Surgery Godfather
Chapter 1274 - 969: I’m Definitely the Chief Surgeon

Chapter 1274: Chapter 969: I’m Definitely the Chief Surgeon

Ou Lianfeng’s lungs are now almost like a stone. The long-term irritation of the accumulated dust on the lung tissues has led to diffuse fibrosis of the lung tissue, with most of the normal lung tissue turning into fibrous connective tissue. This type of ineffective replacement is very common in medicine, where non-functional cells replace normal cells. Once a certain number is exceeded, the organ’s function will become impaired, eventually leading to failure.

The mechanism of this ineffective replacement is also an important reason why tumors are fatal. Non-functional tumor cells massively replace the organ’s normal cells. The function of an organ depends on the work of normal cells. Once the number of functioning cells is reduced to a certain quantity or is completely gone, the organ will lose the basis for function and can no longer perform, severely threatening the patient’s life.

The CT images of Ou Lianfeng’s lungs are hung on the light box in the office of the doctors at the Surgical Research Institute. Yang Ping sits in front of the light box, carefully reading the films, surrounded by the doctors of the entire department. Every surgical planning is an opportunity for learning.

An excellent surgeon is not merely a cutter. In addition to possessing superb surgical skills, he must also have an excellent thinking ability to make the best choices for patients.

It is the patient’s greatest fortune that their CT images can be hung on the light box of the Surgical Research Institute, and no one who has worked at the Surgical Research Institute would disagree with this perspective.

"It can be done with thoracoscopy!"

Yang Ping suggested the plan.

"If you use thoracoscopy for lung transplantation, from where will the donor’s lung be inserted?"

Song Zimo asked.

Yang Ping crossed his arms in front of his chest, his left thumb and index finger supporting his chin in a ’V’ shape: "Make an incision of about 8 centimeters through the intercostal space, without prying it open, deliver the lung through this incision into the thoracic cavity. Under full thoracoscopy, anastomose the bronchi, the pulmonary artery, and the left atrium. The operation is somewhat difficult, but it can still be completed smoothly."

"The surgery might take a bit long," Song Zimo analyzed.

Yang Ping isn’t particularly concerned about surgery time: "With the support of ECMO, time is not an issue. If you do it, it is estimated that the surgery can be completed in about 6 hours. If I do it—"

"Would the placement of the endoscope and instrument ports be distributed like this?"

Song Zimo interrupted Yang Ping and immediately threw out a new topic, pointing at the CT images to draw Yang Ping’s attention. Song Zimo knew that there was a significant gap between his and Yang Ping’s surgery times, the kind that couldn’t be bridged, so he tried not to let him mention the surgery duration.

Yang Ping nodded:

"Right, distributed like that. In the middle of the operation, we will also need to use a fiberoptic bronchoscope to check if the bronchial anastomosis is clear and intact, and assess through transesophageal echocardiography whether the anastomosis of the pulmonary artery and left atrium is satisfactory."

Song Zimo and Xu Zhiliang began to construct the scene of the surgery in their minds according to what Yang Ping said, trying to simulate the surgical process.

Minimally invasive isn’t just about small incisions; small incisions do not make a surgery truly minimally invasive. Minimally invasive surgery means less interference with the body’s internal environment, for example, less bleeding, less damage to normal tissues, etc.

As such, the body receives less surgical impact and can recover from the surgery more quickly.

Many years ago, when laparoscopy had just emerged, there were very few types of surgeries it could perform, and many doctors mocked it as having no future, equivalent to ’taking off your pants to fart,’ and that it would never replace open surgery. With the advancement of medicine, laparoscopy has now become the mainstream in General Surgery, and almost all general surgeries can be completed under laparoscopy.

If thoracoscopy is used to complete a double lung transplant, as far as Song Zimo and Xu Zhiliang know, it would be the first case in the world. The professor is indeed a professor, never playing by the rules, walking the road no one else has traveled.

Yang Ping begins to think in front of the CT images, while Song Zimo and Xu Zhiliang discuss the details of the surgery, because this entirely new surgical technique is still a bit challenging for them, and they must perfect every single detail.

After resolving the issue of approach, there were still the steps of the surgery, how to deal with unexpected situations during the operation, etc. The experience from open surgery could not completely cover thoracoscopic lung transplantation, so it was essential to combine the characteristics of thoracoscopy to construct the details of the entire lung transplant in order to make the surgical plan as foolproof as possible.

Just as Song Zimo and Xu Zhiliang were enthusiastically studying the details of the surgery, Yang Ping suddenly blurted out:

"Let’s use the Da Vinci Robot for this surgery. Since it’s free of charge, we don’t have to worry about increasing the patient’s financial burden."

Da Vinci Robot for lung transplantation?

Song Zimo and Xu Zhiliang were stunned. They had not yet fully solved the issues with thoracoscopic lung transplantation, and now they were making a leap forward by using the Da Vinci surgical robot for lung transplantation?

Minimally invasive surgery was becoming the direction of surgical development. Surgical techniques were evolving rapidly. Following endoscopic and laparoscopic surgery, robotic surgery emerged, becoming an even more advanced method. Robotic surgery took the concept of minimally invasive surgery to a new level. The future of surgery belonged to robotic surgery, which was not an exaggeration. Just like the initial emergence of laparoscopic surgery, robotic surgery now faced controversy, and its development path would be winding, but the direction forward remained unchanged.

"Not going to use thoracoscopy?" Song Zimo felt that Yang Ping’s train of thought was jumping too quickly, and he couldn’t keep up with the pace. They hadn’t even figured out thoracoscopic surgery yet, and now the track had changed.

Yang Ping maintained the same posture of propping up his chin: "When did I say we’d use thoracoscopy?"

"Didn’t you just say we’d use thoracoscopy?"

Song Zimo turned to look at the doctors standing behind him, hoping others could testify; it had certainly been mentioned.

A graduate student said, "Professor said that thoracoscopy could be used, not that this surgery would be done with thoracoscopy."

Song Zimo glanced at the graduate student—who was he from his own medical team? A double-dealer!

"Did you hear that? I only said it could be used, not that it would be."

Yang Ping felt that the precision of thoracoscopic surgery was not as good as robotic surgery. The Da Vinci surgical robot was excellent for thoracic and abdominal surgery, so why not use the Da Vinci Robot for this surgery and establish a landmark for the Thoracic Surgery Department? Since they were to establish a landmark, it might as well be the biggest and tallest.

"Robotic surgery represents the future direction of surgery, and the Thoracic Surgery Department wants to set up a landmark. We’ll use the Da Vinci Robot to set up this landmark, making it a bit more challenging for others to surpass."

Yang Ping made the final confirmation of Ou Lianfeng’s surgical plan.

At this moment, Director He Xiangjun was bustling with his team, starting to arrange for surgical training in the animal surgery laboratory. He was very familiar with thoracoscopy, but performing such a major surgery as lung transplantation was still new to him; he had to practice properly. The thought of being the world’s first motivated Director He to work tirelessly.

Minimally invasive was the future direction of surgery, and Director He intended to firmly grasp this direction.

"Director, isn’t Professor Yang going to be the chief surgeon for this surgery?" a Thoracic Surgery Department doctor asked.

Director He confidently said, "If I can perform the surgery to Professor Yang’s satisfaction, he will definitely let me be the chief surgeon. He will just be guiding from the side, so everyone, let’s work hard. Do your utmost to secure a pig, and if we master the surgery by then, you’ll be the first assistant, you the second---."

Director He was now assigning the positions for the assistants.

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