Surgery Godfather
Chapter 987 - 829: Cutting may be instantly gratifying, but the regret afterward cuts deep into the intestines_2

Chapter 987: Chapter 829: Cutting may be instantly gratifying, but the regret afterward cuts deep into the intestines_2

The couple thought that perhaps what goes around comes around, which is why others came to help them and guide them in the direction of curing their illness.

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This type of complex abdominal cavity tumor that needed ex-vivo resection was the best teaching case. Before the patient had even arrived, Yang Ping had begun to give them a lecture.

This surgical method, which is quite cutting-edge, could actually be applied in many specialties, such as certain heart tumors which cannot be completely excised due to the fixed anatomical position and relationships of the heart. The whole heart and surrounding organs could be completely excised and then removed from the body. This way, the heart is completely isolated and can be placed on a sterile table at three hundred and sixty degrees in any orientation, making tumor excision very convenient—cut as desired without any anatomical restrictions.

After the tumor was excised, the heart was transplanted back into the human body, essentially amounting to another heart transplant surgery.

The risk was definitely very high, but for tumor excision, it was indeed very convenient and made what was normally a difficult tumor excision much simpler.

"There was once a Japanese patient with a thoracic tumor; the professor just took out the heart and both lungs along with the major vascular and completely excised the tumor externally before replanting it," Song Zimo recalled similar cases from the past as he looked at the patient’s imaging.

To excise the tumor by taking out the heart and lungs and then replanting them was a truly miraculous operation, a combination of exceptional skill and boldness.

Xia Shu was utterly speechless, amazed that such unheard-of surgical operations existed in the world.

Others, having spent a long time at the Surgical Research Institute, were accustomed to these practices, so their reactions were not as strong.

"This patient’s case is actually a bit more difficult than that of the Japanese man because it involves too many organs, a total of eight," Yang Ping pointed out on the screen.

Song Zimo knew that only a godlike professor could be so bold. What other doctor would dare to do this? To take out so many organs and question whether the tumor was cleanly excised, not to mention the transplantation of eight potentially compromised organs, involved a massive amount of surgery and meticulous attention to detail. If one organ suffered ischemic necrosis, there would simply be no way to conclude the operation properly.

"Are such surgeries not very common in the world?"

Xia Shu had certainly never seen one.

Yang Ping thought for a moment and said, "For this type of multiple organ abdominal extraction and replantation, a doctor at Mayo in the United States has performed it in over twenty cases, and all had good outcomes. One of the patients, suffering from pancreatic cancer, has survived for many years post-operation and is still alive and in good health."

"Professor, what about that Japanese patient?" Xia Shu asked further.

Yang Ping replied, "He is still alive."

Xia Shu knew that a combined heart-lung transplant was already a major surgery; to use a heart-lung transplant as a step in excision of a tumor demonstrated incredible courage and skill.

The professor was truly deserving of his title, no wonder all the doctors in the department called him "Professor" without a surname. This title represented an unparalleled level of skill that no one could surpass.

"If in removing so many organs—should the tumor prove too difficult to excise and you also have to cut off part of these organs—as well as the reserved blood vessels for anastomosis—what happens if replantation is not possible?" Xu Zhiliang asked.

"Yeah, what if you can’t fit them back in?" other doctors were also curious.

"That situation has happened; an Indian doctor went to Mayo in the United States for fellowship and spent three years learning oncological surgery with the doctor I just mentioned. Returning super confident, he then performed an ex-vivo resection on an Indian tycoon. It was also abdominal surgery involving four organs. Everything was removed smoothly, but in his enthusiasm during the ex-vivo surgery, he cut almost everything that could be cut, and when it came to replantation, he found that so little of some organs was left, and there were no blood vessels for transplantation---they couldn’t be put back!"

"How similar to me, dismantling the anesthesia machine entirely, only to find I can’t put it back together, with a heap of components on the floor. Oh, the desperation, my God, what to do then," Liang Fatty could sympathize with that feeling.

Before a joint surgery livestream with the Affiliated Hospital of the University of Tokyo at the Trauma Emergency Center, everyone had spent some time undergoing intensive training. In order to familiarize himself with the structure and principles of the anesthesia machine for more skilled operation, Liang Fatty had taken apart the entire anesthesia machine for study, only to later find he couldn’t put it back together.

At that time, he sat on the floor, not knowing what to do, his mind a complete blank.

Eventually, it took him several days to put it back together, but then he found there were several spare, unused components.

"No way, that Indian doctor was so mysteriously confident; what happened next?" Song Zimo was very interested in this story.

Yang Ping looked serious, as if he were lecturing on a professional subject, "What else can we do? I had to call his mentor for help urgently. The mentor asked him—don’t panic, let’s take it one step at a time. First, let’s handle the liver. Look for any remaining liver tissue and any blood vessels of an appropriate diameter, then tell me, and I will tell you how to perform the vascular anastomosis of the liver."

"The Indian doctor searched back and forth over the operating table for a long time and replied to the mentor—I haven’t seen the liver."

This response was like thunderclap overhead. The mentor was stunned for a long time and finally thought, they couldn’t possibly have cut away the entire liver in the process, could they? After all, the anatomical shape and relationships of all organs change after tumor invasion."

"Could you search again?"

"I really didn’t find it!"

The mentor felt a chill in his heart. If there truly was no liver, how could the surgery be concluded now? Waiting for an allogeneic liver transplant would definitely be too late. It’s impossible to look for a liver donor match on the operating table."

The Indian doctor probably felt a desire to die at that moment, sweating cold sweat all over. To showcase the skills he gained during his three years of study in the United States, he had been too confident and too eager for quick success, and now there was no liver to replant."

Once an organ is removed, it has a time limit; it must be replanted within a certain period, or else it will undergo ischemic necrosis."

Time ticked away second by second. What were they to do?

"What should we do now?" the Indian doctor asked with a trembling voice.

The American mentor replied with a trembling voice, "If it is confirmed that the liver can’t be found, we can only replant the remaining organs. At least, that would create the conditions necessary for using an artificial liver after the surgery. We could use an artificial liver to sustain life for a while, and then wait for a liver transplant."

Without a liver, how could they replant the organs afterward?

But he had never performed this kind of surgery. How could the remaining blood vessels be connected? They would need to ensure the artificial liver could function postoperatively."

With so many organs removed, it wasn’t just a matter of putting them back; the remaining organ tissues had to be successfully transplanted and the circulation around the liver had to be normal, able to sustain life postoperatively using an artificial liver."

But the Indian doctor lacked the experience and did not know how to proceed.

"What eventually happened?"

Xia Shu was incredibly engrossed. He hadn’t expected the professor to be such a master storyteller.

"Unfortunately, the organs removed were not correctly replaced in time, and the patient was declared dead on the operating table,"

"In this kind of surgery, what you can see on the operating table accounts for only one-tenth of what’s involved. Ninety percent of the skills are not visible from the front, so never assume that just mastering the visible techniques is enough to perform surgery independently."

"I’m not sure if this story is true, but I heard it from a doctor at Mayo while I was there using the removal of an eyeball to create a surgical approach, replanting it after the surgery. This oncologist was observing and, after telling me this story, he swore profusely."

Yang Ping ended the story in a calm tone.

"For this American mentor, this was truly an unforgettable student and an unforgettable phone call."

"Cutting is fun at the moment, but the regret cuts deep afterward!"

Everyone sighed deeply.

"When doing this surgery, we have a lot to consider, such as removing the tumor completely, which inevitably involves removing some organ tissues. How much to remove, how much it impacts function, how to arrange things during replantation, etc. We must avoid elementary mistakes. Why do you think I insist that you must master open spinal surgery before you learn foraminotomy? Because if something goes wrong in minimally invasive surgery and you don’t have the ability to perform open surgery, how will you cope? It’s not only about mastering front-end technology but also about mastering the supporting technology behind it."

Yang Ping’s fingers silently and lightly tapped on the desktop.

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