“The fragrance of lotus pins the late summer, the chrysanthemum air into the new autumn”. The early autumn in the eyes of poets always has a somewhat sluggish atmosphere. But for Ms. E from Inner Mongolia, she walked out of the second department of hepatobiliary and pancreatic surgery in Beijing Cancer Hospital, and at the age of 65, she was like a newborn, and her mood was brighter than the spring light. Just a short time ago, a smooth muscle sarcoma with a diameter of 15cm growing in her abdomen was successfully removed. From despair to hope, she was tormented by pain and anxiety during the process of seeking medical treatment. But fortunately, she met the medical team of Director Hao Chunyi, who has a wonderful heart, and rekindled her hope for life. Li Chengpeng, Department of Hepatobiliary and Pancreatic Surgery, Peking University Cancer Hospital More than 2 months ago, Ms. E had pain in her lower back for no reason, and underwent abdominal ultrasound and abdominal CT examinations at the local hospital, both of which indicated “giant retroperitoneal malignant occupancy”. The moment she got the result, it was like a bolt from the blue. On the advice of local doctors, Ms. E came to Beijing for medical treatment. Because the tumor was huge, originated from the wall of the inferior vena cava, adjacent to the bilateral ureters and abdominal aorta, this kind of disease is rare and the risk of surgery is very high, if not careful, there may be a hemorrhage threatening life safety. However, after carefully understanding the patient’s condition and thinking about the surgical plan in detail, Professor Hao Chunyi’s duty to save lives made him decide to admit the patient! Although this surgery was extremely challenging and as an accomplished surgeon, he was under pressure to succeed but not to fail, it was the doctor’s duty to save lives and help the injured. The inferior vena cava is responsible for the return of all venous blood from the lower half of the body to the heart, and its replacement is the most important step in the surgery. According to the literature, the safe time between inferior vena cava blockage and replacement without the use of diversion devices should ideally not exceed 60 minutes. Otherwise, the blood in the lower body will be stasis in the limbs due to the inability to circulate and the abdominal organs will become dysfunctional. Therefore, the biggest difficulty of this surgery is how to reconstruct the blood vessels in the fastest and best way. Over the years, based on a large number of hepatobiliary-pancreatic and retroperitoneal malignant tumor surgeries, Prof. Hao Chunyi has developed a unique understanding and accumulated profound experience in the surgical approaches and approaches for the combination of multiple organ resection with various complex tumors in the abdominal cavity and retroperitoneum, and these foundations have provided strong technical support for this surgery. At the same time, he has been concerned with the technical progress of vena cava resection and replacement, and has accumulated relevant experience for inferior vena cava resection and replacement. The difficult problems of preoperative consideration of combined organ resection and vascular replacement were solved one by one during the department’s discussion. After sufficient preoperative preparation, Ms. E was pushed into the operating room at 8:00 am on September 5, 2012. During the operation, based on the rich experience accumulated in pancreatic surgery for many years, Professor Hao Chunyi skillfully used the Cattell-brrash technique to free the duodenum, right hemi-colon and all the small intestine mesentery, fully revealing the retroperitoneal structures, and found that the largest diameter of the mass was about 15cm, which originated from the wall of the inferior vena cava. The tumor was so large that it had pushed the aorta to the left and the upper edge of the mass had invaded the left renal vein into the inferior vena cava. The inferior vena cava was dissected above and below the tumor after adequate freeing of the inferior vena cava above and below the tumor. After removing the tumor and the inferior vena cava, the surgical team, with Prof. Chunyi Hao as the core, successfully completed the artificial vessel anastomosis in less than one hour. The total operation time was about 6 hours. The patient’s vital signs were stable after the operation and she returned to the ward safely. Under the careful treatment of all medical and nursing staff of the Department of Hepatobiliary and Pancreatic Surgery II, the patient was discharged from the hospital in less than half a month. It is reported that, including this operation, Prof. Hao Chunyi’s team has completed several cases of inferior vena cava resection and replacement over the past year. There is no so-called peak in medicine, because there are always medical workers who never stop advancing and tirelessly pursuing the realm of perfection, and there is no absolute truth in medicine, but the truth is adapted to the level of understanding, and with the progress of science and the improvement of the level of understanding, the “forbidden zone” of medicine is constantly being challenged. Courage to accept challenges, solid clinical accumulation, multidisciplinary teamwork and a good academic atmosphere in the hospital are the keys to the success of this surgery. It is not the first time for Prof. Hao Chunyi’s team to overcome a difficult medical problem, and it will not be the last time. Behind the courage to “pull out the teeth of the tiger”, it is the kindness of the doctor’s heart to save lives without fail.