Surgical artist

Chapter 229 Director Zhao's favor will take a lifetime to repay

Zhao Peiru has been considering how to "further expand the scope of application of liver transplantation technology" in recent days.

Consider how to complete [task [-]], so as to better meet the purpose of "Key Unit of Clinical Medicine".

Right now, the case of Jia Yanjun's little grandson fits perfectly!
That being the case...

In his mind, Zhao Peiru directly used a "blank skill card" to learn the "blood-derived parental liver transplantation for congenital intrahepatic biliary atresia" surgery.

Another [-] experience points were used to upgrade to the professional level.

Afterwards, Zhao Peiru's eyes fell on the "Golden Preview Card".

"This operation itself, in fact, is practical and professional level, which is completely enough."

"However, in order to apply for the "key unit of clinical medicine", this operation still needs to be done more perfectly!"

The golden rehearsal card allows Zhao Peiru to "avoid all mistakes" and make a surgery perfect!
At that time, this surgical field video will become a powerful bargaining chip for him to apply for the "key unit of clinical medicine"!

In the small meeting room at this moment...

Professor Jiang, Professor Li, Director Cui, and others all had ugly faces.

They have been unable to discuss any solution for a long time, it seems...

Can only give up.

At this time, a young doctor opened the door and came in, came to Professor Jiang, and said:
"Just now Director Jia's family decided to perform a liver transplant on the patient..."

"Director Jia... also agreed."

"He said that this 'liver transplant' operation can do whatever it can."

"Even if something went wrong on the operating table, he accepted his fate, at least he fought for the child."

After saying this, everyone fell silent.

Knowing that this is a dead end situation, but still unwilling to give up, wanting to save the baby's life.

It is conceivable how helpless and uncomfortable Jia Yanjun felt!
Everyone collected their minds and focused their thoughts on "the technique of living in vivo liver transplantation" again.

Since you want to do it, do your best!

Professor Jiang said: "Let's focus on a few difficulties in liver transplantation."

"Try to find a solution."

"Even if we can't really overcome the difficulties, let's see if we can make a little improvement and be more patient-friendly."

"Try to help Director Jia share a little pressure."

Everyone nodded.

All the people present were old acquaintances of Jia Yanjun, and the two experts from the Provincial Hospital for Women and Children and the Biliary Tract Specialist Hospital were also Jia Yanjun's old friends for many years.

Director Cui from the Biliary Tract Specialist Hospital said: "There are three main difficulties. One is how to avoid the large liver syndrome, and the other is how to avoid hemodynamic problems due to the different thickness of the ducts between children and adults. The third is how to avoid the rotation of the donor liver. The problem of vascular torsion."

When these questions are said, everyone can't help but feel a little nervous.

Each one is a big problem.

The industry has been conquering it for so long but has not been able to conquer it.

This hastily seems like a solution, easier said than done?Even finding ways to be more patient-friendly is equally difficult.

Everyone racked their brains and tried all kinds of ways.

A few of them wanted to speak up several times, but they felt that the method was not appropriate, so they shook their heads, dismissed it, and finally closed their mouths.

For a while, the meeting room was quiet.

Jia Yanjun also returned to the conference room at this moment.

After seeing the mournful and desperate expressions of his family members just now, he felt even worse.

Look at the frowning faces of the experts...

Jia Yanjun's thoughts were full of thoughts, but in the end he just sighed.

At this time, Zhao Peiru finished reading the medical records.

Using the experience in my mind, I found out the most suitable surgical plan for the child.

Zhao Peiru said, "I think that a living liver transplant is very suitable."

"The three problems that everyone is worried about are actually not difficult to solve."

When everyone heard this, they all raised their heads.

Not difficult to solve?

While everyone was speechless, expectations rose in their hearts.

Does Director Zhao have a solution?

Zhao Peiru smiled lightly and said, "The first is to avoid the problem of large liver syndrome..."

"We can start from two aspects. One is to select the left lateral lobe of the donor."

He raised the file in his hand: "Look, everyone, this is the result of the CT scan of the patient. This is the result of the CT scan I just asked the patient's father to do."

Before Zhao Peiru came in, he had already made sufficient preparations.

"The volume ratio of the left lateral lobe of the adult's liver to the standard liver volume of the child is 145%, which is relatively the most suitable. This part of the liver tissue has relatively small ducts and is suitable as the new liver for the child."

"The second aspect is the technique of interrupted vascular reconstruction and anastomosis."

"If there is a direct anastomosis, it will inevitably cause a series of problems of large liver syndrome due to the different thickness of the pipeline. However, if an intermittent anastomosis is used to anastomose the donor bile duct and the recipient's original jejunum loop end-to-side, it avoids the "coarse to large liver syndrome." It can avoid the problems of outflow tract obstruction and portal vein embolism.”

After Zhao Peiru finishes these few words...

The eyes of everyone in the room lit up!
Their level is also the top in the province, and they can understand the essence of this plan at once!

Using "the left lobe with smaller pipeline and more consistent volume" and "intermittent anastomosis technique" can indeed effectively alleviate the large liver syndrome and reduce this adverse effect as much as possible!
While listening, Jia Yanjun kept writing and drawing on paper.

At this time, he also raised his head suddenly, and there was a gleam of hope in his eyes!

After listening to Zhao Peiru's thoughts, a few words came to mind.

There is hope for the child!

Zhao Peiru saw that everyone was able to follow his train of thought.

Then he continued: "As long as the volume-to-mass ratio of the donor and recipient is calculated, the most suitable part is carefully selected, and this anastomosis technique is added, the problem of 'hemodynamics' can be solved by the way. "

Everyone couldn't help nodding.

As long as the thickness of the pipeline is consistent, there will naturally be no problem with hemodynamics.

"As for the third problem that everyone is worried about, the donor liver is easy to flip and the blood vessels torsion..."

"In the final analysis, this is caused by the size and shape of the donor liver. In view of this, it is necessary to fix the donor liver. The specific method is to preserve the falciform ligament when the donor liver is removed and transplant it into the recipient. When the donor is closed, the falciform ligament of the donor is sutured and fixed, and when the abdomen is closed, two water-filled bladders are used for support and fixation..."

Zhao Peiru eloquently explained the general framework and ideas of his thinking to everyone.

From the very beginning, everyone's eyes were ashen, sad, shaking their heads...

At the end, after listening to Zhao Peiru's thoughts, each one of them was already full of vigor and vigor.

Start discussing and analyzing Zhao Peiru's plan with great interest!Try to make up for loopholes, deduce security issues, and expand better possibilities!
Especially Director Jia Yanjun, he himself is a famous doctor in the Affiliated Hospital of the University of Medical Sciences second only to Professor Jiang, and he has made quite a lot of achievements in the field of liver and gallbladder...

At this moment, his mind was spinning fast, the more he analyzed, the more he felt that this idea was feasible!

Professor Jiang also nodded slightly.

He first analyzed it professionally.This set of coping ideas can indeed effectively solve and alleviate the "three major problems"!
After thinking it over clearly, Professor Jiang looked at Zhao Peiru in disbelief: "This Director Zhao, you really have an open mind..."

"The entire field of hepatobiliary medicine has been developing for so many years, but these three major problems cannot be solved."

"He used the 'measurement volume selection method', plus the 'intermittent anastomosis method', plus the 'donor fixation method'..."

"A set of combined punches directly solves these three major problems!"

"And more importantly..."

"How long has it been since Ai Ai came into the house?"

This time, Professor Jiang watched with his own eyes how quickly Zhao Peiru went from getting the case to coming up with a solution!
"This person's brain is really born for medicine!"

Even Professor Jiang himself is envious.He thought that his brain was relatively flexible, but compared with Zhao Peiru, the gap was huge.

"Director Zhao's achievements in the future will definitely be higher. A provincial leader is not his upper limit of achievement at all!"

In Professor Jiang's heart, his evaluation of Zhao Peiru has reached a new level.

Beside them, the two experts from the Women's and Children's Hospital and the Biliary Tract Specialized Hospital were also shocked.

"This plan...is feasible! It's too feasible!"

"Using 'liver transplantation' to solve several major problems of 'congenital biliary atresia' has been overcome! The rest of the specific intraoperative plan can be worked out logically."

Zhao Peiru has already solved the biggest "blocking stone", and the rest will be easy to handle.

Jia Yanjun's eyes were full of joy, excitement, and excitement!
"Director Zhao, you are my savior!"

He wished he could hug Zhao Peiru right now!
So excited!

Professor Jiang also smiled, nodded and said: "I also agree with Director Zhao's plan. This operation can definitely be tried."

In the end, Jia Yanjun personally made the decision!
"Director Zhao, let's do this plan!"

He held Zhao Peiru's hand with both hands, and begged, "Please trouble me again, and be the chief surgeon of this operation, okay?"

Zhao Peiru not only has the deepest understanding of the plan.More importantly, Jia Yanjun values ​​​​Zhao Peiru's "magic" and "solid" basic skills!
As long as Zhao Peiru is on the operating table, he can rest assured!
Zhao Peiru smiled and patted Jia Yanjun on the shoulder: "You don't need to say, I will go too."

Jia Yanjun nodded deeply.

Remember Zhao Peiru's friendship.

He has to spend his whole life to repay this favor.

……

After coming out of the conference room.

Several family members found that the sadness on Jia Yanjun's face was gone, replaced by hope and a little bit of joy.

"dad?"

The son first discovered Jia Yanjun's abnormality, and he felt a little expectation in his heart.

The old wife and daughter-in-law were in despair at first, but when they saw Jia Yanjun, who was striding forward and his sad face disappeared, his heart was also moved.

Is there a turning point?
Jia Yanjun happily said to several people: "There is a treatment plan!"

"Personal liver transplantation! It can be done!" He looked at his son: "Go and follow Director Zhao for further examination."

The son nodded immediately!He followed Zhao Peiru as soon as he strode forward.

Jia Yanjun came over, touched his little grandson's cheek affectionately, and explained to the old wife and daughter-in-law in a low voice: "It was the plan proposed by Director Zhao Peiru, our expert group discussed it, and agreed that this plan is very feasible! "

"Being friendly to Gang Gang and Xiao Duoduo."

Just now and Xiao Duoduo are the names of his son and grandson respectively.

"If the operation is done well, it will take less than two months to recover just now, and Xiao Duoduo will be able to take him home in one to two months."

When the family heard the news, they burst into tears of joy!The tears that had been simmering in my heart could no longer be held back, and kept falling down.

……

The preoperative measurement work will be completed soon.

The mass ratio of donor and recipient is six to one, and the amount of liver harvested is also calculated.

Ready to work and ready to go.

The surgery time was scheduled for [-] o'clock in the morning the next day.

The next day, Zhao Peiru arrived at the Affiliated Hospital of the University of Medical Sciences on time.

Not only him, but also a large number of people behind him.

Xiao Meng, Xiao Mu, and 15 advanced students studying with him.

After learning that Zhao Peiru was going to perform a "liver transplantation operation for the treatment of congenital biliary atresia", this group of advanced students were all shocked and clamored to follow.

They can all be sensitively aware that this is another expanded application of the "liver transplantation technology", which is of the same essence as the previous "semi-ex vivo" solution!
The sensational effect caused by the last "semi-isolated body" is huge!Even now, it is still fermenting.Hospitals across the province are still learning from Zhao Peiru's spirit.

After this operation is completed, what kind of impact will it have?
The more expectations there are, the more unwilling the students are to miss this opportunity.

Xiang Tan, Dean Pan Mingde and others from the Fourth Hospital were also excited and complicated.

"Director Zhao said that he had 'a few ideas'...it turned out to be true!"

Not only was the idea true, but no one expected that it would be implemented so soon, and it would even enter the stage of case surgery!

At the gate of the fourth courtyard, Pan Mingde looked at the departing vehicles.

"Director Xiang, if this "congenital biliary atresia" operation is successful, can we...really get the title of 'Key Unit of Clinical Medicine'? "

When he mentioned the title name, his tone was different.

I was quite restless inside.

Xiang Tan nodded and said: "No one has ever been able to cure 'congenital biliary atresia' before. The entire medical community has always classified this disease as a terminal illness."

"And if Director Zhao's surgery is successful, it will be the first in the country!"

"This kind of huge influence... the leaders above will definitely consider the title of the unit."

When Pan Mingde and other hospital leaders heard this, their breathing became heavy.

The first case in the country!

Turn a terminal illness into a treatable disease!

The significance...is too great!
Pan Mingde took a deep breath, and exchanged glances with Song Xiaowen, the dean next to him.

"Let's all go back and get ready. Director Zhao is fighting on the front line and is giving us grades! We'll be in the back, do a good job of cooperating, strive, and finally pass the provincial application inspection!"

While the 15 students followed Zhao Peiru to the Affiliated Hospital of the University of Medical Sciences.

This news was also transmitted from the mouths of these 15 students to their respective hospitals, and then to various hospitals in the province.

"Liver transplantation technology to treat congenital biliary atresia? Good guy! This is another application expansion of liver transplantation!"

"And the point is that this is a terminal illness! If it is cured, it will remove a terminal illness from the 'terminal illness list'! This is a great contribution!"

(End of this chapter)