The Godfather of Surgery
Chapter 497: Dump the child with the bath water
Tokyo is very bright at night, the lights are like stars.
In the office, there is a Go board in front of Fujiwara Shion, his left hand is playing with his right hand, and Sha Gui is standing beside him.
The phone on the desk is one after another, and these are handled by Sha Gui, while Fujiwara Chiao only cares about playing chess.
"Mr. Seiji, a veteran of the opposition, has unexpectedly crashed his pacemaker, and the rescue has been declared invalid."
"Mr. Seung Joon is caught in a porn star scandal and cannot extricate himself."
"Mr. Lianghe was controlled by the Metropolitan Police because of money laundering."
"Mr. Lombok has been confirmed not of Fujiwara's blood."
"Mr. Kusaku wants to see you, is this a white flag--"
Sha Gui reported in a clear and orderly manner, while Fujiwara Chiao listened, pressed the pawn, and remained silent.
Masao Fujiwara pressed the last chess piece and looked at the chess game again.
He slowly got up and walked to the floor-to-ceiling window.
"Look, what a beautiful night, it's a pity, where you can't see, there are dirty deals everywhere, life-and-death battles, and we have to work tirelessly and enjoy it."
Sha Gui also looked out the window: "Survival of the fittest, this is the world, otherwise it will be you who will fail."
Fujiwara Chiao was silent for a long time and said:
"How is uncle?"
"The heartbeat has stopped, and there is no new news." Sha Gui said in a rather sad tone.
"We have no choice but to push the situation into a desperate situation, in order to lead the snake out of the hole, and finally become famous and kill them all in one sweep, condolences!" Sha Gui added.
"You know, in my heart, he is my father." Fujiwara Chiao couldn't hide his sadness.
Sha Gui immediately bowed: "The delicate situation is extremely sinister. If you make a mistake, your body will be shattered. Please don't blame yourself."
"You've worked hard for this time, let the Eastern Europeans continue to monitor each of them." Fujiwara Chiao urged.
Sha Gui immediately wrote down: "Understood, they are in Romania's intelligence center, serving us 24 hours a day, cameras, computers, mobile phones, phones, cars, they are all connected."
Suddenly, the phone on the table rang again.
Sha Gui picked up the phone, and after listening, he turned to look at Fujiwara Chiao: "The old president's operation—success—success!"
"You mean, he's alive?"
Fujiwara Chiao hesitated for a moment and grabbed Sa Gui's collar.
"Yes! He is still alive, the overall situation has been decided, but the old president is still alive." Sha Gui kept nodding.
"Go to the hospital! Quick!"
Fujiwara Toshio let go.
——
The back waves of the Yangtze River pushed the front waves, and Professor Liang felt relieved and relaxed.
Even the low back pain caused by sitting for a long time disappeared, and he stretched his waist.
The staff sent by Ning Qi began to discuss the departure time of the special plane with Su Nanchen and determine the boarding list.
Whether it was an old professor or a young doctor, they all began to pack their bags and prepare to return to China.
Professor Qin called the country and started to arrange the operation: "How is blood sugar control? Has it been seven days since the anticoagulant Plavix was stopped? Well, the operation is scheduled for tomorrow, I'm fine, I'll just rest on the plane, don't wait, and then wait for the impact. surgical results."
Professor Su waved his hand, summoned Su Nanchen, and told him to keep Yang Ping and Su Yixuan as close to him as possible when arranging seats on the plane, and Professor Su wanted to have a good chat with them.
Song Yun and other young doctors discussed finding Yang Ping together.
Old Cheng and Huang Jiacai were fighting hotly with the professors of Dongda University. The curly-haired professor completely forgot the pain on his face. He didn't know where to get a popsicle and put it on his face.
With this powerful slap, Lao Cheng established a deep cross-border friendship with Professor Curly Hair, and Professor Curly Hair even warmly invited two Chinese friends to visit Kabukicho, Tokyo.
At this time, a slightly fat professor, carrying a notebook, walked through the lively conference hall, bowing his head and talking to Professor Shuntian Kobayashi.
"We have a special case. Professor Ito suggested to Professor Amano to ask Dr. Yang Ping for help in consultation. Professor Ito asked me to come to you, please!"
Xiaolin Du also received a call ahead of time to know something about the patient they requested for a consultation.
This slightly fat professor is Shun Takashi Osaki of the Cardiac Surgery Department of Shuntian Hospital.
They encountered a strange and rare case, a huge and complex tumor that filled the entire thoracic cavity. The tumor formed a trans-encapsulated adhesion to all surrounding organs, and seriously invaded the left atrium and left ventricle. It is almost impossible to completely remove it by surgery, which will lead to problems such as high recurrence rate and poor prognosis.
As for how to remove the tumor, Professor Osaki and his colleagues have been studying for several days, but have not come up with a reasonable plan.
They constructed three-dimensional tumor models and studied various approaches. When dozens of approaches were combined, the tumor could not be completely removed.
Prof. Ito called Prof. Amano and said: The East University Hospital has invited a Chinese doctor who should have unique insights into the difficult cases of cardiac surgery.
In this way, Professor Amano immediately instructed Shun Taka Osaki to come to the Toda Hospital, hoping to get some advice before Yang Ping left Japan.
Toshitaka Osaki carried his notebook and hurriedly came to Dongda Hospital to find Kobayashi Atsushi.
Although Kobayashi knew Yang Ping, but his friendship was not deep, in order not to appear abrupt, he decided to take Osaki Juntaka to Takahashi, and Takahashi would help him match up.
——
Fujiwara Tanisheng was observed for half an hour. After confirming that his vital signs were stable, he began to be sent to the intensive care unit.
Everyone crowded Yang Ping out of the locker room, and Kobayashi and Osaki were waiting at the door of the locker room.
"Dr. Yang!"
Kobayashi Atsushi immediately came up to him, and Osaki Juntaka followed behind Kobayashi.
Takahashi immediately blocked: "Two professors, Dr. Yang needs to rest. Tell me later if you have anything."
Takahashi looked at the notebook in Osaki's hand and knew that he should have come to Yang Ping to discuss the case.
Now is not the time to discuss cases, people's energy is limited, and Takahashi has the responsibility to protect Yang Ping's rest time.
"Professor Takahashi, we have a rare case and need--" Atsushi Kobayashi wanted to catch up.
"Everyone, please stay, Dr. Yang needs to rest, he will return to China tomorrow morning, please everyone." Takahashi said, escorting Yang Ping out of the operating room.
Going home tomorrow morning, what should I do?
Professor Kobayashi took Takahashi's hand: "Professor Takahashi, for the sake of our personal friendship, please help to convey, can you give us ten minutes."
Takahashi shook his head: "I'm so sorry!"
The great professor who is dignified in heaven wants to see a young doctor, but he still can't see it. I am really angry.
Osaki Shunlong was furious in his heart, but it was not easy to attack.
He wanted to turn his head and leave, but the task assigned by Professor Amano had to be completed.
"Professor Takahashi—"
Xiaolin Du didn't let go.
Takahashi really had no choice: "In this way, come back to the hotel with us, and I will arrange it later, ten minutes, only ten minutes."
Surgery at night is already tiring, and doing such a difficult and high-risk surgery consumes a lot of energy. Now Yang Ping just wants to go back to rest as soon as possible.
Kobayashi and Osaki followed back to the hotel and could only wait in the room arranged by Takahashi.
Professor Osaki went out from time to time to inquire about the situation. In the corridor, Yang Ping was chatting with the Chinese doctor, talking and laughing.
Professor Osaki was even more angry. He had time to chat, but no time to discuss cases with himself. Could it be that Professor Osaki of Shuntian is not worthy?
While waiting anxiously, Takahashi finally came over to inform them that they could see Dr. Yang, but only for ten minutes.
Under the leadership of Takahashi, Osaki Juntaka finally saw Yang Ping, and he didn't care about his anger. He opened the laptop and immediately read the images -- a huge and complicated thoracic tumor.
Yang Ping was very interested in this kind of case and looked at the pictures one by one.
There are many young doctors around. Although they are all orthopaedic surgeons, they have all been to the thoracic surgery department when they were in the rotation department, and they still have the basic knowledge.
Takahashi acts as a translator next to him. If he encounters difficult words and sentences, Tang Shun can help at any time.
"Dr. Yang, do you have any good suggestions?"
Osaki Juntaka's anger remained undisturbed.
"If you want to completely remove the tumor, there is a good way." Yang Ping said lightly.
A glimmer of hope flashed in Osaki Juntaka's eyes, and his anger was halved: "Please speak!"
"The heart, lungs, great blood vessels, and even the mediastinum, along with the entire tumor, were cut out from the thoracic cavity as a whole, and they were separated from the patient's body. Then the tumor was excised outside the body, the left atrium, left ventricle, and bilateral lung lobes were repaired, and finally the All the hearts and lungs that were taken out were transplanted back."
Shun Taka Osaki couldn't believe his ears: "You mean—cut out the heart, lungs and tumor together? Take it out and let it be isolated? After the tumor is removed, do a combined autologous heart and lung transplant?"
"That's it!" Yang Ping was very sure.
"What a crazy idea? Throw out the bath water with the child?" Osaki Juntaka dared not accept such a plan.
Yang Ping corrected his understanding: "Yes, throw the child away with the bath water, but in the end, the child must be picked up."
Crazy guy, crazy idea!
After being dizzy for a while, Osaki Shunlong immediately thought about this plan seriously. After thinking about it, it really made sense.
If the heart, large blood vessels and lungs can be taken out together with the tumor.
The main surgeon will no longer be trapped in adhesions, no longer trapped in operating angles, and there is no blind spot for operations. Isolated organs and tumors can be turned over by any 360 degrees on the sterile table, and the doctor can move from any angle. Tumors were isolated.
It's amazing!
However, I'm afraid I don't have the guts! Osaki Toshiyuki's anger vanished.
Many heart transplants have been done, but in order to remove the tumor, the heart and lungs are all cut out, taken out, and then an autologous heart-lung transplant is performed.
"The operation is a bit big! But I can't think of a better way for the time being." Yang Ping looked a little embarrassed.
"Yeah, it's a bit big!"
Osaki Juntaka's eyes were dull, as if imagining this operation, how to cut off the heart, large blood vessels, lungs, and almost all the organs in the chest cavity, take them out, spread them out on a sterile table, and turn them over. He couldn't help but think of the scene of taking anatomy class when he was studying at the University of Tokyo.
Takahashi's cell phone had reached the ten-minute timer, and he immediately told Kobayashi and Osaki:
"Two professors, the time has come."
"This--this--this--"
Toshitaka Osaki was embarrassed and speechless. The discussion has not started yet, and there are still many questions about this method that have not been raised.
Takahashi closed Osaki Juntaka's notebook: "You can keep in touch in the future, and contact Dr. Yang by email for details."
It would be rude to continue to entangle.
Osaki Juntaka was forced to pick up the notebook: "Dr. Yang, can you leave your email address? It would be better if you have a social account."
"Just keep in touch with Takahashi, he can contact me."
Yang Ping's idea is very simple. Since he is Japanese, he will be handed over to Takahashi.
"This, this, this—"
Osaki Shuntaka stammered, as if reluctant to leave.
Xiaolin Du pulled him up to say goodbye to Yang Ping, and then pointed to the door: "That—that—that—"
"Remove the entire thoracic organ?"
Osaki Shuntaka was still immersed in it, talking to himself as he walked.
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