godfather of surgery

Chapter 635 Transplantation without ischemia
Director Wang and Director Pei were also dubious.

On such an occasion, the director of the medical department of Sanbo Hospital did not dare to brag. If he really bragged, he would be treated as a big joke by the industry. Besides, there is no need to brag in a dignified provincial hospital, let alone in front of so many experts, unless The head of the medical director was caught by the door.

But what Director Zhao said is unreliable, everything can be believed.

If you want to make a clear judgment, you should check these things and these operations. Obviously, this is time-consuming and labor-intensive, and everyone is not interested in it.

The easiest way is to exchange knowledge about organ transplantation with Yang Ping on the spot.

"Professor Yang, tell everyone what you think?"

Director Zhao encouraged him again and pulled Yang Ping to speak, in order to raise the value of Sanbo Hospital.

Whether it is the professors from the imperial capital or the devil's capital, they obviously don't take Sanbo Hospital seriously. Director Li and Director Liu can't control these experts at all. In front of these experts, Director Li and Director Liu are little brothers.

Yang Ping cleared his throat. He didn't have the habit of pretending to be coercive, but Director Zhao pushed himself on stage. For the sake of Sanbo Hospital, he had to pretend to be coercive.

If you don't tell the truth, others will really think that Sanbo Hospital is nothing but bragging.

Old Zhao, you can't do this to young people. Yang Ping slandered a few words in his heart and began to speak:

"Actually, the problem that everyone is worried about by this patient does exist, but I think it can be completely avoided, such as reducing the operation time and shortening the entire operation time to about two hours. This will not only reduce the impact of the operation on the patient, but also reduce the exposure time of the operation area. , reduce the chance of infection; Regarding the issue of triggering multiple organ failure, the risk in this area is indeed very high, because in the process of organ transplantation, there must be a certain amount of ischemia time, and ischemia leads to organ function damage, which can easily trigger critical For lingering multiple organ failure, in order to avoid ischemic damage to organ function and allow organs to obtain full function immediately after operation, non-ischemic transplantation techniques can be used. The operation time is shortened to two hours, and non-ischemic transplantation techniques are used to do When it comes to these two points, the problems that everyone is worried about will generally not arise." Yang Ping finished speaking in a very peaceful tone without rushing.

"The operation time has been reduced to two hours? Are you sure you mean liver transplantation and kidney transplantation together? Nonsense!"

Professor Didu Wang was dubious at first, but now he suspects [-]% that this young man is a talker, probably a rabbit doctor.

The so-called Dr. Rabbit is a kind of surgeon. He has a solid theory and talks endlessly, citing extensively. His scientific research ability is excellent, and he has dozens of top SCI papers. He has a brilliant educational background. ;Education is not high, a doctorate is standard, but he just can't do surgery, clumsy, and often makes troubles, because his achievements come from raising rabbits for scientific research, so he was named Doctor Rabbit.

This guy is definitely a rabbit doctor, Professor Wang concluded.

This kind of rabbit doctor exists not only in China, but also in the United States. The most famous rabbit doctor in the United States is a spine surgeon. His academic achievements and educational experience can blind people's eyes, but after dozens of cervical spine surgeries, the patient is not dead. , It is paralysis, and no one is lucky enough to be safe.

The normal time for a single liver transplant operation is 4-6 hours. Even if the operation is extremely experienced and everything goes well, it can be controlled to about three hours. This is only a liver transplant, and the patient also has a kidney transplant. It is impossible to complete the operation in two hours, this is not nonsense.

People who engage in technology hate this kind of ignorance, talking nonsense, and speaking with a nose and eyes.

Talking about non-ischemic transplantation, I really thought I knew a lot.

Theory is theory, and practice is practice. Reading books about appendectomy [-] times is not as good as doing an appendectomy.

"Professor Yang, have you ever had liver and kidney transplants?"

Professor Wang asked bluntly.

The euphemistic way to ask is: "Professor Yang, how much is your annual liver transplant and kidney transplant operation?"

Now using this aggressive questioning method shows that Professor Wang is very angry.

"I haven't done it yet, but in order to remove the tumor and correct the deformity of the heart, I have done an autologous heart transplant." Yang Ping is very objective, and he doesn't like to brag, and what he says is the truth.

An autologous heart transplant, or a deformed heart, is also a heart transplant, which is technically the same as an allogeneic heart.

But liver transplantation and kidney transplantation are another matter. They have never done it before, so they dare to do it blindly.

"You have never had a liver or kidney transplant, how dare you speak?"

Professor Pei of Modu has long since been unable to bear it. If a layman dares to challenge his own field and speak nonsense, he must fight back fiercely.

Yang Ping didn't like this kind of occasion the most, because he had to make a lot of explanations. If Director Zhao didn't rush the ducks to the shelves, he didn't want to speak on this kind of occasion at all.

If this operation is really to be done, it should be done quietly, causing so many experts to quarrel.

There are many things that I can't explain. I am in the operating room of the system. I have practiced all kinds of operations, let alone liver transplantation and kidney transplantation. As long as it is an operation, I have practiced it once, but I have never done it in reality.

Now when Yang Ping looks at Director Zhao, no matter how he looks at it, he looks like Zhang Lin's father.

"Professor Wang, this is a bit ugly. What is nonsense." Director Zhao is not happy, and he can refute if he disagrees. You can't use such words as nonsense, which is disrespectful to our Sanbo Hospital.

Professor Wang in the imperial capital has a bad temper and is very conceited. He has been at the top of the pyramid in the field of organ transplantation for a long time.

In many academic conferences, he said that others also use irritating words such as "nonsense" and "nonsense".

Not to mention the Sanbo Hospital, even the professors in Shanghai are not still harassed by him, but Professor Pei dares to refute, and others dare not refute when they are harassed.

"I haven't done a single liver transplant or kidney transplant before. I'm talking nonsense in front of us. This operation is limited to two hours. You can control it? There is no ischemic transplant. Do you think that non-ischemic transplant is so easy to use?" ?” Professor Wang from the imperial capital was furious.

Professor Modu rarely supports Professor Imperial City:
"Young people don't have back pain when they stand and talk. If they can really do what you said, the problem doesn't exist at all, and everyone doesn't need to discuss it here."

They are both organ transplant experts. Obviously, no matter how much they quarrel, it is an internal conflict. Now that someone actually challenges their professional authority, they should unanimously speak out.

"Two hours? Transplantation without ischemia?" Huaxi's professor shook his head. He wanted to help Sanbo Hospital with a few words, but this guy was defiant when he opened his mouth.

The other professors either sneered or shook their heads. This meeting has turned sour, a serious exaggeration.

Originally, this was a pertinent truth from myself, but these were all based on my own standards, and I didn't consider this discussion environment for a while, and I didn't expect to provoke everyone's crusade.

At this time, Yang Ping was very embarrassed. If he talked nonsense at this time, he would be irresponsible to the patient, and if he said something seriously, it would arouse public anger. Fortunately, Yang Ping is a frank person and doesn't care about others' crusade.

"Experts, I'm not talking nonsense. In terms of surgery alone, liver-kidney transplantation mainly tests the ability of vascular anastomosis and the ability to dissect the liver and kidney. I believe that it is no problem to complete the operation in about two hours. As for the technique of non-ischemic transplantation, it is very It is suitable for these two patients, and if these two surgical conditions are met, although these two patients are said to be in poor condition, they will basically not face too much risk."

Professor Yang said what he said, so Director Zhao stood up.

Since Yang Ping joined Sanbo Hospital, every time he talked like a braggart, he never failed, not even discounted.

At this time, Professor Yao from the First Attached to the Southern Metropolis made another speech: "I think Professor Yang's opinion is very correct. Although non-ischemic transplantation is not widely used, it is very suitable for these two patients, allowing the organ to obtain complete functions immediately after transplantation." , to reverse the disease, get on a benign track, and avoid possible complications. If necessary, we provide you with an in vitro multi-organ repair system (Life-X), which can create perfusion close to physiological conditions for isolated organs pressure, temperature, oxygenation and nutritional support, which can ensure that the organ remains alive from harvesting to transplantation without interrupting the blood supply during the whole process.”

This extracorporeal multi-organ repair system was invented by Nandu Fuyi Organ Transplant Center, and they also proposed this technology first, but only Nandu Fuyi is currently using it, and the paper has been published in the journal "Science".

Unexpectedly, Yang Ping from Sanbo Hospital was still familiar with his own technology. Professor Yao suddenly felt like a bosom friend, so he spoke a little more.

"How effective this new thing is remains to be tested, and it should not be used on such complicated patients."

Professor Wang of the imperial capital is used to dominance. Just now, Yang Ping talked so lightly about the surgery. Now that Professor Yao is supporting Yang Ping again, Professor Wang is naturally upset.

"Yes, you must be cautious with immature skills. Medical skills are sometimes a double-edged sword." Professor Pei and Professor Wang from Shanghai joined hands to suppress Professor Yao's words.

"This kind of complex patients is most suitable for non-ischemic transplantation. Non-ischemic transplantation is the future of organ transplantation. There have been dozens of cases. I think it can be applied to these two patients," Yang Ping said firmly. Stick to your opinions.

Yang Ping has also studied these two cases. If ordinary techniques were used for these two patients, the risks would be extremely high. If non-ischemic techniques could be used, the risks would be almost reduced to the minimum.

Moreover, Nandu Fuyi already has dozens of cases of non-ischemic liver transplantation experience, and recently applied this new technology to kidney transplantation.

Therefore, after research, Yang Ping believes that if the non-ischemic transplantation technique of Nandu Fuyi can be used, this problem will be perfectly solved.

After Yang Ping finished speaking, Professor Wang from the Imperial City and Professor Pei from the Demon City all stared at him.

Surgery is not a joke, and it cannot be used as a gamble, otherwise the two great professors will definitely say: "Since you are so good at it, why don't you give it a try?"

These serious professors can scold mothers in meetings, but they can't say such life-threatening words anyway.

The meeting was a bit deadlocked for a while, and if it continued, it would lead to new quarrels.

"Everyone speaks freely, knows everything without hesitation, and speaks with confidence. Sanbo Hospital is very tolerant. For academic discussions, everyone can take pictures of the table behind closed doors, and everyone can have a drink and chat when they leave this conference room. Yes. Right? Now Professor Yang mentions shortening the operation time and using non-ischemic transplantation techniques, is it feasible?"

Director Zhao looked very serious, and said every word.

With so many professors, if we don’t discuss one, two, and three today, the consultation fees spent by the surface warriors will be in vain.

What are you doing today?
Yang Ping looked at Director Zhao next to him, always blaming him.

"Since you advocate non-ischemic transplantation technology so much, why don't you share with us the details of non-ischemic transplantation technology?" Professor Wang didn't bother to argue, and pointed out the details of the braggarts, and details can expose all lies.

Yang Ping will explain the development history of non-ischemic technology, the published papers, the current application status, the specific structure of the in vitro multi-organ repair system (Life-X), and the regulations clearly.

Professor Yao from the First Attached to the Southern Metropolis was stunned. This is my first technology, how come you are more familiar with it than me.

Professor Yao even wondered if he had stolen Yang Ping's achievements?

For the in vitro multi-organ repair system (Life-X), Professor Yao's real machine is still very different from the description in the patent application, and the real machine has not been lent to others for research. How can he know so much in detail?

The most outrageous thing is that Yang Ping's understanding of several technical difficulties is actually deeper than his own, and his words suddenly enlightened him.

"Professor Yao, I have collected almost all the techniques of non-ischemic transplantation and studied them for a long time." Yang Ping noticed Professor Yao's strange gaze, and found that the explanation was too thorough, so he had to give Professor Yao an explanation.

Professor Yao nodded, how do you know the structure of my machine?

"I also deduced the structure of your machine based on your patent information, combined with the application data in the paper." Yang Ping continued to explain.

Professor Yao nodded again.

This kind of reverse ability is too scary. Being a doctor is a waste, and you should be able to do bigger things.

Asking Yang Ping to talk about the details was originally to make him self-defeating.

I didn't expect him to talk in such detail. Professor Wang and Professor Pei also paid attention to this new technology, but they thought it was immature and did not follow up.

The two professors fell into silence. There was no loophole in what they said. Even the inventor, Professor Yao, didn't question him a word. How could I say that he was wrong.

Director Zhao unscrewed the bottle cap and took another sip of water.

You should take a break after testing my people. Now you have to say a few words, either admit defeat or refute, and you can't just stay silent.

"Professor Wang, Professor Pei, you guide and check everyone, is Professor Yang right?" Director Zhao said calmly.

The two professors really didn't know how to refute, so they could only say: "What Yang Ping said just now is indeed very detailed."

(End of this chapter)