2117 Surgery that cannot be done
Zheng Ren glanced at Su Yun and asked, "I think there is any other way, please stare at me and reply."
Su Yun nodded.
This is also the only thing that can be done. Besides, there are many troubles. As a small branch unit of 912, the medical team does not play much role.
Lin Ge said, "Boss Zheng, then I'm going to work hard. I have to report to the hospital for this matter and wait for the director's instructions."
Several people parted ways.
Back to the interventional department, Zheng Ren did not say a word, but reached a familiar position, picked up the fifth edition of surgery and started to meet.
Seeing Boss Zheng’s gloomy face, Lin Yuan didn’t say a word and worked with his head down. Gu Xiaoran just came today and everything was familiar. After being scolded by Chang Yue for a few words, he didn’t dare to speak.
"Boss, I haven't believed it yet." Su Yun glanced at the email address and said.
Zheng Ren felt that it should be confirmed that way, but the possibility of not sending an email is relatively high, and the big pig's hooves generally do not have problems with this kind of thing.
Or maybe it is not that several foreign lines can provide liver source, but that there is a liver source in somewhere in China, and we are in contact with the 912 hospital.
Anyway, go to the system space first to take a look.
He closed his eyes slightly and entered the system space.
Click to buy the surgical training time, and as the system operating room rose from the ground, Zheng Ren strode in.
There are experimental subjects in the operating room, not empty!
Zheng Ren was shocked, which meant that no matter what channel the liver source was, there was a liver to use.
Then start the surgical training. Zheng Ren took a deep breath and prepared to start the operation.
Liver transplantation is not particularly difficult to operate. Compared with donor liver source, the operation becomes a trivial matter.
Standing in front of the operating table, Zheng Ren calmed down, and the lancet in his hand seemed to be a little lighter, exuding a sense of pleasure.
The core of liver transplantation is the most difficult, and the most dangerous time for the patient is the time when the original liver is removed and the new liver is taken for anastomosis.
This period is called the "liver-free period", also known as the dark period.
Unlike kidney transplants and lung transplants, there is only one liver. The original liver is cut off, even if the liver, which can no longer guarantee the health of the body due to acute liver failure, will significantly change the original bio-anatomical model, resulting in certain changes in the human body.
In the lower part of the patient without liver stage, gastrointestinal blood cannot return to the heart and is in a stagnant state. At this time, the patient's return to the heart is reduced and his vital signs fluctuate greatly. This is a period of time that surgeons and anesthesiologists pay special attention to during the entire liver transplantation process.
In addition, the patient Chen Li already had a large amount of effusion in both pleural cavity, atelectasis, heart failure, and respiratory failure, so the possibility of cardiac arrest during the operation is particularly high.
Emergency surgery is several times more difficult than slow-diagnostic surgery, and is even an order of geometric magnitude higher.
Otherwise, Zheng Ren would not have tried his best to want a liver source that matches the blood type and matching. Only in this way can he have an impact on the patient's fragile body as much as possible.
However, Zheng Ren didn't care much. He had enough time for surgery and was a master's level surgeon. He also had the bonus of organ transplant specialization, and was shrouded in the halo of luck. He really didn't believe that the operation would not be completed!
After opening the skin, incision layer by layer, blunt separation, peritoneal protection, and opening the abdominal cavity, Zheng Ren felt that his surgery was like flowing.
Zheng Ren's heart was extremely happy.
When I was explaining the condition to the patient's family, I occasionally said that it would be good to have surgery. If I was terminally ill and could not have surgery, it would be the end.
And this time, Zheng Ren felt the pleasure of being able to undergo surgery.
When entering the abdominal cavity, Zheng Ren first disconnects the left and right liver ligaments and breaks the left triangular ligament of the liver. After splitting the left and right liver and turning the liver upward, the first liver portal is exposed, and the intrinsic artery of the liver, the main trunk of the portal vein and common bile duct are ligated and separated.
Turn the left hepatic hepatic portal to the right, ligate and cut off several branches of the liver short vein, and finally cut off the left vein of the liver and the right vein of the liver in the middle and liver, and remove the diseased liver.
Removal is very simple.
Destruction is always easier than construction, and from ancient times to the present, this is the truth.
Zheng Ren's surgery was performed more meticulously. Even if it was replaced by a raw hand who had never undergone liver transplantation, it would be enough to cut the liver simply by ligating one blood vessel and one ligament one by one.
Although Zheng Ren's surgery would not be as meticulous and clean as it was, it would be fine to cut it off.
After cutting the liver, Zheng Ren picked up the right lobe of the donor liver next to him and prepared to complete various pipeline reconstruction work for liver transplantation.
It's simple, but that's compared to finding a donor.
In fact, the whole process is quite complicated.
After the new liver enters the receptor abdominal cavity, anastomosis and reconstruction of the liver's appendage duct must be completed, including the portal vein, superior and inferior hepatic vena cava, inferior hepatic vena cava, hepatic artery, and biliary tract.
Among them, the portal vein from the portal vein of the lesion liver, the superior and inferior vena cava, and inferior hepatic inferior vena cava are cut off to the new liver and the patient's portal vena cava, and the superior and inferior hepatic inferior vena cava, and the anastomosis of the inferior hepatic inferior vena cava are completed and the blood flow is opened. The speed is likely to determine the life and death of the patient.
This is the so-called liver-free period.
Zheng Ren is confident in his surgery.
Start rebuilding various pipelines.
Zeiss' microscope and various surgical instruments given to Zheng Ren by Dr. Charles played a huge role.
However……
But……
No use.
During the 10'22″ phase of liver failure, the cardiac arrest of the experimental subject was arrested.
Zheng Ren was stunned for a moment. He did not go to do CPR for the experimental subject, but stood in front of the system operating table to start thinking about his surgical process.
The whole process is correct. Even if I do it again, I can't shorten the liver-free period to less than 10 minutes.
What is the world record? It seems to be about 26 minutes, which is recorded. Zheng Ren recalled this record, which was mentioned in a case report published in the Lancet magazine three years ago.
Generally speaking, for surgical liver transplantation, the liver-free period should be 30-40 minutes, which is the main operation of a top surgeon.
Although it is not as remembered by the general public as the world record of the Olympic Games, operators who can perform surgery will know how long the shortest liver-free period is.
This is a real competition in the field of technology.
However, this young patient named Chen Li only gave the surgeon more than 10 minutes to perform liver-free surgery...
Zheng Ren stared blankly at the experimental subject of the operating room and the operating table, a little worried.
I had previously been confident that the surgery would definitely be completed.
Giant-level general surgical skills, organ transplant specialization, and a halo of luck...
But all this is not enough!
Why is it only so short? Even if the heart is pressed, you have to face the impact of the portal vein to restore blood supply, and face... countless tests.
And heart compression will never allow patients to persist for so long.
Chapter completed!