense of beauty.
"Yes." Jiang Lai nodded, but his eyes were still looking at Mrs. Gu, "Aunt Xing, there is another news, it's not very good, you have to be mentally prepared."
"Is there something unexpected about Tong'en?" Mrs. Gu's only mental preparation was that Gu Tong'en had an accident on the operating table, and then tears began to fall.
At this time, Jiang Yunting and Du Yuesheng also looked at it, both of them were disbelief.
An accident occurred in Jiang Lai's main surgery?
Impossible?
Is Gu Tongen so bad?
"No, Gu Shishu's vital signs are now stable, nothing is wrong." Jiang Lai shook his head.
Everyone:...
"But I said I would do another examination for Uncle Gu Shi. During the examination, I saw that there was a placeholder about 1.8cm on the right lobe of Uncle Gu Shi's liver, densely packed with new blood vessels. The so-called placeholder is the possibility of cancer." Jiang Lai explained.
In this era, people's understanding of cancer is not as good as that of later generations.
But most of the people present had seen cancer... Although they had never seen it with their own eyes, they had heard of it. In short, it was an incurable disease.
"Then..." Mrs. Gu no longer knew what Jiang Lai was talking about.
"It can be removed together with this operation, but in this way, it will take a while before the operation can be completed. The most important thing is that even after the operation, I can't guarantee how many years Uncle Gu Shi can live."
"Ah..." Mrs. Gu understood it, the incurable disease.
"Now, there are two choices." Jiang Lai put down the iron plate in his hand and looked at Mrs. Gu seriously. "The first choice is to cut it off, but I am not sure if the cancer cells have metastasized. At least in terms of the existing examination conditions, I mean that in terms of the technical conditions of this era, it should not be possible to conduct a comprehensive inventory, so even if it is cut off, I am not sure about the prognosis; the second choice is that if it is not cut, you don't have to tell Uncle Gu, but after that, you must quit smoking and alcohol, and ask the old doctor to use traditional Chinese medicine to regulate it. As for the prognosis, I don't guarantee it."
Yes, in this era, Jiang Lai discovered cancer patients for the first time.
A cancer patient who has been famous in history.
A 38-year-old patient with liver cancer is actually too young even if he is put in later generations. Therefore, alcohol is a poison that penetrates the intestines.
I'm afraid Gu Tongen has drunk a lot since he was a teenager.
"Nephew Jiang, what I can't guarantee is..." Du Yuesheng organized some language.
Chapter completed!