godfather of surgery

Chapter 638 Am I Pirated

After anesthesia, position yourself.

Director Liu and Director Li were in charge of the operations on both sides respectively. They took the subordinate doctors to clean their hands and disinfect the sheets.

Except for the operating staff, there were no idlers in the operating room. Occasionally, disobedient doctors wanted to lurk down, but they were thrown out by the roving nurses.

Organ transplantation has very high requirements on the asepsis of the operating room. These two operating rooms are both Class [-] operating rooms, and they are also the operating rooms with the highest operating room level.

Yang Ping took Professor Yao to brush his hands. When brushing his hands, he did not forget to comfort the copyright owner: "Professor Yao, I am going to use your non-ischemic transplantation technique today. Thank you very much. I will trouble you later." More guidance, they are not familiar with it."

Professor Yao nodded stiffly. They are not familiar with it, so are you familiar with it?
The first time you use this technique, you need to practice many times. You have never learned from me. How can you master it? But you are smart enough to invite me to escort you. Otherwise, if you encounter any difficulties on the operating table, come to me. It was too late to save Taiwan.

While walking and watching, if it is true that this guy is not familiar with it, I still have to make a move. After all, my own technology cannot ruin the reputation of technology. Theory is theory, practice is practice, and they cannot be confused.

This is the first time a new technology has gone out of Nandu Fuyi. The original creators must maintain their reputation, and there are many eyes watching from the audience.

The inductive faucet was turned on, and Professor Yao began to wet his arms and apply special hand sanitizer.

"If you find that what I have done is wrong or not good, you can point it out at any time, and you can replace it if necessary." Yang Ping emphasized again that this is a respect for the original creator.

Well, let you wave first!

Professor Yao followed suit. After all, it was the first organ transplant in South China. He thought to himself, let's see Professor Yang's level first. Usually, it can be seen in the first few steps of the game.

Yang Ping said that he was in charge of the operation, so Director Liu and Director Li did not dare to move. After the drape was laid, they stood beside the operating table in surgical gowns and sterile gloves and waited.

Yang Ping and Professor Yao put on surgical gowns and gloves. Professor Yao counted the pipes connected to the machine. This machine is his invention, which can maintain the perfusion of the donor organ during the operation and keep the organ in a state of no ischemia. Perform a heat transfer.

Even a few minutes of ischemia in a donor organ can cause damage and cause dysfunction.

Heat transplantation without ischemia allows the organ to be implanted into the recipient's body without ischemia, which means that the organ is alive throughout the process.

For example, in liver transplantation, before removing the donor organ, the doctor first connects the blood supply vessels of the liver to the multi-organ function repair system. While cutting off the original blood supply, the machine replaces the blood supply of the human body to maintain the liver in a living state.

When the liver is implanted into the recipient, the blood vessels of the liver are connected to the recipient's blood vessels, and the recipient's blood circulation system takes over the blood supply to the liver, and finally the liver transplantation is completed.

During the whole operation process, the blood flow of the liver will not stop, and the function of the liver will be more intact after the operation.

With this new technology, the liver function index is significantly better than that of traditional liver transplantation. Postoperative aspartate aminotransferase is reduced by 74.4% compared with traditional technology. The probability of primary graft nonfunction is reduced from 6% to 0. 53% to 3.3%, greatly reducing the risk of surgery, this data is very encouraging.

This world's first technology has made Professor Yao a new star in the field of organ transplantation. He is highly valued by Dean Su and will soon be the vice dean of the First Affiliated School.

After checking the pipes, Professor Yao began to check the machine's perfusion pressure, oxygenation index, temperature and other parameter settings. This machine is his treasure, the crystallization of more than ten years of painstaking efforts. If it is not for saving lives, he is reluctant to take it out.

But at the case discussion meeting yesterday, how did Yang Ping understand his technology and equipment so well, even better than the inventor himself.

I don't have time to think about this now, let's talk about it after seeing the operation.
-
The operation has not yet officially begun.

The huge high-definition electronic screen is divided into two halves. One half of the camera is facing the operation area, which is currently just a green sterile sheet; the other half of the camera is facing the operating room, and the surgical team is taking their positions.

The demonstration classroom of the operating room is in a non-restricted area, close to the rest area of ​​doctors and nurses. At this time, it is already full of people and very lively.

In addition to the eight experts from other hospitals, there are Director Zhao from the Medical Office, a Deputy Chief Physician from the Organ Transplant Center, Doctors, Masters, Gui Peisheng, etc. who are available in various departments.

Within the urban area, there are more than a dozen hospitals qualified for organ transplantation. Doctors from these hospitals, as long as they are free, will come to join in the fun and observe the operation.

Bidirectional transplantation, complex patients, or non-ischemic transplantation, this operation is very attractive.

Professor Wang, Professor Pei, and Director Zhao sat in the first row.

There were tea and snacks on the desk in front. Professor Wang was a little bored, so he grabbed some melon seeds and peanuts to eat.

Director Zhao answered the phone and said hello to the professors. He wanted to excuse me for a while, so he ordered the deputy chief physician of the organ transplant center to accompany the experts.

"Let me tell you, Yao Qingxiang is the chief surgeon, you see, he has just come on stage."

Professor Wang picked up a cup of tea that had just been filled, and took a sip. Director Zhao was beside him just now, so it was inconvenient for him to point out.

On the stage is a technical debate, you can go straight to it, but off the stage is not a case discussion, you still have to give others some face.

So after Director Zhao left, Professor Wang began to comment freely.

Seeing Professor Yao perform the surgery, Professor Wang's interest was halved immediately. He also wanted to see that "madman"'s two-hour non-ischemic transplant.

If Yao Qingxiang were to perform the surgery, it would be a standard surgical demonstration.

For a single kidney transplant or liver transplant, Yao Qingxiang can do it within three hours. If he does all the liver transplants and kidney transplants, five to six hours is normal. If the assistant does not cooperate well, it may take longer.

Professor Pei looked at it and felt that something was wrong with the picture. Professor Yao was on stage, but he was not standing in the position of the chief surgeon. The one standing in the position of the chief surgeon was Yang Ping, the "lunatic" from Sanbo Hospital.

The position of the surgery, the main surgeon, the first assistant, and the second assistant are all particular, and you can't stand randomly.

So when the stage starts, as long as it is not a rookie team, the team's position will be very standardized, which is similar to playing basketball or football. The surgical team has its own division of labor and position.

"That's not right. How did that Professor Yang get to the position of the chief surgeon? Yao Qingxiang is fiddling with the machine pipeline. Could it be that Yao Qingxiang is only responsible for the operation of the machine and the maintenance of the organs without ischemia."

Professor Pei confirmed that he read it correctly, and told Professor Wang.

Professor Wang didn't pay much attention to these details. He took a closer look, and sure enough, Professor Yao was adjusting the machine, while Yang Ping was standing at the position of the chief surgeon, looking at the posture with his chest up, as if he was at ease.

"Isn't it? He really came to the stage to perform the surgery? Sanbo Hospital is really brave, and dare to mess around with this kind of surgery." Professor Wang's tone was a little angry.

As a professional leader, Professor Wang has a problematic personality, but his academic conscience is definitely there. He hopes that Yang Ping will take the stage as the chief surgeon, so that such an arrogant person will be self-defeating.

But when Yang Ping actually performed the surgery, Professor Wang was very angry. He thought it was a child's play for the operation, and he lacked respect for life, and he didn't understand the difficulty and risk of this operation at all.

Organ transplantation, an operation with such a high threshold, is managed so laxly. However, there are a few qualified doctors on stage to supervise, so this is not a violation of the regulations.

This is a matter of Sanbo Hospital, and Professor Wang was not invited to the stage, so it is inconvenient for Professor Wang to say anything more, but he is also ready to save the stage, scolding is the curse, and if he needs to save the stage by himself, he will not hesitate .

Professor Wang rubbed his stomach. He didn't know what he had eaten in the past few days. His stomach was always uncomfortable. He had diarrhea several times a day and felt tenesmus.

"handsome guy!"

Professor Wang waved to a doctor in charge of hospitality.

The doctor immediately ran over to see what the boss wanted.

"Where is your bathroom?" The boss had a stomachache and had just endured it for a long time. Before the operation started, he wanted to go to the bathroom to relax.

The doctor dutifully took the boss to the door of the bathroom, and then waited at the door by himself.

Professor Pei continued to stay and observe, waiting for the operation to officially begin.

The experts from the other outer courtyards were relatively quiet, and occasionally a few would bow their heads to discuss.

There are two big bosses here, and other experts are not easy to show off.
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After the preoperative check is completed, the operation can begin.

"I started?"

Yang Ping confirmed again.

"open it!"

The anesthetist indicated that it could be opened.

Director Liu nodded as well. It was the first time he had an operation with Yang Ping, and he was still a little worried.

Facing the God-like figure in Sanbo Hospital, Director Liu was still a little nervous.

Director Liu knew that he won the Golden Knife Award as an attending.

Director Liu also knows that the big bosses from the United States, Germany and Japan are working under Yang Ping as trainees.

There is no falsehood in the fact that the Phase III clinical trial of spinal external fixator has been conducted in the United States.

Several top tycoons followed him to donate money to fund Yang Ping's scientific research, and the whole hospital knew about it.

Director Liu was sweating a little while thinking about it, Yang Ping saw that his expression was wrong: "Uncomfortable?"

Director Liu shook his head: "It's okay, I'm just a little excited."

It's okay, Yang Ping took the scalpel, and the operation began.

Yang Ping cut the scalpel in Li Jun's right abdomen, forming a beautiful arc-shaped incision in the right iliac fossa. The length is only five or six centimeters, which is half shorter than Director Liu's usual kidney transplant of ten centimeters. .

The incision was neither deep nor shallow, and the knife was in place. Just after cutting through the skin and under the skin, the second and third assistants immediately pulled the hook and pulled the skin away.

Yang Ping replaced the scalpel with an electric knife, and then cut open the deep fascia of the abdomen. Bright red muscles bulged out. , found the kidney located outside the peritoneum, and touched the renal artery, vein and ureter along the kidney.

After finding the kidney on the right side of Li Jun, Yang Ping helped Director Liu and the second assistant adjust the retractor. The entire kidney, connected blood vessels and ureter were displayed in the operative field.

"Take a kidney! Professor Yao, please prepare the machine."

Yang Ping finished the first step and started the second step.

In just a few minutes, Li Jun's kidneys were exposed, and the equipment nurse hadn't even handed over the gauze to stop the bleeding.

At the beginning of the operation, Yang Ping didn't waste any time, and said to Director Liu who hadn't reacted yet: "Take a kidney!"

Director Liu was still the assistant for the kidney extraction, and Yang Ping took him to another operating room to change gloves.

Director Liu was still in a daze, and within a few minutes, Yang Ping found Qin Xiaowei's kidney, first connected it to Professor Yao's machine, and then took it out and handed it to Professor Yao to put it in the organ tank of the machine to keep the organ perfused.

Yang Ping, Director Liu, the second assistant, and Professor Yao transferred to Li Jun with a living kidney.

Yang Ping acted very quickly, immediately cut off the blood vessels and ureter of Li Jun's right kidney, and took out the discarded kidney.

Then Qin Xiaowei's kidney was connected, and the artery and vein of Qin Xiaowei's kidney were anastomosed to Li Jun's internal and external iliac arteries and veins.

Even the blood vessels of babies can be connected. This kind of thick blood vessels is very easy. With his hands hanging in the air, Yang Ping sutures the blood vessels like a precise machine, which is stable and fast, and the needle distance and edge distance are completely equal, which is very beautiful.

After the blood vessel was anastomosed, the blood vessel was opened, there was no blood leakage at the anastomotic port, no need for supplementary needles, the blood supply of the kidney was very good, and then the ureter of Qin Xiaowei’s kidney was planted on the top of Li Jun’s bladder, and a stent was placed in the ureter for the anastomosis The mouth of the pipe is shaped to prevent narrowing of the pipe.

The whole process took only half an hour, and the kidney transplant was completed!
Professor Yao just couldn't keep up with the rhythm. This is his own technique. He is actually much more proficient than himself, and he has just dealt with several details, which is much better than his own.

impossible!It doesn't make sense!
Am I a pirate?He is the original.

Professor Yao settled down, as if in a dream, half an hour, it is impossible to do it by yourself for less than two hours, three hours is the normal time.
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"How about it? Liver transplant first or kidney transplant first?"

Professor Wang came out of the bathroom, feeling much more comfortable in his stomach. He took a sip of tea to warm his stomach.

"How about doing a liver transplant first?"

Professor Pei did not speak, and Professor Wang made his own judgment.

"The kidney transplant is done!"

Professor Pei was unresponsive and answered Professor Wang's words.

Professor Wang looked at his watch. He had just gone to the bathroom, and he was full of calculations. How could he finish the kidney transplant in less than half an hour.

"Old Pei! It's not funny at all."

Professor Wang thought that Professor Pei was telling a joke, but obviously there was no point in the joke.

Professor Pei thumped his forehead a few times, exhaled and said, "It's really over. I've been doing organ transplants for 20 years, and I've never seen such a fast hand. You didn't see it just now. The level of anastomosis of blood vessels and ureters is really good. Superb, anyway, I can’t do this level.”

Anyway, Professor Pei couldn't find any good words to describe it.

Professor Wang saw that Professor Pei's expression was a bit out of place, and he looked distraught, so he asked the professor in West China behind him: "Have you finished the kidney transplant?"

"It's done! Look quickly, don't talk, you won't be able to see the complete liver after transplantation."

Huaxi's professor stared at the screen.

What the hell!

Professor Wang scolded in his heart.

The dignified Ph.D. supervisor could only swear in his heart, staring at the screen with his eyes, he couldn't post it.

(End of this chapter)