Xia Shu's father's operation has been completed. The operation was performed by Yang Ping himself. The operation was laparoscopic subtotal gastrectomy and regional lymph node dissection. There was almost no blood loss during the entire operation, so the postoperative recovery must be very fast.
The surgery itself will cause trauma to everyone and interfere with the person's internal environment. The advantage of minimally invasive surgery is that it causes less trauma to the human body and less interference with the human body's internal environment, so the postoperative recovery is faster.
Although gastric cancer is just a small "ulcer" in the early stage, it is inevitable that cancer cells will spread to the surrounding areas or to the lymph nodes. In order to eliminate these sporadic and temporarily small-scale "evil seeds", surgery is not just about removing the small "ulcer"
”, instead, most of the stomach including the ulcer was removed, and the surrounding regional lymph nodes were removed.
To be on the safe side, Yang Ping sent the removed lymph nodes to the pathology department for frozen sections during the operation, and asked Wen Ruzheng to look for cancer cells. Fortunately, no cancer cells were found in the surrounding lymph nodes.
When Xia Shu's father was undergoing surgery, the head nurse made time to accompany Xia Shu's mother in the waiting area for family members, chatting with the elderly so as not to worry the old lady.
After Xia Shu's father's surgery, Yang Ping still needs to perform multiple surgeries, and the next few patients will have brainstem tumor surgeries.
Many of these patients were recommended by neurosurgery experts from the imperial capital and many from abroad. Brainstem surgery is the real pinnacle of neurosurgery. There are not many hospitals that can perform it. Even if it is possible, the types of operations are limited.
Not much. This is determined by the nature of the surgery, because many brainstem tumors are simply inoperable under current surgical techniques.
The thumb-sized brainstem is the human life center and controls very critical functions such as heartbeat, breathing and movement. If the brain is the CPU, then the brainstem is the core area of the CPU.
The brainstem medulla oblongata is a highly dense area of nerve cells, which contains basic life centers such as heartbeat, breathing, and digestion.
The anatomical relationship of the medulla oblongata is complex and the location is deep. If you want to remove tumors in the medulla oblongata, after the surgical approach passes through the skull, you need to avoid the skull base arteries, venous sinuses, and cranial nerves. To enter the brainstem, you need to enter through the safe gaps of the neuron cell clusters.
, cannot damage neuronal cells, so the operation is very difficult.
If the operation is slightly careless during the operation, the patient may suffer from abnormal heartbeat and breathing, cardiac and respiratory arrest during the operation or the inability to breathe spontaneously after the operation, long-term coma or vegetative state.
If the tumor is inside the nerve nuclei of the medulla oblongata, the risk of surgery is higher. Almost no doctor dares to do it, because neuronal cells will definitely be damaged when cutting the nerve nuclei. In addition, some tumors grow invasively, and there is no clear diagnosis.
Borderline, no one dares to touch this kind of bulbar tumor.
If the brainstem was once a restricted area for surgery, then the medulla oblongata is a restricted area within the restricted area. In recent years, with the in-depth research on brainstem anatomy, the advancement of microsurgery and the development of neuroelectrophysiological technology and nervous system navigation technology, medulla oblongata surgery has become a restricted area.
It is possible, but it is only possible, that only some medullary tumors that meet the conditions can be operated on.
Yang Ping has also been studying brainstem surgery and has accumulated a lot of basic surgical research on the anatomy, function, surgical approach, and surgical methods of the brainstem. He plans to publish some papers or edit a monograph, but currently he feels that
There are not enough cases accumulated, and the research is not yet very mature, so the paper has been suppressed and not published.
But since Yang Ping performed the surgery performed by Professor Feng Tiancheng, everyone in the circle knows that Yang Ping is good at brainstem surgery. Once there is a helpless case, many experts will give the patient a way: go to Sanbo Surgical Research Institute.
Let's see if there is a better way, they are studying this.
Under the guidance of Yang Ping, Song Zimo and Xu Zhiliang have also begun to perform brainstem surgeries independently. Some extremely difficult surgeries can only be performed by Yang Ping, such as diffuse gliomas located in the medulla oblongata involving nerve nuclei. Song Zimo and Xu
Zhiliang cannot perform surgery for the time being. Even so, Song Zimo and Xu Zhiliang are the world's top brainstem surgeons.
Yang Ping continued to perform operations on several other patients. Xia Shu and other doctors sent his father back to the ward. His father was under general anesthesia and had already woken up.
After he was sent to the ward, after the other doctors left, Xia Shu and his mother stayed with his father by the bedside. The head nurse was afraid that Xia Shu would be anxious and forgetful, so he explained some things, and then comforted the old lady and went to do her own work.
"Ah Shu! Who is this girl? I think this girl is good. She is beautiful, tall, and gentle and sensible. It would be great if she could be my wife." Xia Shu's mother was particularly satisfied with the head nurse.
, my son has no wife at the age of thirty. If he can marry such a wife, it will be a blessing that he has cultivated for several lifetimes.
Xia Shu blushed and said, "Don't talk nonsense, this is our head nurse."
"Where is the rule that you cannot marry a head nurse? Is this girl married?" Xia Shu is also a capable old lady.
Xia Shu was also convinced by this old woman and would do anything to get a wife. When he saw a beautiful girl, he wanted to make her his daughter-in-law.
"Please lower your voice, it's embarrassing for others to hear." Xia Shu immediately reminded my mother.
Xia Shu's mother said: "You are just timid. You are brave to death and timid to death. This girl is not married at first sight. She is a nice person, has such an iconic appearance, and is a colleague. Why don't you be braver?"
"
What my mother said made Xia Shu speechless. Normally, I would forget to urge the marriage. At this time, I still didn't forget to urge the marriage. He was afraid that the head nurse would accidentally hear it, which would be embarrassing.
But the head nurse is really nice. Thanks to her help this time, and during this time, the head nurse's leg was injured. Xia Shu picked her up every day, and there was an indescribable feeling in his heart. How should I put it, it seemed like he hadn't seen her for a day.
When I see her, I feel a little empty in my heart. I always want to see her and talk to her.
"What do you want to eat for lunch? I'll order it." Xia Shu asked his mother.
Xia Shu's mother smiled and said, "The head nurse has already ordered the meal, and now you are asking me what to eat."
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There were many surgeries, and they were all completed in the evening.
When Yang Ping returned to the department, he saw a big fat man chatting with Xiao Wu. When he saw Yang Ping, the big fat man immediately greeted Yang Ping politely and said: "Hello, Dr. Yang, I am Wei Danian!"
Wei Danian?
Yang Ping thought for a while and realized that the name was very familiar.
Oh! Wei Danian, a fat man of 200 kilograms, cried like a child after surgery in his twenties. Then his parents and grandparents coaxed him like a child. Yang Ping remembered that it was him.
This guy has a mutation in his ATP5F1D gene and is prone to lactic acidosis. However, he is lucky. He is near the hospital every time he gets sick and can receive timely rescue.
Later, Yang Ping performed a genetic test on him and also made a periodic seizure table for him, asking him to live according to the periodic seizure table. He should not go out during dangerous periods and stay at home. Anyway, he lived near the hospital.
Wei Danian shook hands with Yang Ping naively: "Doctor Yang, no, Professor Yang, I bought fruit for everyone to eat. You go and try it."
"Thank you! Are you here for a review? How was the review? Is the fracture healing okay?"
Yang Ping remembered that Wei Danian suffered a femoral shaft fracture at that time. The operation made Director Ouyang sweat profusely, so he had to ask Yang Ping for help. The boy was too heavy and two operating beds were put together to let him sleep on it.
At that time, the steel plate was inserted percutaneously, but the ordinary steel plate was not enough. Later, Huang Jiacai was asked to send a special steel plate to complete the operation.
"The fracture is healing very well. Director Ouyang said that it's not time to remove the steel plate yet. I'm here to ask about weight loss. It's not rumored that there is a gastric surgery to lose weight. I'm here to find out if this surgery really exists and how effective it is.
.”
Wei Danian is like a big child, naive.
"Dr. Lu is very familiar with it. You can consult with him. Our general surgery department performs this surgery."
Yang Ping said a few words to him and then returned to his office.
Wei Danian is barely 1.7 meters tall and already weighs 400 kilograms. He is the fattest person in China at 480 kilograms. He also underwent bariatric surgery and lost 278 kilograms in two years.
In the past, I heard Wei Danian himself say that he was a very good eater and that he was addicted to food. He always wanted to eat non-stop. While others would eat a bowl, he would eat a large bowl. When they saw him eating, others were afraid.
When he was in college, the owner of the buffet restaurant next to him saw him trembling and gave him a red envelope, begging him not to come again.
Wei Danian didn't care about his weight before, but now he gradually realizes that he can't go on like this, so he started to lose weight. However, he has tried various methods and spent an unknown amount of money, but it has no effect. He also saw weight loss surgery on TV.
It exists, so come over quickly and ask if it is true or not.
This kind of surgery is not performed in surgical institutes, but it is carried out by the director of the general surgery department, and it is currently being carried out quite well.
In fact, there are several types of gastric bariatric surgery. Among them, sleeve gastrectomy is commonly used. It is a metabolic surgery, bariatric surgery or metabolic bariatric surgery. It usually uses a minimally invasive method and pokes a few small holes in the abdomen.
hole, and the surgery is completed laparoscopically.
The principle is not very complicated. The human stomach is a sac-like bag. Now part of the stomach is removed through surgery, so that the volume of the bag becomes smaller. Since the volume becomes smaller, it cannot hold as much food as before, so eating is much smaller than before.
Much less food will hold up the stomach, making people feel full and not eating as much as before.
By reducing the volume of the stomach to reduce food intake, the goal of weight loss is finally achieved. It can not only lose weight, but also treat type 2 diabetes and metabolic syndrome.
In fact, this operation is relatively effective and safe, but it has been demonized by some articles on the Internet that do not pretend to understand. Therefore, Wei Danian is very scared. After learning about the situation from Dr. Xiaowu, he feels at ease and plans to take some time to undergo general surgery.
Ask the surgeon again and find a time to perform the surgery.
---
Yang Ping took a rest in the office and then opened his email. Ivan sent a WeChat message saying that he had sent Yang Ping an email and asked Yang Ping to check it out.
The content of the email is still about the surgery of the daughter of a wealthy Italian businessman, because the face involves the reshaping of some expressive muscles. In the end, Ivan chose allogeneic transplantation for facial plastic surgery. The donor for the allogeneic transplantation has now been found, a brain-dead vegetative, age
She is about the same age as this plastic surgery patient, but her face shape is quite different, so the surgery requires a lot of details.
If facial transplantation only involves skin, subcutaneous tissue and blood vessels, the operation would be relatively simple. However, now that it involves skin, facial muscles, sensory and motor nerves, etc., the operation is very complicated. The operation not only involves the transplantation of the donor's face and the recipient's
Facial matching, try to achieve a natural appearance after surgery, and restore a certain expression function so that the face does not appear stiff.
Ivan is not an ordinary plastic surgeon, but the best plastic surgeon in the world. The goals he pursues are definitely not something ordinary doctors can achieve.
I learned from the email that Ivan has completed computer modeling of facial surgeries. He has a dedicated computer technology processing team and even has his own dedicated plastic surgery software for modeling simulated surgeries.
However, Ivan's software is definitely not as good as the software modeling capabilities of Nandu Medical University's Digital Medicine Laboratory, which is the world's most powerful digital medicine technology.
Yang Ping sent the information sent by Ivan to Professor He and asked him to help build a special model. He planned to wait for the model to come out before giving some suggestions to Ivan. It is still difficult to do this surgery well, mainly on the face.
Perfect matching and restoration of expression function.
Ivan also told Yang Ping in the email that the patient's father, a wealthy man from Sicily, Italy, is a powerful family in Italy. He is very grateful to Yang Ping. Although Yang Ping refused to perform the surgery, he has been providing remote technical guidance for the surgery.
.
The Italian tycoon asked Yang Ping through Ivan whether Professor Yang was currently experiencing any difficulties. If necessary, he could provide any help he could at any time.
Moreover, the Italian said that they had received some inside information that Professor Yang might have offended some people, and they were trying to take some unfavorable actions against Professor Yang.
The Italians said that in order to express their gratitude to Professor Yang, they have sent a strong signal to the other party. Anyone who attempts to harm Professor Yang is the number one enemy of his entire family, and they will fight to the death.
In this regard, Yang Ping also replied to Ivan, thanking everyone for their concern. He is currently fine. Thank you everyone.
August from Germany also sent an email. In addition to reporting on recent work developments, he also stated that the young Duke is currently in good health. The old Duke probably also knows something about BG Company and Yang Ping. The old Duke in Europe has used family power.
To put pressure on the family over there, it has been made clear that dealing with Yang Ping means dealing with the entire Duke family.
The old Duke family not only has a huge influence in Europe, but its branches immigrated to the United States in their early years and occupy a pivotal position in many industries in the United States, surpassing the family behind the BG Group.
Yang Ping didn't expect everyone to care about him so much. This was concern from all over the world, so Yang Ping had no choice but to thank them all.
But on the other hand, it can be seen that these big families have their own powerful intelligence networks and can master things that are difficult for others to master at any time.