At the urging of Director Fang, the Department of Gastroenterology quickly transferred the girl named Pan Doudou to another department, and Dr. Chen really sighed at Director Fang's righteousness.

If it involves a thankless, or prone to disputes, or a patient with excess medical insurance, the department that takes over will definitely hesitate, and whether it can be transferred in the end depends on whether the department director nods, and the department director is good at talking, if it is not for the department director who is difficult to speak, sometimes in order to transfer the patient smoothly, the medical department has to come forward to coordinate.

After the patient was transferred, Director Fang repeatedly begged Yang Ping to take him for surgery at that time.

This surgery is not just a thing to do, you have to wait for a suitable donor, this is an allogeneic transplant, you have to cut off part of the patient's own stomach, pancreas and small intestine, and then transplant someone else's organs to fill the gap.

Therefore, this operation is not urgent, and if a suitable donor cannot be found for a long time, the operation cannot be done.

Yang Ping just took the time to summarize the ex vivo resection of tumors, if the ex vivo resection is mastered well, it is indeed very helpful for some complex tumor resection, and some conventional surgery cannot be removed, the use of ex vivo resection can be very easy to achieve the purpose.

The ischemic treatment of isolated organs needs to be improved, this operation is the use of artificial blood vessels, completely local methods, it is best to design a set of special equipment, specially designed to connect the human body and isolated organs, so that not only can monitor the perfusion of organs, but also pressurize the blood to prevent hypoperfusion due to too far distance.

The identification of tumors is also a place that needs to be improved, this time indocyanine green is used, and it is hoped that better markers can be found in the future, and precise resection is the pursuit of tumor surgery in the future, and tumor labeling technology is promising.

In short, Yang Ping will summarize the operation every time, in order to improve, or to find something that can be innovative.

Back in his department, Yang Ping came to the operating room for a turn, Song Zimo and Xu Zhiliang each took a group of doctors to do the operation, and there was no difficulty for the time being.

The flight attendant is going to have a birthday, and Liang Fatzi is asking Zhou Can's opinion, how to behave and what gifts to give.

Some time ago, there were too many patients in the sports medicine center, and there were not enough people, Tang Fei used to help, and now he is relieved over there, and Tang Fei is also back, originally Tang Fei planned to engage in sports medicine when he graduated, but now that the Surgical Institute has been established, Tang Fei has a new idea, and plans to take a look first.

Xiao Su, Tang Fei and Zhou Can are good sisters, Tang Fei and Zhou Can will go to Yang Ping's house to chat with Xiao Su when they are free after work, and eat by the way.

Tang Fei saw Yang Ping come in and said, "Professor, why don't you go back to buy vegetables early, and our sisters will go to chat with Xiao Su again in the afternoon." ”

"It's only what time is it, and I haven't eaten lunch yet, so I'm thinking about eating."

Yang Ping looked around the operating table a few times, and then turned on the screen to watch the operation.

In fact, why do you want Yang Ping to go grocery shopping, her mother-in-law arranges her life clearly every day, Tang Fei and Zhou Can have sweet mouths, and they have a very good relationship with Mrs. Su, and they go to Yang Ping's house to eat two times in three days.

Song Zimo and Liang Fatzi were unmarried, saying that life was difficult, and they could only make noodles every day, and they were worried that they would be malnourished like this, so they had to follow along to eat.

Yang Ping sat in the operating room for a while, there was nothing special, he went to the locker room to rest, and by the way, he read books in the system space and did experiments.

It's about to be the day of Xiehe again, Song Yun's group of young doctors have accepted a lot of patients waiting for Yang Ping to do teaching surgery, and they are now waiting for Yang Ping to take them on ward rounds every month for surgery, and Song Yun's kid said that the level of chopsticks peeling lobster has grown again, let Yang Ping go and see.

On the side of Nandu Medical University, Professor Su also plans to invite Yang Ping to come to the attached station of Nandu Medical University, also give 45 beds, and select a group of young doctors for Yang Ping to teach and train.

The Municipal People's Hospital is his old club, and President Chen is always asking Yang Ping when he is free, asking Yang Ping to go back and find a way to pull the Municipal People's Hospital.

Boss Cheng of Liquan Hospital is really a lucky general, more than 100 high-level wards are full, and the operation has squeezed a bunch, fortunately, Su Nanchen can do it, otherwise he has to run there every week, these few times Boss Cheng asked Yang Ping for help, and Yang Ping was ready to send Song Zimo and Xu Zhiliang to help share the pressure.

Academician Wang and Director Xin of Fuwai also reached a cooperation agreement with Sanbo Surgical Institute last time, and they have made several rounds of phone calls, asking Yang Ping when he is free to meet and talk about the content of cooperation.

Fuwai is also an affiliated hospital of Union Medical College, and Academician Wang inquired about the cooperation between Yang Ping and Union Medical College Hospital, and it was easy to further inquire about their cooperation methods.

If he runs all in person, even if he can doppelgänger, he can't be busy, and on the other side of Fuwai, Yang Ping plans to bring Xia Shu out quickly, and then let him take charge of himself.

What about Xia Shu, why didn't you see Xia Shu just now?

Oh, I asked for leave in the morning to send the head nurse to see the house, and the head nurse was too, an old driver for many years, who insisted that he couldn't drive, look at a house, and find someone to be the driver to drive the pick-up.

Everyone is so busy, who has the leisure to be a driver for her, there is no way, only Xia Shu, a newcomer, there are not many temporary surgeries.

——

At about 4 o'clock in the afternoon, Nie Shun'e was extubated, because the intestine had a anastomosis, so she could not eat normally now, and it would take 7-10 days before she could eat normally.

You need to fast for 3 days after surgery, which is maintained by parenteral nutrition for these 3 days, and start a liquid diet on the 4th day, such as milk and rice soup, and slowly transition to semi-liquid, such as gruel, and you can eat normally for 10 days after surgery.

After Nie Shun'e woke up, she heard that her operation was very successful, and she didn't know how happy she was, she was not demanding anything now, but was able to live one more day.

She asked to call her husband, and the doctors and nurses allowed it.

Dialing her husband's phone, Nie Shun'e said:

"Send a basket of fruit to the doctor, go!"

The fruit basket doesn't cost much, but it is mainly an expression of heart.

Where did the five big and three rough men know so much, but they kept nodding their heads and thanking the doctor, and his wife reminded him so that he remembered that he should buy a fruit basket and send it over to thank Professor Yang and the ICU for the medical care.

"Also, Director Fang, who admitted us to the hospital, also remember to thank you."

"Okay, okay."

Yuan Yulin nodded on the other end of the phone.

Nie Shun'e thought for a while: "Also, the person from the charity who suggested that we come to see the doctor has time to tell people about our current situation, he has explained before, and he must give him feedback at any time, they are all good people, and they can't be forgotten." ”

Yuan Yulin had forgotten about it, and indeed, the people at the charity told him at that time that he must give him feedback on the treatment information at any time.

"Do you still have the child's living expenses?"

"Yes!"

"You have to eat, don't go hungry."

"Yes."

After all, she had just been extubated and sober, Nie Shun'e was still struggling to speak, and her brain was not too clear, so she could only say so much, and then returned the phone to the nurse, and finally said: Thank you.

——

Department of Hepatobiliary and Pancreatic Surgery, Juntendo Hospital, University of Tokyo.

Professor Sakurai was sitting in his office, and as the head of the department, he had been operating for a whole day, and he looked very tired, and he was reading manga alone to relax.

Juntendo Hospital is equivalent to that of Concord Hospital in China, and Juntendo Medical School was established with the help of Juntendo at that time.

Professor Sakurai is a young and promising young man, and at the age of 40 he is already the director of the Department of Hepatobiliary and Pancreatic Surgery in Juntendo, and the hepatobiliary and pancreatic surgery department he leads is world-class, and his surgical mortality rate is always controlled below 1 percent, and the average of similar surgeries in Japan is 2 to 3 percent, which is the world's top level.

Suddenly, there was a knock on the door, and Professor Sakurai immediately put away the manga and replaced it with a monograph on hepatobiliary and pancreatic surgery.

"Please come in!"

Pushing the door in was Dr. Murakami, a colleague and friend of Sakurai's, who had been asking him for a case by his classmates at the insurance company lately.

However, this case is very classic, so Dr. Murakami is also very interested, otherwise he would not be so concerned.

For this kind of case, Murakami feels that Sakurai has the most right to speak, because it involves the ex vivo resection of the tumor, and Sakurai is one of the most successful doctors in the world who has carried out this type of surgery, he has performed more than a dozen cases of ex vivo resection of liver cancer or pancreatic cancer, and has also performed ex vivo resection of the pancreas and duodenum, and Sakurai is a well-deserved leader in this cutting-edge surgery.

In this field, Sakurai is an American doctor who can go hand in hand.

"You may be seated!"

Sakurai was very polite to his colleagues.

"I want to trouble you again, it's still the last case, this is the latest information from my classmates, it is said that this case has been surgical, using ex vivo resection and autologous organ transplantation, and the current postoperative condition is stable, and the operation took more than eight hours." Murakami directly gave an update on the patient's condition.

"Is it the same as the last case? That case involving eight organs? We've seen CT images together, ex vivo resection? How is that possible? It's just a fantasy, and the operation takes eight hours? Doctor Murakami, is there a misunderstanding, there is no doctor who can operate on her in this case, even if she takes the risk of surgery, it is impossible to succeed, even if she is the luckiest patient in the world, the operation is successful, the operation time is probably more than 40 hours. ”

Murakami frowned: "Yes, I think so too, but that's what my classmate replied, the patient is now in the ICU of the surgery hospital and has been extubated." ”

Sakurai felt that this was a layman's joke: "I'm curious, how can your insurance company always be so interested in this case?" ”

Murakami thought for a moment and said, "I don't know about this. ”

However, Professor Sakurai also thinks that this case is very valuable for research, and judging from experience, it is impossible for a doctor to complete ex vivo resection in this case, so there must be false information in it.

"You should know how difficult it is to have ex vivo resection involving the liver, gall bladder, pancreas, spleen, stomach, small intestine, inferior vena cava, and left kidney? I assume that there are doctors who can remove them, do you know how much time it takes, the combined autologous transplantation of the liver and pancreas is already the top surgery, and the most skilled doctors at present have to spend more than ten hours, and you can think about it casually, these eight organs, if you do ex vivo resection, there will be five organs that need autologous transplantation, as well as the removal of tumors, artificial vascular transplantation of the inferior vena cava, and other complex steps, I am afraid it will take forty hours. Professor Sakurai analyzed it to his colleagues.

Murakami is also a hepatobiliary and pancreatic surgeon, how could he not know, but Sakurai wants to help him recognize reality.

"But he said it was true!"

Murakami was very curious about this case, and when he heard that the operation had been successfully performed, he was eager to know how the operation was done, and if he could, he would even like to see the case.

"Could it be that medicine in China has developed to this point? Leaving us far behind? Murakami said suspiciously.

"This can't be true, do you think he's Professor Y from the comics?" Sakurai blurted out.

The atmosphere suddenly became weird, Murakami looked at Sakurai with straight eyes, Sakurai found that he had slipped his mouth, it was really bad, would he know that he was reading a manga?

"Sakurai-kun? Are you also chasing the comic book -—— "The Godfather of Surgery"? Murakami asked.

It's really embarrassing, this was originally a popular manga among medical students and young doctors, Sakurai is in his forties, he is afraid of being found out, he is also obsessed with this kind of comic, he is the head of the Department of Surgery, shouldn't it be a serious image?

"This-—— this—just a student recommended it to me—and it's just a flip-"

Sakurai's face was flushed, and when the character was broken, it must have been very embarrassing.

Murakami seems to have found a bosom friend: "Don't hide it from Mr. Sakurai, I'm also reading this manga, Professor Y is really amazing, he is rational, he has superb medical skills, he is my idol, and the love story in it is so heart-wrenching, Miss Chiyo loves the professor so much, but the professor doesn't know anything, this kind of forbearance is really uncomfortable." ”

"Yes, Miss Chiyo is the one who loves professors the most, and she is the only one who deserves a man like professors, I really hope they can come together."

"Chiyo-sama has rejected the marriage proposal of the big family, because she only has the professor in her heart, and she wants no one but the professor."

''What a beautiful love story.'' ”

"Not only on our side, but also among the students of the University of Tokyo, this set of manga is popular."

"Do you have a new one?"

"I just got the latest one from someone at Tokyo."

"I'm really anxious, lend it to me."

"What will happen to that little girl?"

"I don't know for the time being, the professor should have a way, the cactus on her windowsill has always been tender green, indicating that life is stubbornly persevering."

"I really hope the professor can save her, or I'll cry."

"Me too!"

"Murakami-kun, I'm learning the stunt of the professor in the manga - a knife flow."

"It's really hard to cut a knife, and I've been practicing for a long time and still haven't found anything."

"There are a lot of stunts in it, and I can only learn them slowly."

"Let's learn how to do it first."

"Please, remember, lend me the latest one."

"I'll bring it tomorrow morning."

(End of chapter)