Chapter 2239: Chapter 1458: Confidence (Part 2)
Lin Xiaoyu’s mother finally lifted her head, her eyes filled with tears, but her voice was steady.
"Professor Yang, we’ll try, no matter what the result is, we’ll try."
She turned her head and looked at her husband. The husband didn’t speak, he just nodded vigorously.
Yang Ping looked at this couple, feeling a complex emotion rising in his heart.
"Alright! I’ll arrange it for you. First, we’ll do a pre-enrollment evaluation, which requires a comprehensive examination again, including MRI, complete blood count, liver and kidney function, ECG, and cardiac ultrasound. Once all these pass, we’ll proceed with ethical review and informed consent procedures. Completing everything will take about one to two weeks. The earliest we can start the first treatment is in two weeks."
"We will cooperate, definitely cooperate." Lin Xiaoyu’s father stood up and bowed deeply, "Thank you, Professor Yang, thank you, Director Xu."
Yang Ping stood up, walked to his side, and reached out to pat his shoulder.
"Thank us later, once there’s an effect."
After sending off the family, Xu Zhiliang returned and sat opposite Yang Ping.
"Professor, do you think... K therapy... will be effective... for... for this child?"
Yang Ping was silent for a while and said: "I don’t know. From a theoretical perspective, it should be effective. Her spectrum shows a high lactate peak, indicating a typical hypoxic microenvironment, which theoretically is beneficial for K therapy. But DIPG is too elusive, it has many escape mechanisms. Whether K therapy can control it, we will only know once it is done, after all, K therapy is still in pioneering experimental stages for this tumor."
"By the way, have someone send Lin Xiaoyu’s biopsy sample to the Tumor Laboratory for Lu Xiaolu to do genetic testing. In case K therapy is ineffective, at least we have targeted therapy as an option. We might as well try everything."
"Alright, I’ll arrange it."
Yang Ping left Neurosurgery, walking along the corridor towards the Institute.
The corridor was long, with off-white walls on both sides and fluorescent light tubes above, emitting a soft white light. Occasionally a nurse passed by pushing a treatment cart, the wheels making slight rumbling sounds on the tiled floor. A family member carrying a thermos emerged from the hot water room, saw Yang Ping, and stepped aside.
Yang Ping exited Neurosurgery, glanced at the window at the end of the corridor, the sunlight streaming through the glass, casting a bright patch of light on the floor.
He intended to go straight back to the Institute, but hesitated for a moment.
Director He’s surgery on the protuberance reconstruction should be underway now.
Yang Ping checked his watch, 2:40 PM. According to the schedule, the surgery should have started about half an hour ago. Without hesitating, he turned around and walked towards the Surgery Center.
Yang Ping changed out of his White Gown in the changing room, donned scrubs, and wore a cap and mask.
"Professor Yang!" The Head Nurse in the Operating Room happened to pass by, somewhat surprised to see Yang Ping, "Are you going on stage?"
"No, just to check out Director He’s thoracic surgery." Yang Ping replied.
Yang Ping walked along the corridor towards Director He’s Operating Room. The doors of the operating rooms on both sides of the corridor had red "In Surgery" indicator lights illuminated. Through the small windows on the doors, the busy figures inside could be seen. Anesthesiologists, nurses, surgeons, each in their positions, like cogs in a precisely operating machine.
Director He’s surgery had already begun, he stood in the Chief Surgeon position, his two assistants on his left and right, and the Anesthesiologist sat at the head side of the patient, eyes fixed on the numbers on the monitor.
"Professor Yang!" Director He looked up, immediately feeling a strong sense of security.
"How’s it going?" Yang Ping walked to the Operating Table side, his gaze falling on the surgical field.
The chest cavity had already been opened, with retractors lifting the ribs, exposing the right thoracic cavity and mediastinum. The tumor located in the area of the protuberance, a gray-white mass like a stubborn stone, was lodged at the tracheal bifurcation, compressing the right main bronchus into deformation.
"What are the findings?" Yang Ping asked.
Director He took a deep breath; he knew Yang Ping wasn’t testing him but helping him organize his thoughts.
"We’ve just exposed the tumor, it invaded the protuberance and proximal right main bronchus, the left main bronchus opening is still okay, but also a bit suspicious. I’m planning to follow your plan, first isolating the superior vena cava, placing a blocking band, just in case. Then I’ll isolate the main trunk and branches of the pulmonary artery, assess the length and angle needed for replacement, and prepare artificial blood vessels."
Yang Ping nodded, standing in front of the wall-mounted high-definition monitor, which was live-streaming the surgery through a camera on the shadowless lamp.
The surgical field was more complex than he had seen in the images, with the adhesion between the tumor and surrounding tissues denser than expected. But Director He’s handling was very steady, completely isolating what needed isolating, protecting what needed protecting, showing solid surgical skills. It seemed these past years, he had put a lot of effort into studying.
"You continue, I’ll observe." Yang Ping stood next to the Operating Table again, positioning himself to neither interfere with the surgery nor obstruct his view of the surgical field.
Director He picked up the Surgical Instruments again to resume surgery.
The superior vena cava was isolated, the blocking band placed, then the main trunk and branches of the pulmonary artery were isolated, assessing the length and angle for replacement, and had the assistants prepare artificial blood vessels.
After finishing these, Director He raised his head to relax his neck, then proceeded with the excision and reconstruction of the protuberance.
This was the most critical stage of the entire surgery.
Director He first used the tracheal tube to switch ventilation to the left main bronchus, then cut the distal right main bronchus, temporarily isolating the right lung. He then cut the left main bronchus at the lower edge of the tumor, removing the protuberance along with the tumor.
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