Surgery Godfather
Chapter 991 - 831: Professor Yang is Sun Wukong_2

Chapter 991: Chapter 831: Professor Yang is Sun Wukong_2

Firstly, a tumor’s own blood vessels might rupture or it might destroy other blood vessels during its growth, leading to severe hemorrhaging, which in turn can cause the patient’s death.

Secondly, tumor cells may detach and enter the blood circulation, forming emboli. If these emboli cause blockages in critical organs, such as pulmonary embolism, they can lead to death.

Thirdly, the growth of the tumor consumes a lot of nutrients, causing the patient to develop a cachexic condition which lowers the immune system and makes infections and other diseases more likely.

Thus, the mechanism by which tumors impair health is through the over-replacement of normal cells with inferior ones.

The process by which tumors impair health and lead to a patient’s death can be likened to the collapse of a company.

In a normal company, key positions are held by talented and capable individuals who manage their respective responsibilities and cooperate with each other, thus the company functions well.

But one day, many foolish and incompetent individuals start joining the company. Despite their incompetence, these individuals are particularly good at usurping the positions of the capable ones, and they keep coming, eventually starting to take over various crucial positions. When they have not yet reached a critical mass, even though the company struggles, it can still manage to survive. However, if these detestable fools take over a significant number of key positions, firmly holding these roles yet lacking the capability to fulfill their duties and indulging only in frivolous activities, the company inevitably goes bankrupt.

For the human body, this equates to organ failure, which leads to the patient’s death.

The current mainstream methods for treating tumors, including chemotherapy, radiotherapy, and surgical treatment, all aim to eliminate tumor cells. Surgical excision, for example, involves physically removing the tumor through surgery. These methods are akin to clearing out the incompetents from the company.

If the tumor is still in its early stages and has not spread, it is relatively easy to completely eradicate it.

However, once past the early stage, when it has metastasized, it is difficult to locate all the places where it may be hidden. These tumor cells are like seeds that take root and sprout everywhere. Theoretically, it is impossible to completely remove them with existing methods.

It’s like if criminals are concentrated in one area, they can be eliminated all at once, but if they are dispersed and hidden in society, it’s much harder to single them out and destroy them.

This is why malignant tumors are considered incurable diseases, as they cannot be completely eradicated; they are like wildfires that cannot be completely extinguished, regrowing with the slightest breeze.

But not all malignant tumors are the same; for example, thyroid cancer has a very good prognosis because it is a "lazy" cancer with a slow growth rate, much like a snail, making it relatively easy to cure completely. Even if it can’t be cured, patients can live long lives with it. Some people grow old while the cancer still exists, but it doesn’t affect them significantly.

It’s as if only one incompetent enters the company every few years, which doesn’t cause significant problems within a short period.

In surgical treatment of tumors, precise identification of targets is extremely important.

If, like playing a video game, you could open a map and see every tumor cell’s location, then execute them all, the tumor could be cured.

Therefore, theoretically, as long as all tumor cells are completely eliminated and the organs’ normal functions are preserved, it amounts to a cure.

If not all can be eliminated, clearing the majority is sufficient as the remaining scattered cells will hardly cause immediate issues.

Yang Ping provides education to patients and also gives lessons to doctors with case studies, telling them about the nature of the disease, not just its superficial symptoms.

---

Once people have confidence and hope, everything becomes much easier to handle. If they lose confidence and fall into despair, it is the worst case.

Nie Shun’e is now very confident, and she cooperates fully with the examinations. After completing the preoperative checks, the final consultation before the surgery begins.

This surgery is very special, involving the transplantation of eight organs, so Yang Ping decides to personally conduct the preoperative consultation.

Across a table sat Yuan Yulin and Nie Shun’e, a married couple.

To Yuan Yulin and Nie Shun’e, having the surgery was a cause for joy because it meant hope and a chance to survive.

"This is a drawing, showing the organs in your abdominal cavity and the tumor. Red represents the tumor tissue, blue represents normal tissue, and yellow is where tumor and normal tissues mix. Of course, this is just a schematic; the actual situation is much more complicated. Look, here are the stomach, small intestine, liver, gallbladder, pancreas, spleen, inferior vena cava---these are the kidneys---"

Using graphics was Yang Ping’s forte. Many things are difficult to explain in words, but with an exquisite anatomy diagram, it becomes easy to understand.

"The blue ones are the good guys, the red ones are the bad guys, and the yellow ones are a mixture of both. Our goal is to eliminate or substantially reduce the bad guys. We must remove the red parts, and to ensure we cleanse the enemy thoroughly, we also need to remove the yellow parts. That’s still not enough because even in areas that appear blue, I need to remove some parts. It looks aggressive, but it’s this aggressiveness that ensures the tumor is removed to the greatest extent possible."

Yuan Yulin and Nie Shun’e’s eyes widened as they looked at this beautiful medical illustration, and the vivid analogies made it very easy for them to understand what Yang Ping was explaining.

"Removing them is not easy because the structure of the organs in the abdominal cavity is complex, and so are the relationships between them. Meanwhile, the tumor grows irregularly. It’s like cleaning dust inside a computer case; if you just open the lid and clean from the window, you definitely can’t clean it thoroughly, as you can’t even reach or see many areas."

"Therefore, we need to adopt a very bold and superb method of resection---ex-vivo resection! It’s like taking out all the components from within the computer case. Once I have cleaned all the dust off outside, I’ll put the components back into the computer case."

"For you, I need to remove these eight organs, take them out of your body, completely detaching them from you. I will perform the tumor resection on the workbench, clean it thoroughly, and then reinstall them back into your body."

Ex-vivo resection sounded terrifying. Yuan Yulin and Nie Shun’e were very scared, having never heard of such an exaggerated surgical operation where all the organs in the abdomen would be removed and then reinstalled; just the thought of it was frightening.

"Professor Yang, if you take out so many things from the abdomen, will they all fit back in?"

Nie Shun’e worried about this because if they couldn’t be put back, it would be troublesome. Her husband once tried to fix their child’s model car, and after disassembling it, he could never put it back together, ending with a pile of components being thrown away.

"In ’Journey to the West’, Sun Wukong fought demons by tossing his head in the air and flying around. Didn’t it get put back in the end?" Yuan Yulin gave an example.

"But the demon’s head was carried away by an eagle, and in the end, it wasn’t put back on," Nie Shun’e also remembered this story.

"Professor Yang is Sun Wukong, not the demon," Yuan Yulin argued.

"What you just mentioned is theoretically possible, but for me, this issue doesn’t exist," Yang Ping firmly stated.

Most doctors wouldn’t dare speak with such confidence, but Yang Ping was different, especially with such patients; he needed to instill confidence in them.

Nie Shun’e felt much more reassured as long as the organs could be put back.

"You see, the tumor and some organs have merged. To remove the tumor, we must take out parts of the organs, and to ensure that the tumor is completely removed, we must also take out some normal organs. The left kidney has lost its function, severely infiltrated by the tumor, and must be removed. A normal human body has two kidneys, here are your kidneys, one each on the left and right. However, a person only needs one kidney to function, so removing this kidney won’t impact your body, except you lose the backup capability. Normally, if one kidney fails, the other can still function, but you will only have one kidney. If it fails, there’s no recourse," Yang Ping pointed out on the hand-drawn diagram.

Nie Shun’e thought for a moment, "There is no other way if it’s necessary. Professor Yang wouldn’t plan this if it weren’t necessary."

"Right, all the resections are reluctant acts, they are necessary,"

"Stomach, small intestine, liver, pancreas, and spleen will all be partially removed. We currently estimate that the impact on functioning after the resection will be minimal, especially for the liver, which has good plasticity. But this is just a prediction; if postoperative dysfunction occurs in some organs, we must address it," Yang Ping explained every detail to the couple, providing them with a full understanding of the surgery.

This was a major operation, an extraordinarily large one that even involved removing an entire kidney and parts of other organs.

"Of course, there’s only one purpose for all this, and that is to save your life, otherwise the tumor will continue to spread, and your life will soon be threatened."

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