Chapter 1491: : How did you do it!


The end of the first operation gave everyone confidence!
Professor Chen is so good at cutting liver.
There shouldn't be too many problems with liver transplantation?
After all, the most difficult part of the relative liver transplantation is here.
What's more, Chen Cang gave Sun Jian the middle hepatic veins, and most of the liver blood vessels, liver ducts, and bile ducts were removed together.
Such a liver source itself is already good enough.
But this excellence is relative.
Fifty-five percent is already very good for Fan Tsinghua, but it is still a bit weak for Sun Jian, who is 150 to 60 pounds.
But at least the opening is not a bad card.
You can still play hard!
After some processing.
Chen Cang and Zhou Hongguang and others packed up and went to the operating room next door.
...
...
At this time, Sun Jian has completed the laparotomy. For the experts in the capital, liver transplantation can be done.
What can't be done are those difficult transplant operations.
Just like this one.
Several chief physicians are a little nervous.
They are all chief physicians of the Hepatobiliary Surgery Department of the First Aid Center Hospital. They are in their forties and are very young. They were just walking forward, but they were not qualified to follow Chen Cang into the operating room next door.
Everyone whispered.
"Director Feng, do you think it's feasible?"
"It hurts, who knows, for me, I can't do it anyway, because Fan Qinghua's liver can cut up to 50%, which is not enough for Sun Jian to support, Whether you can survive the ICU is a question!"
"Hey, it's really difficult to encounter this kind of situation! You said that if we lost Sister Fan, it wouldn't be easy to pass it on, but if Sun Jian is gone, this family will be even more helpless!"
"My biggest worry now is that both of them are not easy to deal with!" an older director couldn't help but sigh.
He didn’t intentionally make everyone uncomfortable, it was... various possibilities must be considered!
If both operations failed...
The consequences are hardly imaginable.
This is undoubtedly a disaster for the Sun family!
However, medicine is aware of this uncertainty, who can guarantee it?
"Okay, okay, don't be frustrated, maybe Professor Chen has any extraordinary skills!" The old director said with a smile, wanting to cheer everyone up!
"After all, Professor Chen has so many remarkable achievements."
Everyone encourages each other.
In fact, sometimes life just needs this. In the face of desperation and difficulties, we need some like-minded friends to encourage each other.
In the speaking room, the door of the operating room opens!
Chen Cang came in with Zhou Hongguang's directors.
The people looked up, and suddenly, with the lights in the corridor behind Chen Cang, everyone suddenly froze.
This damn... Chen Cang will shine?
wrong!
There is light behind the head!
Everyone looked dumbfounded.
Chen Cang froze for a moment and turned to look: "The lights in the corridor are too bright. The head nurse will change it someday, otherwise the door will suddenly open and affect everyone's sight."
The head nurse stunned slightly and nodded quickly: "Okay...Okay!"
As soon as the words came out, everyone in the room froze for a moment.
Can't help feeling emotion.
What Professor Chen said is so good!
Better than his anesthesiologist Lao Zhou's and Senior Director of Hepatobiliary Surgery.
After the nurse helped Chen Cang get dressed, Chen Cang walked to the operating table.
Looking at the liver, I couldn't help but sigh!
【Ding! The depleted liver, lv91 boss, encounters special scenes and triggers special missions: one liver and two lives!
Task description: While using Fan Qinghua's liver to successfully save Sun Jian, he was able to survive.
After the task is completed, you can get a reward: "Liver that is not bad!" 】
Chen Cang was stunned for a moment!
What the is "a liver with a bad liver"?
Chen Cang is now ignorant.
However, no one has to wait until the operation is completed.
Before the donor was placed, Chen Cang carefully checked the liver for open bile ducts.
He gave this glorious task to Director Gao Ronghua.
"Director Gao, see if the bile ducts are open!"
Gao Ronghua nodded and began to examine carefully.
At this time, Chen Cang began to prepare for implantation!
The first step before implantation is to sort out the blood vessels.
After all, whether the liver can survive or not depends on the supply of blood vessels.
The first step is naturally anastomotic work!
"No problem!" Gao Ronghua passed it to Chen Cang after the inspection.
Chen Cang can certainly trust the cautious Gao Ronghua.
As Director of Hepatobiliary Surgery, Director Chen Cang and Director Gao Ronghua have dealt with more than once.
This person has a strong liver hemostatic ability, Chen Cang's perfect level of hemostasis comes from this director.
Similarly, in terms of grasping details, Director Gao is very experienced and very careful!
Chen Cang was relieved to have him check!
Surgery cannot be done by one person alone.
Need everyone's cooperation, or time is too late.
After the operation started, Chen Cang anastomosed the right hepatic vein with the inferior vena cava of the recipient, and then the middle hepatic vein and the left hepatic vein of the recipient.
This step is not a problem for Chen Cang!
These blood vessels in the body are more familiar to Chen Cang than his house number~EbookFREE.me~ I really don't know, and the name can appear.
Before the anastomosis is completed, albumin must be infused through the portal vein to eliminate the accumulation of gas in the lumen and the remaining preservation solution to prevent possible gas embolism and hyperkalemia.
This step is handled by Zhou Hongguang and Chen Cang together!
The most serious complications of liver transplantation are pulmonary complications, intra-abdominal hemorrhage and vascular complications, biliary tract complications, rejection, and non-functioning liver transplantation.
Chen Cang needs to be careful to reduce the possibility of various complications.
Chen Cang began anastomosis of portal vein and hepatic artery step by step.
After the anastomosis of three veins is completed.
Chen Cang's fingers shook slightly while tying a knot, and a skilled and unfamiliar surgery was formed!
"Open blood vessels!"
Along with Chen Cang's words, the blood vessel clamp opened, and the blood immediately began to circulate.
This ordinary picture, most people did not find anything strange.
When Zhou Hongguang's afterglow drifted slightly, his face suddenly changed!
He was surprised to find something that seemed ordinary but terrifying!
Because he found that when the blood flow was open, the anastomosis began to expand!
Generally speaking, it is inevitable that the anastomosis is narrow.
After vascular anastomosis, there will definitely be more or less stenosis due to the existence of needle anastomosis!
But Chen Cang's blood vessels were not narrow at all!
and……
The anastomosis is actually expanding!
After seeing this scene, Zhou Hongguang couldn't help swallowing!
This seemingly ordinary detail is actually not ordinary at all, and can even directly relate to the success rate of surgery after liver transplantation.
Thinking of this, Zhou Hongguang asked excitedly: "Professor Chen...how did you do it!"
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