Through this story, Yang Ping told everyone the difficulty and risks of "extracorporeal resection", especially complex extracorporeal resection, which must not be rashly used without superb surgical skills, because it is definitely not as simple as tumor resection and multi-organ transplantation.

Even if tumor resection and multi-organ transplantation are superimposed, few doctors can successfully take 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 wants to know what will happen to this guy who is overly pretending, because he has always been good at pretending, and when he hears this story, he has to feel that pretending to be forced is risky, and he needs to be cautious before pretending.

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

This story was told by an American doctor that Yang Ping heard when Mayo flew in, and if he hadn't gritted his teeth with hatred, the Americans would never have ended up with swear words on that occasion.

It is conceivable that it is not a machine, it is a living person, and after the organs in the stomach are taken out, there is no way to replant, and the chief surgeon is helpless in the face of a bunch of organs placed on the sterile table, what a desperate scene.

"The third brother is really brave, my generation is a model for learning!" I don't know which doctor came up with a sentence.

"I don't know what happened to the Indian doctor, but I know that his American mentor refused to teach Indian doctors in the future, because the shadow in his heart is too heavy, and the surgeon must be bold, but the premise of boldness is that the art is high, and we must be high in the art to have the capital to be bold."

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

"Let's continue to talk about this case, we have to deal with every detail, the inferior vena cava has been invaded by the tumor for a long time, which is very fatal, after the tumor is removed, we need to rely on artificial vascular grafts to make up for possible defects; The pancreas needs to be mostly removed, and blood sugar must be regulated after surgery; The gallbladder is to be cut out; A portion of the liver is cut off; The stomach is to be cut off in part; A portion of the small intestine should also be cut off; The left kidney has been severely invaded by the tumor and must be removed-—— only then can the tumor be removed as much as possible. ”

"We need to accurately grasp the scope of tumor invasion before surgery, and then use some means to identify tumor tissue during surgery, so as to ensure that the tumor is resected to the maximum extent."

"We must not only achieve complete resection, but also protect some natural barriers of the human body, which are very important, which can limit tumors that may recur in the future to a specific space, delay or reduce the possibility of recurrence, and of course, achieve tumor-free technology during surgery."

"So, even if it is excised, it is not a brainless cut, excision is a means, not an end."

Song Zimo stared at the image on the screen and said: "We also have to consider that if the blood vessels left behind after the tumor and some tissues and organs are removed according to our plan, it is not enough to provide vascular anastomosis for transplantation? Vascular grafting should also be considered. ”

"Yes, if the normal anastomosis blood vessels are destroyed and we are forced to change the way the anastomosis blood vessels are made, then we are faced with a new problem, we need to consider the diameter, flow and pressure of the blood vessels, because the liver is different from ordinary organs, and a large amount of blood in the human body has to pass through the liver and affect the whole body, which is the difficulty of reconstructive surgery and the charm of reconstructive surgery."

"Professor, you -—— already have a plan, right?"

Xu Xu Zhiliang asked, because professors never fight unprepared battles.

"The professor will tell us about the specific surgical plan, we can only have a hammer in the east and an ax in the west." Song Zimo took over.

Director Fang stared at Yang Ping with straight eyes, the story has also been told, it's time to show the real guy, right?

"We have formulated the surgical plan, the draft of the drawing is locked in my drawer, I will not talk about it for the time being, this is the homework left for you, you each take the time to come up with your own surgical plan, you must be specific to every detail, everyone must hand in a copy, you can't copy 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 definitely draw it carefully." ”

"What about me?" Director Fang asked anxiously.

Zhang Lin's hand was on his shoulder: "The professor said everyone, do you want to hand it over?" ”

Director Fang immediately smiled, which means that I am my own person, a good thing.

"Okay, okay, I'll draw it well."

——

Dr. Li Min is very diligent and hardworking, 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 must not only have good medical ethics, but also have excellent medical skills, otherwise you will do bad things with good intentions.

He downloaded the software to learn anatomy, and used the three-dimensional anatomical animation above to memorize the anatomy of the whole body to a good degree, and he would recall the knowledge he had learned during the day in his mind every night.

The environment in which he is located also has a great impact on people, and the surgical institute is full of top-level doctors, so Dr. Li Min is deeply affected and determined to work hard.

Systematic anatomy, local anatomy, applied anatomy, Li Min has all memorized it, and Yang Ping will check his learning from time to time, Yang Ping gave him enough care in life, Yang Ping is very strict in learning, requiring him to fully master the knowledge of anatomy, the 3D animation of the human body displayed by the mobile phone software should be deeply rooted in the mind, which part to encounter, to be able to clearly recall the anatomy of this part.

Yang Ping also taught him to draw drawings hand-in-hand, of course, he was taught to draw a simple diagram of medical anatomy, so that Li Min could quickly learn to master and use drawings for professional medical expression.

In short, Yang Ping tailored a set of education programs for him, focusing on clinical practice as much as possible, and some principled things are also taught as the basis for application.

As a college student, the knowledge reserve is definitely not a little worse than that of a doctor or master, but it doesn't matter, Yang Ping has enough patience, because by teaching him, he can teach many doctors in the marginal mountainous areas in the future, so that they can shine in remote areas and improve the medical level in these areas.

After familiarizing himself with the theoretical knowledge of anatomy, Yang Ping's next step is to take him to dissect a complete cadaver specimen, and obtain practical knowledge of anatomy through the dissection of corpses, so that combined with the previous theoretical knowledge, the mastery of anatomy will be improved to a higher level.

Very few doctors are able to dissect a complete cadaver, and they never have the opportunity to dissect a complete cadaver in their lifetime.

After the autopsy, Yang Ping will take him to the trauma emergency center for surgery, if he can do trauma surgery on all parts of the body several times, then, for real vivisection, he has a basic framework.

At this time, it will be much easier to follow Yang Ping to learn surgery, anatomy is the cornerstone of surgery, without skilled dissection, any superb surgical skills are in the air.

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

Anyway, the Institute of Surgery has a lot of resources, all kinds of training equipment are readily available, and the experimental pigs are also enough, and there are 20 experimental pigs left for everyone to do it, Li Min is indeed able to bear hardships and stand hard work, and he has ideas in his heart, so he works very hard and follows Yang Ping little by little.

Yang Ping also trained him in the basic operation of microscope and endoscope, and in the future, he could donate a few pieces of equipment to Li Min's hospital, although in the township hospital, as long as he has basic equipment, he can do minimally invasive surgery in general surgery and urology, such as gallbladder removal, urinary calculus removal and other surgeries.

——

Yuan Yulin and Nie Shun'e have come to Sanbo Hospital, and they have completed the inpatient surgery.

It is inconvenient to run back and forth at home, Yuan Yulin opened a cheap room in Sanbo Hotel, although the space is very small, but it is enough to sleep.

This couple is a very assertive person, they have consulted a lot of information before coming, and they also went to the vicinity of Sanbo Hospital to do an investigation, and inquired about the reputation of this hospital in and around the hospital.

Even the uncle who sells sweet potatoes near the hospital said: "The doctors here are so powerful, and there is a Professor Yang who is the most powerful, and he sent 13 CNS articles in one go." ”

Yuan Yulin asked what this CNS was, and the uncle said, "You don't understand, do you?" It's a paper, what does a reader rely on to show his ability, just rely on this thing, this thing is amazing, just like the world gold medal of a reader, what level do you want to win 13 gold medals in one go. ”

Uncle roasted sweet potatoes while foaming at the mouth.

Yuan Yulin said to buy a few sweet potatoes: "How to sell these sweet potatoes?" ”

The uncle wiped his sweat and pointed to the signboard erected on the car: "Twenty yuan a piece!" ”

Twenty dollars a piece? You're robbing money.

The uncle said disdainfully: "Don't look at me like that, Professor Yang here commutes to work from this bridge every day, and he always likes to buy my sweet potatoes to eat, you must have just come and don't know the situation, the doctors and nurses here, the patients, and the patient's family members are all rushing to buy, and there are many doctors who are far away from here to check in and eat my sweet potatoes, why do you say?" Because it's a sweet potato that Professor Yang likes to eat. ”

"Three!"

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

Yuan Yulin and Nie Shun'e watched from the sidelines, twenty yuan for a sweet potato, and they didn't have to worry about selling.

This guy is Guo Peihua, he was in very good condition after being discharged from the hospital, just in case, he sold his original house, bought a house in the hospital to settle down, and tried to work from home and not go far away.

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

Guo Peihua often buys some fruit or something to see the doctors and nurses at the Institute of Surgery, and sometimes helps the doctors and nurses do what they can.

"You're here to see a doctor, aren't you?" Guo Peihua asked.

Yuan Yulin nodded, yes.

"Which section to see? Looking for Professor Yang of the Institute of Surgery? Guo Peihua said.

"How do you know?"

"I saw you in the ward today."

"Yes, we came to see Professor Yang for surgery, and I heard that Professor Yang is very powerful."

"You guys are really in the right place, I did the operation here, if I wasn't 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 Hades." Guo Peihua said while holding sweet potatoes.

"So powerful?" Yuan Yulin asked curiously.

"No, Professor Yang, the director of the Institute of Surgery here, that is specially robbing people from the hands of the king of Hades, you are meeting a nobleman, not long ago a super-rich man in Southeast Asia had a heart attack, American experts said that he could only wait for death, and people were sent here by plane to do emergency surgery, and now they can take a walk in the garden, I heard that in order to live next to it in the future to facilitate medical treatment, this big boss bought the entire unfinished building Pan nearby and developed it."

"If you wait here for a while, you can see that old man will come to buy sweet potatoes to eat later."

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

"Cut! There are many things you don't know, you think that this sweet potato can be sold so expensive, what is here, it is a traffic artery, and other people sell it here Security City Management immediately came over, but the old man sells it here, and no one dares to touch him, because Professor Yang commutes to and from here, and he likes to eat the old man's sweet potatoes the most. ”

"Let me tell you, don't look at such a place, there used to be a beggar who sang here, and now he is a big boss, a big boss who opens a gold mine abroad."

Guo Peihua said eloquently.

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

robbing people from the hands of the king of Hades, which made Yuan Yulin and his wife more confident, they didn't have much hope, they just wanted to do their best.

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

"The blood vessels burst like a balloon, almost blowing up in the stomach, and Professor Yang snatched it from Hades. I'm telling you, it's not me saying that as long as it's alive, he has a way, and there are many patients here who can't be treated elsewhere, and they can all be cured here. ”

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

"Nope!" The couple was very interested in what the young man was saying.

"Go and see, go and see, buy something to eat, preferably sit for a while. The proprietress was only half of her body in the car accident, and she was also saved by Professor Yang, how could she live with only half of her body? But he was saved, and now he can walk. ”

Guo Peihua said seriously.

Yuan Yulin and Nie Shun'e became very optimistic when they heard this, and decided to wait and see the proprietress of the bakery.

"Uncle! Here are two sweet potatoes! ”

Yuan Yulin said immediately.

The uncle said: "Don't believe it, you can stand here and watch the meeting, and I won't be busy at all when the next one is gone." ”

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 really went to the first floor of the Sanbo Hotel to find the water lotus bakery, and went to see this half-cut person up close, when they came to the bakery, Yu Shuilian and his wife were busy, and they always had a smile on their faces, not like people who had experienced the catastrophe at all.

The proprietress doesn't look like a half-cut person at all, and she can still walk and work.

(End of chapter)