The Godfather of Surgery

Sisi's X-rays, CTs, MRIs, and PET-CTs are all opened on the large electronic reading screen.

About 20 centimeters of the middle of the femur had been amputated in the last surgery at a foreign hospital. In order to obtain lower extremity function as soon as possible, a custom-made titanium alloy prosthesis was used to bridge the femur to make up for the 20 centimeters of loss. Both ends of the prosthesis were inserted. The medullary cavity is fixed with bone cement.

This is a palliative approach, only to allow her to gain a functioning lower extremity, for a limited period of time, to be able to walk for ease of care. Her osteosarcoma has metastasized to many parts of the body, and other methods, such as fibula transplantation, allogeneic bone transplantation, or Ilizarov bone lengthening technique, are not suitable, and the recovery time is too long to be suitable for a patient with advanced tumor.

"Can a full femoral prosthesis be replaced? With 3D printing?"

Song Zimo suggested that the 3D printer in the orthopaedic laboratory can already be applied. This machine is industrial-grade, equivalent to a 3D printing bed.

Yang Ping shook his head: "As an organ, the femur is not a simple replacement. There are many muscle attachments on it, and joint capsules and ligaments at both ends. These tendon soft tissues are firmly attached by the mechanism of tendon-bone healing, and the joint capsule is firmly attached. And ligaments maintain the static stability of the hip and knee joints. The muscles not only maintain the dynamic stability of the joints, but also provide the power for movement. To perform a total femur replacement, it is necessary to solve the problem of soft tissue attachment, otherwise the femur can only play a supporting role, There is no motor function, and even the support function can only play a little role. The soft tissue and bone of the human body can heal, but cannot be healed with artificial materials. If this problem is solved, it is estimated that it will be a breakthrough in orthopedic technology. At present, we cannot use this method. However, we can do a project to study it."

"Amputation?"

Xiao Wu's opinion, since it cannot be replaced, it can only be cut off.

This is a feasible plan to remove the tumor and the invading femur, but after the resection, only the two ends of the femur are left, and the right lower limb will lose its function due to the lack of the femur. No effective control can be obtained.

"It has spread all over the body, and amputation is of little significance. Keeping the limbs, at least psychologically, is much better."

Zhang Lin also expressed his opinion. Everyone was very positive. If they were wrong, Yang Ping would not criticize them.

"What's your opinion? Senior brother?" Song Zimo watched Yang Ping flip through the film, but never expressed his opinion.

"Take out the prosthesis that originally bridged the femur, cut off the tumor and the femur that invaded, and use the Ilizarov technique to lengthen the bone to give her a normal femur." Yang Ping said after thinking for a long time.

Song Zimo thought this method was too idealistic and unrealistic: "She has an advanced stage of osteosarcoma. Do you intend to cure her like this? Impossible."

Song Zimo didn't say the cruel subtext: her lifespan may be shorter than this extended duration. A progress of one millimeter a day, even twenty centimeters, would take more than two hundred days. Can she persist for so long?

"I know that a radical cure is impossible, but I want to work hard in the best direction. I can go as far as I can." Yang Ping is very determined.

Everyone was silent, and Yang Ping continued to flip through the film by himself: "I know that she is in this situation and should give up medically, but I want to work hard and work towards the best goal, even if it takes a step forward!"

Song Zimo put his hand on his shoulder: "I don't agree with you, but I support you."

"I support it too!" Zhang Lin Xiaowu also cast an encouraging look.

"Using the infrared navigation equipment in the operating room, make a three-dimensional reconstruction of the tumor infrared scan for her, use indocyanine green for imaging, and then combine the three-dimensional reconstructed images of CT and MRI to obtain a complete tumor image, which is imported into the host of the surgical navigation system. , when the time comes, we will use infrared navigation to do the surgery." Yang Ping removed the hand holding the mouse.

"These reconstructions are all done by their own machine software and cannot be integrated into one image." Xiao Wu is familiar with medical equipment.

Yang Ping told Xiao Wu: "We designed a software to do comprehensive reconstruction. Xiao Wu, don't you have expertise in this area? You can find a few students from Nandu University of Technology to work together."

"This project is huge!" Xiao Wu used to help his teacher do these things at school.

"It's not big, it's not called a project, and landing on the moon is difficult, but it's still achieved. Song Zimo, you lead them to set up this project. You don't need to apply for other projects, just apply for the overseas Chinese fund of the hospital. It's so fast." Yang Ping gave Everyone has confidence.

Hearing that Yang Ping made up his mind, everyone was also very encouraged and eager to try it out. Brother, he is going to make some big moves, have some scientific research results, and write high-quality papers.

The soul of a team is very important. He must have the right direction and firm determination, just like a flag erected, so that everyone can gather under the flag and make unremitting progress towards the goal. Yang Ping has achieved this.

——

"Saturday, it's my birthday. I will hold a birthday party at home tonight. If you have time, you must come here. They are all from our circle. Shao Wei and Lao Zhou will come. By the way, I will introduce some friends to you."

After discussing Sisi's condition just now, Su Nanchen did not send WeChat, but called to invite. As a friend, you must go to participate, but you can't go empty-handed, you must bring some gifts.

Yang Ping is embarrassed, he is really not good at giving gifts. He called Song Zimo, Xiao Wu, and Zhang Lin over to discuss the matter together.

Everyone, I didn't come to any good conclusions. None of these big men came up with good ideas. They gave high-end pens, surgical goggles, and the latest English orthopedic monographs. They have all kinds of ideas.

Let's go to Xiao Su, the girl should know more, Yang Ping went to Xiao Su again, and discussed with her: "What gift do you think I'm giving, it's impossible to seal a red envelope, it's so tacky."

Xiao Su had a lot of ideas, thought about it, and said, "I have an idea, you are all surgery fans, you can perform the multi-ligament reconstruction operation of the knee joint and shoulder joint, and let Xiao Wu and the others help you make an animation demonstration, the key steps Thorough explanation of the mystery of surgery and surgery. Combined with your usual surgery videos, burn it into a set of CDs and give it to him as a gift. He must be very happy. For those who are obsessed with surgery, nothing is more important than gaining valuable surgical experience. Come and find someone to do it for you, it will definitely satisfy your friend."

"Great! This idea is great. It seems that my brain is easy to use when doing surgery. I really don't know anything about these things in life. Xiao Su's idea is good. This gift is ingenious and very valuable, so it's decided." Yang Ping decided now.

Then he found Song Zimo, Xiaowu, Zhanglin and three people, and asked them to help make animations and burn CDs. Song Zimo has done so many surgeries with himself, and he is well versed in the mysteries of such surgeries. Xiao Wuhui will make animations, and Zhang Lin will be responsible for the text explanation, so the matter is finalized.

"A meal, choose any location! It must be completed before Friday night." Yang Ping made a condition.

"Choose what you want? Really." Xiao Wu smiled wickedly.

Yang Ping hesitated for a moment: "It's all brothers, look up and see, let's go lightly."

"It's only a few days, I'm afraid it's too late, isn't it?" Song Zimo shook his head, looking embarrassed.

"Yes, time is so tight, let's make a PPT, animation is too time-consuming."

"It is not a matter of a few days to come up with a textual explanation."

Yang Ping looked at these guys, colluded, shook their heads, and looked like "difficult, difficult!"

"Okay, just pick the location, the severity of the attack, brother doesn't care." Yang Ping understands these.

"Well, although the time is tight, it shouldn't be a problem for everyone to work overtime." Song Zimo immediately changed his tune.

Zhang Lin Xiaowu also echoed: "It's all brothers, work overtime and ensure delivery before Friday night."

A bunch of foodies! Yang Ping instructed: "Call the fat man too."

Zhang Lin was anxious: "What are you calling him to do? You are really giving up? He can't help with anything, how much does he pay when he eats? Double the bill for you!"

"Go ahead and ask him to help pick a place and order food. None of you can match his professionalism." Yang Ping explained.

No one refutes it. This is the truth. When it comes to eating, if it rises to a professional level, Fat Brother really kills everyone in seconds. After all, he used to be the president of the Gourmet Association.

"Bring your girlfriend here!" Su Nanchen sent a WeChat message.

What should I do about this, take Xiao Su? Going to find Xiao Su again, Yang Ping went upstairs, rang the doorbell of the operating room, and Xiao Su came out.

The door of the surgery opened, and Yang Ping didn't go in either. Standing at the door, he showed her Su Nanchen's WeChat: "He asked me to take my girlfriend with me? How can I reply to him? Are you free to go with me?" Yang Ping face a little red.

Xiao Su giggled, and then looked embarrassed: "I'm sorry, I'm going home on Saturday night. It just so happens that I have a family and a birthday, so I can't accompany you."

"It's such a coincidence!" Yang Ping was a little disappointed.

"Or? Let me tell my family and accompany you there?" Xiao Su lowered her head and pursed her lips.

"That won't work. I'll go alone. It's necessary for you to accompany your family. I don't have to ask you to accompany me. It's okay, I'll just explain it to him." Yang Ping said.

"No need to explain, the more you explain, the more unclear it becomes."

The phone was in Xiao Su's hand, Xiao Su held the phone and moved his finger: "Humph! I'll help you reply, just tell him directly, you haven't talked about your girlfriend yet, let's see what he means, it won't be testing you, wanting to give Would you introduce your girlfriend?"

"No, are you angry?" Yang Ping heard Xiao Su snort.

Xiao Su Duzui: "I won't be angry, I'm happy that someone is so active in introducing your girlfriend to you, haha, it shows that I have good eyesight, maybe he has a sister or something, I want to introduce it to you, You have a relationship with the surname Su."

"Don't think too much, people just mention it casually." Yang Ping said.

"If he introduces you to a girlfriend, you won't be tempted, right?" Xiao Su's long eyelashes flashed.

Yang Ping shook his head: "I want to be tempted, but I can't."

"you--"

"Because my heart is already full of one person."

Xiao Su turned her anger into a smile, stretched out a finger, and tapped it lightly on Yang Ping's forehead: "It's almost the same."