Chapter 648: No Leakage Excision

Hearing that Professor Liang asked Yang Ping to perform the surgery, the young doctors' hearts boiled.

They have long wanted to see the level of the Golden Knife Award champions up close.

This operation, which is expected to last for 20 hours, is very high in terms of both the difficulty and risk of the operation, and it will definitely be a feast for everyone's eyes.

"Let Professor Yang perform this operation, everyone has no opinion, right?" Director Hu shouted loudly.

"Agreed!" The audience was almost unanimously approved.

In particular, the doctors who were familiar with Yang Ping were excited, they had experienced Yang Ping's scientific research ability before, and now they wanted to appreciate his surgical ability.

Total vertebrae resection of three vertebrae, even in Xiehe, only Professor Liang and Director Hu can perform the surgery, and the other professors with the group are very reluctant, not to mention their young doctors.

"Professor Yang, how do you arrange the time?" Professor Liang smiled, just taking advantage of this operation to let Yang Ping stand in Xiehe, so that it is convenient for him to carry out his work in the future, and it is also convenient for Professor Liang to help Yang Ping fight for some resources in the future.

Since Yang Ping said that he often does this kind of surgery, he is naturally very sure, but he still asks.

"Are you sure?" Professor Liang asked Yang Ping in a low voice.

"Routine surgery, sure!" Yang Ping couldn't be more relaxed.

Fortunately, Professor Liang is familiar with Yang Ping, otherwise he would have to talk to death about this sentence just now.

"I'm short on time here, when can the surgery be scheduled?" Yang Ping felt that the sooner the better.

"Director Hu, is it too late to arrange for tomorrow?" Professor Leung believes that if the surgery is well prepared, it should be arranged early.

"No problem, I'll talk to the operating room, add an operation, tomorrow is an exchange meeting with the Twin Cities Chiropractic Center in the United States, and the content of the surgical demonstration is the spinal tumor, because this operation is too long, I don't plan to include it in the demonstration operation." When Director Hu chose the operation, he didn't think about this one at all, and the expected 20-hour operation was not suitable for demonstration.

Professor Liang felt that it made sense: "How about taking over tomorrow's demonstration surgery?" ”

Yang Ping believes that as long as the preparation for the operation is sufficient, it does not matter if the specific arrangement is made tomorrow.

"It's okay to arrange it as a demonstration operation." Yang Ping had a calm attitude.

Young people are shengmeng, this kind of operation to demonstrate, twenty hours of surgery, forget it, Director Hu shook his head.

"Xiao Yang, what is the theory of non-leakage excision you just proposed?" Professor Leung was very interested.

"This is a concept I put forward for cancer surgery, and I have established a surgical system around this concept." Yang Ping felt that he could take this opportunity to promote his technology.

Good things can be shared with everyone, and more patients can be healed.

Why does this guy have so many new things, it's like he has a magic pocket on his body, and it's a treasure when he picks it up.

If he hadn't happened to meet this spine tumor patient, how would he know what leak-free resection techniques he had.

Professor Liang looked at Yang Ping beside him and was very pleased.

"It just so happens that everyone is getting together now, you tell you about your leak-free excision technique, work hard, where to eat at night, Fengze Garden, Quanjude, Donglaishun, whatever you choose." Professor Liang heard that Yang Ping still has a systematic technology, so how can he let it go.

"Then what's embarrassing--- you don't have to be so polite--- then it's decided! I'm a great eater of meat. "Yang Ping is better than obeying his fate.

"Don't worry, I'll treat you tonight, Director Hu will pay the bill, and it's not a problem if you can't finish eating and packing." Professor Liang smiled slightly.

For this meal in the evening, Yang Ping walked up to the podium, and dozens of doctors in the audience waited with their eyes open, this is the elite of the elite.

Even self-introduction is saved, and going directly to the stage is dry goods:

"I gave this technology a name, called leak-free resection, in fact, it is an upgraded version of the tumor-free technology, and it is just a lofty name, and it is very difficult to implement real extra-tumor operation to achieve tumor cell leakage and complete tumor resection."

"Because the vertebrae are annular structures, and the crest medulla and cauda equina nerves are sleeved in the middle of the ring, to cut off the entire vertebrae, the annular structure must be broken and the vertebrae must be disintegrated from the spinal pulp or cauda equina, and for complex tumors, the tumor has been wrapped and invaded the pedicle, breaking the annular structure, and cutting off the pedicle is often unavoidable to enter the tumor."

"But we know that there are natural barriers to tumor spread, such as the natural barriers of spinal tumors: anterior and posterior longitudinal ligaments, periosteum around the spinal canal, ligamentum flavum, lamina, periosteum of spinous process, supraspinous and interspinous ligaments, cartilage endplates, and annulus fibrosus, these natural barriers should be very familiar to us and should be used well in surgery."

"Each vertebral vertebrae represents a compartment surrounded by several barriers, which appears to facilitate wide surgical resection."

"However, the vertebrae are a ring-shaped structure with a medulla in the mezzanine, and the important blood vessels and internal organs close to the spinae, as well as the complex anatomical relationships that exist between the spines, the spinal medulla, the important blood vessels, and the internal organs, hinder the extensive resection of surgery, such as the pedicle osteotomy repeatedly mentioned earlier, and it is difficult to perform extratumoral operations, so we can think differently."

"Breaking the annular structure, not necessarily at the pedicle, where the bone is normal and not invaded by the tumor, we will break it there, for example, this patient's lumbar 2, the pedicle is all violated, what to do, part of the posterior vertebral lamina is good, is it not good to osteotomy from here, the diameter of the spinal cord is only 1.2 cm, we can untie the ring as long as we have a 1.5 cm gap."

"It is possible to have an osteotomy from the pedicle, but the requirements for surgery are higher, the tumor is separated first, and then the osteotomy is performed, and those with poor operation skills should not try it lightly."

"How to remove the tumor without leakage, we should be very particular about the sequence of tumor resection, and we should thoroughly study the tumor before surgery, starting from there, passing through where, and finally ending from there. It's like wrestling, you have to fall a person, grab which part first, then trip which part, and finally break the center of gravity and throw the person out. ”

"This patient, I just researched, according to the principle of non-leakage resection, I divided the operation into 21 steps, and the operation was carried out in the order of these 21 steps, and the complete resection could be achieved."

Yang Ping explained the 3D image on the screen and told everyone how to remove it.

Everyone listened and thought about simulating the process of this operation in their hearts, especially Professor Liang and Director Hu have rich experience in surgery, and they can immediately appreciate the mystery of the simulation in their hearts.

Indeed, it is much easier to cut it like this, and it can be completely removed.

"He updated his ideas, and then innovated the technology with the new ideas, not just the repetition of the technology." After hearing this, Professor Hu Guolin felt that he had gained a lot.

"Yes, let him be the main surgeon for this operation tomorrow, indeed, to completely remove the tumor, the order is very important." Professor Liang is very appreciative of Yang Ping's leak-free excision.

"Not only is the order important, but also the boundaries of the tumor, including the natural boundary, the pseudomembrane, etc., and these are put together, which is the isolation zone of the entire tumor, and the tumor is removed step by step around the isolation zone."

"It's like demolishing a house, you can't demolish it blindly, there is a way, where to demolish it first, and then where to demolish it, since it is safe, you can quickly demolish the house."

"Tomorrow I will add this operation to the demonstration operation, so that the Americans can see the leak-free resection, what is the name of the team leader?"

"Cheney!"

"Yes, doesn't he have long eyeballs on the top of his head, let Yang Ping help him reset the two eyeballs tomorrow."

"Twenty hours of surgery?"

"That's what you do, Xiao Yang won't do it for so long, don't worry, even if it's twenty hours, the Americans won't have an opinion, they did a few cases of three full vertebrae last time, it seems to be very remarkable."

Professor Liang and Director Hu talked in a low voice.

ps: The day before today's holiday, there are a lot of surgeries, first and then again, I wish you all a happy Mid-Autumn Festival!