godfather of surgery

Chapter 969 The surgeon is definitely mine

Ou Lianfeng's lungs are now almost like a stone. The long-term stimulation of the lung tissue caused by the deposited dust has led to diffuse fibrosis of the lung tissue. Most of the normal lung tissue has turned into fibrous connective tissue. This ineffective substitution is very common in medicine. Ineffective cells replace normal cells. Once the number exceeds a certain level, the function of the organ will be impaired and eventually fail.

This ineffective replacement mechanism is also an important reason why tumors are fatal. Non-functional tumor cells replace the normal cells of organs in large numbers. The function of organs depends on the work of normal cells. Once the number of working cells is reduced to a certain level or disappears completely, the organs will lose their functional basis and will no longer be able to function. The patient's life will be seriously threatened.

Ou Lianfeng's lung CT image was hung on the reading light in the doctor's office of the Surgical Institute. Yang Ping sat in front of the reading light and read the film carefully. Doctors from the entire department crowded around him. Every surgical plan was an opportunity to learn.

An excellent surgeon is not just a surgeon. In addition to having superb surgical skills, he must also have superb thinking ability to make the best choice for the patient.

It is the patient's greatest fortune that his CT film can be hung on the reading light of the Surgical Institute. No doctor who has worked in the Surgical Institute will disagree with this view.

“It can be done with thoracoscopy!”

Yang Ping proposed a plan.

"If a thoracoscopic lung transplant is performed, where do the donor lungs come from?"

Song Zimo asked.

Yang Ping crossed his arms in front of his chest, with his left thumb and index finger in an "8" position to support his chin. "Make an incision of about centimeters in the intercostal space without expanding the space. Send the lung into the chest cavity through this incision, and anastomose the bronchus, pulmonary artery, and left atrium under full thoracoscopy. The operation is a bit difficult, but it can be completed successfully."

"The operation will take a while." Song Zimo analyzed.

Yang Ping didn't care much about the operation time: "With ECMO support, time is not a problem. If you do it, it is estimated that the operation can be completed in about 6 hours. If I do it--"

"Is the distribution of the two entrances for the mirror and the instrument like this?"

Song Zimo interrupted Yang Ping and immediately brought up a new topic, pointing at the CT film to attract Yang Ping's attention. Song Zimo knew that the operation time between him and Yang Ping was very different and could not be shortened, so he tried his best not to let him tell the operation time.

Yang Ping nodded:
"Yes, it is distributed like this. During the operation, a fiberoptic bronchoscopy is needed to check whether the bronchial anastomosis is smooth and complete, and transesophageal cardiac ultrasound is used to evaluate whether the anastomosis of the pulmonary artery and left atrium is satisfactory."

Song Zimo and Xu Zhiliang began to construct the surgical scene in their minds according to what Yang Ping said, trying to simulate the surgical process.

Minimally invasive means more than just a small surgical incision. A small incision does not constitute true minimally invasive surgery. Minimally invasive surgery means that the surgery has less interference with the human body’s internal environment, such as less bleeding, less damage to normal tissues, etc.

In this way, the human body will receive less trauma from the surgery and can recover from it as quickly as possible.

Many years ago, when laparoscopes first appeared, there were very few types of surgeries that could be performed. Many doctors at that time mocked laparoscopy as having no future, saying it was a waste of time and would never replace open surgery. With the development of medicine, laparoscopy has now become the mainstream surgery in general surgery, and almost all general surgeries can be performed under laparoscopy.

If a thoracoscopy is used to complete the double lung transplant, as far as Song Zimo and Xu Zhiliang know, this will be the first case in the world. Professors are professors, they never play by the rules and always take paths that others have not taken. Yang Ping began to think while looking at the CT scan. Song Zimo and Xu Zhiliang began to discuss the details of the operation, because this new procedure was still a little difficult for them and every detail had to be polished to perfection.

After the access problem is solved, there are still surgical steps, how to deal with accidents during the operation, etc. The experience of open surgery cannot fully cover thoracoscopic lung transplantation, so it is necessary to combine the characteristics of thoracoscopic surgery and construct a detailed plan of the entire lung transplantation to avoid any mistakes in the surgical plan.

Just as Song Zimo and Xu Zhiliang were studying the details of the operation with great interest, Yang Ping suddenly said:
"Let's use the da Vinci robot to perform this surgery. It's free anyway, and there's no need to worry about increasing the financial burden on the patient."

Da Vinci robot for lung transplant?

Song Zimo and Xu Zhiliang were stunned. The problem of thoracoscopic lung transplantation had not been completely solved yet, but now they were making a leap forward and using the Da Vinci surgical robot to perform lung transplantation?
Minimally invasive surgery has become the direction of surgical development. Surgical technology is changing with each passing day. Following endoscopic and laparoscopic surgeries, robotic surgery has emerged and become a more advanced surgical method. Robotic surgery has pushed the concept of minimally invasive surgery to a higher level. It is no exaggeration to say that the future of surgery is the era of robotic surgery. Just like when laparoscopy was first introduced, robotic surgery is now also controversial. There will be twists and turns on the road to development, but the direction of progress remains unchanged.

"Don't use thoracoscopic surgery?" Song Zimo felt that Yang Ping's thoughts jumped a little too fast and he couldn't keep up with the pace at all. He hadn't figured out thoracoscopic surgery yet and now he changed track.

Yang Ping still kept his chin in the same position as before: "When did I say I would use a thoracoscopy?"

"Didn't you just say that it should be done through thoracoscopy?"

Song Zimo turned around to look at the doctor standing behind him, hoping that everyone could testify that he had clearly said it.

A graduate student said: "The professor said it can be done with thoracoscopy, but he didn't say this surgery should be done with thoracoscopy."

Song Zimo glanced at the graduate student. Isn't this from his medical team? Traitor!
"Did you hear that? I just said it could be used, I didn't say use it."

Yang Ping felt that the precision of thoracoscopy was not as good as that of robotic surgery. The da Vinci surgical robot was still very good at performing chest and abdominal surgeries. Why not use the da Vinci robot to perform this operation and establish a brand for thoracic surgery? If so, why not establish the biggest and highest brand?

"Robotic surgery represents the future direction of surgery. If thoracic surgery wants to establish a reputation, it should use the da Vinci robot. It will be more difficult for others to break through this reputation."

Yang Ping made the final decision on Ou Lianfeng's surgical plan.

At this time, Director He Xiangjun and his team began to go to the animal surgery laboratory for surgery training. He was very familiar with thoracoscopy, but he was still not good at such a large operation as lung transplantation. He had to practice hard. When he thought of himself being the first in the world, Director He could forget about food and sleep.

Minimally invasive surgery is the future direction of surgery, and Director He must firmly grasp this direction.

"Director, won't Professor Yang be the lead surgeon for this operation?" asked a thoracic surgeon.

Director He said confidently: "If I can practice the surgery to Professor Yang's satisfaction, he will definitely let me perform the surgery first and I will just be there to give guidance. So everyone, come on, do your best to grab the pigs. When we have practiced the surgery well, you can be the first assistant and you can be the second assistant."

Director He is now assigning positions for the assistants.