"Boss, slow down, you're going to feel dizzy." Su Yun stood on Zheng Ren's right side and blew a breath subconsciously.
"Fortunately, not too fast." Zheng Ren removed the left liver, and a pathology specimen basin appeared on his left hand side.
Put the left liver full of hydatid worms in the basin, and trypophobia patients will get sick just by looking at it.
Xie Yiren called to the circulating nurse and carefully threw the basin and left liver into a yellow garbage bag to avoid contaminating the sterile area.
It wasn't until the left liver full of hydatid worms disappeared that Xie heaved a sigh of relief.
Take this kind of liver... it's really scary.
At the same time, Zheng Ren removed the diseased liver and quickly infused UW solution from the portal vein.
UW liquid is a liquid used to preserve donor organs during organ transplantation. It mainly contains lactobionic acid, which is the main non-permeable anion and has a relatively large molecular weight.
It reduces cell swelling during refrigeration and contains marshmallow, hydroxyethyl starch and adenosine.
Over there, portal vein resection and artificial pipeline repair have also begun.
Zheng Ren devoted half of his energy to staring at the vascular surgery operation. He was relieved when he saw that the blocking, resection, and suturing went smoothly.
After all, Su Yun is a doctor who has performed a heart transplant, and this is no joke.
Heart transplantation in mice is definitely more difficult than heart transplantation in humans. Because the blood vessels are small in diameter, suturing requires the use of a microscope.
However, the difficulty of resecting the portal vein segment containing hydatid emboli and replacing the portal vein with an artificial blood vessel cannot be compared with that of heart transplantation. The portal vein has relatively high hardness and is less difficult to suture.
Zheng Ren knew that Su Yun could definitely do it. In the system operating room, the relevant steps were not trained in detail.
Originally, he wanted to be a substitute himself, just in case. However, Su Yun did not give him this opportunity. He and Director Bao cooperated very smoothly.
The liver invaded by hepatic hydatid was removed, and the remaining liver of the patient was pitifully small.
"I will suffer from liver failure for a long time after the operation." Some doctors in the stands couldn't hold it in any longer and asked.
"The liver volume is 1/3 of its original size, and there is a high probability of liver failure."
"Then what's the point of this operation?"
Yes, what is the significance of this operation? After stepping down, liver failure is inevitable, and the patient's chance of survival is less than 5%.
Is surgery still necessary
Even a normal person would probably not be able to bear the removal of such a large amount of liver tissue. What's more, this patient underwent segmental right kidney resection, lung segmentectomy, partial pericardial resection, and superior vena cava resection and diversion...
The trauma of this series of surgeries is huge.
In addition, the patient had septic shock before surgery...
Even after 912, many surgical professors felt cold when faced with such a situation.
Professor Yang had the same idea in his mind as did his colleagues who were whispering behind him, but he couldn't stop at all.
The assistant opposite was as calm as an AI. He was too focused to keep up, let alone discuss postoperative issues with others.
The most important thing is that although the operation has taken several hours, the most critical step has not yet been reached.
Autologous liver transplantation can solve colleagues’ questions. But autologous liver transplantation is the most difficult!
Excluding rejection and only considering the difficulty of the operation, autologous liver transplantation is far more difficult than ordinary liver transplantation.
Ordinary liver transplantation only requires anastomosis of large blood vessels and liver ducts. The difficulty of the operation is actually very high. But Professor Yang was able to successfully perform the liver transplant surgery.
When the patient was sent, his first consideration was liver transplantation. But who would have thought that the patient had a hydatid cyst wall rupture in the emergency room, leading to septic shock.
There was no time to wait for a liver source, so the only option was autologous liver transplantation.
Professor Yang felt despair at the thought of autologous liver transplantation.
Large and small liver ducts and blood vessels...
Professor Yang has also tried this difficult surgery. Although successful, he was not satisfied with his performance. He originally planned to hone his skills and then attack the final barrier of hepatobiliary surgery again. Unexpectedly, an extremely difficult autologous liver transplant operation fell from the sky and forced him to the operating table.
"Teacher Yang, what do you think about cutting the liver into eight sections?" Zheng Ren helped Su Yun and said politely during the interval.
Professor Yang's hands are numb.
Eight-segment liver resection is indeed the best choice now. According to the condition of the liver, the eighth-segment liver is intact but not the most important liver. If the autologous transplant can be successfully performed to become the left lobe of the liver, the operation can be said to be a great success.
However…
Because there is not much liver left and liver function is severely damaged, the operation time must be controlled within 2 hours.
This is different from ordinary autologous liver transplantation. It is more difficult and unimaginably difficult than that.
Professor Yang moved his hands, sighed, and asked: "Boss Zheng, are you sure? To be honest, I'm not sure at all."
Hearing what Professor Yang said, the operating room fell silent again.
The difficulty of the operation is obvious to everyone, and no one will say that Professor Yang is not good enough. The patient's condition is too serious, and manpower will always be exhausted.
Can I just sigh
It would be very disappointing if such a wonderful operation failed in the end.
"80% sure." Zheng Ren said calmly when he saw that Su Yun's side had begun to block the superior vena cava and that it was about to be resected and sutured.
Eighty percent... Is this high
Professor Yang was a little confused.
He raised his head, and his cervical vertebrae made a tooth-aching creaking sound from holding one position for a long time.
Without bothering to move his cervical spine, Professor Yang looked into Zheng Ren's eyes, trying to see if this was a joke.
"I'll do intraoperative cholangiography later. It's no problem to anastomose the bile ducts. Small capillary bile ducts can also be anastomosed." Zheng Ren's words completely knocked Professor Yang unconscious.
Generally speaking, autologous liver transplantation anastomoses only the thick bile ducts, and the remaining capillary bile ducts will close themselves. Drainage is required after surgery to avoid complications such as infection.
But what did I hear
Intraoperative cholangiography? Then we need to anastomose the bile ducts? !
This... Professor Yang has heard of this technique, but only a master-level figure will do it once when he proves that he can do it.
In theory, it works. But, in this case, can anyone do it
"Zheng...Boss Zheng, are you kidding me?" Professor Yang began to stutter when he spoke.
To him, this was a joke.
"Cut the eight liver segments and prepare for transplantation. The patient's vital signs are not very stable and we don't have time." Zheng Ren glanced at the ECG monitor and said.
"You come to see me?" Professor Yang said this again.
"You come first. After a while, I will assist you with the autologous liver transplant." Zheng Ren narrowed his eyes and seemed to be smiling.
It is a great shame and humiliation to be robbed of the position of the surgeon on the operating table!
However, when Professor Yang heard what Zheng Ren said, he suddenly felt relieved.
If he dares to say this, the possibility of doing it is probably very high. If it were an ordinary young doctor, Professor Yang would have knocked him down long ago.
But standing opposite him was a doctor nominated for the Nobel Prize. The aura of the Nobel Prize shrouded him. Faced with such a situation, Professor Yang could only choose to believe it.
"Okay!" Professor Yang said through gritted teeth.