Surgery Godfather
Chapter 728 - 648: No Leak Excision

Chapter 728: Chapter 648: No Leak Excision

Hearing that Professor Liang has invited Yang Ping to be the Chief Surgeon for the surgery, the junior doctors were stirred up with excitement.

They had wanted to see up-close, the standard of the Gold Knife Award winner for a long time.

This surgery, which was estimated to last for twenty hours, was extremely high in terms of surgical difficulty and even risk. It would absolutely be a feast for their eyes.

"Letting Professor Yang be the Chief Surgeon of this operation, don’t we all agree?" Director Hu shouted out loud.

"Agreed!" The entire crowd approved almost unanimously.

Especially those Doctors who knew Yang Ping well were immensely excited. They previously admired Yang Ping’s research capacity, and now they would experience his surgical skills.

The complete removal of three vertebrae, is a type of surgery that even in Xiehe Hospital, only Professor Liang and Director Hu could take lead. Other professors would find it quite challenging. Let’s not even discuss the young doctors.

"Professor Yang, when do you think we should arrange the surgery?" Professor Liang smiled, hoping to use this operation to establish Yang Ping’s prestige at Xiehe, which would help him undertake future work and give Professor Liang a chance to help Yang Ping secure some resources.

Since Yang Ping claimed he routinely performed this sort of operation, he should naturally be quite confident, but it wouldn’t hurt to double-check.

"Are you confident?" Professor Liang softly asked Yang Ping.

"Routine surgery, I’m confident!" Yang Ping responded with ease.

Fortunately, Professor Liang was familiar with Yang Ping, otherwise his confident response would have sent shock waves.

"I’m on a tight schedule here; when can the surgery be arranged?" Yang Ping felt the sooner, the better.

"Director Hu, can we arrange it for tomorrow?" Professor Liang believed if the surgical preparations were thorough, then it should be arranged as soon as possible.

"No problem, I’ll inform the operating room to add one more surgery. Tomorrow is the exchange meeting with the dual-city spinal center in the United States. The conference will include demonstrations of spinal tumor surgeries. Because this operation is expected to take a very long time, I hadn’t previously planned to include it in the demonstrations." Director Hu had not considered this operation when selecting demonstration surgeries. An operation estimated to last twenty hours was not quite suited for demonstrations.

Professor Liang thought that made sense: "Why don’t we queue it up right after tomorrow’s demonstration surgeries, how’s that?"

Yang Ping believed that as long as the surgical preparations were thorough, the exact timing for tomorrow didn’t really matter.

"Arrange it whenever you like. It’s also okay to schedule it as a demonstration surgery." Yang Ping appeared calm and composed.

Young people are certainly bold. This type of surgery would take twenty hours. Perhaps, it’s better to forget about it as a demonstration surgery. Director Hu shook his head.

"Xiao Yang, could you explain further the theory of the non-leakage resection technique you just proposed?" Professor Liang was very interested.

"I proposed a concept for tumor surgery, and around this idea, I’ve set up a complete surgical system." Yang Ping saw this as an opportunity to promote his technique.

A good thing should be shared amongst all, benefitting more patients.

How does this guy always have something new? It’s as if he has a magical pouch from which he pulls out one treasure after another.

If it wasn’t for the chance encounter with this spinal tumor patient, who would have known about his non-leakage resection technique?

Seeing Yang Ping next to him, Professor Liang felt very gratified.

"Since we’re all gathered here, why don’t you explain to everyone your non-leakage resection technique. It may be a bit tiring, but for dinner, whether it’s Fengze Garden, Quanjude, or Donglaishun, you can pick whichever you prefer." When Professor Liang learned about Yang Ping’s systematic technique, there was no way he let it slip by.

"Then let me-- actually, you’re being too polite-- let’s settle on this then! I do eat a good amount of meat." Xiao Yang graciously accepts the offer.

"Don’t worry, I will treat you tonight; Director Hu will take care of the bill. Even packaging the leftovers isn’t an issue." Professor Liang answers with a slight smile.

For this dinner, Xiao Yang steps onto the stage, with dozens of eager physicians looking at him below, all elites in the field.

Skipping the self-introduction, he directly delivers substantial content:

"I gave this technology a name, called ’no-leakage resection’, which is essentially an upgrade for the no-tumor technique. It’s just a fancy name. For complex spinal tumors, conducting a real extratumoral operation to ensure no tumor cell leakage and completely removing the tumor are both extremely tough."

"Because the vertebrae is a ring-shaped structure, with the spinal cord and cauda equina set right in the middle, to cut a whole piece of vertebrae, we must break the ring-shaped structure and extract the vertebra from the spinal cord or cauda equina. With complex tumors, the tumor has already enveloped and invaded the vertebral arch, breaking the ring-shaped structure and cutting off the vertebral arch, often inevitably leading us into the tumor."

"However, we know that there are natural barriers to tumor spread, such as for spinal tumors: the anterior and posterior longitudinal ligaments, the perimem of the vertebral canal, the yellow ligament, the vertebral plate, the spinous process membrane, interspinal ligaments, cartilage endplates, fibrous rings, all these natural barriers we should be very familiar with and adept at using during surgery."

"Each vertebra represents a compartment surrounded by a few of these barriers, seemingly providing convenient conditions for extensive surgical resection."

"However, the vertebrae is a ring-shaped structure housing the spinal cord, with important blood vessels and organs close by, and the complex anatomical relationships between the spine, spinal cord, major blood vessels, and internal organs hinder extensive surgical resection. For example, the aforementioned vertebral arch osteotomy is often hard to perform extratumorally, so we can think differently."

"Breaking the ring-shaped structure doesn’t necessarily have to happen at the vertebral arch. Wherever the bone is normal and not affected by the tumor, we will break there. For instance, for this patient’s lumbar 2, the whole vertebral arch is infiltrated. What then? There’s a good portion of the posterior vertebral plate. Isn’t it OK to cut the bone from here? The diameter of the spinal cord is only about 1.2 centimetres. If we have a 1.5-centimetre opening, that is enough to carry out the procedure."

"The bone can be cut from the vertebral arch, but this requires a higher level of surgical skill: first isolate the tumor, then perform the osteotomy. Those without great surgical technique should not attempt this lightly."

"How to completely resect the tumor without leakage requires a well-thought-out sequence. We must thoroughly study the tumor before the operation, know where to start, what paths to take, and where the operation should end. It’s like wrestling, to throw someone down, you must first know where to grab, where to trip, and finally, how to take down the center of balance."

"For this patient, I’ve just conducted some research. According to the principles of no-leakage resection, I will divide the surgery into twenty-one steps. By following these twenty-one steps consecutively, a complete resection can be achieved."

Xiao Yang is explaining over the 3D images shown on the screen, telling everyone how to resect.

Everyone listens and thinks, simulating the surgical process in their minds, especially Professor Liang and Director Hu who have vast surgical experience. As soon as they start simulating in their minds, they can immediately understand the subtleties of the operation.

Indeed, resecting in this way is much easier, and the tumor can be fully removed.

"He has updated his ideas and then innovated his technique under new concepts, not merely repeatedly improving the technique." Professor Hu Guolin feels that he has gained a lot from listening.

"Yes, let him lead tomorrow’s surgery. Indeed, to fully remove the tumor, the sequence is very important." Professor Liang highly appreciates Xiao Yang’s no-leakage resection.

"Order is important, but understanding the boundaries of the tumor, including natural boundaries and membranes, etc., is vital. Combining all these aspects gives us the full scope of the tumor, and by working around it, we can remove the tumor step by step."

"It’s like demolishing a house, you can’t just destroy it randomly, there’s a method to it. You have to know where to start and where to finish, ensuring safety while quickly tearing down the house."

"Add this operation to the demonstrations tomorrow and let the Americans see our no-leakage resection. What was the name of their leader?"

"Chene!"

"Right, didn’t he have eyes on the top of his head? Tomorrow, let Xiao Yang help him reposition those eyes."

"A surgery that takes twenty hours?"

"That would be if you were performing it. It won’t take that long if Xiao Yang does it. Don’t worry. Even if it took twenty hours, the Americans wouldn’t complain. They think they’re quite amazing after having performed several full spondylectomy operations."

Professor Liang and Director Hu are having a quiet conversation.

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