Surgery Godfather
Chapter 1086 - 885: Between Two Points, The Line Segment is the Shortest._2

Chapter 1086: Chapter 885: Between Two Points, The Line Segment is the Shortest._2

Tang Shun didn’t think too much about it; Professor Yang’s matters couldn’t be explained logically. Speaking of research, before one project even ended, another began.

If they were some trivial projects, it would be understandable, but his projects were all world-class, any one of which could compete for a Nobel Prize.

Now, everything felt somewhat unreal to Tang Shun because it all happened too quickly and too smoothly. He just needed to adapt slowly; perhaps this is what true genius was.

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Nong Zhiwen once again came to Director Fang with the medical records because the opinions from various doctors differed so significantly. Nong Zhiwen wanted to hear more from other doctors.

Before coming to Sanbo Hospital, Nong Zhiwen had also visited several hospitals. Their estimated costs were about the same as what Director Fang mentioned. For the targeted therapy and liver cysts, no mention was made by these doctors. However, when the doctors from other hospitals flipped through the medical records, their tones would change, saying that the surgery was too difficult, suggesting either to return to the original hospital or to seek a better hospital, such as Nandu Affiliated Hospital One or Sanbo Hospital.

Director Qian said Sanbo Hospital wasn’t an option, as it was impossible to get an appointment in the province, but several doctors had ranked Sanbo Hospital alongside Nandu Affiliated Hospital No. 1 as the best hospitals in the province.

If it had been earlier when he was more financially fluid, Nong Zhiwen would have definitely followed Director Qian’s advice because Director Qian was also right. Sometimes, one shouldn’t only consider saving money; getting treatment is most crucial. However, now Nong Zhiwen couldn’t possibly come up with several hundred thousand yuan. He had no choice but to consider the second option as the circumstances were beyond his control.

This time, even though Nong Zhiwen didn’t bring the pathological report, as instructed by Director Fang, he brought copies of the records from the two surgeries.

With the surgery records, Director Fang would be able to make more accurate judgments about the illness.

After carefully reviewing the records of the two surgeries, Director Fang frowned. Although this time the surgery was for repairing the recurrent laryngeal nerve, it was indeed difficult to perform. If it had been earlier, he would have just performed the traditional surgery, regardless of whether the outcome was good or not. It wasn’t his concern since everyone else did it that way, and whether it turned out well was just down to luck.

Now, it was clearly different. He had to give his all to every surgery, striving for the best possible outcome.

From the surgery records, the segmental resection of the right recurrent laryngeal nerve reached 8 centimeters, a defect so long that approximation and suturing were impossible.

If a nerve graft was done, the distance for bridging would be too great, severely impairing the recovery outcome.

Using nerve transposition techniques, according to the surgery records, the phrenic nerve and the hypoglossal nerve had also been invaded by the tumor and a large segment had been resected, leaving very little leeway for selecting a suitable nerve for transposition. It was hard to find an appropriate nerve for the anastomosis.

No wonder Director Qian himself was unwilling to accept his own patient for the recurrent laryngeal nerve repair; the surgery was virtually impossible to perform under these circumstances.

It was indeed strange how the tumor could invade so many nerves. Having never encountered such a case before, Director Fang found it difficult to draw any conclusions.

Now, Director Fang was a bit confused. Though he felt perplexed, he wasn’t panicked at all; he still had a "plug-in", and that plug-in was Professor Yang. He could always consult with Professor Yang if there were any problems.

So, Director Fang, together with Nong Zhiwen and the medical records, went to find Yang Ping again. Yang Ping had been rather busy these past few days but he always remembered this case and had intended to ask Director Fang if the patient had brought the pathological report yet.

This time the patient still hadn’t brought the pathological report. Well, since it wasn’t brought, it wasn’t brought. Regardless, the recurrent laryngeal nerve still needed to be repaired, so regardless of what the pathological report indicated? The target for this surgery was to repair the recurrent laryngeal nerve.

Seeing the pathological report was essential for a definitive diagnosis. From a rigorous procedural standpoint, since the surgery was already performed, a pathological examination would inevitably be conducted post-operation to further clarify the nature, staging, and grading of the tumor.

Director Fang said to Yang Ping, "The defect in the recurrent laryngeal nerve is too large, a full 8 centimeters missing. Direct approximation and suturing are impossible, and even trying to sufficiently release the nerve ends for anastomosis cannot be achieved."

Let alone achieving it, even if approximation and suturing were possible, it would be pointless. The nerve suture must be tension-free because if the tension is too high, no matter how well the alignment is done, the nerves simply cannot recover.

Hearing Director Fang say this, Yang Ping didn’t immediately respond but seriously reviewed the surgical record. After reviewing, he said, "Not only is approximation and suturing unfeasible, but nerve grafting and nerve transposition are also unrealistic. If nerve grafting is performed, the bridging distance is too long, definitely resulting in very poor recovery post-surgery. If nerve transposition is done, it seems there’s no suitable nerve available for transposition. According to the surgery records, isn’t the area invaded by the tumor at that time very extensive? More than this one nerve was resected."

What to do then?

If all three methods are impossible, isn’t that hopeless? Director Fang felt quite helpless.

Yang Ping frowned and said, "Give me a moment to think. This patient definitely needs surgery. The current issue is how to perform the surgery."

At that moment, Nong Zhiwen took the opportunity to ask, "Professor Yang, is targeted therapy still necessary after the surgery?"

Yang Ping said, "Conventionally, it’s unnecessary, but I must see the pathological report. With the pathological report, I’ll know the specific typing and staging of the tumor, allowing us to accurately assess the illness and precisely formulate a treatment plan. Currently, without the pathological report, we simply cannot judge the condition of the illness, so it would be best if you could bring the pathological report."

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