Boss, slow down. I'm dizzy, "Su Yun stood on Zheng Ren's right and said as he subconsciously blew.
"Fortunately, it's not too fast." Zheng Ren removed the left liver and a pathological specimen basin appeared on the left side.
The left liver full of hydatid worms was placed in the basin. People with trypophobia would get sick just by looking at it.
Xie Yiren called the circulating nurse and carefully threw the basin and the left liver into the yellow garbage bag to avoid contaminating the sterile area.
It was not until the left liver full of hydatid worms disappeared that Xie Yiren heaved a sigh of relief.
Using this kind of liver … was really scary.
At the same time, after Zheng Ren moved the diseased liver out, he quickly poured UW solution into the portal vein.
UW solution was a liquid used to preserve the donor's organs during organ transplantation. It mainly contained lactose acid, the main non-osmotic anion, and its molecular weight was relatively large.
It could reduce the swelling of cells when refrigerated and contained raffinose, hydroxyethyl starch, and adenosine.
On the other side, the portal vein resection and artificial pipeline repair had also begun.
Zheng Ren diverted half of his attention to the vascular surgery. Seeing that the interruption, resection, and suture were going smoothly, he was relieved.
After all, Su Yun was a doctor who had performed a heart transplant. This was not a joke.
A mouse heart transplant was definitely more difficult than a human heart transplant. Because the diameter of the blood vessels was small, the suture required a microscope.
The difficulty of removing the portal vein segment containing hydatid emboli and replacing the portal vein with an artificial blood vessel was incomparable to a heart transplant. The portal vein was harder, so it was less difficult to suture.
Zheng Ren knew that Su Yun would definitely be able to do it. In the operating theater of the System, the relevant steps were not trained in detail.
Originally, he wanted to be a substitute, just in case. However, Su Yun did not give him this opportunity. He and Chief Bao cooperated very smoothly.
After cutting off the liver that had been invaded by hepatic hydatid worms, the patient's remaining liver was pitifully small.
"There will be liver failure for a long time after the surgery, right?" one of the doctors in the stands could not hold it in anymore and asked.
"The volume of the liver is one-third of its original size. There is a high probability of liver failure."
"Then what's the point of this surgery?"
Yes, what was the point of this surgery? After leaving the stage, there would definitely be liver failure. The patient's chance of survival was less than 5%.
Was there still a need for surgery?
Even a normal person would not be able to withstand cutting off such a large volume of liver tissue. What's more, this patient had his right kidney segmented, lung segmented, pericardiectomy, superior vena cava resection and rerouting …
This series of surgeries was extremely traumatic.
In addition, the patient had septic shock before the operation …
Even in the 912, many surgery professors felt their hearts turn cold in the face of such a situation.
Professor Yang had the same thought as his colleagues behind him, but he couldn't stop at all.
The assistant opposite him was as calm as an AI. He couldn't even keep up with his full attention, let alone discuss postoperative problems with others.
Most importantly, although the surgery had been going on for a few hours, it had not reached the most crucial step yet.
Autologous liver transplantation could solve the doubts of his colleagues. However, autologous liver transplantation was the most difficult!
If the rejection was not taken into account and the difficulty of the surgery was only considered, the difficulty of autogenous liver transplantation was far greater than that of ordinary liver transplantation.
Ordinary liver transplantation only required the anastomosis of large blood vessels and hepatic ducts. The difficulty of the surgery … was actually very high. However, Professor Yang had performed a liver transplant before, so he could definitely do it.
When the patient was sent over, the first thing he considered was a liver transplant. However, who would have thought that the patient would have a rupture of hydatid cyst wall in the emergency department, leading to septic shock?
There was no time to wait for a source of liver, so he could only do an autologous liver transplant.
At the thought of autologous liver transplantation, Professor Yang's heart was filled with despair.
Large and small liver ducts, blood vessels …
Professor Yang had also tried such a difficult surgery. Although he had succeeded, he was not satisfied with his performance. Originally, he had planned to hone his skills and then attack the last barrier of the Department of Hepatobiliary and Pancreatic Surgery again. He did not expect a surgery to fall from the sky and force him to the operating table.
"Teacher Yang, cut the liver into eight pieces. What do you think?" Zheng Ren said politely while giving Su Yun a hand during the break.
Professor Yang's hand was numb.
Cutting the liver into eight pieces was indeed the best choice at the moment. Based on the condition, the eight pieces of liver were intact but not the most important liver. If he could successfully perform an autologous transplant and become the left lobe of the liver, the surgery could be said to be a great success.
However …
Because there was not much liver left and liver function was seriously damaged, the surgery time had to be controlled within two hours.
This was still different from an ordinary autologous liver transplant. It was even more difficult than that. It was unimaginably difficult.
Professor Yang moved his hands and sighed. He asked, "Boss Zheng, are you confident? To be honest, I'm not confident at all. "
Hearing Professor Yang's words, the operating theater fell silent again.
Everyone could see the difficulty of the surgery. No one would say that Professor Yang's level was not high enough. The patient's condition was too serious. There would always be a time when manpower would be exhausted.
Could he only sigh?
It would be too disappointing if such a wonderful surgery did not succeed in the end.
"I'm 80% confident." Zheng Ren said lightly when he saw that Su Yun's side had already begun to block the superior vena cava. He was about to remove it and resuture it.
80% … Was this high?
Professor Yang was a little puzzled.
He raised his head. His cervical spine creaked because he had maintained a posture for a long time.
Without bothering to move his cervical spine, Professor Yang looked at Zheng Ren's eyes, wanting to see if this was a joke.
"In a while, we'll do intraoperative cholangiography. There's no problem with anastomosing the bile duct. The capillaries of the thin branches can also be anastomosed. "Zheng Ren's words completely stunned Professor Yang.
Generally speaking, when an autologous liver transplant anastomosed the bile duct, it was only a thick bile duct. The remaining capillaries would close themselves. After the surgery, drainage was needed to avoid complications such as infection.
But what did he hear?
Intraoperative cholangiography? Then, he had to anastomose the capillaries?!
This … Professor Yang had heard of this kind of surgery before, but only when a leading figure proved that he could do it would he do it once.
In theory, it would work. However, under such circumstances, would anyone be able to do it?
"Boss … Boss Zheng, you're not joking, are you?" Professor Yang began to stutter.
In his opinion, this was a joke.
"Cut the liver into eight pieces and prepare for the transplant. The patient's vital signs are not very stable. We don't have time," Zheng Ren said as he glanced at the ECG monitor.
"You'll come to my side?" Professor Yang said again.
"You go first. After the angiography, I'll help you with the autologous liver transplant." Zheng Ren narrowed his eyes as if he was smiling.
It was a great shame and humiliation to be robbed of the position of the surgeon on the operating table!
However, when Professor Yang heard Zheng Ren say that, his heart suddenly relaxed.
If he dared to say that, the possibility of him being able to do it was very high. If it was an ordinary young doctor, Professor Yang would have kicked him out long ago.
However, the person standing opposite him was a doctor nominated for the Nobel Prize. The halo of the Nobel Prize shrouded him, and in the face of such a situation, Professor Yang could only choose to believe him.
"Okay!" Professor Yang said through gritted teeth.
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Intraoperative cholangiography + anastomosis of the capillaries
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