Surgical artist

Chapter 230 This Donated Liver Transplantation Is Wonderful!
Remove a disease from the "terminal disease list" and turn it into a disease that can be cured.

It will have a permanent impact on the history of medicine!

What a credit!
This kind of great achievement, great merit...

Make all hospitals and doctors drool with envy!

All the hospitals are silently watching this operation and inquiring about the latest progress of this operation.I want to know whether this "great contribution" can become a reality.

Provincial Medical Association.

Chairman Lu and Director Yu also learned about this.

Immediately through their channels, to understand this matter clearly.

Director Yu was dumbfounded after listening to the report.

"Director Zhao, is he going to deal with terminal illness?"

"Have you overcome the difficulty of transplanting large and small livers?"

"The most important thing is that Director Zhao's plan has already been approved by Professor Jiang and other expert groups."

"This also means... if this operation is successful, he will conquer another city and expand a piece of wasteland in the field of application and expansion of liver transplantation technology!"

Director Yu hurriedly took this report and went to the vice president Lu Guangxuan.

When Chairman Lu finished listening, his expression was equally pleasantly surprised and solemn!
"You are right, this is indeed pioneering liver transplantation technology."

"It's no small matter to open up wasteland twice in a row!"

"I'm afraid that at that time, the entire medical community in Jiangnan Province will cause a big sensation because of this, and even attract the attention of the medical community across the country!"

"This Director Zhao really gave our Jiangnan medical community a face!"

Lu Guangxuan found out that this Zhao Peiru is a lucky general!
From "improving the piggyback", to the "Luan Zhenjiang incident", to the "Ran Siyu incident", time and time again the Jiangnan medical community has shown its face in front of the whole country!

If the "terminal illness" can be cured this time, the sensation will definitely be higher than the previous few times!

Lu Guangxuan couldn't even sit still anymore. He stood up and paced back and forth, thinking about the impact of this incident and how the medical community in their province should respond.

"Director Zhao, Director Zhao, why are you so outstanding!"

When Lu Guangxuan saw the words "Zhao Peiru" on the materials, he couldn't help but smile.

Director Yu saw that the leader was in a better mood at the moment, so he quickly seized the opportunity to remind:

"President Lu, didn't Director Zhao apply for the 'Key Clinical Medicine Department' some time ago?"

He has a good relationship with Zhao Peiru, so at this time, it is natural to help Zhao Peiru add fuel to the flames.

President Lu smiled and nodded.

"Don't tell me, Director Zhao's two successive pioneerings are in line with the purpose of his application."

"How about this!"

"You are always paying attention to Director Zhao's news. If the operation can be successfully completed...I will go to the leadership group meeting and focus on this application!"

……

Affiliated Hospital of Medical University.

Professor Jiang, who was about to go to the operating room, suddenly received a call.

After the phone call, Professor Jiang secretly regretted it!
"At this critical time, why is there an interim meeting!"

It's okay not to go to this kind of meeting.

"It's a pity that I can't watch Director Zhao's operation!"

Professor Jiang left for the meeting, but his mind was still on Zhao Peiru's side.

He wasn't worried that the operation would fail.With Zhao Peiru's complete and safe plan, coupled with Zhao Peiru's solid operation...

On the contrary, he had great expectations in his heart. He wanted to see with his own eyes that this iconic operation was successful.

in the operating room.

Zhao Peiru first used a "golden preview card" in his mind.

At this moment, an operating room was imagined in his mind, which was exactly the same as the operating room in the current affiliated hospital of the University of Medical Sciences.

Zhao Peiru is in this virtual space...

Do this operation again and again, and gradually perfect it.Every detail is taken to the extreme.

In the end, Zhao Peiru was even familiar with every step and every detail of this operation, and he could do it perfectly with his eyes closed.

"This level is enough for me to get the 'title'."

A smile appeared on the corner of Zhao Peiru's mouth.

"quit."

Zhao Peiru's vision returned to the outside world.

In the operating room at this moment, nothing has changed. Jia Yanjun still has the nervous and expectant expression on his face, and even the expression and muscle lines on his face have not changed much.

Under the gaze of many students, under the gaze of Professor Li from the Children's Hospital of Gynecology and Director Cui from the Biliary Tract Specialist Hospital.

Zhao Peiru was confident and said with a confident smile, "Let's start the operation!"

"Director Jia, you and your team are in charge of cutting the liver for the donor, and stop at the step of separating the sickle ligament, and leave all the rest to me."

"I will be in charge of the diseased liver resection and liver transplantation of the children, and the work of fixing the donated liver."

Director Jia Yanjun nodded slightly.

He is the highest-level liver transplant expert among all the people present, except for Zhao Peiru.

Although it was said that he was performing the operation on his own son, he restrained himself at the moment, showed a very professional attitude, and took the operation seriously.

Jia Yanjun began to dissect the hilum of the liver, separated the left hepatic duct, portal vein, and left branch of the hepatic artery, and cut the liver with a new type of spiral water knife. Only the falciform ligament remained unseparated.

Here is Zhao Peiru.

Doing the same operation of laparotomy, dissection, division of hepatic ducts and ligaments.

The only difference is that the object of Zhao Peiru's operation is a 14-month-old baby.

The baby is only a little too small, everything in the abdominal cavity is extremely small, the whole liver doesn't even have half a fist, which requires more delicate operations.

"Director Zhao's anatomy is obviously more difficult!"

In the observation room, Professor Li said in a low voice: "A 14-month-old baby is still lacking in development. Many organs and ducts are very soft. You must be cautious, careful, and gentle."

"An inadvertent accident may damage the baby's bile ducts and tiny blood vessels."

Director Cui and the others next to him couldn't help but nodded.

The last thing they want to do is surgery on the elderly and infants.

The body of the elderly cannot tolerate it, and all organs are very fragile, and a careless one will cause the organs to burst.

The bodies of infants and young children are very soft, just like doing high-precision operations on tofu. One more stroke may cut half of a piece of tofu at once, so be cautious and careful.

"Can……"

"Did you find out? It's obviously a more difficult baby surgery..."

"The same dissection and dissection operation. Director Zhao is even faster than Director Jia!"

Everyone compared the two sides, indeed!

Zhao Peiru's movements are obviously smoother, faster and more efficient!

"Hey, look at Director Zhao's operation!"

Everyone's scalp is numb!

Zhao Peiru's operation is far more than fast, the key point is that there is not a single "useless movement" in that movement, as if he has rehearsed this operation countless times, without a single mistake!
Even, its movements have been concise and efficient to the point...

It has some kind of artistic beauty!
"Director Zhao's surgery looks... unexpectedly has a pleasing beauty! Is it my illusion?"

Others murmured: "You are not delusional, I also feel that there is the beauty of medicine, the beauty of smoothness, and the beauty of extremes."

Professor Li from the Women's and Children's Hospital, and Director Cui from the Biliary Tract Specialist Hospital, these two saw Zhao Peiru's surgery for the first time.

At this moment, the two of them couldn't close their mouths!

Someone can make the surgery artistically beautiful!This kind of free operation is as concise and efficient as the ultimate, it is simply unimaginable!
At this time, on the operating table, Zhao Peiru said: "Director Jia, let's exchange."

On Jia Yanjun's side, it happened to do the "dissection and free work of the sickle ligament."

After a tacit exchange between the two sides, Zhao Peiru immediately continued to cut off the left outer lobe of the donor liver, lavage and flush the biliary tract with HTK preservation solution, and repair the liver.

Prepare for the next "intermittent anastomosis".

And Jia Yanjun came to Zhao Peiru's operating table.

Seeing the situation in Shuye, Jia Yanjun was stunned!
"It's so beautiful..."

"Why is this dissociated anatomy so clean and tidy?"

"Is the abdominal cavity of a baby really so easy to operate?"

Jia Yanjun himself is an expert, so why doesn't he know that the baby's small abdominal cavity is very difficult to operate, and it is even more difficult to perform such a perfect operation in such a small space!

The current situation in the field has greatly exceeded his expectations!
"Director Zhao, you have taken so much trouble to do this operation for my child! To be so beautiful... It will be very beneficial to the child's future growth!"

After all, this operation is a large-scale "liver transplant operation". If it is not done well, it will not be clean...

Then this baby will be affected in the growth of his whole life in the future!There will always be dull pain in the body, and postoperative complications will accompany you for life.

And Zhao Peiru made it so clean and beautiful, and almost every detail was perfected, which can benefit this child for a lifetime!
"Director Zhao has worked hard!"

Looking at Zhao Peiru's back, Jia Yanjun was deeply moved.

at last.

Both donor and diseased livers were successfully removed.

Liver transplant work started.

Jia Yanjun and his team retreated to the back.

On the operating table, only Zhao Peiru and Xiao Meng were left.

"Xiao Meng, help me do the anastomosis and butt joint work. You come to clamp and hold the pipe, and I will anastomose and suture."

"First anastomose the donor liver's left vein with the patient's left middle and right vein opening end-to-side, then anastomose the portal vein end-to-end, and anastomose the donor's left hepatic artery with the patient's hepatic artery..."

This is the specific steps of the "intermittent anastomosis method".

On the operating table, the anastomotic work progressed little by little.

Jia Yanjun, who was already idle next to him, saw that his palms were sweating and he was nervous.

"Director Zhao, be careful, be more careful..."

Don't blame him for being nervous, it's because this step is so critical!The quality of the anastomosis will directly affect whether the baby will have bile leakage in the future and whether there will be comprehensive complications.

Every time Zhao Peiru made a slightly dangerous operation, it would cause Jia Yanjun's heart to jump, and his forehead was covered with beads of sweat.

So the situation is...

Zhao Peiru on the operating table didn't sweat much, but Director Jia, who was watching from the side, was sweating non-stop.

……

outside the operating room.

Several family members waited anxiously.

The son and grandson have already entered the operating room, and Jia Yanjun, the head of the family, also went in to perform the surgery.

Outside, there were only two female relatives left.

Completely missing the backbone!
The two felt inexplicably flustered.

The daughter-in-law is constantly complaining and blaming herself.

"Mom, it's all my fault. Xiao Duoduo's disease is congenital. It's all my fault that I didn't conceive him well during pregnancy."

Jia Yanjun's old wife shook her head with a wry smile.

Why didn't she understand that it was impossible for her daughter-in-law to decide on this kind of illness.Who would want to conceive a child with a congenital disease!If you want to blame, you can only blame bad luck!

Just at this time, several leaders from the Affiliated Hospital of the University of Medical Sciences came.

The vice president in charge of the business department, the chief of the medical department, the director of hospitalization...

Because the patient involved the family members of the doctors in their own hospital, the leaders of the hospital also came to make a statement and appease the two female family members.

……

operating room.

With the aid of an operating microscope, Zhao Peiru began to do the final work of "synthesizing tiny channels".

"Gudong!"

Jia Yanjun gulped down his saliva.

"Such a tiny pipe, such a small child..."

"Now I just hope that Director Zhao's intermittent anastomosis method can achieve the expected effect and avoid the large liver syndrome."

After the completion of the anastomosis, biliary reconstruction began.

Considering the different thickness of the ducts between the donor liver and the recipient liver, Zhao Peiru anastomosed the “donor bile duct” end-to-side with the “recipient original jejunum loop” and sewed up the stump of the original biliary-enteric anastomosis.

At this point, the anastomosis and reconstruction work are all completed!

"Xiao Meng, restore the blood flow."

"Use an ultrasound Doppler to check the blood supply."

Next to him, Jia Yanjun's heart was beating wildly.

The next result is the moment of "result".

It's like waiting for the moment when the "ranking list" is released after working hard to finish the college entrance examination.

Nervous, apprehensive, tormented!
When the blood refills this new liver...

Xiao Meng said: "There is no drip at the anastomosis."

"Various vital signs are recovering and are gradually stabilizing to the normal range."

"The varicose veins on the abdominal wall were significantly relieved."

"The compensatory function of the liver function is normal, and the outflow of the drainage tube is normal."

"The values ​​of hemoglobin, platelets, and total bilirubin are still a little low, and they are gradually recovering..."

The results were summarized one by one, and finally, two words were formed.

Good news!

If large liver syndrome occurs, many of the current values ​​should show signs of it.For example, the hepatic outflow tract will appear intermittent and obstructive.There will be problems with hemodynamics, portal vein blockage, embolism, etc...

But right now, no matter whether it is the biliary tract, portal vein, outflow tract, or even the drainage tube, they are all unobstructed!
All the data show that Zhao Peiru's "preoperative calculation and estimation method" plus "intermittent anastomosis method" really worked!
Large liver syndrome, did not happen!

Jia Yanjun's mood suddenly relaxed a lot!
"The child is saved!" The ecstasy instantly occupied his whole body.

In the observation room, all the students were also overjoyed.

The summarization of this series of data is enough to show that the operation was a success!

"This liver transplant from a living body is so beautiful!"

All the students were amazed.Many of them have also undergone liver transplantation, but if you ask yourself, their level is not even one-tenth of Teacher Zhao's!
"Director Zhao's operation, there is a field video, right?"

The students looked at the several cameras set up above.

"I feel that this operation can be watched repeatedly and many times! Many details in it need to be pondered slowly before they can be fully understood."

"Indeed, it's wonderfully done!"

"For example, in the case of intermittent anastomosis, the flexible choice of end-to-side and end-to-end is all a temporary decision based on the actual situation of the patient and the liver donor."

"Mr. Zhao must have a set of matching judgment rules in his heart. He hasn't taught us these rules yet."

At this moment, everyone wished they could squeeze Zhao Peiru dry and squeeze out all the ink in his stomach.

(End of this chapter)