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Surgery Godfather-Chapter 406 - 0378 Raise the Right Hand
Chapter 406: Chapter 0378: Raise the Right Hand
Chapter 406: Chapter 0378: Raise the Right Hand
So this is Yang Ping? Hong Zhigang’s gaze fell upon Yang Ping.
Indeed, the young man had an extraordinary demeanor, his confidence far surpassing that of Wen Rentao.
To Hong Zhigang, Yang Ping’s appearance was somewhat sudden.
When he first heard about Yang Ping from Zeng Ran, he didn’t pay much attention.
Yang Ping entered Hong Zhigang’s field of vision with that recent surgical correction of the twisted spine. This surgery exploded like a high-powered bomb in the orthopedics department of Mo Sixth.
His debut was strong and impactful.
Back then, Hong Zhigang was somewhat mystified by Yang Ping, the most talented young man under Junior Brother Han, who was now sitting at this conference table.
“I’m Yang Ping from Sanbo Hospital, I look forward to learning from all of you.”.
He stood tall, full of vigor, and spoke with humility even as he asserted himself.
“This is the chief surgeon from the surgical video earlier, Dr. Yang Ping from Sanbo Hospital. Could Dr. Yang explain to us all how Professor Feng’s surgery is to achieve an 80% success rate?” The octogenarian Professor Zhang was as charismatic as he was in his youth at academic conferences.
Professor Zhang endorsing Yang Ping, bringing him from the south all the way to Mo Sixth. Who dare to contradict them, whether they could pull it off or not?
Dean Chen of Mo Sixth, also a big figure in the Shanghai medical community, trembled in the presence of Professor Zhang. He remembered being scolded by Professor Zhang in his youth, leaving traumatic marks on his heart.
When he saw Professor Zhang enter the conference room, Dean Chen first made sure his collar was straight before daring to greet him.
During the handshake, he bowed and made himself smaller, as though any accomplished person, upon seeing their middle school headteacher, would involuntarily show some deference.
John Ansen, a typical American, was very curious about Professor Zhang’s remarks: “I’d be delighted to hear, I’m very interested to know how this young doctor plans to create a miracle.”
Woodhead, who only saw part of the surgical video, was negotiating in a low voice with the administrative staff about whether a copy of the video could be made. The staff said they needed to ask for Dr. Yang’s permission, but the conference was in progress and Dr. Yang was about to give a speech. They would have to wait until after the meeting to ask.
“I haven’t finished watching the surgical video from earlier, but regardless of the procedure, the result of this spinal correction is jaw-dropping. A complete correction, can’t they worry about spinal cord damage? Even for moderate scoliosis, no one has been able to achieve a complete correction. The precise spatial changes of the spine are not to be trifled with. This surgery is already a miracle, and I want to hear how Dr. Yang can create another one.” Woodhead raised his hand to demonstrate his support.
The Twin City Spine Center is one of the world’s top-tier spine surgery institutions, and Woodhead’s status is self-evident.
At this point, all other factors can be ignored by anyone who can truly save their mentor.
If this was a little while ago, before Yang Ping performed this spinal correction surgery, Hong Zhigang would never have believed Professor Zhang and Yang Ping’s words.
Now, he was at least somewhat convinced, willing to let Professor Zhang and Yang Ping finish their points.
Hong Zhigang’s feelings for Professor Feng were not put up for show; he truly respected him like a father figure, teaching not only how to practice medicine, but also how to live as a person.
As an orphan who was raised by his aunt and uncle, Hong Zhingang cherished his relationship with his mentor, who was his spiritual belief.
“Yang, share your thoughts with everyone.” Professor Zhang encouraged him.
Yang Ping nodded, handed his USB drive to the staff, and stepped up to the podium in front of the electronic screen with confidence.
The staff gave the remote control to Yang Ping. After adjusting slightly, he opened the USB drive and pulled up Professor Feng’s imaging data and surgical blueprint.
“Everyone is familiar with Professor Feng’s condition, so I won’t repeat it. Yes, the reported success rate for such cases is less than one percent at the moment. If we combine the most advanced technologies in the world, it’s hard to break five percent. This virtually zero success rate makes surgery an absolute no-go area. All neurosurgeons and spinal surgeons are intimidated and dare not challenge it.”
“The tumor is in a dangerous location, intertwined and infiltrated with normal tissue. During tumor resection, it’s hard to protect the life center of the upper spinal cord and medulla. During surgery, any intervention or stimulation, not just damage, can cause instant death of the patient.”
“Comparing this surgery to making an incision on a soap bubble is no exaggeration.”
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After briefly presenting Professor Feng’s imaging data, Yang Ping pulled up his hand-drawn anatomical diagram.
“But, with a sufficiently delicate, precise, and careful surgical operation, it is possible to make an incision on a soap bubble.”
“The minimum cutting precision for this surgery is 0.1 millimeters. The surgical knife needs to navigate between life centers, without more than a 0.1-millimeter deviation at any time. Exceeding this range may cause damage, interfere, or stimulate the life center, leading to death.”
“The only two surgical knives currently available that can achieve this level of precision are the 0.1-millimeter precision laser surgical knife as a first choice, followed by the 0.1-millimeter blade thickness gold diamond surgical knife.”
“With the help of these two high-precision surgical knives, I can achieve 0.1-millimeter operating precision throughout the surgery, which is the basis for success.”
John Ansen was completely absorbed. This young doctor was no exaggerator, his understanding of Professor Feng’s condition was far superior to his own.
The anatomical diagram on the screen displayed the tumor in Professor Feng and the surrounding local anatomy in a fine, three-dimensional form, clearer than any image.
“I’m curious about this image. Doctor Yang, how did you get it?” John Ansen wasn’t aware that there existed such excellent medical illustration software in the world.
Yang Ping paused a moment, looking at the image on the screen. “Oh, this is my work. I enjoy expressing anatomic details of cases and surgical procedures through my drawings.”
His hand-drawn pictures?
John Ansen found it difficult to believe; he had never seen such detailed anatomical drawings before.
“Exposure, how to expose? The growth of this tumor is complicated and vast, ranging from the superior cervical vertebra to the base of the skull, sprawling and proliferating like tree roots. It not only deeply penetrates into the medulla oblongata and the upper spinal cord, which are vital centers of life, but also intertwines with blood vessels and nerves at the base of the skull.” Woodhead found the exposure a seemingly insurmountable problem.
Yang Ping opened another image, a drawing of the surgical approach.
“The traditional approach can’t fully expose it; it requires the entire posterior attachments of the cervical vertebra to be widely opened from the midline to both sides. The same procedure must be done to the occipital region of the skull, like opening a gate. The entire superior spinal cord and posterior cranium will then be exposed to us,” Yang Ping said, pointing to the exaggerated image of the approach.
“Is that even possible? That’s madness, Doctor Yang. You are an orthopedic surgeon; the cranial part is the neurosurgeon’s job.” Woodhead gazed intently at the image.
Yang Ping was unruffled: “At Sanbo Hospital, I am authorized to perform all surgical procedures.”
“Excuse me for interrupting. Doctor Yang recently successfully rescued a classic ‘half-man’ patient at Sanbo Hospital. The patient’s entire lower body, below his navel, was crushed by a car, resulting in chaotic injuries to the abdominal organs. Not only did Doctor Yang save this patient, but he also performed reconstructive surgery to reconstruct the patient’s anus and urethra, restoring the patient’s normal bowel and urinary functions. The paper has been written, and it will be published soon. If anyone is interested, you are welcome to visit the Orthopedics Department at Sanbo Hospital, where you will witness miraculous things,” Professor Zhang interjected at an opportune moment.
The half-body crushed by a car accident was astonishing news, even to those not in trauma surgery.
After everyone’s astonishment, Yang Ping continued. “During Professor Feng’s surgery, the patient’s heartbeat will stop several times. It is necessary to perform cardioversion in the prone position, and it must be done quickly; otherwise, it won’t be possible to save the patient.”
Several occurrences of cardiac arrest during surgery and, yet, they dare to perform it? It seemed like no big deal coming from Yang Ping.
John Ansen had a similar understanding; he had simulated the operation using virtual reality technology multiple times, and he encountered similar situations. He was unclear about the cause, and he didn’t know if it was possible to rescue the patient. Virtual reality technology could only simulate basic surgical objectives; it wasn’t capable of fully reproducing the complexity of the human body.
The fact that Yang Ping knew there would be several occurrences of cardiac arrest during the operation confirmed John Ansen’s belief in Yang Ping’s words: he was dealing with a top neurosurgery expert.
Yang Ping’s statement was very conservative; he only mentioned a few occurrences of cardiac arrest when, in fact, he knew there would be five during the operation. If any episode lasted longer than five seconds, the patient couldn’t be rescued. This was based on the data he had obtained from extensive simulations and anatomical research.
Compared to Yang Ping’s method, John Ansen’s virtual reality technique was like the difference between a toy airplane and an actual fighter jet; perhaps it wasn’t even worthy of being called a toy.
“Doctor Yang, you are incredible. I’d like to know how you found out that cardiac arrest will happen multiple times during the surgery?” John Ansen was curious. He was sure that Yang Ping didn’t possess any virtual reality technology since, at present, his team was the only one with such technology.
“By relying on anatomy and physiology, making theoretical deductions. Look, it’s impossible to bypass these dangerous zones when excising the tumor. Heartbeat will cease once you operate here. If surgical precision exceeds 0.1 millimeters, cardiac arrest can’t be rescued, and the patient dies. If you can maintain a precision of 0.1 millimeters, the patient could be saved, but the operation has to be swift—in theory, defibrillation must be carried out within five seconds.”
Yang Ping had already marked a few inescapable death zones with red circles.
“This is the position in which the patient’s head and neck need to be maintained during surgery. There’s a certain requirement for the angle of the body position. If it exceeds or lacks the required angle, the medulla oblongata and the cervical cord won’t be in the optimal position, which will increase the interference with or injury to vital centers during the operation.”
“And these are the blood vessels of the tumor. One hundred and ninety-four hemostasis points need to be dealt with. It’s essential for the success of the operation; if any blood vessel is mishandled, bleeding will put pressure on the vital centers and lead to death.”
This was the first time John Ansen had seen such detailed and meticulous surgical planning, where each step was based on anatomical knowledge and an exceptional understanding of medical imaging data for the case. It was as if Yang Ping had already performed a dissection study on the patient.
It was incredible. If all these things could be achieved, the success rate of the surgery could genuinely rise to 80%. The most challenging part was maintaining a precision of 0.1 millimeters throughout the surgery.
Let alone during surgery, just drawing a straight line freehand with 0.1 millimeter precision is a challenging task in itself.
After listening to Yang Ping’s surgical explanation, all those attending the meeting, including the three international masters, Hong Zhigang, Dean Chen, and Director Peng, felt their scalps tingle and their chests tighten.
It was like displaying the intricate circuits of a gigantic computer chip. Someone was standing on the stage, explaining how they worked.
Also, cardiac arrest would occur several times during the surgery? One occurrence was scary enough, let alone several times. Where do they get the confidence that they can rescue patients from such episodes of cardiac arrest during surgeries?
“Gentlemen, I apologize to Doctor Yang and retract my earlier disdain. Now, I believe that Doctor Yang can achieve an 80% success rate. Though this percentage seems exaggerated, I believe in it. If a vote is taking place, I cast a vote in favor,” John Ansen raised his hand.
Woodhead also raised his hand, “It’s truly amazing. How did you manage to study this case so thoroughly? All my confusions have been cleared. All I want to say is, when the surgery is due, reserve a spectating spot for me. I am the first to apply; no one should try to take it.”
“What about you?” John Anson looked at Griffin, who hadn’t reacted.
Griffin touched his bare head. “Gentlemen, are we still in a consultation meeting? Are we sure no comet just flew across the sky? Or are things still entirely normal?”
“Griffin, we need you to raise your right hand now. We can chat later. I suggest everyone raise their right hands to vote in favor of Doctor Yang as the chief surgeon for Professor Feng’s surgery,” John Ansen said, barely able to contain his excitement.
As Griffin hesitated, Woodhead walked over and raised his right hand for him.