After receiving Yang Ping's affirmative reply, Director Fang immediately contacted the patient and his family and asked them to hurry up and come to the hospital for surgery, after all, the tumor has spread, and the sooner the operation, the better.

Hearing that surgery could be done, Yuan Yulin and Nie Shun'e were very happy.

The couple are migrant workers, with a child in secondary school who earns money on a supper cart every day.

What makes Yuan Yulin happy is that the child studies very hard, and his grades have always been at the top of the class.

And although he and his wife have worked hard, they have earned money with this supper cart over the years, and their lives are not bad, at least he is very satisfied.

Unfortunately, Nie Shun'e was recently diagnosed with pancreatic cancer, which has metastasized and spread, which is the king of cancer. So I packed up my things and went to many hospitals, and went to the imperial capital of the magic capital, the doctors all shook their heads, in the late stage, it has been transferred in many places, and it is impossible to do surgery, so I can only treat conservatively and resign myself to fate.

There is no way, the couple has returned to the southern provincial capital, and life has to go on, and the child will go to college in the future.

So Nie Shun'e said, what are you afraid of, people always have to die, don't go to treatment anywhere, live as usual, so they continue to sell supper.

At this time, a kind-hearted person appeared, and I don't know how this kind-hearted person knew their situation, so he came to find them at home, and the kind-hearted person said that they could go to Sanbo Hospital to try, and the kind-hearted person also gave them condolence money, Yuan Yulin and Nie Shun'e refused to accept it, they didn't want the money they didn't earn by themselves, they didn't want a penny, even if they donated, they didn't want to ask for it, and they took care of their own things.

They believe that people should live freely in the world and should not owe others any favors.

Yuan Yulin thought it was a medical trust at first, but later inquired and found that the reputation of Sanbo Hospital was very good, so he decided to follow the guidance of well-wishers and go to the outpatient clinic of the director of Sanbo Hospital.

Director Fang also shook his head after reading the images, saying that it could only be treated conservatively, and surgery was impossible.

Later, Yuan Yulin pestered Director Fang and said that he wanted to find a way, Director Fang was also sympathetic to the patients, and it was not easy for everyone, so he said that there was no way to help ask the surgical research institute.

In this way, Director Fang took the case to Yang Ping and asked Yang Ping how to deal with this case, and Yang Ping said that there is only one way to remove the case, and one road is also a road, which is better than no road.

When Yuan Yulin received a call from Director Fang, he was busy preparing ingredients for supper at night, and Director Fang said that he could do surgery and asked him to go to Sanbo Hospital to go through the hospitalization procedures.

Surgery can be done, that is, there is hope.

Yuan Yulin was very excited, and immediately told his wife the good news, he was going to close the stall for some days, accompany his wife to see a doctor, and live for a few years, in short, he must do his best.

Economically, Yuan Yulin and Nie Shun'e are also prepared, they have also saved a little money over the years, and they have bought medical insurance, and they have also bought a commercial insurance.

Yuan Yulin and Nie Shun'e went to the school to meet the child, gave enough living expenses, and then planned to go to the hospital, of course, they did not tell the child's mother about the illness.

In fact, when he heard this unfortunate news, Yuan Yulin secretly cried, but no matter what, he couldn't change the facts. Therefore, Yuan Yulin plans to take his wife out to travel, see the world, and enjoy the last days, but he can't walk away with children to take care of, and his wife will not agree to him doing this, and the family's savings should be left for the children to study in the future.

"Many doctors in big hospitals say that they can't do surgery, can Sanbo Hospital do it? If you don't do it at all, you will waste money, and most of the disease will be scared to death." Nie Shun'e said.

Nie Shun'e is a strong and open-minded woman, when she learned of this unfortunate diagnosis, she was also in pain at the time, but she was much calmer than her husband, she thought, the child has gone to middle school, and the family's savings over the years should be enough for him to finish college, so the matter has come to this, she also accepts the reality, but she doesn't want to spend too much money on treatment.

"Yes! This doctor is very skilled, I have inquired." Yuan Yulin encouraged his wife.

"How do you say this kind man knows about us?

Besides, it's a condolence payment, and it's a guide to see a doctor?" Nie Shun'e remembered that this matter was facilitated by well-wishers.

"Didn't they say they were charities, dedicated to serving some desperate patients free of charge, and they also told us to keep in touch with them, they wanted to follow up on our treatment, and remember to contact them if we had any questions, they could help us," Yuan said.

"Well, there are still a lot of good people, and if it weren't for this kind person, we really didn't know there were such good doctors and hospitals." Nie Shun'e is very grateful for this charity.

If it weren't for the help of this charity, they would have really given up on treatment and now have renewed hope.

"In the future, we have to thank people." Yuan Yulin said.

For anyone's help, the couple will keep it in their hearts and will never forget.

In fact, Yuan Yulin and Nie Shun'e are very kind, and their night snack car provides a limited amount of free food every night to help the homeless and penniless, and they have persisted for many years, and many people in the neighborhood know them and know their good deeds.

The couple thinks that maybe it is a good person who is rewarded, so now others are coming to help them and guide the direction of treatment in time.

---

This complex abdominal tumor that requires extracorporeal resection is the best teaching case, and before the patients came, Yang Ping began to give lectures to them.

This more cutting-edge surgical method can actually be applied to many specialties, such as some heart tumors, subject to the fixed anatomical position and anatomical relationship of the heart can not be completely removed, the heart and surrounding organs can be completely removed, and then taken out from the body, so that the heart is completely out of the body, can be placed on the sterile table 360 degrees arbitrarily, the removal of the tumor is very convenient, how to cut how you want, completely free from anatomical restrictions.

After the tumor is removed, the heart is transplanted back into the body, which is equivalent to another heart transplant.

The risk is certainly high, but it is very convenient for tumor removal, and it is relatively easy to remove tumors that are difficult to do.

"In the past, there was a Japanese patient with a tumor in the thoracic cavity, and the professor planned to take out the heart and lungs together with the large blood vessels, and completely remove the tumor outside the body before replantation." Song Zimo looked at the image of this patient and remembered similar cases in the past.

In order to remove the tumor, take out all the heart and lungs, and then plant it back, what kind of fairy operation is this, it is really bold.

Xia Shu was dumbfounded when he heard it, there was such an unheard-of operation in the world.

Others have been in the surgical institute for a long time and are used to this, so they don't react so much.

"This patient is actually not as difficult as the Japanese, but there are too many organs involved, a total of eight organs, so it is more difficult." Yang Ping pointed to the picture on the screen.

Song Zimo knew that only a god like a professor could be so bold, if any other doctor, how could he dare to do this, let alone whether the tumor was cut clean after so many organs were taken out, the transplantation of eight organs may also be a mutilated organ, the amount of surgery is huge, and the details must be in place, in case of necrosis of an organ, there is no way to end it at all.

"There aren't many of these kinds of surgeries in the world, right?"

Xia Shu hadn't seen it anyway.

Yang Ping recalled and said: "This kind of abdominal multi-organ replantation, there is a doctor in Mayo in the United States who has done more than 20 cases, and the results are all good, one of the patients with pancreatic cancer has lived for many years after surgery, and is still alive and in good health, but this American doctor has not challenged such a complicated case as this one."

Xia Shu knows that heart-lung transplantation is originally a super-major operation, and in order to remove the tumor, you actually regard heart-lung transplantation as a step in surgery, what courage and technology.

A professor is a professor, not in vain, no wonder all the doctors in the department call him a professor, without a surname, this professor represents a unique level, and no one can surpass it.

"After taking out such --- multiple organs, what if the tumor is too difficult to cut ---, and a part of these --- organs--- and the vascular --- reserved for anastomosis are also removed? Yes

Won't there be --- situation where there is no way to replant?" Xu Zhiliang asked.

"yes, what if I can't go back?" Other doctors were also curious.

"In this case, there was an Indian doctor who went to the United States to study at Mayo, followed the doctor I just said to study tumor surgery for three years, and was super confident when he went back, and then gave an Indian rich man an extracorporeal resection, which was also abdominal surgery at that time, involving 4 organs, and it was very smooth to take it out, and it was cut out in vitro for a while, and all the parts that could be cut were cut off with a click, and finally when the replantation was done, I found that some organs were cut very little, and there were no blood vessels for transplantation at all--- and they couldn't be put back!"

"Why is it the same as me, all the anesthesia machines were dismantled, and in the end I found that I couldn't install them at all, a bunch of parts on the ground, my despair, my mother, what can I do." Liang Fatzi can understand this mood.

In order to familiarize himself with the structure and principle of the anesthesia machine, so as to use the anesthesia machine more proficiently, he dismantled all the anesthesia machines for research, but later found that he could not install them at all.

He was sitting on the ground, not knowing what to do, and his mind was blank.

In the end, it took a few days to put it on, but I found that there were several useless parts.

"No, that Indian doctor is so honey-confident, what about later?" Song Zimo was very interested in this story.

Yang Ping's appearance was very serious, as serious as lecturing on a professional class: "What else can I do? Temporarily called his mentor for help, and the mentor asked him---Don't worry, step by step, let's deal with the liver first, you find the residual liver and a few blood vessels of suitable diameter, and then tell me, I will tell you how to perform the vascular anastomosis of the liver."

"The Indian doctor tossed and turned on the operating table, looked for a long time, and replied to the mentor --- he didn't see the liver."

This answer was like a thunderbolt on the head, and the mentor was stunned for a long time before he thought, he would not cut and cut out, and cut out all the liver, after all, the anatomical form and anatomical relationship of all organs have changed after being invaded by the tumor.

"You're looking for it again?"

"I really didn't find it!"

The tutor's heart was cold, if there was really no liver, how could it end now, it would definitely be too late for an allogeneic liver transplant, how could there be a temporary liver source match on the operating table, it was impossible.

It is estimated that the Indian doctor was in the mood to die at that time, and his whole body would break out in a cold sweat, in order to show the results of studying in the United States for three years, he was too confident, too eager for quick success, and now there is no liver plantation.

After the organ is taken out of the body, it has to be replanted, and it must be replanted within a certain period of time, otherwise it will be ischemia and necrosis.

Time goes by, how is this good?

"What should I do?" The Indian doctor asked in a trembling voice.

The American tutor replied in a trembling voice: "If you are sure that you can't find the liver, you can only replant the remaining organs, at least create conditions for the use of the artificial liver after surgery, and use the artificial liver to maintain it for a period of time after the operation, and then wait for liver transplantation."

If there is no liver, how can it be replanted?

But I haven't done this kind of surgery, how can I connect the remaining blood vessels? In order to ensure the function of the artificial liver after surgery.

To take out so many organs, it is not enough to plug them back, but the remaining organs and tissues must be transplanted to survive, and the circulation around the liver must be normal, so that the artificial liver can be used to maintain life after surgery.

But Indian doctors have no experience and don't know how to do it.

"What in the end?"

Xia Shu listened very fascinated, but he didn't expect the professor to be a master storyteller.

"Unfortunately, until the end, India did not transplant the organs back in time and correctly, and the patient was declared dead on the operating table."

"In fact, with this kind of surgery, the level you can see on the operating table is only one-tenth, and the level of nine-tenths is invisible behind the back, so don't think that you can complete the operation independently if you master the visible technique."

"I don't know if this story is true, but when I was in the Mayo Throwing Knife, a doctor in Mayo told me that I was wounded by removing an eyeball

The surgical approach, the replantation of the eyeball after the operation, the oncologist was watching, and after he told the story, he cursed a swear word."

Yang Ping ended the story in a calm tone.

"For this American mentor, this is really a lifelong student and a lifetime call."

"It's cool when you cut it, and you regret it after cutting it!"

Everyone sighed.

"Then we have to consider a lot of problems in this operation, such as to cut the tumor clean, it is necessary to remove some organs and tissues, how much to cut, how much impact on the function after resection, how to lay out the replantation, etc., we must not make low-level mistakes, before you learn intervertebral foraminoscopy surgery, why do I require you to be proficient in open spine surgery, because once there is a problem in minimally invasive surgery, you do not have the ability to open surgery, how to deal with it? It is necessary to master not only the front-end technology, but also the back-end support technology."

Yang Ping's fingers tapped the table softly and silently.

(After reading it, remember to bookmark it for next time!)