godfather of surgery

After receiving Yang Ping's affirmative reply, Director Fang immediately contacted the patient and his family and asked them to hurry up and come to the hospital for surgery. After all, the tumor had spread, and the earlier the surgery, the better.

Yuan Yulin and Nie Shun'e were very happy when they heard that the operation could be performed.

The couple are migrant workers and have a child who is already in middle school. They earn money every day from a late-night snack cart.

What makes Yuan Yulin happy is that the child studies very hard and his grades have always been among the best in the class.

Although he and his wife have worked hard, they have been living a pretty good life by earning money from this late-night snack cart. At least he is very satisfied with it.

Unfortunately, Nie Shun'e was recently diagnosed with pancreatic cancer, which has metastasized and spread. This is the king of cancers. The couple was like a bolt from the blue at the time, but they still have to face it afterwards.So I packed up my things and went to many hospitals. When I went to the imperial capital, the doctors all shook their heads. It was in an advanced stage and had metastasized to many places. Surgery was impossible. They could only receive conservative treatment and resign themselves to fate.

There was no other way, so the couple returned to the provincial capital of Nandu. They had to continue living their lives, and their children would have to go to college in the future.

So Nie Shun'e said, what are you afraid of? People are always going to die, so they don't go for treatment and just live their lives as usual, so they continue to sell midnight snacks.

At this time, a kind-hearted person appeared. I don’t know how this kind-hearted person knew their situation and came to find them at home. The kind-hearted person said that they could try Sanbo Hospital, and the kind-hearted person also gave them consolation money. Yuan Yulin and Nie Shun'e refused to accept it. They didn't want any money they didn't earn with their own hands, not even a penny. Even if they donated money, they were unwilling to accept it. They were responsible for their own affairs.

They believe that people should live free and easy in the world and should not owe others any favors.

Yuan Yulin thought it was a medical care at first, but later he found out that Sanbo Hospital had a very good reputation, so he decided to follow the guidance of a kind person and go to the outpatient clinic of the director of Sanbo Hospital.

Director Fang shook his head after reading the images and said that only conservative treatment was possible and surgery was not possible at all.

Later, Yuan Yulin pestered Director Fang to think of a solution. Director Fang also sympathized with the patient and it was not easy for everyone, so he asked the surgical institute if there was any solution.

In this way, Director Fang took the case to Yang Ping and asked Yang Ping how to deal with the case. Yang Ping said that external resection was the only way, and it was a way, and it was better than no way.

When Yuan Yulin received a call from Director Fang, he was busy preparing ingredients for the night's supper. Director Fang said that he could have surgery and asked him to go to Sanbo Hospital to go through the hospitalization procedures.

If surgery is possible, there is hope.

Yuan Yulin was so excited that he immediately told his wife the good news. He planned to close the stall for a few days and accompany his wife to see a doctor. He would try his best to see how many years he could live.

Financially speaking, Yuan Yulin and Nie Shun'e are also well prepared. They have saved a little money over the years, and bought medical insurance and commercial insurance. The self-pay part of the medical treatment expenses besides the medical insurance reimbursement can also be used in commercial businesses. Insurance reimburses it, so the financial pressure is not too great.

Yuan Yulin and Nie Shun'e went to the school to meet their children, provided them with enough living expenses, and then planned to go to the hospital. Of course, they did not tell the children that their mother was sick.

In fact, when he heard the unfortunate news, Yuan Yulin secretly cried, but it could not change the facts anyway.Therefore, Yuan Yulin planned to take his wife to travel, see the world, and enjoy the last time. However, he had children to take care of, so he could not leave, and his wife would not agree to him doing this. The family savings had to be left to Children will study later.

"Doctors from many big hospitals say they can't perform the surgery. Can Sanbo Hospital do it? Just don't do it to avoid wasting money. Most people are scared to death of this disease," Nie Shun'e said.

Nie Shun'e is a strong and open-minded woman. When she learned about this unfortunate diagnosis, she was in agony. However, she was much calmer than her husband. She thought that her child was already in middle school, and the family's savings over the years should be enough for him to go to college, so The matter has come to this, and she accepts the reality, but she doesn't want to spend too much money on treatment.

"It can work! This doctor is very skilled. I asked about it." Yuan Yulin encouraged his wife.

"How do you think this kind person knew about our situation, gave us condolence money, and guided us to see a doctor?" Nie Shun'e remembered that it was a kind person who made this possible.

Yuan Yulin said: "Didn't they say that they are a charity organization that specializes in serving some desperate patients for free? They also told us to keep in touch with them. They should track our treatment status and remember to contact them if we have any questions. , they can help us.”

"Well, there are still many good people. If it weren't for this kind person, we wouldn't have known there were such good doctors and hospitals." Nie Shun'e was very grateful to this charity.

Without the help of this charity, they had literally given up on treatment and now have renewed hope.

"In the future, we have to thank them properly." Yuan Yulin said.

For anyone's help, the couple will remember it in their hearts and will never forget it.

In fact, Yuan Yulin and Nie Shun'e are very kind-hearted couples. Their late-night snack truck provides a limited amount of free food every night to help the homeless and penniless people. They have been doing this for many years, and many people nearby know them and know their story. Acts of kindness.

The couple thought that maybe good people are rewarded, so now others are helping them and providing timely guidance on the direction of treatment.
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This complex abdominal tumor that requires extracorporeal resection is the best teaching case. Yang Ping started giving lectures to the patients before they came.

This relatively cutting-edge surgical method can actually be applied to many specialties. For example, some cardiac tumors cannot be completely removed due to the fixed anatomical position and anatomical relationships of the heart. The heart and surrounding organs can be completely removed and then taken out from the body. In this way, the heart is completely separated from the body and can be placed on the sterile table at any 360 degrees. It is very convenient to remove the tumor. You can cut it as you want without any anatomical restrictions.

After the tumor is removed, the heart is transplanted back into the human body, which is equivalent to another heart transplant operation.

The risk is definitely high, but it is indeed very convenient for tumor resection, and it becomes relatively simple to remove tumors that were originally difficult to do.

"There used to be a Japanese patient with a tumor in the chest. The professor planned to take out the heart and the large blood vessels connected to both lungs, completely remove the tumor outside the body, and then replant it." Song Zimo looked at the patient's image and thought of similar things in the past. cases.

In order to remove the tumor, all the heart and lungs were taken out and then replanted. This is a magical operation. It is really brave of a skilled person.

Xia Shu was stunned when he heard that such an unheard-of operation existed in the world.

Others have stayed in surgical institutes for a long time and are used to these things, so they don't react so much.

"This patient is actually not as difficult as the Japanese patient, but there are too many organs involved, a total of eight organs, so it is also more difficult." Yang Ping pointed to the picture on the screen.

Song Zimo knew that only a god like the professor could be so bold. How could any other doctor dare to do this? Not to mention whether the tumors were removed cleanly after taking out so many organs, the transplant of eight organs might still be incomplete. The amount of surgery is huge, and every detail must be done. If one organ becomes necrotic, there will be no way to end it.

"There aren't many surgeries like this in the world, right?" Xia Shu had never seen it before.

Yang Ping recalled: "A doctor at Mayo Clinic in the United States has done more than 20 cases of this kind of removal of multiple organs from the abdominal cavity and then re-implantation, and the results are good. One of the patients with pancreatic cancer has lived for many years after the operation. Now, He is still alive and in good health, but this American doctor has never challenged a case as complex as this one."

Xia Shu knew that combined heart and lung transplantation was a very major operation. In order to remove the tumor, you actually used heart and lung transplantation as a step in the operation. What a courage and skill.

A professor is a professor, not for nothing. No wonder all the doctors in the department call him professor without a surname. This professor represents a unique level that no one can surpass.

“After taking out so many organs, what if the tumor is too difficult to cut, and part of these organs and the blood vessels reserved for anastomosis are also cut out? Will there be a situation where it cannot be replanted?" Xu Zhiliang asked.

"Yeah, what if I can't pretend to go back?" Other doctors were also curious.

"There was a situation like this. An Indian doctor went to Mayo Clinic in the United States for further training. He studied oncological surgery with the doctor I just mentioned for three years. After he returned, he was super confident. Then he performed an extracorporeal resection on a wealthy Indian man. At that time, it was also an abdominal surgery, involving The 4 organs were taken out very smoothly. I had a sudden urge to cut them outside the body and cut off everything that could be cut. When the transplantation was finally done, I found that some organs were cut off and there were not many left, and there were no organs left for transplantation. Blood vessels——can’t be put back!”

"Why are you like me? I dismantled all the anesthesia machines, and finally found that I couldn't install them at all. There was a pile of parts on the ground. I was so desperate. Oh my god, what can I do?" Fatty Liang could understand this feeling.

At that time, before the joint surgery live broadcast between the Trauma Emergency Center and the University of Tokyo Hospital, everyone conducted a period of large-scale training. In order to familiarize himself with the structure and principles of the anesthesia machine so that he could use it more skillfully, Fatty Liang dismantled all the anesthesia machines. After some research, I found out that I couldn't fit it in at all.

At that time, he was sitting on the ground, not knowing what to do, and his mind was blank.

It finally took me a few days to install it, but I found that there were several useless parts.

"No way, that Indian doctor was so confident, what happened next?" Song Zimo was very interested in this story.

Yang Ping looked very serious, as serious as giving a professional class: "What else can I do? I called his tutor for help at the last minute, and the tutor asked him - don't worry, take it step by step, we will deal with the liver first, you can look for the remaining The liver also has several blood vessels with suitable diameters, and then tell me and I will tell you how to perform vascular anastomosis in the liver."

"The Indian doctor looked over and over on the operating table for a long time and replied to the instructor - he couldn't see the liver."

This answer was like a thunderbolt above my head. The instructor was confused for a long time before he thought that he would not just cut off the whole liver, because after all, the anatomical shape and anatomical relationship of all organs change after being invaded by tumors.

"Are you looking for it again?"

"I really didn't find it!"

The instructor's heart felt cold. If he really didn't have a liver, what would happen now? It would be too late to wait for an allogeneic liver transplant. How could he find a temporary liver source on the operating table? It was impossible.

It is estimated that the Indian doctor wanted to die at that time, and would break out in cold sweats all over his body. In order to show the results of studying in the United States for three years, he was too confident and too eager for quick success. How can he re-transplant the liver now that he does not have it?

Organs have an aging effect after being taken out of the body, and must be replanted within a certain period of time, otherwise they will suffer from ischemia and necrosis.

Time passes minute by minute, what should I do?

"What should I do?" the Indian doctor asked in a trembling voice.

The American instructor replied with a trembling voice: "If it is determined that the liver cannot be found, the remaining organs can only be replanted. At least we must create conditions for the use of artificial livers after surgery. The artificial livers can be maintained for a period of time after surgery, and then wait. Liver Transplantation."

If there is no liver, how can it be replanted later?

But I have never done this kind of surgery. How to connect the remaining blood vessels?Only then can the artificial liver function effectively after surgery.

Taking out so many organs does not mean just stuffing them back. The remaining organs and tissues need to be transplanted to survive, and the circulation around the liver must be ensured so that an artificial liver can be used to maintain life after surgery.

But Indian doctors have no experience and don’t know how to proceed.

"What should we do in the end?"

Xia Shu was very fascinated by what he heard. He didn't expect that the professor was also a master of telling stories.

"Unfortunately, until the end, India failed to transplant the organs back in time and correctly, and the patient was declared dead on the operating table."

"Actually, in this kind of surgery, only one-tenth of the level you can see on the operating table, and nine-tenths of the level is invisible behind the scenes. Don't think that you can be independent if you master the visible skills. Complete surgery."

"I don't know if this story is true. When I was undergoing surgery at Mayo, a doctor at Mayo told me that at that time, I used to remove an eyeball to create a surgical approach, and after the operation, the eyeball was returned Zhi, the oncology surgeon was observing, and after he finished telling this story, he cursed hard."

Yang Ping ended the story in a calm tone.

“For this American mentor, it was truly the student of a lifetime and the phone call of a lifetime.”

"It feels good for a while, but I regret it after it's done!"

Everyone sighed.

"There are many issues that we have to consider when performing this surgery. For example, to completely remove the tumor, we must remove some organs and tissues, how much to remove, how much impact the removal will have on function, how to lay out the replantation, etc., we have to do everything. Don't make stupid mistakes. Before you learn transforaminal endoscopic surgery, why do I ask you to be proficient in open spinal surgery? Because if something goes wrong in minimally invasive surgery and you don't have the ability to do open surgery, how will you deal with it? Not only must you master the front-end technology, but also You need to master the backend support technology.”

Yang Ping's fingers tapped lightly and silently on the table.