Surgery Godfather
Chapter 994 - 833: The Most Awesome Dean in the Country

Chapter 994: Chapter 833: The Most Awesome Dean in the Country

Surgery requires precise identification of tumor tissue; otherwise, even if all organs and tumors are removed, it’s impossible to distinguish which parts are tumors, which are normal, and which are mixed tissues.

Of course, with his extensive anatomical experience, Yang Ping could make judgments based on visual recognition and the touch of his fingers. If he combined this with the memory of enhanced CT and PET-CT images, his assessments were almost always accurate.

But not every doctor is Yang Ping, and in his view, if he were the only one capable of performing the surgery, it would be his failure.

Any surgical technique that is improved, simplified, and made widely available is a good method; otherwise, relying on one doctor’s efforts will only allow so many surgeries to be performed, no matter how hard they work.

The five-year survival rate for pancreatic cancer is below 8%, with 90% of patients dying within a year after surgery.

To improve this rate and achieve a good prognosis, Yang Ping could only rely on his superior surgical skills for complete resection; there was no other way.

The same task can be done at a high level or simply; it’s a matter of technical sophistication.

For example, a house built with trees and thatch by primitive people is still a house, just as skyscrapers of hundreds of floors are now. This is a matter of building technology levels.

Surgery is the same: a crude resection of pancreatic cancer is still surgery.

Yang Ping’s approach, though, involved meticulous attention to detail in every aspect of the surgery, from strategy to tactics.

Ex-vivo resection is a strategic part of the entire surgical plan, but there must also be tactics and decisions for every battle.

The films Nie Shun’e brought were of enhanced CT, which were actually sufficient for diagnosis. Enhanced CT is the best examination for the pancreas, allowing for localization, qualitative analysis, differential diagnosis, and staging.

However, to further understand the illness, Yang Ping still arranged for a PEC-CT. At this point, it wasn’t a matter of saving money; pursuing the best outcome was crucial, as trying to save money would be meaningless—better not to spend at all. PEC-CT could evaluate the spread of the tumor and the overall condition of the body.

According to the PEC-CT, the cancer had metastasized within the abdomen but not to organs such as the brain or lungs, suggesting hope if the surgery could be performed at a certain level. Treating disease is like this; you do what you can to the extent you can.

The methods of tumor metastasis are only a few—direct infiltration, hematogenous spread, lymphatic spread, and implantation. Tumor cells are like seeds that take root wherever they spread, quickly producing a cluster of tumor cells.

Eradicating a tumor is as difficult as removing roots from the ground, which is precisely the challenge with malignant tumors. If someone could eradicate it completely, they would have found the cure for cancer.

Although Yang Ping couldn’t eradicate the tumor, he aimed to cut it back as much as possible.

To identify tumor tissue during surgery, Yang Ping planned to use indocyanine green for fluorescence staining. Treated tumor tissue appeared typical to the naked eye but emitted a green fluorescence under a special laparoscope or glasses, clearly distinguishing it from normal tissue.

The method is critical; a good method can make work easier. Relying on sheer force to achieve goals is sometimes a reluctant choice.

Indocyanine green needs to be injected into the bloodstream before surgery. Nie Shun’e’s liver function was adequate, so the injection of indocyanine green would normally begin three days before surgery. Indocyanine green circulates in the blood, eventually binding with tumor cells, while normal cells do not interact with it.

While contemplating, Yang Ping sketched by hand to refine his surgical plan, aiming to mentally simulate every detail.

In the doctor’s office, Song Zimo was gathering everyone’s surgical plans. After collecting them, including his own, they were placed on the desk, awaiting Yang Ping’s review.

Yang Ping came out of the department head’s office and entered the doctor’s office where everyone was waiting.

Song Zimo pulled up a chair for Yang Ping to sit.

The table was piled with surgical plans, and Yang Ping reviewed them one by one; designing a surgical plan is the best way to train an individual’s abilities.

Mm, Yang Ping took his time looking through them. Song Zimo was consistently excellent, always doing things perfectly. He was a born perfectionist—there was no helping it.

Xu Zhiliang was a natural scholar, always intent on thorough research, which made his and Song Zimo’s surgery plans the most satisfying for Yang Ping.

Xia Shu was new, a doctoral graduate from the Cardiac Surgery Department, and his expertise in hepatobiliary and pancreatic surgery was significantly weaker. But that weakness was only relative to Song Zimo and Xu Zhiliang, who had been under Professor Yang’s direct guidance with access to specialized internal materials that outsiders couldn’t acquire—a knowledge of anatomy powerful enough to conquer the world.

Li Guodong was smart and motivated, already showing potential as a scholar. Although lacking in experience, his surgical plan was thorough and presentable.

Zhang Lin and Little Five had been working hard too, managing to write very detailed plans and deserving recognition. It seemed that Teacher Zhang and Teacher Wu’s aspirations extended beyond being simple heroes.

Doctor Li Min, who had a junior college degree, proved that a low level of education doesn’t necessarily mean low ability, but it does mean there’s a gap in education that requires continual effort to close. His plan still fell short compared to Zhang Lin and Little Five’s. However, Yang Ping didn’t mind; Li Min was a special case, and Yang Ping had a different training plan for him.

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