Chapter 635 Transplantation without ischemia
Director Wang and Director Pei were also dubious.
On this occasion, the director of the medical department of Sanbo Hospital did not dare to brag. If he really did, he would be regarded as a big joke by the industry. Besides, there is no need to brag in a provincial hospital, let alone in front of so many experts, unless The director of the medical department had his head caught in the door.
But what Director Zhao said is unreliable, and everything can be believed.
If you want to make a clear judgment, just look up these things and these surgeries. Obviously they are time-consuming and labor-intensive, and no one is interested in them.
The easiest way is to share the knowledge about organ transplantation with Yang Ping on the spot.
"Professor Yang, tell us what you think?"
Director Zhao encouraged him again and dragged Yang Ping to speak, just to promote himself as Sanbo Hospital.
Whether they were professors from the Imperial Capital or the Magic Capital, they obviously did not take Sanbo Hospital seriously. Director Li and Director Liu simply could not suppress these experts. In front of these experts, Director Li and Director Liu were little brothers.
Yang Ping cleared his throat. He didn't have the habit of pretending, but Director Zhao pushed him to the stage. For the sake of Sanbo Hospital, he had to pretend.
Unless someone tells the truth, others would really think that Sanbo Hospital is nothing but just bragging to get by.
Old Zhao, you can’t do this to young people. Yang Ping cursed a few words in his heart and began to speak:
"Actually, the problem that everyone is worried about with this patient does exist, but I think it can be completely avoided, such as reducing the operation time, shortening the entire operation time to about two hours. This not only reduces the impact of the operation on the patient, but also reduces the exposure time of the surgical area. , reducing the chance of infection; regarding the issue of triggering multiple organ failure, it is true that the risk in this regard is very high, because during the organ transplantation process, there must be a certain ischemia time. Ischemia causes organ function damage, which can easily trigger critical For lingering multi-organ failure, in order to avoid ischemic damage to organ function and allow the organs to regain complete function immediately after surgery, non-ischemia transplantation technology can be used to shorten the operation time to two hours and use non-ischemia transplantation technology. At these two points, the problems that everyone is worried about will generally not arise." Yang Ping finished speaking in a very calm tone.
"The operation time has been reduced to two hours? Are you sure you mean liver transplantation and kidney transplantation at the same time? Nonsense!"
Professor Teito Wang was dubious at first, but now he is 100% suspicious that this young man is a talker, probably a rabbit doctor.
The so-called rabbit doctor is a type of surgeon. He has very solid theories, talks endlessly, and quotes from many sources; his scientific research ability is very good, and he has published dozens of top SCI papers; his educational background is very dazzling, and he usually comes from the world's top hospitals for further training. ; Education does not make you taller, a doctorate degree is standard, but you just can’t do surgery, you are clumsy, and you often get into trouble. Because your achievements come from raising rabbits for scientific research, you are named Doctor Rabbit.
This guy is definitely a rabbit doctor, Professor Wang concluded.
This kind of rabbit doctor exists not only in China, but also in the United States. The most famous rabbit doctor in the United States is a spine surgeon. His academic achievements and educational resume can blind people, but after dozens of cervical spine surgeries, the patient does not die. , that is, paralysis, and no one was lucky enough to be safe.
The normal time for a single liver transplant operation is 4-6 hours. Even if the operation is extremely experienced, it can be controlled in about three hours if everything goes smoothly. This is just a liver transplant, and the patient also has a kidney transplant. Even if two teams perform the surgery, it will not last long. It is impossible to complete the operation in two hours. This is not nonsense.
People who are engaged in technology hate the kind of people who don't know anything and talk nonsense, and they still have a nose and an eye.
After talking about ischemia-free transplantation, I really thought I knew a lot.
Theory is theory and practice is practice. Reading a book on appendectomy 10,000 times is not as good as doing an appendectomy.
"Professor Yang, have you ever had a liver transplant or a kidney transplant?"
Professor Wang asked bluntly.
The euphemistic way to ask is: "Professor Yang, what is the annual volume of liver transplantation and kidney transplantation?"
Now using this aggressive questioning method shows that Professor Wang is very angry.
"I haven't done anything yet. However, in order to remove tumors and correct cardiac deformities, I have done autologous heart orthotopic transplantation." Yang Ping is very objective. He doesn't like to brag. He tells the truth.
An autologous heart transplant is still a malformed heart. This is also a heart transplant. Technically, it is the same as an allogeneic heart.
But liver transplantation and kidney transplantation are another matter. They have never done it before, but they dare to do it blindly.
"You have never had a liver or kidney transplant, how dare you speak?"
Professor Pei from the Magic City has long been unable to bear it. If a layman actually provokes his own field and speaks nonsense, he must fight back fiercely.
Yang Ping disliked this kind of occasion the most, because he had to make a lot of explanations. If Director Zhao hadn't rushed the duck, he wouldn't have wanted to speak on this occasion.
If this surgery really needs to be done, it should be done quietly, causing so many experts to make a fuss.
There are many things that I can't explain. I am in the operating room of the system. I have practiced all kinds of surgeries now, let alone liver transplantation and kidney transplantation. As long as it is an operation, I have practiced it again, but I have never done it in reality.
Now when Yang Ping looks at Director Zhao, he looks like Zhang Lin's father.
"Professor Wang, this is a bit ugly. What is nonsense?" Director Zhao is not happy. If you don't agree, you can refute. You can't use words like nonsense. This is disrespectful to our Sanbo Hospital.
Professor Wang from the Imperial Capital has a bad temper and is very conceited. He has been at the top of the pyramid in the field of organ transplantation for a long time. He has a sense of arrogance and nonsense.
In many academic meetings, he said that others also used irritating words such as "nonsense" and "nonsense".
Not to mention Sanbo Hospital, even the professors in the Magic City were still criticized by him, but Professor Pei dared to refute, while others did not dare to refute after being criticized.
"I have never performed a liver transplant or a kidney transplant. You are talking nonsense in front of us. You are not talking nonsense. This operation is controlled in two hours. You will control it? There is no ischemic transplant. Do you think non-ischemic transplant is so effective?" ?" Professor Wang from the Imperial Capital said angrily.
Professor Modu rarely supports Professor Didu:
"Young people can stand and talk without backache. If they can really do what you said, the problem will not exist at all, and everyone will not need to discuss it here."
As they are both experts in organ transplantation, it is obvious that no matter how they quarrel, it is an internal conflict. Now that someone actually challenges their professional authority, they should unanimously speak out.
"Two hours? Transplantation without ischemia?" The professor from West China shook his head. He originally wanted to say a few words to help Sanbo Hospital, but this guy was so arrogant and boastful that he couldn't help even if he wanted to.
The other professors either sneered or shook their heads. The meeting had turned into a serious exaggeration.
Originally, this was my own pertinent truth, but these were based on my own standards. I didn't take the discussion environment into consideration, and I didn't expect to provoke criticism from everyone. At this time, Yang Ping was very embarrassed. If he said something randomly at this time, he would be irresponsible to the patient. If he said a few words seriously, he would cause public anger. Fortunately, Yang Ping is a frank person and does not care about others' criticism.
"Experts, I'm not talking nonsense. Just talking about surgery, liver and kidney transplantation mainly tests the ability of vascular anastomosis and the anatomy of liver and kidney. I believe that it will be no problem to complete the operation in about two hours. As for the non-ischemia transplantation technology, it is very good. Suitable for these two patients, if they meet these two surgical conditions, although these two patients are in poor condition, they will basically not face too much risk.”
Whatever Professor Yang said is what he said, and Director Zhao straightened his back.
Ever since Yang Ping joined Sanbo Hospital, every time he spoke it seemed like he was bragging, but he never failed, not even giving a discount.
At this time, Professor Yao from the First Affiliated Hospital of Nandu University spoke again: "I think Professor Yang's opinion is very right. Although ischemia-free transplantation is not widely used, it is very suitable for these two patients, allowing the organ to obtain complete functions immediately after transplantation." , reverse the disease, get on a benign track, and avoid possible complications. If necessary, we provide you with the extracorporeal multi-organ repair system (Life-X), which can create perfusion close to physiological conditions for isolated organs. Pressure, temperature, oxygenation and nutritional support can ensure that the blood supply of the organ is not interrupted during the entire process from removal to transplantation. ”
This extracorporeal multi-organ repair system was invented by the Nandu Affiliated Organ Transplantation Center. This technology was first proposed by them, but currently only Nandu Affiliated One is using it, and the paper was published in the journal Science.
Unexpectedly, Yang Ping from Sanbo Hospital was actually familiar with his own technology. Professor Yao suddenly felt like a close friend, so he spoke more.
"The effectiveness of this new thing remains to be tested over time. Do not use it on such complex patients."
Professor Wang of the Imperial Capital is used to being domineering. Just now Yang Ping made the surgery so easy, and now Professor Yao strongly supports Yang Ping, Professor Wang is naturally unhappy.
"Yes, you must be careful with immature technologies. Medical skills are sometimes a double-edged sword." Professor Pei and Professor Wang from the Magic City teamed up to suppress Professor Yao's words.
"This kind of complex patient is most suitable for ischemia-free technology. Ischemia-free transplantation technology is the future of organ transplantation. There have been dozens of cases accumulated so far. I think it can be used on these two patients." Yang Ping said unswervingly Stick to your opinions.
Yang Ping has also studied these two cases. If ordinary techniques are used for these two patients, the risks are really extremely high. If non-ischemia techniques can be used, the risks are almost reduced to the lowest.
Moreover, Nandu Affiliated One Hospital has experience in dozens of cases of ischemia-free liver transplantation, and has recently applied this new technology to kidney transplantation.
Therefore, Yang Ping believed after research that if the ischemia-free transplantation technology of Nandu Affiliated Hospital could be used, this problem would be perfectly solved.
After Yang Ping finished speaking, Professor Wang from the Imperial Capital and Professor Pei from the Magic City both stared at him with round eyes.
Surgery should not be trivial or a gamble, otherwise the two great professors would definitely say: "Since you are so good, why don't you give it a try?"
These serious professors can scold mothers in meetings, but they cannot say such disrespectful words in any case.
The meeting was a bit deadlocked for a while, and if it continued, it would lead to new quarrels.
"Everyone can speak freely and speak freely about everything they know. I can say it with confidence. Our Sanbo Hospital is still very tolerant. As for academic discussions, we can bang the table behind closed doors. We can have a drink and have a good time outside this conference room. That's right. Right? Now Professor Yang has mentioned shortening the operation time and using non-ischaemia transplantation technology. Is this feasible? ”
Director Zhao looked very serious and spoke word by word.
There are so many professors, and if we don’t discuss them all today, the consultation fees spent by the surface warriors will be wasted.
What the hell are you doing today?
Yang Ping looked at Director Zhao beside him and always felt angry.
"Since you admire the ischemia-free transplantation technology so much, how about you tell us about the details of the ischemia-free transplantation technology?" Professor Wang was too lazy to argue. He pointed out details when bragging. Details can expose all lies.
Yang Ping clearly stated the history of the development of ischemia-free technology, published papers, current application status, the specific structure of the in vitro multi-organ repair system (Life-X), and regulations.
Professor Yao from Nandu Affiliated One was dumbfounded. This is my first technology, how come you are more familiar with it than me.
Professor Yao even doubted whether he had stolen Yang Ping's results?
For the extracorporeal multi-organ repair system (Life-X), Professor Yao's actual machine is still very different from the description in the patent application. The actual machine has not been lent to others for research. How could he know so much in detail?
The most outrageous thing is that Yang Ping's understanding of several technical difficulties is deeper than his own, and his words actually make him suddenly enlightened.
"Professor Yao, I have collected almost all information about ischemia-free transplantation technology and have studied it for a long time." Yang Ping noticed Professor Yao's strange look and found that he was too thorough, so he had to give Professor Yao an explanation.
Professor Yao nodded, how do you know the structure of my machine?
"I derived the structure of your machine based on your patent information and the application data in the paper." Yang Ping continued to explain.
Professor Yao nodded again.
This kind of reverse ability is too scary. If you waste more time as a doctor, you should be able to do greater things.
Asking Yang Ping to tell the details was originally to let him defeat himself.
I didn't expect him to be so detailed. Professor Wang and Professor Pei also paid attention to this new technology, but thought it was immature and did not follow up.
The two professors fell into silence. There was no flaw in what they said. Even the inventor, Professor Yao, didn't question it even a word. How could he say that he was wrong?
Director Zhao unscrewed the bottle cap and took another sip of water.
You have been testing my people here and there, so you should take a break. Now you have to say a few words, either to admit defeat or to refute. You cannot remain silent.
"Professor Wang, Professor Pei, you give everyone guidance and check. Is Professor Yang right?" Director Zhao said calmly.
The two professors really didn't know how to refute, so they had to say: "What Yang Ping just said was indeed very detailed."
(End of chapter)