The Godfather of Surgery

At Director Fang's urging, the Department of Gastroenterology quickly transferred the girl named Pan Doudou to another department. Dr. Chen really lamented Director Fang's righteousness.

In fact, there are sometimes disputes between departments when transferring patients. If it involves patients who are thankless, prone to disputes, or whose medical insurance is over-subscribed, the department taking over will definitely hesitate. Whether or not the transfer is final depends on the department director. Whether you nod or not, it’s okay if the department director is easy to talk to, but if you encounter a department director who is difficult to talk to, sometimes the medical office has to coordinate in order to transfer patients smoothly.

After the patient was transferred to another department, Director Fang repeatedly asked Yang Ping to take him for surgery when the time came.

This surgery is not something that can be done immediately. You have to wait for a suitable donor. This is an allogeneic transplant. Parts of the patient's own stomach, pancreas and small intestine are cut off, and then the organs of others are transplanted to fill the gaps.

Therefore, this operation cannot be done urgently. If a suitable donor is not found for a long time, the operation will not be possible.

Yang Ping just took the time to summarize the ex vivo tumor resection. If the ex vivo resection is mastered well, it will be very helpful for the resection of some complex tumors. For some tumors that cannot be removed by conventional surgery, the purpose can be achieved very easily using ex vivo resection.

The ischemia-free treatment of isolated organs needs to be improved. This operation uses artificial blood vessels, which is a completely crude method. It is best to design a set of special equipment specifically for connecting the human body and isolated organs. This can not only monitor The perfusion of the organ can also be used to pressurize the blood to prevent insufficient perfusion due to excessive distance.

The labeling of tumors is also an area that needs improvement. This time, indocyanine green was used. We hope to find better markers in the future. Accurate resection is what must be pursued in future tumor surgeries. Tumor marking technology has great promise.

In short, Yang Ping will summarize the surgery every time in order to improve or find areas for innovation.

Back in his department, Yang Ping came to the operating room and took a look around. Song Zimo and Xu Zhiliang each led a team of doctors to perform the operation. There was no difficulty for the time being.

The stewardess is celebrating her birthday, and Fatty Liang is seeking Zhou Can's advice on how to behave and what gifts to give.

Some time ago, the Sports Medicine Center had too many patients and not enough manpower. Tang Fei went to help. Now that the place has calmed down, Tang Fei has also come back. Originally, Tang Fei planned to engage in sports medicine when she graduated. Now that the Institute of Surgery has been established, Tang Fei has I have new ideas and plan to see them first before talking about them.

Xiao Su, Tang Fei and Zhou Can are good sisters. Tang Fei and Zhou Can will go to Yang Ping's house to chat with Xiao Su and have some food when they have time off work.

Seeing Yang Ping come in, Tang Fei said, "Professor, you might as well go back to buy groceries early. Our sisters are going to chat with Xiao Su again in the afternoon."

"It's only what time it is. I haven't eaten lunch yet. I just want to eat."

Yang Ping walked around the operating table a few times, then turned on the screen to watch the operation.

In fact, there was no need for Yang Ping to go shopping for groceries. Her mother-in-law arranged her life clearly every day. Tang Fei and Zhou Can were sweet-mouthed and had a very good relationship with Mrs. Su. They would go to Yang Ping's house for dinner every three days.

Song Zimo and Liang Fatty pretended to be unmarried, saying that their lives were difficult and they could only make noodles every day. They were worried that they would be malnourished if they continued like this, so they had to eat together.

Yang Ping sat in the operating room for a while, doing nothing special. He then went to the dressing room to rest, while reading and doing experiments in the system space.

It's soon the day to go to Xiehe Union Medical College. Song Yun's group of young doctors have already admitted many patients and are waiting for Yang Ping to perform teaching surgeries. They are now eagerly waiting for Yang Ping to take them for ward rounds every month and perform surgeries. Song Yun said that his skill at peeling lobsters with chopsticks had improved and asked Yang Ping to take a look.

At Nandu Medical University, Professor Su also plans to invite Yang Ping to the Nandu Medical University affiliated station, which will also provide 45 hospital beds, and select a group of young doctors for Yang Ping to teach and train. Professor Su wants to follow the example of Sanbo Hospital and name this department. for the "Institute of Surgery".

The Municipal People's Hospital is his old employer. Dean Chen always asks Yang Ping when he will be free, and wants Yang Ping to go back and take a look and find a way to help the Municipal People's Hospital.

Boss Cheng of Liquan Hospital is really a blessing. More than a hundred high-end wards are full, and there are a lot of surgeries. Fortunately, Su Nanchen is qualified, otherwise he would have to go there every week. The boss asked Yang Ping for help again, and Yang Ping was going to send Song Zimo and Xu Zhiliang to help share the pressure.

Academician Wang and Director Xin from Fuwai also reached a cooperation agreement with Sanbo Surgical Research Institute last time. They have made several calls and asked Yang Ping when he would be free to meet to discuss the details of the cooperation.

Fuwai is also an affiliated hospital of Union Medical College. Academician Wang found out that Yang Ping cooperated with Union Medical College Hospital, and it was easy to find out more about their cooperation methods.

If he had to go all out in person, he would be too busy even if he could split up. On the other side of Fuwai, Yang Ping planned to bring Xia Shu out as soon as possible and then let him take charge of his own business.

Where's Xia Shu? Why didn't you see Xia Shu just now?

Oh, I asked for leave in the morning to show the house to the head nurse, and the head nurse also, who has been a driver for many years, insisted that she couldn't drive, so she wanted to see a house, and she had to find someone to be the driver to drive her to and from the house.

Everyone is so busy, who has the time to be her driver? There is no other choice but to Xia Shu, who is new here, and there won’t be many surgeries for the time being.

——

At around four o'clock in the afternoon, Nie Shun'e was extubated. Because her intestines were anastomosed, she can't eat normally now. It will take 7-10 days before she can eat normally.

You need to fast for 3 days after the operation. During these 3 days, you need to rely on parenteral nutrition. On the 4th day, you start a liquid diet, such as milk and rice soup, and slowly transition to semi-liquid food, such as gruel. You can eat normally 10 days after the operation. .

After Nie Shun'e woke up, she heard that her operation was very successful. She couldn't tell how happy she was. She was no longer demanding anything, but could live one more day.

She asked to call her husband, and the doctors and nurses agreed.

After calling her husband, Nie Shun'e said:

"Send a basket of fruit to the doctor, go quickly!"

Fruit baskets don't cost much, but they mainly express a feeling.

How could a tall and thick man know so much? He just kept nodding his head to thank the doctor. When his wife reminded him, he remembered that he should buy a fruit basket and send it over to thank Professor Yang and the ICU medical care.

"Also, Director Fang, who admitted us to the hospital, remember to thank him."

"Okay, okay."

Yuan Yulin nodded on the other end of the phone.

Nie Shun'e thought for a while: "Also, the person from the charity organization who suggested that we come to see the doctor should tell others about our current situation when he has time. He has told us before that we must give him feedback at any time. They are all good people and cannot be forgotten."

Yuan Yulin had forgotten about this incident. Indeed, the person at the charity organization told him to feedback treatment information to him at any time.

"Do you still have the child's living expenses?"

"Yes!"

"You have to eat, don't go hungry."

"I know."

After all, Nie Shun'e had just regained consciousness after being extubated. It was still difficult for Nie Shun'e to speak, and her mind was not very clear. She could only say so much, then returned the phone to the nurse, and finally said: Thank you.

——

Department of Hepatobiliary and Pancreatic Surgery, Juntendo Hospital, University of Tokyo.

Professor Sakurai is sitting in his office. As the head of the department, he has been undergoing surgery for a whole day and looks very tired. He is reading comics alone to relax.

Juntendo Hospital’s status in Japan is equivalent to China’s Union Medical College. Juntendo helped establish the University of Tokyo Medical School back then.

Professor Sakurai is young and promising. In his forties, he is already the director of the Department of Hepatobiliary and Pancreatic Surgery at Juntendo. The hepatobiliary and pancreatic surgery department he leads is world-class. His surgical mortality rate is always controlled below one percent, which is the highest among similar surgeries. , Japan’s average level is two to three percent, which is the top level in the world.

Suddenly there was a knock on the door, and Professor Sakurai immediately put away the comics, replaced them with a monograph on hepatobiliary and pancreatic surgery, and looked like he was sitting upright.

"Please come in!"

Dr. Murakami opened the door and walked in. Murakami is Sakurai's colleague and friend. Recently, Murakami's classmates at the insurance company always consulted him on a case.

However, this case is very classic, so Dr. Murakami is also very interested, otherwise he would not be so interested.

For this kind of case, Murakami feels that Sakurai has the most say, because it involves ex vivo tumor resection, and Sakurai is a doctor who has successfully performed this kind of surgery in the world. He has performed more than a dozen cases of liver cancer or pancreatic cancer. Sakurai has performed ex vivo resections of the pancreas and duodenum. Sakurai is the undisputed leader in this cutting-edge surgery.

In this field, the only person who can keep pace with Sakurai is an American doctor.

"Please sit down!"

Sakurai is very polite to his colleagues.

"I want to trouble you again, it's the last case. This is the latest information from my classmate. It is said that this case has been operated on, using ex vivo resection and autologous organ transplantation. The current postoperative condition is stable, and the operation will cost about for more than eight hours." Murakami directly introduced the latest situation of the patient.

"Is it the same case as last time? The case involving eight organs? We saw the CT pictures together, ex vivo resection? How is it possible? It's simply a fantasy, and the operation takes eight hours? Dr. Murakami, is he one of them? There is a misunderstanding. There is no way a doctor can perform an operation on her in this case. Even if she takes the risk, the operation will not be successful. Even if she is the luckiest patient in the world and the operation is successful, the operation may take more than forty hours. "

Murakami frowned: "Yes, that's what I thought too, but that's what my classmate replied. The patient is now living in the ICU of the surgical hospital and has been extubated."

Sakurai thought this was a joke for outsiders: "I'm surprised, why is classmate Y's insurance company always so interested in this case?"

Murakami thought for a while and said, "I don't know that either."

However, Professor Sakurai also feels that this case is of great research value. Judging from experience, it is impossible for a doctor to complete the ex vivo resection in this case, so there must be false information in it.

"Should you know how difficult it is to remove eight organs from the body involving the liver, gallbladder, pancreas, spleen, stomach, small intestine, inferior vena cava and left kidney? I assume there is a doctor who can remove it, and you know how much time it will take Well, the combined autologous transplantation of the liver and pancreas is already a cutting-edge surgery. The most skilled doctors currently need more than ten hours. Just think about it. If these eight organs are removed ex vivo, there will be Five organs require autologous transplantation, as well as tumor resection, inferior vena cava artificial blood vessel transplantation and other complicated steps, which may take forty hours." Professor Sakurai analyzed to his colleagues.

Murakami is also a hepatobiliary and pancreatic surgeon, how could he not know this, but Sakurai wants to help him recognize the reality.

"But he said it was true!"

Murakami was very curious about this case. He heard that the operation had been successfully completed. He wanted to know how the operation was performed. If possible, he even wanted to see this case.

"Has China's medical development reached this point? We are far behind?" Murakami asked doubtfully.

"This can't be true. Do you think he is Professor Y in the comics?" Sakurai blurted out.

The atmosphere suddenly became strange. Murakami looked directly at Sakurai. Sakurai realized that he had let slip something. It was really bad. Would he know that he was reading comics?

"Sakurai-kun? Are you also following the manga - "The Godfather of Surgery"?" Murakami asked.

It's really embarrassing. This was originally a popular cartoon among medical students and young doctors. Sakurai is already in his forties. He is afraid of being found out that he is also obsessed with this kind of cartoon. He is the director of the Department of Surgery, so he should not be serious. image?

"This--this--it was just recommended to me by a student--it was just a refresher--"

Sakurai's face turned red, it must have been very embarrassing when her character was broken.

Murakami seemed to have found a soulmate: "To be honest, Mr. Sakurai, I am also reading this comic. Professor Y is really amazing. He is rational and has superb medical skills. He is my idol. The love story in it is also so heart-wrenching. Miss Chiyo loves the professor so much, but the professor doesn’t know anything. It’s really uncomfortable to bear such love.”

"Yes, Miss Chiyo loves the professor the most, and only she is worthy of a man like the professor. I really hope they can get together."

"Miss Chiyo has rejected the marriage proposal from the big family because she only has professors in her heart, and she doesn't want anyone but professors."

''What a beautiful love story. "

"This set of comics is not only popular among students at Tokyo University."

"Do you have new ones?"

"I just got the latest one from the people at Dongda."

"I'm really in a hurry, please lend it to me."

"What will happen to that little girl?"

"We don't know yet. The professor should have something to offer. The cactus on her windowsill is always green, which shows that life is tenaciously persisting."

"I really hope the professor can save her, otherwise I will cry."

"Me too!"

"Murakami-kun, I'm learning the professor's special skill in the manga - Itto-ryu."

"Ittate-ryu is really difficult. I've been practicing for a long time and still haven't achieved anything."

"There are many unique skills in it, I can only learn them slowly."

"Let's learn the Itto-ryu first."

"Please remember to lend me the latest one."

"I'll bring it over tomorrow morning."