godfather of surgery

Chapter 466 Similar Cases

The General Conference Room of the Department of Surgery, The University of Tokyo Hospital.

Surrounding the rectangular conference table, experts are discussing cases. There are not only professors from the University of Tokyo Hospital, but also professors from Juntendo Hospital. It can be said that the top surgical professors in Japan are gathered here.

Several of them are famous professors in Japan, such as Professor Ito, the consultant professor of spine surgery and neurosurgery of Juntendo Hospital, and the current director of spine surgery and neurosurgery are all his students.

He has always advocated that neurosurgeons should study the brain and spine, and only after they are familiar with the brain and spine can they divide into subspecialties.

In Japan, where the academic tyrant system exists, these professors have the absolute right to speak, and they have already retreated to the second line. The case discussions that invite them out to participate are either members of the royal family, financial group bosses, or political figures.

Their rich experience can become an important basis for decision-making, and more importantly, their prominent status can become a solid backing for the chief surgeon.

The status of Shun Tendo Hospital in Japan is equivalent to that of Concord in China.

In Japan, in terms of medicine, Juntendo University has a higher status than the Faculty of Medicine of the University of Tokyo, and Juntendo Hospital has a higher status than the Affiliated Hospital of the University of Tokyo. It is no exaggeration to say that Shuntendo is the father of the Faculty of Medicine of the University of Tokyo.

The case being discussed is none other than the patriarch of the Fujiwara family - Fujiwara Tanio, the current president of the Fujiwara Foundation, and the uncle of Fujiwara Masao.

Since the tumor was discovered in the physical examination, the Fujiwara Foundation donated 30 billion U.S. dollars to Dongda University for his case study.

"Mr. Fujiwara's operation is too risky. Even with the help of the most advanced navigation equipment, there is no success rate, less than 5.00%."

"Yes, we have conducted a lot of animal experiments, and the success rate of the operation cannot exceed 5.00%."

"Have you considered inviting European and American parties to participate in the treatment?"

"No, the success rate in the United States is not higher than ours. I am very familiar with Mayo's Johannesson. Their surgical operations may lag behind us in terms of details."

"Mr. Fujiwara's condition is confidential. If it is not necessary, try not to invite other people to participate."

"I agree, surgery for these types of tumors, I personally think we're already at the forefront."

"Everyone, have you ever thought that if the operation is not performed, Mr. Fujiwara Tanio will have no chance! Professor Masao Fujiwara, what do you think? You are not only a core member of the patient's treatment team, but also a family member of the patient." Professor Ito's hair is gray, but The spirit is hale and hearty, especially the waist is straight and the voice is loud.

Fujiwara Masao took notes while listening. Although he had a secretary to take notes full-time, he still made some necessary notes himself.

"According to my student Takahashi Fumiya's report back from his study in China, Dr. Yang Ping in China had a successful case." Masao Fujiwara felt that something fresh should be injected into the discussion.

"The individual case doesn't explain anything. What makes his operation different?" asked Professor Daisuke Komori, director of neurosurgery at the Affiliated Hospital of Southeast University.

"He has done a lot of in-depth research on the anatomy of the upper cervical cord and brainstem, especially the anatomy and function of the nerve nuclei, and based on this he designed a unique surgical approach, and even in his case, the patient during the operation There were several heartbeat and respiratory arrests, and the operation continued after resuscitation, and the most incredible thing was that the operation was performed during the period of cardiac arrest.” Masao Fujiwara did not see it with his own eyes, so he could only describe it based on Takahashi’s report.

"This is crazy! Surgery can be performed after the heart stops beating, that is because of extracorporeal circulation support, once the life center of the brain stops working, who can provide alternative protection? Who can guarantee that it can be revived?" Professor Komori felt unbelievable, his tone frivolous.

"Are you sure Takahashi saw it with his own eyes? According to your description, the credibility of this case is extremely low. If we use it as a reference, we will go astray." The director of neurosurgery at Shuntian Hospital couldn't believe it either.

"We also have a 5.00% success rate. It's not surprising that there are successful cases. I'm afraid it's more of luck. Besides, if he has a mature surgical plan, why didn't he publish a paper?" The deputy director of Spine Surgery of Shun Tiantang responded.

The director of spine surgery at Shuntian Hospital went out for a meeting, and the deputy director attended the meeting on his behalf.

"It takes time for a paper to be published. This is not a reason to deny it. Everything should be supported by evidence instead of emotion. There is no evidence that its credibility is low, and this information cannot be ruled out for the time being." A gray-haired The professor's tone was steady.

He is a teacher of Masao Fujiwara, a consultant professor of orthopedics at the University of Tokyo Hospital, Professor Ikeda.

"Everyone, we must be cautious about anything that is beyond common sense, and we must not be credulous, nor rashly judged as low credibility, so that we will miss some valuable information. Some people have ridicule in their tone, I Thinking that such an attitude is very dangerous and arrogant, it is a harbinger of falling behind!" Professor Ikeda further reminded everyone with a stern tone.

Professor Ito immediately said: "I very much agree with Ikeda-kun's opinion, you are only one step behind!"

For the old professor's reminder, everyone is blushing, and no longer dare to make fun of frivolously.

"Continue——" Professor Ito asked Masao Fujiwara to continue.

"I asked Takahashi to copy his operation method, and then simulated the operation on the experimental monkey. Unfortunately, I couldn't copy his operation effect. This doctor, I was fortunate to have an intersection with him, he once successfully performed an abdominal surgery. The operation of huge and complex hemangioma injury, I have failed in this case, but he succeeded. For this reason, I sent Gao Qiao to China to study with him. After Gao Qiao came back, he reported to me that this man’s operation was like a ghost. Takahashi used to be proud, but after returning from China, he became modest and prudent, so I think this person is by no means simple, but he is an orthopedic surgeon. The spinal column, but brainstem tumors belong to the category of neurosurgery, it is difficult to understand why he can perform interdisciplinary surgery, and it is the most dangerous interdisciplinary operation, which is almost impossible in China." Masao Fujiwara did not lightly deny it, but at the same time There is another doubt.

"Leave this in advance, but don't ignore it!" Professor Ito felt that it was meaningless to discuss this issue again, and it was difficult to discuss it clearly.

"I heard that your inpatient department received a case very similar to that of Mr. Fujiwara?" Professor Ito asked.

"Yes, we are now treating a patient in the Neurosurgery ICU, whose condition is very similar to that of Mr. Fujiwara. I think we can operate on this patient, and then accumulate experience from it, and then apply the experience to Mr. Fujiwara's operation. The success rate of the operation is It will definitely improve a lot." Professor Komori suggested.

The professors were stunned for a moment, and then Professor Ito said: "This is a good opportunity. The success rate of surgery needs to be accumulated. Ape animal experiments are very close to humans, but there is still a gap, and the tumor models are very different. If there is a close No matter the success or failure of this person's operation, it is definitely a good opportunity for President Fujiwara, and we must cherish it."

"If you do this, don't you--" Someone raised an objection.

"In the advancement of medicine, there will always be people who make sacrifices. This is not surprising, and it does not violate ethics." Professor Ikeda said in a serious tone.

"There is no ethics that stipulates the order of our operations." Professor Ito expressed solidarity with Professor Ikeda.

Masao Fujiwara breathed a sigh of relief, because as a family member of the patient, he could not propose to use this patient as a research case to accumulate experience for his uncle's surgery.

Now Professor Komori helped to propose it, and Professors Ito and Ikeda agreed. Masao Fujiwara was of course happy. He was most worried that the two professors would reject it outright.

"But --- the patient's family has informed us that the treatment will be conservative for the time being. They will invite a doctor to perform the operation. The doctor's information will be submitted to our hospital soon." Professor Komori was quite disappointed.

Ito's tone was filled with anger: "In the field of neurosurgery and spine surgery, is there anyone more advanced than us? Even Johannesson of Mayo dare not say that he surpasses us in surgery. Who will he invite? The United States and Europe Our top professors, for exchange and learning, we will invite you to come over for surgery. Besides, do we need to invite others to do surgery? We can refuse this request. For such cases, Shun Tendo, Tokyo University Hospital, They are all top-notch existences. You should explain to them clearly that this case is the most dangerous tumor in the world. The danger is due to the location of the growth, not our technology. The number of people who can operate on him in the world should be in single digits. We are one of them."

"I have explained patiently, but the other party is very firm. This patient cannot be transferred. If the patient needs to be operated on, it can only be operated on by us. However, if the other party proposes to hire a doctor from outside the hospital to perform the operation, as long as the doctor's qualifications meet the requirements, regardless of law or ethics. It seems impossible to refuse!" Professor Komori was very helpless.

Professor Ito was even more angry: "Absurd, this is contempt for us, how can there be patients who don't believe us?"

"He may not be clear about the medical profession. You continue to communicate with them. We must do the surgery. As for the doctor to do the surgery, I can't think of who they are going to invite. It is nothing but Johannesson, the Mayo neurosurgeon. Doctor, he is no better than us." Professor Ikeda and Professor Ito completely agreed.

"Understood, I will do my best." Professor Komori promised.

Fujiwara Masao also said: "I will work with Komori to change the minds of the patients' families."

"Mr. Tairen Sato, the head of our first generation, founded Juntendo University, and Naonaka Sato, the third generation of headmaster, founded the Faculty of Medicine of the University of Tokyo. When the Faculty of Medicine of the University of Tokyo was formally established, 22 of the 20 professors were from Shuntendo. The most excellent hospital in Japan. Now, Mr. Fujiwara is lying in our ward, but we seem to be helpless. I am in great pain, so everyone, we must do our best, unite and cooperate, and strive for the greatest success rate of the operation. The operation under the microscope, I'm getting old, so please, Masao Fujiwara and Daisuke Komori!"

Professor Ito stood up and bowed, Masao Fujiwara and Daisuke Komori immediately stood up and returned the salute.

"Please take me to see President Fujiwara again?" Professor Ito asked.

The meeting was temporarily adjourned, and Masao Fujiwara and Daisuke Komori led Professor Ito to the special ICU ward again to visit Tanio Fujiwara.

(End of this chapter)