godfather of surgery

In the middle of the night, Director Fang immediately called Yang Ping, who was far away in the imperial capital, and said that Pan Doudou had contacted a suitable donor and needed surgery immediately.

How could Director Fang win such an operation? Yang Ping must go back.

However, Director Fang can do it first and wait for Yang Ping while doing it. Although there are certain risks in doing so, there is no other way.

Yang Ping woke up from his sleep and calculated the time. Although he couldn't catch up with the best time for surgery, it was still in time. So he immediately searched for the nearest air ticket back to Nandu. As soon as he locked the air ticket, Director Fang called again, saying that the family regretted it. Organ donation was refused and the operation was postponed.

Director Fang was shocked. Fortunately, Yang Ping was used to it. He woke up immediately when his cell phone rang and was able to wake up instantly. He could fall asleep quickly as soon as he lay down on the bed.

In this case, Yang Ping did not need to rush back and continued to stay in Xiehe to complete his teaching tasks, so he continued to sleep.

The next day, Professor Liang's meeting was not over yet, so he rushed back early because he wanted to meet Yang Ping.

On the second day of surgery, Song Yun and Kong Weiquan were the main ones, but other doctors also had the opportunity and assigned some surgeries. Yang Ping mainly sat in the audience and gave certain guidance in a timely manner. A group of young people were doing surgeries together, and everyone felt very relaxed. .

At about ten o'clock in the morning, Professor Liang called and said that he had arrived in the locker room. Yang Ping immediately went out to pick him up. Professor Liang's complexion was getting better and better, and his voice was full of energy.

The two chatted while walking. Professor Liang said: "I went to the meeting this time. Regenerative biomedicine is now the forefront and commanding heights of life sciences and medical research. It is a strategic and must-contest area for future science and technology development, especially in the field of stem cells. The country is very Attention, but relevant technologies are now kept secret by various countries, especially Europe and the United States, which are blocked from us. Not only are the technologies strictly guarded, but the related experimental equipment is also prohibited from being exported to us. The situation is not optimistic. You know, we plan to introduce cutting-edge talents. It has failed, so I can only take it one step at a time. How is the progress of your project there?"

"Don't worry, the project is progressing smoothly now." Yang Ping said.

Professor Liang was very happy: "Very good, we should not rush for success, we must act in accordance with the inherent laws of scientific research, and strive to achieve phased breakthroughs in five years and relatively large breakthroughs in ten years. We must remain calm and endure loneliness."

"Young people must pay attention to their health. They must not overdraw their health. Work scientifically and rest scientifically. Do you have any difficulties at work?" Professor Liang added.

"There are no difficulties for the time being. Everything is fine. The leaders in the hospital are very good to me and provide strong support in everything I do." Yang Ping chatted with Professor Liang.

"Xia Changjiang is a methodical and courageous dean, and Han Jiangong has a very unique vision. You make me feel more at ease at Sanbo Hospital than anywhere else."

''Thank you Professor Liang for taking such good care of me. "

"That's right. We are old and this world belongs to you."

When passing by the pancreatic surgery operating room, a nurse rushed in with a trolley with many blood bags on it.

Professor Liang looked at the small glass window on the door and said, "Go in and take a look. I was just about to say a few words to Director Long."

At this time, Director Long was nervously performing an operation on the stage. It may be that a certain blood vessel retracted after being cut off, making it difficult to stop the bleeding for a while, so he was looking for the bleeding blood vessel in the abdominal cavity. Yang Ping took advantage of the gap between the spectators to look in and looked at Director Long kept stuffing gauze inside, and the bleeding would definitely not be less. This blood vessel seemed to be very thick.

But Director Long is worthy of being Director Long. He is unhurried and calm. While looking for blood vessels, he still has the leisure to pay attention to the movements in the operating room.

"Surgery for pancreatic cancer is quite troublesome. One of the blood vessels was shortened and retracted. It is probably a heterogeneous blood vessel from the tumor. The bleeding was quite severe."

Director Long followed Professor Liang who came in and said, but he kept looking down for blood vessels. He might have glimpsed or heard Professor Liang's voice from the corner of his eye.

"Gauze packing, aortic clamps, or if that doesn't work, temporarily block the aorta. It's amazing. I really thought I couldn't do anything to you." Director Long scolded the retracted blood vessels.

"Xiao Lu, notify the interventional department. If it doesn't work, we can do an angiogram to see if embolism can be achieved."

An expert like Director Long has so many tricks up his sleeve that he has never seen any scene before and is still afraid of a retracted blood vessel.

"What kind of surgery is this?" Yang Ping casually asked a graduate student next to him.

The graduate student said it was pancreatic cancer. The tumor grew very cunningly. Not only did it invade the duodenum, it also invaded the spleen and liver. The tumor also grew around the blood vessels of the pancreas and liver, especially the tumor that was thrown out of the porta hepatis and entangled with the blood vessels. Together, the patient was young, only in his thirties, and his family sold their house to attend Xiehe Hospital Surgery.

"How much blood have you prepared?" Director Long asked.

The most precious thing at this time is blood. Blood can extend life and buy time. Only with enough blood can doctors have time to rescue.

"4 units of suspended red blood cells!"

4 units of suspended red blood cells are equivalent to 800 ml of blood. Now this blood vessel is flowing like a faucet. How can 4 units be enough? I’m kidding.

In fact, this patient was not operated by Director Long before, but by the young Deputy Chief Physician Director Liao. Director Liao performed very beautiful surgeries, especially pancreatic cancer surgeries, which were quite remarkable. However, one of his shortcomings was that he was very conceited, or It is called a person with high skill and boldness.

Director Long originally advocated ex vivo resection of this patient because the tumor was too complex to be removed by traditional methods.

However, Dr. Liao wanted to show off his skills and believed that ex vivo resection was too risky and the operation time was long, so it was safer and more controllable to use traditional surgical methods.

At that time, the blood preparation before the operation was not enough. Director Liao had been doing this surgery for ten years without any problems and considered himself very skilled. When preparing the blood, the blood transfusion department had already said that the maximum number of blood units was 4 units. It would take two days before more blood could be given. How could Director Liao wait? There were only 4 units. Normally there would never be a problem with this surgery.

Unexpectedly, when the tumor was separated on the operating table, a blood vessel was accidentally cut, and blood spurted out.

What is worrying is that this blood vessel retracts to the back of the pancreas and cannot be found where to turn.

"How can 4 be enough? Send the beggar away. Add 6 more units and ask for milliliters of plasma. Otherwise, you won't be able to resist. Call the blood bank and hurry up to get more blood." Director Long has a bad temper on the operating table, but he doesn't curse. .

Now that Director Liao has caused the operation to be like this, he was asked to rescue the patient. He rushed over without saying a word and has not even scolded Director Liao so far.

The circulating nurses have called the blood bank many times, but there is nothing they can do, and they can't get the blood. Sometimes when the blood bank's resources are tight, no one can do anything.

The circulating nurse had no choice but to call the blood bank again and turned on the speakerphone: "Director Mi, we are the pancreatic surgery department. Director Long is telling you."

"Old Mi! I need your help now. The amount of bleeding is so huge, how can you give me 4 units? Add 6 units first, and then 10 units later. If there are not 20 units, we won't be able to stand down."

"Oh, Old Long, there's nothing we can do about it. The people at the blood station are so hurried by us that they are swearing. Type O blood is inherently nervous. You have to predict it - there are so many suddenly -"

"It's no use talking nonsense. Do me a favor and hurry up to reinforce the blood. I'll thank you later."

"I try my best-"

If allowed, the blood transfusion department would not embarrass the doctors at this time. Director Long also understands this truth. Although he has a temper, he also maintains enough sense. Apart from speaking loudly and making a scene, he actually has no contact with the blood transfusion department. quarrel.

Now that there is not enough blood, Director Long's confidence has been compromised, but the battle-hardened general is different. He still calmed down and carefully searched for the blood vessels behind the liver and pancreas, but the tumor was too annoying, and the blood vessels were behind the pancreas. It cannot be turned over even if it is turned sideways, unless the liver and pancreas are cut out and taken out of the body. But we didn’t talk about this before the surgery, and if we suddenly talk about it now, the family members will definitely not understand, and they have to talk about it even if they don’t understand.

"Xiao Liao, if it doesn't work, we can only do ex vivo autologous transplantation. Go talk to the family and sign again." Director Long said to Director Liao.

Director Liao had never failed in an operation like this before, and now he was a little confused. Director Long said to him: "What are you afraid of at this time? Go quickly, I will support you from here, you go and talk, Xiao Lu, you go with Director Liao." "

Dr. Lu is more eloquent, while Director Liao is not good at words. At this time, he is nervous and must not be able to speak well. At this time, he needs someone with strong communication skills to help communicate.

"Xiao Lu, you are responsible for communication, just let Director Liao be by your side."

Although Director Long was anxious, he was clear-headed. It was impossible for Dr. Liao to communicate at this time.

There is no news yet from the blood transfusion department. This patient's blood pressure has been dropping, which may be fatal. Although the doctor will inevitably face the patient's death, if this happens, the surgeon in charge must be very nervous.

Director Liao is very nervous now and his face is very ugly.

"Cheer up, what are you afraid of? Go with Xiao Lu, nurse, give me the aortic clamp, I want to block the aorta." Director Long arranged the work and performed the operation at the same time.

A pair of non-invasive aortic forceps was handed over, and Director Long blocked the aorta. Even if he blocked the aorta, he still had to find the blood vessel within a limited time. If he couldn't find the blood vessel, it would be in vain in the end.

"What a ghost today!" Director Long cursed.

At this time, the interventional department also sent a deputy chief physician to help: "Director Long, do you want contrast embolization?"

"Yes, the blood vessel can't be found now." Director Long said while doing it.

Doctors from the interventional department immediately came over to familiarize themselves with the case information, especially the images, and would be on stage soon.

"You can't do it here. If you need to move space, why don't you build a hybrid operating room." The doctor in the interventional department found that this is not a hybrid operating room and cannot perform interventional surgery.

Yang Ping stood in front of the reading light and looked at the patient's CT enhanced graphics and the angiographic images of the tumor. This patient had also undergone interventional treatment before the operation. It should be through interventional embolization to shrink the tumor and embolize some blood vessels. Reduce intraoperative bleeding.

Professor Liang was also watching, but Professor Liang is a professor of orthopedics and is not very good at CT in general surgery.

Yang Ping watched all the films brought to the operating room. Combining these pictures, Yang Ping knew the relationship between the tumor and the liver, gallbladder, pancreas and spleen, as well as their blood vessel distribution. He already had a three-dimensional anatomical map in his mind.

"This blood vessel is easy to be injured. It is very likely that this blood vessel is injured. If it is it, it is located very deep and cannot be found without removing the liver. It is also possible if it is not separated from the body, but it needs to be blindly clamped with a blood vessel forceps. Yang Ping said, pointing to the angiogram on the screen.

When Professor Liang heard this, he was convinced of Yang Ping's words. At this critical moment of life and death, Professor Liang immediately said to Director Long: "Director Long, let Professor Yang come on stage to help you. He is familiar with this."

Director Long was stunned, who is it? Can he?

But these were Professor Liang’s words. Even if he didn’t believe it, he would believe it, so he was just a little stunned and immediately said: “Shuushao comes to power!”

''Xiao Yang, go help. "Professor Liang didn't hesitate at all.

Yang Ping immediately went out to wash his hands. Soon he came back, dressed and put on gloves before going on stage.

"Let me do it!"

As soon as he got on the operating table, Yang Ping was like a general on the battlefield, with a very strong aura. Director Long was stunned, but it was Professor Liang who asked him to come on stage. Professor Liang is an academician, how could he act recklessly.

"Come here, the bleeding point may be around here."

Director Long gave up his position as surgeon.

Yang Ping stood still: "Big curved pliers! Two of them!"

He took the nurse's two large curved forceps and gently moved them from the top and bottom of the liver to the back of the liver. He didn't move the forceps too much. He only saw the two forceps opening and closing slightly, and then slowly Slowly pull out the vascular forceps.

"Director Long, clamp the blood vessels!" Yang Ping called Director Long.

Before Director Long could react, he took a closer look and saw that there were really two blood vessel clamps, each clamping the severed end of a blood vessel. That is, the far and near ends of the blood vessel were now in his hands.

This made Director Long so happy that he almost shed tears. He immediately asked the nurse for a blood vessel clamp, then tightly clamped the two broken ends of the blood vessel and sutured it fiercely.

After the sutures were tied, Yang Ping loosened the aortic clamp, and as the suction device removed the accumulated blood, there was no major bleeding in the surgical area.

Really, really there was no bleeding. Everyone stood on tiptoes to watch.

Everyone had been busy for so long, and he came on stage for a few minutes to figure out who was this great person. Director Long said to Professor Liang: "Mr. Liang, who is this god you recommended?"

Yes, what kind of god is this? Some of the doctors present did not recognize Yang Ping. After all, they were not in the same department.

"Yang Ping, a specially appointed expert in the independent orthopedic ward!"

Yang Ping! Director Long had only heard of the famous Yang Ping by name but had never seen him in person. Now that he saw Yang Ping in person in this way, he was very shocked.

"It turns out to be Yang Shen. No wonder he is so powerful. I am convinced. I will treat him to dinner tonight." Director Long expressed his gratitude.

Dr. Lu and Director Liao came back breathlessly: "The family agrees with our plan."

"The bleeding has stopped. It shouldn't be a big problem. The blood transfusion department will get some blood as soon as possible." Director Long checked the surgical area and found no more bleeding.

"Director Long, you are still awesome!"

Even Director Liao, who has always been taciturn, had no choice but to compliment him.

"It's not my fault. I spent a long time trying not to win it. If I want to thank you, I would like to thank Professor Yang from the Department of Orthopedics. He was the one who helped me just now." Director Long is a generous person.

Professor Yang, no one in Xiehe knows you. Everyone has heard your name, but there are still some who have never seen him in person.