Chapter 1012: Chapter 841 Trouble Helping Lead the Way_2 Chapter 1012: Chapter 841 Trouble Helping Lead the Way_2 A major surgery consists of many smaller surgeries, and of course, each so-called small surgery is a major surgery in its own right.
These surgeries are both independent, forming a module, and must be coordinated with other surgeries, with each module forming an organic whole.
For such complex surgeries, doctors must have a basic knowledge of engineering, treating the entire surgery as a large project, with each step as a component module. The masterpiece in human surgical history—Fontan Surgery—embodies this engineering thought. To achieve the goal, we need to consider many factors ticulously, rather than thinking about problems in a scattered and disorderly experiential way.
“Otherwise? I always say Professor Yang performs god-like surgeries, but you don’t believe .”
Director Fang said triumphantly, after all, this God-like figure was from his own hospital, and he wanted to boast about it.
Director Shi said unhappily, “When have I ever not believed you?”
The liver and pancreas had already completed autotransplantation, and now it was ti to perform autotransplantation on the spleen. The spleen only requires the reconstruction of arteriovenous blood vessels, not functional pathways, so it is much easier than the liver and pancreas.
But the spleen is a bit peculiar; its implantation can be confined to any location within the cavity or within a solid organ, such as the liver, pelvis, thoracic cavity, pericardium, subcutaneous tissue, etc.
That is to say, if due to trauma or carelessness during surgery, a piece of splenic tissue scatters in these areas, it can survive like a seed.
Therefore, to prevent this accidental splenic seeding, Yang Ping was very careful, treating it as carefully as a tumor, protecting the periphery of the surgery very stringently to avoid the detachnt of tiny splenic tissue causing accidental implantation.
Director Shi was sweating profusely, holding a piece of tissue in his hand and pressing it to his forehead from ti to ti.
Director Fang was contemplating whether to try an autologous liver transplant next ti. If he could successfully perform an autologous liver transplant, that would be impressive, as it’s also a highly challenging surgery, and not many hospitals in the country could carry it out. Eat one bite at a ti, perform surgeries one at a ti.
Moreover, if he were to perform a bloodless autologous liver transplant, that would be the second case in the world.
In the Surgical Research Institute, being the world’s first doesn’t hold much value, but for Director Fang, being the world’s second or even tenth was sothing he longed for.
With this thought, Director Fang had an epiphany—constantly achieving the world’s first in the Surgical Research Institute, with the recent minimally invasive spiral cutting technology for myocardium also being a world-first innovation.
An audacious idea took root in Director Fang’s mind. From now on, he would follow the pace of the Surgical Research Institute, focusing on their general surgeries. As long as they perford the first case, he would perform the second. For such ga surgeries, which he couldn’t manage on his own, it didn’t matter—he would scale down the surgeries, try to make them smaller.
For instance, if Professor Yang tackled ex-vivo resection autotransplantation of eight organs, he would do it with one organ.
This way, he would always be the world’s second, the world’s second!
Director Fang felt exhilarated just thinking about it and was happy with his enlightennt. From now on, he would adhere to this concept to achieve his “academic strata leap” in life.
“Later, copy the surgical video and take it back!”
Director Fang instructed his graduate student authoritatively, planning to copy all general surgery videos from the Surgical Research Institute for thorough study and then to have Professor Yang “lead” him through surgeries. A few leads, and naturally, he would be well-versed.
Thinking of this, Director Fang couldn’t help but savor the thrill of having been led through a surgery just now, truly exhilarating. When could he be led through another?
At this mont, Director Shi was also calculating similar plans in his heart to beco the world’s second. True to being brothers of the sa ntor, they had the sa idea in mind. Seizing an opportunity, Director Shi said, “Professor Yang, when you have ti, co to our cancer hospital to guide surgeries. We have many such patients over there.”
Director Shi also addressed Director Fang’s student, “Copy one for as well.”
“Can I copy a version of the surgical video to take back?” Director Shi, being from another hospital, felt it necessary to ask permission before copying soone else’s materials.
Yang Ping didn’t mind this at all, as long as you’re willing to learn. You’re free to copy; the more people who copy, the better.
“Pay attention! Look at the prompt beside the host, and do not use your own USB drive. There are new USB drives in the drawer next to it—free of charge. Take any you need, but absolutely do not use your own USB drive to copy. If found, you will be banned from the operating room,” Zhang Lin reminded those who wanted to copy the surgical video.
Those ssy USB drives could carry viruses that might damage the computers in the operating room, creating more than just a little trouble.
Autologous liver transplantation may claim the ceiling of hepatobiliary surgery, but now there’s transplantation involving five organs, so for a five-story building, the original ceiling is just the ceiling of the first or second floor.
Multi-organ transplantation within the abdominal cavity originated from cluster multi-organ transplantation, first pioneered by Professor Starzl, known as the father of modern organ transplantation, in 1960.
Cluster multi-organ transplantation within the abdominal cavity refers to transplantation of three or more anatomically and functionally related organs, either intra-abdominal or extra-peritoneal, en-bloc and in a string of organ clusters.
The basic surgical principle is that the entire block of multiple abdominal organs transplanted as a whole needs to have a common arterial blood supply and venous outflow.
However, the surgery Yang Ping perford today was clearly larger than cluster multi-organ transplantation since the involved organs did not share blood supply through arteries and veins, nor were they completely functionally related.
The surgery continued, steady and ticulous, the entire sequence carefully arranged, with engineering principles perating every detail of this large-scale operation.
In the end, even the remaining stomach was successfully transplanted. The entire operation went smoothly; like an old, dilapidated house being completely torn down, the materials sorted—those unusable discarded and those usable kept—then using the kept materials to build a new, solid and secure house.
Now this new house was completed, and everyone was incredibly excited.
Whether those who participated in the surgery on the stage or those who observed from below, everyone was thrilled.
All the blood vessels were opened, checking that there were no leaks at the junctions. The transplanted organs were rosy, indicating good blood circulation, and the surgery was a great success.
The patrolling nurse perford blood tests for routine blood work, biochemistry, and liver and kidney function, with no significant changes noted, indicating that all the organ functions were also doing well.
Caught up in the mont, Director Fang said, “Let’s take a photo later to commorate this historic mont. Dinner is on tonight, pick any place you want—any observer is welco.”
“Oh, right, Professor Yang, I have a patient with liver cancer, the tumor has invaded the bile duct, hepatic veins, and portal vein, and it has grown in a tangled mass. It seems we must perform ex-vivo resection and autologous liver transplantation. I hope you can guide —oh, help guide through it,” Director Fang said a bit excitedly, speaking his mind without reservation.
That’s the idea, but you can’t say out loud in front of so many doctors that you need soone to lead you through a surgery—it sounds too bad.
“I have a patient with pancreatic cancer, involving several organs. Definitely need to do ex-vivo resection and autologous transplantation, I’d appreciate Professor Yang’s guidance,” Director Shi seized the opportunity as well. Although already nationally renowned, there was still a lot of room for improvent.
Today, having seen Professor Yang perform the surgery, both Director Shi and Director Fang’s perspectives had completely opened up. What they had thought were very tough surgeries seed not so daunting now.
Moreover, once they mastered Professor Yang’s ex-vivo resection techniques, many abdominal cavity tumor surgeries that seed insurmountable before could be handled with confidence.
PS: Regarding the details of the surgery, I’m not sure if this way of writing is appropriate. I think writing too deeply and in too much detail might make it boring and hard to understand due to complexity. I believe that if I can simplify and restore the description of the surgery roughly so that it is understandable and interesting, that would be good enough. I’d love to hear everyone’s opinions, thank you!
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