godfather of surgery

The junior brother handled himself well on the operating table, which made Director Shi feel itchy. If there was still a chance, he would be ready to go on stage and experience it again.

Yang Ping suspended the operation, took off his surgical gown and went to eat. Before leaving, he told Song Zimo and Xu Zhiliang: "Let Director Fang rest. Song Zimo, take Xu Zhiliang to slowly separate the inferior vena cava section."

The removal of the inferior vena cava and tumor is the easiest of the eight organs to be removed from the body. In order to save operation time, Yang Ping asked Song Zimo to continue the operation and complete this step of the operation.

Song Zimo understood what the professor said. Without the professor's nanny-like assistance, Director Fang would not have been able to perform this kind of surgery. If Director Fang was still allowed to perform the surgery, it would definitely be a disservice. Once it was messed up, there would be no way to end it.

When a European climbed Mount Everest, he hired a local Nepalese team to assist him in the climb. In order to save trouble, the team directly carried him to the top of Mount Everest, then asked him to take photos and check in, announcing that he had successfully climbed the mountain.

Later, the European led the team to climb again. This time he decided to go alone, thinking that he did not need the help of the Nepalese. However, before he reached the mountainside, the team was unable to move forward and was in trouble. If it had not been rescued in time, the entire team would have died. The army was destroyed.

Director Fang was very interested and said to Song Zimo and Xu Zhiliang: "Shall we continue?"

"Wait, let me take a moment." Song Zimo said.

Director Fang tried to continue the separation on his own, but he didn't know how to start. It was like driving a car in a strange and complicated city. He used to rely on the navigation without any pressure, but now the navigation was suddenly turned off, and the driver suddenly lost his way.

Director Fang is like this now. He feels like a driver who suddenly lost his navigation. He doesn't know how to use the tissue scissors in his hand. The whereabouts of the pile of things in front of him are all obscured now.

Wasn't the anatomy clearly layered just now? Why was it suddenly darkened now? Director Fang couldn't figure out what was going on.

"Hurry up, let's cut out the tumor quickly." Director Fang urged Song Zimo and Xu Zhiliang while looking for a place to cut the scissors.

Boss, the experience card has a time limit. You can't think about good things, but you have to continue experiencing it without limit. You have to be kind. The professor just led you to do the surgery. Of course you did it smoothly.

When this person drifts away, his IQ is particularly easy to drop. Director Fang is like this. Now he is dizzy and feels good about himself.

"Song Zimo, come here, help me, we'll wait for Professor Yang while we work." Director Fang completely lost himself.

''I don't dare to take action. "Song Zimo said.

"Didn't you do a good job helping Professor Yang just now? Don't be humble and hurry up." Director Fang still refused to give up.

I felt so good after the surgery just now, but the time to feel good was not enough. It was too short. People are always like this, always wishing to feel good for a longer time.

"We have just removed the liver tumor, and now we need to remove the pancreas. Let me see, we should cut off the removed left lobe of the liver and the tumor first. This will make it easier to remove the pancreatic tumor. Let's help and start work! "

After making a plan for the next operation, Director Fang felt very pleased with himself and was rubbing his fists and hands.

"It cannot be cut off. The professor has always advocated en bloc resection of the tumor, so as to ensure that the tumor cells are not leaked to the greatest extent." Song Zimo rejected Director Fang's plan.

"Oh!" Director Fang responded and continued planning the surgery.

Now that a bunch of organs are separated from the body, there is no need for retractors for the time being. Zhang Lin and Xiao Wu also got off the operating table to eat. When Yang Ping comes back later, they can drive fast together to improve the progress of the operation.

"Oh--"

Song Zimo didn't help, and Director Fang didn't dare to move alone. Although he felt a little carried away now, the basic principles were still there.

"Director Fang, how about this, let me experience it too. I will complete the separation of the inferior vena cava. This section is easier. After the separation, you will continue to separate the pancreatic tumor?" Song Zimo suggested.

That’s fine, Director Fang agreed wholeheartedly.

Director Fang and Song Zimo switched places, Song Zimo was the surgeon, and Director Fang acted as an assistant. Everyone began to separate the tumor in the inferior vena cava. This section was relatively easy, but only relatively.

Director Fang was an assistant. Song Zimo did not dare to use a sharp knife, so he had to use tissue scissors to separate. He picked up the tissue scissors and toothless forceps and began to separate. He lifted the tissue, cut open and closed, and at the same time separated the blood vessels and ligated them. Song Zimo's horsepower was level one. As the level went up, Director Fang slowly began to feel in a hurry, unable to keep up with the rhythm, and seemed very struggling.

At this time, the director's graduate student at the bottom of the stage said: "Director, Corey is doing great rescue work. I will always look for you when I am hospitalized."

As soon as Director Fang heard that the department was carrying out rescue operations, he immediately put down the instruments in his hands. He didn't have time to perform surgery, so he immediately left the operating table and apologized while taking off his surgical gown: "Dr. Song, I'm sorry, I have to go back to the department. "

Then he asked the graduate student: "Which bed? Are you still fine after the morning rounds? Why the sudden emergency? Is there any mistake?"

"I didn't ask him just now, and he didn't make it clear either." The graduate student said with a blush.

Director Fang was angry: "Why didn't you ask clearly about how you handled this? Call me now to find out."

He was angry because he couldn't delay such a rescue. Director Fang hurriedly took off his surgical gown and threw it into the collection bucket. However, he felt angry because the operation was going on vigorously, and now a big rescue suddenly appeared, and the graduate student answered the phone and said no. Knowing which bed and which patient, Director Fang would start cursing now if he wasn't on someone else's territory today.

"Walk!"

Director Fang yelled at the graduate student.

The graduate student followed him out of the operating room and into the dressing room. Director Fang asked, "Have you asked me clearly, which bed of patients is in which group? What is the specific situation?"

"Director, the number was wrong. It said it was a patient from the Department of Urology. It's really strange why the boss of the Department of Urology called me on my mobile phone." The graduate student scratched his head.

Mom, I really want to kick you, Director Fang. When did you become confused? Are you deliberately trying to tear me down? Director Fang stopped and glared at the graduate student: "What do you mean?"

"This - which - director - hey, it's all my fault. I was also anxious and didn't understand the situation -"

In fact, the graduate student saw Director Fang becoming more and more strenuous on the stage, and suddenly realized in his heart that Director Fang's smooth operation before was not because he was really good, but because Professor Yang deliberately cooperated in order to let him experience it and give him face. It was all Yang's fault. Well done to the professor for his nanny assist.

But maybe Director Fang had too strong a sense of agency on the stage and was not sober for a while, insisting on doing the surgery. The graduate student was afraid that the instructor would make a fool of himself in public, so he thought of such a low-level way to get rid of him.

Graduate students know that their mentors are smart and talkative. They usually treat them very well and will help them financially from time to time. Just curse a few words. You can't tell your instructor: You don't know how much you weigh. I'm afraid you'll make a fool of yourself in public, so I'll find a reason to pull you down.

Director Fang personally called the chief resident of the ward to make sure everything was okay before he felt relieved. He might have been frightened because of the false alarm. Then he asked several patients with complicated conditions, so that he felt reassured.

"You have the wrong nerve today, and this kind of thing is a mistake."

Since everything was fine, Director Fang decided to return to the operating room.

Director Fang was cursing all the way, and the graduate student followed him obediently. No matter how much Director Fang cursed, he was always smiling.

"You are so thick-skinned!"

Director Fang had no choice but to shut up.

Just for a while, Yang Ping had finished his meal and was standing on the stage. There was no place for him on the operating table. Director Fang complained in his heart: The operation was done so fast, why can't he eat so fast.

Song Zimo has completed the separation of the inferior vena cava tumor, and Yang Ping took over and continued to separate the tumors. The liver tumor has now been successfully separated, and the next step is to separate the pancreatic tumor. The pancreatic tumor is a primary tumor, so it is more difficult to separate.

Zhang Lin and Xiao Wu also ate relatively quickly, so they were quickly in place and the operation could officially begin.

"Cheer up and let's hurry up."

Yang Ping ordered that the team was ready and everyone began to speed up the operation.

Yang Ping did not use tissue scissors at all, but used a scalpel to separate the whole process. In order to ensure the sharpness of the scalpel, a new scalpel blade had to be replaced every half hour. He used toothless forceps in his left hand and a sharp knife in his right hand. The forceps were firmly clamped. The tissue was cut and separated layer by layer with a sharp knife. Every time he encountered a blood vessel, Yang Ping would separate and ligate it in advance. There was no bleeding due to accidental injury to the blood vessel during the entire process.

The head of the pancreas, duodenum, part of the stomach, a section of the inferior vena cava, and part of the spleen were slowly separated with mixed tumors. The scope of resection was very large. Under the guidance of fluorescent glasses, the scalpel accurately separated the tumor from the Normal tissues are constantly moving apart.

In order to prevent the contamination of tumor cells, Yang Ping always followed the tumor-free technique during the operation. After the tumor and normal tissue were incised, they were separated by clean gauze.

Director Fang stood in front of the screen, watching with pleasure. The anger in his heart just disappeared instantly. The authorities were confused and the onlookers could see clearly. Director Fang's head may have slowly woken up at this time. Fortunately, he didn't use the knife just now for this kind of surgery. Even if he could barely do it, it would still be impossible. It was a complete mess, and there was no way to end it in the end.

When I experienced it, my assistant was Professor Yang. He completely led me to perform the surgery and prepared everything for me. I just moved the scissors like a fool. I almost thought I was a top expert.

Fortunately, he came down in time, otherwise it would really be a joke. At this time, he was grateful to his graduate student for calling him down from the operating table in time. Could it be that this kid did it on purpose?

Director Fang turned to look at his graduate student. At this moment, he met his eyes and the graduate student smiled awkwardly.

The boy is quite smart and a talented person. His pain is not in vain at ordinary times, but he knows how to turn to himself when it is critical.

On the screen, the sharp knife has been separating smoothly. Anyway, the whole process has been alternating between separation or electrocoagulation and ligation of blood vessels, which has a strong sense of rhythm.

In the end, the tumor was completely removed with a ring of normal soft tissue. What a feat of knife skills.

I don’t know if the remaining organs can be replanted. Anyway, the left lobe of the liver has been lost, and a lot of blood vessels have been cut off on the remaining right side of the liver. A long section of the inferior vena cava is missing, and the left kidney is gone. It needs to be transplanted. There are many structures that have been rebuilt.

What is left on the table are a few scattered parts of the organs, and there are no blood vessels for transplantation and warm anastomosis.

Director Shi put himself in the position of the surgeon and felt that he must be in despair now. How can these things be re-implanted? In this case, an autologous liver transplant can be very stressful, not to mention such a pile of incomplete organs. .

Director Shi found that if the resection site includes a blood vessel connected to an artificial blood vessel, the connection position of the artificial blood vessel must be the healthy upstream of the blood vessel, that is, the bridging position of the artificial blood vessel has already been anticipated for the subsequent steps.

Everything is under the control of Professor Yang, and every step is obviously carefully designed, because there is no hesitation or waiting in each step. The entire operation is like a huge and complex project, with the part and the whole, the front and the back, all connected. buckle.

The technical content of this surgery is really not that high. As a well-known expert in the country, Director Shi couldn't help but refresh his understanding after seeing this surgery. An surgery can be designed to be so complex and precise.

Each step is like a gear. Countless gears work closely with each other. There is no problem with any gear. Everything is precisely planned in advance, echoing back and forth, interlocking with each other, and watertight.

How awesome! Director Shi couldn't help but cast an admiring look at Yang Ping.

Director Fang is now secretly rejoicing that he came down in time, otherwise he would be in a hurry as an assistant, and he has no experience in this kind of surgery.

The subsequent reconstruction work is undoubtedly a huge and complicated project. The reconstruction of the arteries, veins, and bile ducts of the liver is mind-numbing.

"With so much of the inferior vena cava removed, why don't you ask a cardiothoracic surgeon to come take a look and help with the treatment?" Director Shi was very immersed in the operation, but the more immersed he was, the more problems he had to consider.

Director Fang said: "Professor Yang has done it all by himself, so why should we hire a cardiothoracic surgeon? When a cardiothoracic surgeon encounters a complex aortic dissection, we still need to hire him to perform the surgery. Last time, the cardiothoracic surgeon tore an aortic dissection that was more than one meter long." If he couldn't take it off, Professor Yang came on stage and performed the surgery, and the patient is now living well."

He really does all kinds of surgeries. Which surgery he chooses depends on his mood. This sentence is not bragging, but a true portrayal of this young man.

In order to let the assistant maintain enough energy, Yang Ping took a short rest. Director Fang walked around the operating table, wanting to say a few words to Yang Ping.

Yang Ping found Director Fang in the audience: "Director Fang, what, do you want to come up and try again?"

Director Fang immediately waved his hand: "I've had a cold for several days. I'm dizzy and can't bear to stand for more than ten minutes. You guys are busy, I'll take a look below."

Director Shi glanced at Director Fang, wondering why he copied my reasons, and could he be more serious about making up the reasons?

"The next step is reconstruction. After reconstruction, we will do autologous transplantation. There are quite a lot of blood vessels to be reconstructed. Xu Zhiliang will take people to remove the blood vessels, and Song Zimo and I will do the reconstruction. Please hurry up."

Yang Ping gave a brief reminder about the next operation.