This doctor is very stable
Chapter 388 The operation is completed [Please subscribe, ask for a monthly ticket. 】
Chapter 388 The operation is completed [Please subscribe, ask for a monthly ticket. 】
Gao Zhitie had just taken out the diseased liver, and the big brother Chen and the others also trimmed the liver that had been taken out.
"Lin Ran, let me come!"
The spring-like voice of Chen Rumu, the boss, rang in Lin Ran's ears.
Lin Ran put down the scalpel in his hand, he knew that his task of this operation was completed.
Next, it will be up to the boss Chen and the others.
Lin Ran obediently withdrew to the side, only to see the excited light in Wang Yihu's eyes.
What a big job for a liver transplant!
Moreover, every link must be properly coordinated, otherwise it may affect the quality of the liver transplant operation.
Whether it is donor liver resection or diseased liver resection, a high level of surgery is required.
This is the common thought in their hearts.
Moreover, the anastomosis of the blood vessel supplying the transplanted liver and the stable integration with the biliary duct are the most critical points in this operation.
Taking over the operating table of the liver recipient, the boss Chen remained calm and calm, "Precise scissors, non-invasive forceps."
After taking over the scissors, the boss Chen began to trim the various channels of the recipient liver.
And Gao Zhitie, who just worked as Lin Ran's assistant, also became the assistant of the boss Chen.
At the same time, Qin Peide also joined in the operation, instead of being the second assistant to the boss Chen, he also picked up the scissors and began to help trim the various channels of the recipient liver.
The two turned into plumbing repairmen in place.
The repair process lasted a total of more than ten minutes.
Then proceed to the next link, take out the donor liver and transplant it into the recipient.
The process of transplantation and reconstruction is even more complicated. The first thing to do is the anastomosis of the hepatic artery, which is personally in charge of by the boss Chen.
Qin Fuzuo was responsible for the anastomosis of the first hepatic vein.
The anastomosis of grafted blood vessels requires ultra-fine operations, otherwise it will affect the quality of life of patients during surgery.
Lin Ran was amazed by the stitching techniques shown by the boss Chen and the others.
Not to mention Wang Yihu and the others who had already stood next to Lin Ran before they knew it, they almost wanted to drool just looking at it.
Outside the operating room.
The family members of the patient are waiting anxiously. It has been more than three hours since the operation began, and there is still no movement in the operating room!
The red light on the operating room did not have any intention of going out.
In the blink of an eye, it was two o'clock in the afternoon, and it had been more than four hours since the operation started.
The door of the operating room was finally opened.
Chen Yong, who was a liver donor, was pushed out.
I saw him lying on the hospital bed with a listless spirit, as if he had aged several years in an instant.
A 23-year-old young and strong boy almost turned into a 30-year-old uncle after the operation.
The patient's mother was very worried when she saw her son become like this!
According to the martial arts novels, this is a serious injury to vitality!
Just as Chen Yong's mother was about to step forward, the nurse who pushed Chen Yong out hurriedly stopped her.
"Patient's family, please calm down first, your son needs to be sent to Wang's intensive care unit, he needs to recuperate!"
And Chen Yong, who was lying on the hospital bed, was awakened by the anesthetist's anesthesia, and he had already woken up at this time.
He was lying on the bed without any strength in his body, and even slightly moving the operation site felt a piercing pain!
But his eyes were open. Seeing his mother's anxious appearance, he recognized the severe pain and said, "Mom... I'm fine, the doctors in the operating room are still going to operate on Dad!"
"Stop talking, child! Mom knows you are a filial child..."
The almost 60-year-old mother cried as she watched the veins on her son's forehead bulge from the pain.
……
operating room.
Big brother Chen and the others have anastomosed the hepatic artery and the first hepatic portal vein, and are working together to build the second and third hepatic portal vein.
As long as the two hepatic portal vein bypass grafts are successfully reconstructed, the patient's hepatic artery blood supply can be released and the patient's anhepatic state can be ended.
Finally, other biliary arteries, bile ducts, lymphatic vessels, nerve tissues, etc. are slowly anastomosed.
In short, this operation is still some time away from the end.
The big brother Chen and the big brother are holding the needle holder in their hands, and they have already brought microscope glasses in class, because they are all using very small 0-gauge wire.
You can't see it without a microscope!
As for Lin Ran and the others who were standing far away, it was difficult to see clearly the specific stitching techniques of the boss Chen and the others.
But even so, they watched with gusto. They couldn't see the specific stitching, but they could see the process and steps of their stitching!
Even just looking at these two pictures is enough to satisfy these little doctors.
Time is passing slowly, the operation is slowly advancing, and soon all the veins are completed.
Throwing down the needle holder in his hand, the boss Chen immediately opened the blocking valve on the blood supply artery of the liver and closed the extracorporeal circulator they put on before the transplant.
It can be seen with the naked eye that the recipient's blood flows into the liver from the hepatic artery, and after a simple cycle in the liver, it flows back to the patient's body along the subhepatic vena cava to complete the blood supply cycle.
Seeing this, the boss Chen Ren couldn't help but heaved a sigh of relief: "The effect is not bad!"
Just after he finished speaking, Qin Peide laughed quickly and said, "Teacher performs the surgery himself, so such a small problem is naturally out of the question!"
After waiting for a few minutes, there was no bleeding or blockage of the transplanted donor liver.
The most taboo thing about liver transplantation is blood vessel blockage. Once the blood vessel blockage occurs after the donor liver transplantation, it is a relatively serious matter. In severe cases, the patient may die on the operating table.
The most critical blood supply path is successfully rebuilt, and the subsequent suture repair work is relatively less urgent.
……
At seven o'clock in the evening, after the final biliary anastomosis was successful, the whole operation came to an end.
At 10 o'clock in the evening, [-] minutes after the anesthetist woke up from the anesthesia, the patient opened his eyes slightly, and his vital signs remained on a stable level.
This also marks a new life for a patient who was about to die.
……
laugh……
Under the anxious waiting of the patient, the door of the operating room opened.
Big Brother Chen came out first.
The patient's wife, daughter and son-in-law all came to welcome him.
"Dean Chen, is the operation of my family completed?"
Seeing the eagerness of the patient's family members, the boss Chen hurriedly said: "The patient's operation has been successful, but there are still risks. As long as the patient's newly transplanted liver does not undergo serious rejection or severe liver failure in the past two days. , the patient can survive this hurdle and move on to a new life.”
The danger after successful liver transplantation still exists. After all, the patient’s liver is not transplanted in, and even relatives will reject it more or less.
Of course, it is not that severe rejection can be suppressed by drugs. Generally speaking, the risk is not so great after the operation is successful.
ps: I recommend a book to everyone, Dog Food Article, [wife, please be more reserved]
The boss of my group wrote it, it should be very good to read, and the boss who has finished chasing the update can go and take a look.
(End of this chapter)
Gao Zhitie had just taken out the diseased liver, and the big brother Chen and the others also trimmed the liver that had been taken out.
"Lin Ran, let me come!"
The spring-like voice of Chen Rumu, the boss, rang in Lin Ran's ears.
Lin Ran put down the scalpel in his hand, he knew that his task of this operation was completed.
Next, it will be up to the boss Chen and the others.
Lin Ran obediently withdrew to the side, only to see the excited light in Wang Yihu's eyes.
What a big job for a liver transplant!
Moreover, every link must be properly coordinated, otherwise it may affect the quality of the liver transplant operation.
Whether it is donor liver resection or diseased liver resection, a high level of surgery is required.
This is the common thought in their hearts.
Moreover, the anastomosis of the blood vessel supplying the transplanted liver and the stable integration with the biliary duct are the most critical points in this operation.
Taking over the operating table of the liver recipient, the boss Chen remained calm and calm, "Precise scissors, non-invasive forceps."
After taking over the scissors, the boss Chen began to trim the various channels of the recipient liver.
And Gao Zhitie, who just worked as Lin Ran's assistant, also became the assistant of the boss Chen.
At the same time, Qin Peide also joined in the operation, instead of being the second assistant to the boss Chen, he also picked up the scissors and began to help trim the various channels of the recipient liver.
The two turned into plumbing repairmen in place.
The repair process lasted a total of more than ten minutes.
Then proceed to the next link, take out the donor liver and transplant it into the recipient.
The process of transplantation and reconstruction is even more complicated. The first thing to do is the anastomosis of the hepatic artery, which is personally in charge of by the boss Chen.
Qin Fuzuo was responsible for the anastomosis of the first hepatic vein.
The anastomosis of grafted blood vessels requires ultra-fine operations, otherwise it will affect the quality of life of patients during surgery.
Lin Ran was amazed by the stitching techniques shown by the boss Chen and the others.
Not to mention Wang Yihu and the others who had already stood next to Lin Ran before they knew it, they almost wanted to drool just looking at it.
Outside the operating room.
The family members of the patient are waiting anxiously. It has been more than three hours since the operation began, and there is still no movement in the operating room!
The red light on the operating room did not have any intention of going out.
In the blink of an eye, it was two o'clock in the afternoon, and it had been more than four hours since the operation started.
The door of the operating room was finally opened.
Chen Yong, who was a liver donor, was pushed out.
I saw him lying on the hospital bed with a listless spirit, as if he had aged several years in an instant.
A 23-year-old young and strong boy almost turned into a 30-year-old uncle after the operation.
The patient's mother was very worried when she saw her son become like this!
According to the martial arts novels, this is a serious injury to vitality!
Just as Chen Yong's mother was about to step forward, the nurse who pushed Chen Yong out hurriedly stopped her.
"Patient's family, please calm down first, your son needs to be sent to Wang's intensive care unit, he needs to recuperate!"
And Chen Yong, who was lying on the hospital bed, was awakened by the anesthetist's anesthesia, and he had already woken up at this time.
He was lying on the bed without any strength in his body, and even slightly moving the operation site felt a piercing pain!
But his eyes were open. Seeing his mother's anxious appearance, he recognized the severe pain and said, "Mom... I'm fine, the doctors in the operating room are still going to operate on Dad!"
"Stop talking, child! Mom knows you are a filial child..."
The almost 60-year-old mother cried as she watched the veins on her son's forehead bulge from the pain.
……
operating room.
Big brother Chen and the others have anastomosed the hepatic artery and the first hepatic portal vein, and are working together to build the second and third hepatic portal vein.
As long as the two hepatic portal vein bypass grafts are successfully reconstructed, the patient's hepatic artery blood supply can be released and the patient's anhepatic state can be ended.
Finally, other biliary arteries, bile ducts, lymphatic vessels, nerve tissues, etc. are slowly anastomosed.
In short, this operation is still some time away from the end.
The big brother Chen and the big brother are holding the needle holder in their hands, and they have already brought microscope glasses in class, because they are all using very small 0-gauge wire.
You can't see it without a microscope!
As for Lin Ran and the others who were standing far away, it was difficult to see clearly the specific stitching techniques of the boss Chen and the others.
But even so, they watched with gusto. They couldn't see the specific stitching, but they could see the process and steps of their stitching!
Even just looking at these two pictures is enough to satisfy these little doctors.
Time is passing slowly, the operation is slowly advancing, and soon all the veins are completed.
Throwing down the needle holder in his hand, the boss Chen immediately opened the blocking valve on the blood supply artery of the liver and closed the extracorporeal circulator they put on before the transplant.
It can be seen with the naked eye that the recipient's blood flows into the liver from the hepatic artery, and after a simple cycle in the liver, it flows back to the patient's body along the subhepatic vena cava to complete the blood supply cycle.
Seeing this, the boss Chen Ren couldn't help but heaved a sigh of relief: "The effect is not bad!"
Just after he finished speaking, Qin Peide laughed quickly and said, "Teacher performs the surgery himself, so such a small problem is naturally out of the question!"
After waiting for a few minutes, there was no bleeding or blockage of the transplanted donor liver.
The most taboo thing about liver transplantation is blood vessel blockage. Once the blood vessel blockage occurs after the donor liver transplantation, it is a relatively serious matter. In severe cases, the patient may die on the operating table.
The most critical blood supply path is successfully rebuilt, and the subsequent suture repair work is relatively less urgent.
……
At seven o'clock in the evening, after the final biliary anastomosis was successful, the whole operation came to an end.
At 10 o'clock in the evening, [-] minutes after the anesthetist woke up from the anesthesia, the patient opened his eyes slightly, and his vital signs remained on a stable level.
This also marks a new life for a patient who was about to die.
……
laugh……
Under the anxious waiting of the patient, the door of the operating room opened.
Big Brother Chen came out first.
The patient's wife, daughter and son-in-law all came to welcome him.
"Dean Chen, is the operation of my family completed?"
Seeing the eagerness of the patient's family members, the boss Chen hurriedly said: "The patient's operation has been successful, but there are still risks. As long as the patient's newly transplanted liver does not undergo serious rejection or severe liver failure in the past two days. , the patient can survive this hurdle and move on to a new life.”
The danger after successful liver transplantation still exists. After all, the patient’s liver is not transplanted in, and even relatives will reject it more or less.
Of course, it is not that severe rejection can be suppressed by drugs. Generally speaking, the risk is not so great after the operation is successful.
ps: I recommend a book to everyone, Dog Food Article, [wife, please be more reserved]
The boss of my group wrote it, it should be very good to read, and the boss who has finished chasing the update can go and take a look.
(End of this chapter)
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