godfather of surgery

Chapter 830: Robbing people from the hands of the King of Hell

Through this story, Yang Ping tells everyone about the difficulty and risks of "extracorporeal resection", especially complex external resection. If you don't have superb surgical skills, you must not use it rashly, because it is definitely not as simple as tumor resection plus multi-organ transplantation. Simple.

Even if tumor resection and multi-organ transplantation are combined, few doctors can successfully perform it, and the difficulty is not simply superimposed, so it is very rare for doctors to be able to perform the operation, let alone do it well.

"What happened to the Indian doctor?"

Zhang Lin really wanted to know the fate of this overly pretentious guy, because he has always been good at pretentiousness, and when he heard this story, he had to feel that pretentiousness was risky, and he had to be careful before pretending.

"I didn't know either, because the American doctor who told the story ended the story with a curse word, and I didn't ask."

This story was told by Yang Ping from an American doctor when he flew to Mayo. If he hadn't gritted his teeth with hatred, the Americans would never have ended it with swear words on that occasion.

It is conceivable that it is not a machine, but a living person. After the organs are taken out from the stomach, there is no way to re-implant them, and the surgeon is helpless when faced with a pile of organs placed on the sterile table. This is What a desperate scene.

"The third brother is really brave, and he is a role model for us!" Some doctor said out loud.

"I don't know what happened to that Indian doctor, but I know that his American mentor refused to teach Indian doctors in the future because he was too worried. Surgeons must be bold, but the prerequisite for boldness is high skill. We must Only when you are good at art can you have the capital and boldness.”

Yang Ping used this story to tell the doctors in the department to respect life and medical skills.

"Let's continue talking about this case. We have to deal with every detail. A long section of the inferior vena cava has been invaded by the tumor, which is very fatal. After the tumor is removed, we need to rely on artificial blood vessel transplantation to make up for the possibility. Defect; most of the pancreas needs to be removed, and blood sugar must be controlled after surgery; the gallbladder needs to be removed; part of the liver needs to be removed; part of the stomach needs to be removed; part of the small intestine needs to be removed; the left kidney has been severely invaded by tumors. It must be removed - only in this way can the tumor be removed as cleanly as possible."

"We need to accurately grasp the scope of tumor invasion before surgery, and then use some means to mark the tumor tissue during surgery, so as to ensure maximum tumor resection."

"We must achieve complete resection while also protecting some of the body's natural barriers. These natural barriers are very important. They can limit tumors that may recur in the future to a specific space, delaying or reducing the possibility of recurrence. Of course, there are also To achieve tumor-free technology.”

"So, even if it is removed, it is not a mindless cutting. Resection is a means, not an end."

Song Zimo stared at the images on the screen and said, "We also need to consider that after removing the tumor and some tissues and organs according to our plan, if the remaining blood vessels are not enough to provide vascular anastomosis for transplantation? We must also consider blood vessel transplantation."

"Yes, if the normal blood vessels for anastomosis are destroyed and we are forced to change the way of anastomosis, then we will face new problems. We must consider the diameter, flow and pressure of the blood vessels, because the liver is different from ordinary organs. A large amount of blood in the human body has to pass through the liver and affect the whole body. This is the difficulty of reconstructive surgery and also the charm of reconstructive surgery."

"Professor, you should already have a plan, right?"

Xu Xuzhiliang asked, because professors never fight unprepared battles.

"Professor, please tell us the specific surgical plan. We can only use a hammer here and an ax here." Song Zimo took over.

Director Fang stared straight at Yang Ping, and the story was told. Is it time to show off the real guy?
"We have made a surgical plan, and the draft of the drawing is locked in my drawer. I won't talk about it for now. This is your homework. You each take the time to come up with your own surgical plan. It must be specific to every detail. Everyone has to submit a plan and cannot copy or learn from each other. Dr. Li, you also have to come up with a plan. Don’t be afraid, the surgical plan can be done to any extent."

Dr. Li nodded: "I will draw it carefully."

"What about me?" Director Fang asked anxiously.

Zhang Lin put his hand on his shoulder: "Professor said everyone, do you want to hand it over?"

Director Fang immediately smiled, which means I am one of our own, which is a good thing.

"Okay, okay, I will also paint well."
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Dr. Li Min is very diligent and hard-working. He cherishes this rare learning opportunity very much. He knows that his foundation is poor, so he works harder than others.

To be a good doctor, you don’t just have to have good medical ethics, you also need to have excellent medical skills, otherwise you will do bad things with good intentions.

He downloaded anatomy learning software and used the three-dimensional anatomy animation on it to recite the anatomy of the whole body by heart. He would recall the knowledge he learned during the day in his mind every night.

The environment they live in also has a great impact on people. The surgical institute is full of top-notch doctors, so Dr. Li Min was deeply affected and determined to work hard.

Li Min has memorized systematic anatomy, partial anatomy, and applied anatomy, and Yang Ping will check his study status from time to time. Yang Ping gives him enough care in life, and is very strict in study, requiring him to Completely master the knowledge of anatomy. The 3D animated human body displayed on the mobile phone software must be deeply engraved in your mind. Whenever you encounter any part, you must be able to clearly recall the anatomical structure of that part.

Yang Ping also taught him how to draw step by step. Of course, he taught him to draw simple medical anatomy diagrams, so that Li Min could quickly learn to master and use drawing to express professional medical expressions.

In short, Yang Ping tailored a set of education plans for him, which tried to focus on clinical practicality, and some principle things were also taught as a basis for application.

As a college student, his knowledge reserve is definitely not a little worse than that of a doctorate or master's degree, but it doesn't matter. Yang Ping has enough patience, because he has taught him that he can teach many doctors in marginal mountainous areas in the future, so that they can shine in remote areas. Improve medical standards in these areas.

After getting familiar with the theoretical knowledge of anatomy, Yang Ping will take him to dissect a complete corpse specimen next, and gain practical knowledge of anatomy through dissecting the corpse. In this way, combined with the previous theoretical knowledge, the mastery of anatomy will be raised to a higher level.

Few doctors can dissect a complete corpse, and they will never have the opportunity to dissect a complete corpse in their lifetime.

After dissecting the corpse, Yang Ping will take him to the trauma emergency center for surgery. If he can perform trauma operations on various parts of the body several times, then he will have a basic framework for real vivisection.

It would be much easier to learn surgery from Yang Ping at this time. Anatomy is the cornerstone of surgery. Without skilled anatomy, any superb surgical technique is just a castle in the air.

While learning anatomy, Yang Ping also trained Li Min on basic surgical skills, such as incision, separation, suturing, knotting, hemostasis, etc.

Anyway, the Institute of Surgery has a lot of resources, all kinds of culture equipment are available, and there are enough experimental pigs, and there are 20 experimental pigs left for everyone to work on. Li Min is really able to endure hardships and stand hard work, and he has ideas in his heart, so he is very Work hard and follow Yang Ping bit by bit.

Yang Ping also trained him in the basic operations of microscopes and endoscopes. In the future, he can donate several equipment to Li Min's hospital. Although it is a rural hospital, as long as it has basic equipment, it can perform minimally invasive surgeries in general surgery and urology, such as gallbladder surgery. Surgery such as resection and urinary stone removal is still good.
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Yuan Yulin and Nie Shun'e have arrived at Sanbo Hospital and have completed their inpatient surgery.

It was inconvenient to run back and forth home, so Yuan Yulin opened a low-cost room in the Sanbo Hotel. Although the space was very small, it was enough to sleep.

This couple are very independent people. They had consulted a lot of information before coming. They also went to the vicinity of Sanbo Hospital to do research. They asked about the reputation of the hospital in and around the hospital. When talking about Sanbo Hospital, especially At the Institute of Surgery, no one nearby said bad things. They all gave thumbs up.

Even the man who sells sweet potatoes near the hospital said: "The doctors here are very good. Professor Yang is the most powerful. He published 13 CNS articles in one breath." Yuan Yulin asked what this CNS was, and the man said: "You don't understand, don't you? It’s an essay. What do scholars rely on to show off their skills? This thing is so powerful. It’s like the world’s gold medal for scholars. What kind of level do you want to win 13 gold medals in one go?”

The uncle was frothing at the mouth while roasting sweet potatoes.

Yuan Yulin asked about buying some sweet potatoes: "How to sell these sweet potatoes?"

The uncle wiped his sweat and pointed to the sign on the car: "20 yuan each!"

20 yuan each?You are stealing money.

The uncle said disdainfully: "Don't look at me like that. Professor Yang here passes this bridge every day when he goes to and from get off work. He always likes to buy my sweet potatoes to eat when he has nothing to do. You must have just arrived and don't know the situation. The doctors and nurses here Be it patients or family members of patients, they are all rushing to buy them. There are also many doctors from far away from here who come to check in and eat my sweet potatoes. Why do you think? Because they are the sweet potatoes that Professor Yang likes to eat."

"Come three!"

A young man didn't bargain at all and just scanned the QR code to get the goods.

Yuan Yulin and Nie Shun'e looked at it dumbfounded. A sweet potato costs 20 yuan, so they don't have to worry about selling it.

This young man is Guo Peihua. He was in very good condition after being discharged from the hospital. Just in case, he sold his original house and bought a house in the hospital to settle down. He also tried his best to work from home and not travel far.

He knew that Professor Yang could only save him if he was within a safe distance.

Guo Peihua often buys some fruits and other things to visit the doctors and nurses at the surgical institute, and sometimes helps the doctors and nurses do whatever they can.

"Are you here to see a doctor?" Guo Peihua asked.

Yuan Yulin nodded, yes.

"Which department should I look for? Professor Yang from the Institute of Surgery?" Guo Peihua said.

"how do you know?"

"I saw you in the ward today."

"Yeah, let's come here to see Professor Yang for surgery. I heard that Professor Yang is very good."

"You really found the right place. I had the surgery here. If I hadn't been lucky enough to be sent here, I would have died a long time ago. Professor Yang just snatched my life back from the hands of the King of Hell." Guo Peihua said while taking the sweet potatoes.

"So powerful?" Yuan Yulin asked curiously.

"No, Professor Yang, the director of the Institute of Surgery here, specializes in robbing people from the hands of the King of Hell. You have met a noble person. Not long ago, a super-rich man in Southeast Asia suffered a heart attack. American experts said that he could only wait to die. They used airplanes I was sent here directly for emergency surgery, and now I can walk in the garden. I heard that in order to live next to it and see a doctor in the future, this big boss bought the entire unfinished building nearby for development."

"If you wait here, you can see that the old man will come to buy sweet potatoes later."

"You said that Southeast Asian rich man came here to buy sweet potatoes to eat?"

"Tch! There are so many things you don't know. Do you think these sweet potatoes can be sold at such a high price? What is this place? It's a traffic thoroughfare. Others are selling here. The security guards and the city management will come over immediately, but the old man is selling here. No one wants to sell it. Dare to touch him, because Professor Yang commutes here and likes to eat the old man’s sweet potatoes the most.”

"Let me tell you, don't look at such a shabby place. There used to be a beggar singing here, but now he is a big boss, a big boss who runs a gold mine abroad."

Guo Peihua said it eloquently.

The old man said proudly: "That beggar was in my position at that time."

Robbing people from the hands of the King of Hell greatly increased the confidence of Yuan Yulin and his wife. They no longer had much hope and just wanted to do their best.

"What's your situation?" Yuan Yulin asked.

"The blood vessels burst like balloons and almost exploded in the stomach. Professor Yang snatched them from the hands of the King of Hell. I tell you, not me, as long as it is alive, he can find a way. Many patients here are from other places. Those who cannot be cured will be cured here."

"Have you ever eaten at the Water Lotus Bakery on the first floor of Sanbo Hotel?" Guo Peihua asked them.

"No!" The couple were very interested in what the young man said.

"Go and have a look, quickly go and have a look, buy something to eat, it's best to sit for a while. The boss's wife was in a car accident and only half of her body was left alive. Professor Yang saved her life. How can she survive with only half her body? But she was saved, and she can still survive now. walk."

Guo Peihua said seriously.

Yuan Yulin and Nie Shun'e became very optimistic after hearing this, and decided to visit the bakery proprietress later.

"Uncle! Here are two sweet potatoes!"

Yuan Yulin said immediately.

The uncle said: "Don't believe it, you will know if you stand here and watch for a while. I won't be able to be busy when everything is sold out."

After Guo Peihua said this, Yuan Yulin and Nie Shun'e became more and more confident. They ate sweet potatoes on the overpass, and then actually went to the Water Lotus Bakery on the first floor of Sanbo Hotel to see this half-person up close. When they When they arrived at the bakery, Yu Shuilian and his wife were busy, with smiles always on their faces. They didn't look like people who had experienced disaster at all.

The landlady doesn't look half human at all, she can still walk and work.

(End of this chapter)