Anesthesia is effective.

Open your chest.

I saw the entire liver appearing in front of everyone.

In fact, this interchange of partial liver resection lesions is different from traditional liver resection lesions.

Traditional liver lesions can be removed directly with one-size-fits-all.

Anyway, just roughly remove the lesion.

But now it's different.

Because there may be a small part of the lesions that can be transplanted to another patient, so you must be removed with care little or no effort.

Another thing is that when removing part of the liver, the size and anastomosis of the partially exchanged livers between the two patients should also be considered.

This is absolutely accurate surgery!

At this time, every blood vessel cut off by Ruan Bin must consider whether it can be reconstructed after exchange!

In order to ensure "supply", he cannot remove as much as possible like using an exogenous liver. This requires accurate measurement of the size, weight, length of blood vessels, and distance between the hiberties of the liver on both sides before the operation, and determine which side of the liver is removed, how much is removed, where the site of the removal and anastomosis is performed.

Here we focus on your experience and removal methods!

These all require prediction, judgment in mind, and accurate cutting.

At this time, Wu Junhua, as Ruan Bin's assistant, was sweating on his forehead.

I'm so nervous!

If you are not careful, you will be doomed.

If you have too many removals, what to use for supplementation?

No need to make up for it!

The key is that he saw that Ruan Bin was removed very quickly, and the operation was too fast.

On the other hand, Chen Chengquan's surgery to remove another patient was the old god, and he paid attention to one word - as stable as an old dog!

"Do you have to slow down? I think Academician Chen's speed is not that fast." Wu Junhua couldn't help but remind.

"You have to understand that Academician Chen is already an old man, so it is normal to slow down." Ruan Bin smiled.

“…”

Wu Junhua was speechless. You can’t hear what I said or why?

I’m telling you not to be so fast, the faster the faster you are, the easier it will be!

However, Ruan Bin used his superb knife skills to shut up Wu Junhua!

At this time, Ruan Bin seemed to be using it with multiple uses, and his brain was like a smart supercomputer. While predicting and balancing liver functions on both sides, if one of the parties has a serious metabolic disease, in order to avoid adverse effects on the transplanted parties, the proportion of liver transplanted must be controlled...

The scalpel in one hand is flying up!

It took an hour to finally remove the lesion and remove the transplanted liver at the same time, and then it can be transplanted to another patient at any time.

Not long after, Academician Chen's side almost completed it.

Next is the transplant!

The biggest difficulty in transplanting this part of the interchangeable liver source to another patient is the anastomosis of blood vessels and bile ducts.

As long as the fit is perfect, the operations of these two systems will be almost stable!

Finally, 5 hours later.

Both surgeries were successfully completed before and after!

"Huh... the operation went surprisingly smoothly! Next, let's see if the liver function of the two children can be circulated normally in the next 24 hours, whether the previous metabolic disorders can be corrected, whether the blood flow, volume and function of the transplanted liver are normal, and there are no surgical complications!" Chen Chengquan smiled on his face.

To be honest, he never thought these two surgeries would be so smooth!

It is really exactly the same as Ruan Bin’s simulation, without much difference. The difficult problems were solved by Ruan Bin’s previous analysis and simulation.

His surgery just now was almost done according to Ruan Bin's ideas and methods!

No problem!

"The operation was successful! It was incredible." As Chen Chengquan's assistant, Huo Canhui still felt like he was a dream.

"You still need to check the situation in 24 hours before talking about it." Liao Jie said, but he was jealous!

Outside the operating room.

The family heard that the operation was successful.

They are all very happy.

However, they were also told by the doctor that they still needed postoperative observation to determine whether the operation was successful.

24 hours passed quietly.

The patient's methionine of Ale dropped by 40% on the second day after the operation! It proved that the operation was very successful and worked! In addition, Xiaoqiang's condition was also very good.

The next two weeks after Ale's surgery, it dropped by 90%, and it has returned to normal. However, because Ale is older and has serious injuries, it requires a longer recovery process, but the language disorder that once appeared gradually relieved, and the muscle tone also decreased significantly compared to before the surgery. The latest test results show that without restricting the protein diet at all, the amino acid metabolism and blood ammonia of the two children remained normal. Of course, these are all later stories!

At the same time, Chen Chengquan also put the operation video on the operation forum, and the media also came to interview!

As soon as this surgery video was released, many surgeons on the surgery forum were stunned!

"My God! This is an innovative pediatric liver transplant surgery!"

"The patient exchanged some livers! It actually did it. Some people proposed theories and directions in the past two years, but the difficulty was too high."

"The first case in the world!"

"I am a novice, orthopedic, and both suffer from hereditary metabolic diseases. The liver has problems with each other's "defective liver" can really play a therapeutic role instead of aggravating each other's condition?"

"Haha, below is an Academician Chen commentary. Although the two metabolic diseases of the two can cause nervous system damage, they are in different pathways and do not cross. In layman's terms, one patient's liver cannot metabolize substance A, and the other patient's liver cannot metabolize substance B. After exchange, one half of the liver assumes the function of metabolizing substance A for Xiaoyong, and the other liver helps Xiaohang's liver metabolize substance B, which can achieve complementary and perfect liver functions. The biggest advantage of "swap half-hepatic" is that it retains part of the patient's own liver!"

This is also the reason why gene therapy is favored by the industry in curing metabolic diseases!

Soon, after seeing this report and the operation video, the Magic City Renji Hospital was shocked!

No, it must be jealous.

Because in the field of pediatric liver transplantation, Renji Hospital in the Magic City dares to be the first, but no one dares to be the second!

Now, doctors from other hospitals have innovated this new technique!

Three years ago, Renji Hospital of Magic City successfully completed 1,000 children's liver transplants, about one-half of the total number of children's liver transplants in the country; Renji Hospital has also become the hospital with the largest number of children's liver transplants in the world in the past six years.

In other words, in pediatric liver transplantation, their technology has always been the first in China and the best in the world.
Chapter completed!