Chapter 967 Is the World's First Case so Easy?

Intestinal disease is also quite urgent and cannot be delayed for too long. Complications such as intestinal necrosis may occur easily if it goes too long, so Yang Ping asked Huaqiao Tower to arrange emergency surgery for him.

The surgery was performed by Director Ji of the Interventional Department. The Interventional Department is also quite strong, especially the two senior directors, Director Guan and Director Ji. Director Guan specializes in cardiovascular interventional treatment, while Director Ji is an all-around expert in cardiovascular, All interventional surgeries such as cerebral blood vessels and tumors are performed very skillfully.

Although enema treatment for intussusception is not an interventional surgery, it does require the use of X-ray equipment from the interventional department. The X-ray equipment from the interventional department is more useful than the gastrointestinal X-ray machine and allows for clearer monitoring. As for X-rays, Surveillance enema is very simple for Director Ji. As a generalist in the interventional department, he has also helped the gastroenterology department to do many such things.

"Originally it was just acute pancreatitis, but I didn't expect that I developed intussusception along the way."

Niu Zhixuan sighed.

Dr. Feng, who was in charge of the bed, comforted him: "You are lucky. Severe cases of acute pancreatitis can be fatal. You only have the mildest edema type, and you have intussusception. If Professor Yang hadn't come to see you that day, how could you have been like this?" Find out soon, if you find out later, you might get stabbed."

Niu Zhixuan is a doctor and knows very well that adult intussusception is very rare. If Yang Ping had not experienced the abdominal pain at that time, most doctors would have thought it was a recurrence of pancreatitis. After a few days of treatment, it would be easy to go for a CT scan. Delay the best opportunity for treatment.

"What are the results of the tumor markers? They haven't come out yet?"

Niu Zhixuan was still worried. He couldn't be completely relieved until he saw the final result.

When I was a pediatrician, I worked late and late shifts day and night. I didn't make much money and my body was really exhausted. In the past two years, I made a lot of money selling health products. I originally planned to enjoy my life, but now something like this happened. Out, Niu Zhixuan prayed that he would never have any physical problems.

Dr. Feng refreshed the tablet in his hand again. Niu Zhixuan's tumor marker test results had come out.

"CEA is elevated! 190 μg/L!" Dr. Feng slid his finger and displayed the latest test results.

This news was like a thunderbolt that shocked Niu Zhixuan directly. The elevated CEA meant that it might be a tumor, and it was so high. It was really like that.

"After the enema, go back to the ward and we will conduct further examinations. Don't worry too much." Dr. Feng comforted Niu Zhixuan.

Niu Zhixuan's mind was blank and restless at this time, but he still knew the priorities of the matter. The top priority now was to cure the intussusception, otherwise it would be very troublesome if intestinal necrosis occurred. After the intussusception was cured, he would slowly check for CEA elevation. things.

If I had known earlier, I would not have eaten this late-night snack. If I had not eaten this late-night snack, I would not have had acute pancreatitis. If I had not had acute pancreatitis, I would not have come to the hospital. If I had not come to the hospital, I would not have had a check-up. If I had not had a check-up, there would be so much trouble. Check me out. Yarn.

"Old Niu, why are you trembling all over after an enema? You are a pediatrician after all."

Xiao Wu found that Niu Zhixuan's whole body was stiff and he was trembling all the time.

Naturally, Yang Ping didn't have time to come to the stage. As a friend, Xiao Wu took the time to come to the stage with Niu Zhixuan. When he had just passed the bed with the nurse, he found that Niu Zhixuan was in a stiff state and was still shaking.

"Where are you shivering? Your air conditioning is too cold."

Niu Zhixuan quibbled.

Xiao Wu looked at the control panel on the wall. It showed that the temperature of the air conditioner was just 25 degrees. Isn't this the most comfortable room temperature?

''Let him rest. If it's not possible, calm him down. "Director Ji said, Niu Zhixuan was not only shaking, but his heart rate was also very fast. At first glance, it was caused by nervousness.

"Don't be afraid, it's just an enema, but under the supervision of the X-ray machine." The nurse also encouraged Niu Zhixuan.

I am not afraid of enema, but I am afraid of elevated CEA.

The principle of using developing liquid enema to treat intussusception is actually very simple. If you think of the intestine as a long balloon, the balloon can be folded and nested when it is deflated. Now fill the balloon with water or blow air, and the balloon will expand immediately. , no more discounting and nesting.

It is easy to hold up a balloon, but not so easy to hold up the intestines. There is also a certain failure rate. If the intussusception cannot be solved by enema, it can only be solved by surgery. Open the abdomen, straighten out the intestines manually, and then open the abdomen. Sew it up.

——

Because Yang Ping was on vacation a few days ago, Liao Ting had been waiting for Yang Ping to do a lung nodule puncture. The diameter of the lung nodule punctured was less than 0.5 cm, which was very small and very difficult to puncture. It is feasible in theory, but impossible to do in practice. However, the characterization of this matter is of great significance to Liao Ting. It is the critical time for promotion, and this matter cannot affect promotion.

Don't look at it as just a nodule. It can be big or small. If you don't take it seriously, it will be fine. But you can also take it seriously. A nodule with no definite characteristics can be benign or malignant, half to half, so It's hard to say, half or half it is a health hazard.

Although Liao Ting is fifty years old, he is still relatively young in his circle, and his future is not limitless, but at least he has a bright future. He is also uneasy lying on the operating bed at this time, although Yang Ping has already said that the possibility of malignancy is The sex is very small. This is just a statistical concept for doctors. For patients, it is just the difference between 0 and 100.

In fact, Liao Ting pays special attention to his body. He takes various health products and eats Cordyceps sinensis all year round. He is either making soup or soaking in water. However, socializing is unavoidable. There is no way. He can only wait until he quits drinking. Retirement, otherwise Moutai's stock price would not be so strong. In fact, Liao Ting also made some contributions.

"Professor Yang, what if the pathological examination is bad?" Liao Ting asked cautiously.

Yang Ping could only comfort him: "It's okay, don't be nervous. Whatever the test shows is what it is. If it's benign, just observe it. If it's malignant, just do surgery. Early surgery generally has good results."

''Didn't you say that the possibility of malignancy is extremely small? "

Hearing Yang Ping's 50/50 statement, Liao Ting became nervous again.

Local anesthesia is usually used for lung puncture. The patient is awake and the surgeon can chat with the patient while performing the surgery. Song Zimo helped Yang Ping and began to disinfect and spread the sheets.

No doctor would choose to puncture such a small lung nodule, but Yang Ping could not be regarded as a normal person. Song Zimo was used to it. Yang Ping could do things that others could not do. This was not the first time that this happened, it happened every day.

Disinfectant mixed with alcohol was applied to Liao Ting's body. The cooling caused by the evaporation of the alcohol made Liao Ting feel a chill in his chest: "Professor Yang, you must help me puncture a benign one."

What you said, if I can make my own decision and find a benign one for you, then what I am applying for the Nobel Prize now is not the complicated "Space-Guided Gene Theory", but "The Mechanism of Punching Tumors into Benign" 》.

''Try your best! Yang Ping replied.

The puncture must be monitored with imaging equipment, and the nodule puncture must use navigation equipment. The navigation equipment is actually a CT with special functions. Song Zimo completed his preparation and said: "Professor, you go and put on the lead clothing."

Yang Ping looked at Liao Hall's CT pictures: "No, just flash once. There is no need to monitor the whole process."

In this way, everyone goes out, and the navigation operator uses the remote control to remotely control the machine to scan the lungs. After completing the scan, everyone re-enters the operating room to avoid X-ray exposure.

Yang Ping put on clothes and gloves, glanced at the CT pictures left on the navigation screen, stood up the puncture needle in his hand, and slowly inserted it through the ribs, then ordered everyone to go out and scan again. Sure enough, the puncture needle It has entered the center of the small nodule.

After pulling out the puncture needle, he kept the removed tissue as a specimen and sent it to the pathology department for examination. Although Song Zimo had been shocked by Yang Ping countless times, he was still very surprised now.

Song Zimo felt that he would never be immune to Yang Ping's various shocking actions.

For lung nodules less than 0.5 centimeters, it only takes a few minutes to puncture the center of the nodule with a needle. The puncture needle in your hand goes in and out, and call it a day! What the hell level is this.

Small nodules less than 0.5 centimeters can be solved just like this.

While Song Zimo was cleaning up the mess, he asked: "How to do it?"

''Only if you are familiar with it! Yang Ping replied.

"Professor Yang, is it benign?"

Liao Ting, who was lying under the sterile sheet, asked worriedly.

''As benign as possible! Yang Ping replied.

"It can't be so fast. The specimens haven't been sent yet. The pathological examination will take 3 to 5 working days to produce the results. Don't be in a hurry. Don't talk. Talking can easily cause pneumothorax." Song Zimo warned the anxious leader.

——

Ou Lianfeng was wandering around the hospital. He wanted to find a part-time job. Although he received a compensation, he calculated that there was little left after using the compensation to treat his lungs. Later, he received a fund subsidy from Sanbo Hospital, so in his hands It's a lot of money.

This money is life-saving money, and Ou Lianfeng does not dare to relax in the slightest. He knows that it is impossible for him to do physical work after having a lung transplant. He basically cannot generate income on his own. He will have to take immunosuppressive drugs in the future, and there will be various re-examinations. It all costs money. If there is any trouble, he can't afford the one million yuan.

The family members of patients who are lying in the ICU and relying on ECMO to survive are still hesitating whether to give up treatment or fight for it. The family is quarreling outside the ICU. The patient's parents insist on rescuing, but they have no money, and the brothers and sisters also want to be rescued, but He couldn't get the money, and his wife also wanted to rescue him, but she still had no money. He had to sell the house next. After selling the house, there would be nothing left. What if he loses all his personal wealth? Moreover, the doctor said that even if he throws away the money, There is little hope either.

Ou Lianfeng has been waiting for his lungs. Thinking about it, Ou Lianfeng feels that he is very immoral, thinking about other people's lungs. Although he doesn't know who the other person is or where he is, every time he thinks of this, Ou Lianfeng feels a strong sense of guilt. .

After wandering around for a few days, I couldn't find a suitable job. A person like him who has no diploma or skills and relies on physical strength to make money now doesn't even have the last physical strength. Where can I find a job? Sweeping floors and washing dishes as a security guard is not his part.

He wanted to be a security guard, someone who would watch the door at the factory gate, so he asked a man from a factory to inquire. It seemed that the security man in his fifties was a relative of the factory director. He had to sit there and operate the remote control to open and close the door every day. Not everyone can do it, you have to have a relative who is the factory director.

Someone suggested that he run Didi, and he didn’t even have a car. How could he run Didi and use an electric car?

When it comes to delivering food, for someone like him who is out of breath when walking now, even if he doesn't tell him that he is on the way, he will be charged for being late.

Ou Lianfeng checked his phone, wanting to hear the opinions of experts. After all, experts were educated, knowledgeable, and well-informed. He found a professor who gave advice to people in financial difficulties.

The professor said that a situation like Ou Lianfeng's financial difficulty is actually very simple. Why should he rent out a house that he does not live in? Relying on rent can completely guarantee his basic life and tide him over the difficult period.

Damn it, if it weren't for the screen of his mobile phone, Ou Lianfeng would have wanted to spit in his face, he was talking without thinking.

In fact, Ou Lianfeng has put life and death aside. Now he has a lot of money in his hand. If Sanbo Hospital hadn't given him a free lung transplant, he wouldn't have wanted to use the money for treatment. It depends on how long he can survive. He wants to give this money to his wife , let the wife raise the children, find a place to work, and earn as much as she can. If it is not possible to die in a foreign country, at least she will leave more than one million in cash. If she uses more than one million in cash for lung replacement surgery, If it succeeds, it will be difficult for someone like him who relies on selling his physical strength to make money in the future. If the operation fails and he loses all his personal wealth, he will gain nothing in the end.

Currently, the Second Hospital of Zhejiang University does the best job in lung transplantation. In the field of organ transplantation, heart transplantation and lung transplantation represent the highest level. If these two transplants can be done well, it means that the level of organ transplantation in this hospital has reached the top. Liver transplantation and kidney transplantation have been developed for so many years, and many hospitals can do them very well. They are considered threshold surgeries for organ transplantation.

For the development of a profession, we must achieve what others don’t have, what we specialize in, and what others are good at. Otherwise, it will be difficult to stand out among many hospitals. The Sports Medicine Center is to take a different approach and directly perform the most difficult surgeries in the field of sports medicine. , step by step to become the leader in the country and the world.

The organ transplant center is now following this path. They plan to do a good job in heart transplantation and lung transplantation. Director He Xiangjun is still ambitious. The main reason is that he has a strong backing, so he is not afraid of hurting his balls if he takes too big a step.

The organ transplant center is actually a patchwork of departments, made up of staff drawn from many departments. For example, the liver transplant is performed by the general surgery department or the hepatobiliary surgery department, while the kidney transplant operation is performed by a urological surgeon. Director Li does the liver transplant and Director Liu does the kidney transplant. They are all transferred from the original department.

At present, Director He Xiangjun of the Department of Thoracic Surgery has begun to enter heart transplantation and lung transplantation. With Yang Ping's help, they have accumulated a certain number of cases and the postoperative follow-up results are now very good.

At this time, in the doctor's office of the Institute of Surgery, Yang Ping, Director He of the Thoracic Surgery Department, and a group of doctors gathered around the reading lamp.

"Use thoracoscopy to do it. Allograft double lung sequential transplantation under total thoracoscopy. This will cause less trauma and faster recovery."

Yang Ping told Director He.

As an expert in thoracic surgery, Director He has read extensively about total thoracoscopic allogeneic double-lung sequential transplantation. How come he has heard of this surgery and has never seen it in a paper?

"Professor, why haven't you heard of this surgery?" Director He was very surprised and asked in a pragmatic manner.

Yang Ping stared at the CT film and said, "Of course you haven't seen the name of the surgery I just came up with."

"Oh!" He Xiangjun said.

I just came up with it. No one in the world has done this yet. If I can really do it, wouldn’t it be the first in the world?

''I'm afraid it won't work? "

Director He knew that it was very difficult to perform lung transplantation using thoracoscopic surgery. There was no precedent for reference, and he had to redesign everything from the approach to the surgical procedure.

"What's so difficult? Isn't it just to convert open surgery to minimally invasive surgery under the microscope? Now that the source of the lungs has not been determined, we can do it a few times with experimental pigs to gain experience, and I will show you how to do it." Yang Ping felt that this It's not difficult at all.

When he heard that Yang Ping would take him personally, Director He immediately nodded: "Okay, okay!"

The most classic surgical incision for lung transplantation requires transecting the sternum. After transversing the sternum, the process of opening the chest is similar to opening the two flaps of a clam shell, so it is vividly called "Clam-Shell". This kind of incision causes less damage to the patient's chest wall. It is large and the recovery period after surgery is also very long.

If you use thoracoscopy to perform this kind of surgery, I am afraid that only a few holes will be needed. The incision to feed the lungs is slightly larger, and the other incisions are very small. The most important thing is that there is no need to transect the sternum, and all the holes are Enter through the intercostal space.

Is it so easy to get the world’s first case? Director He Xiangjun was very excited.

Director Gao gave cherries as a gift, and Director Fang of the General Surgery Department also gave cherries. Director He decided not to take the usual route and wanted to give durians.

A durian, a first in the world, so worth it.

"Director He!"

Nurse Cai came over.

"You're welcome, it's just a few durians." Director He waved his hand and said generously.

Head nurse Cai said: "Director He, can you bring something else next time? The smell of this durian is too strong and is not suitable for eating in the department."

"oh!"

Director He said oh again.