Chapter 665 Piggyback! Good news for all patients with severe liver disease!

It is not an exaggeration to say that this operation is a gamble of life.

"Academician Zheng, what do you think?" Professor Chang looked at Academician Zheng.

The latter is the authority in the field of liver transplantation. The history of liver transplantation in China is almost the personal history of Academician Zheng, and his status is very high.

Everyone in the reception room looked at Academician Zheng at the same time.

The latter's face became serious, shook his head solemnly, and said: "It is very difficult."

The expressions of the experts present also became more serious.

Even Academician Zheng said so...

Is Dr. Xu going to break the record of the hepatobiliary field again and create another miracle?

"That means Director Xu is the surgeon, otherwise Academician Zheng's words alone would have directly announced the death penalty!"

"Yes, except for Dr. Xu who has repeatedly created miracles, who else would dare to perform surgery under the premise that all experts in the industry have negative opinions? Isn't that playing with the patient's life?"

"But I still feel it's suspenseful! This is an organ transplant!"

"It's unrealistic. Although Dr. Xu is talented, Academician Zheng's team dare not say that they can take this operation. Linyi has not even done a living liver transplant before. Can it really withstand this test?"

"..."

"Old Chen, you have a close relationship with Xu Qiu. What do you think?" Academician Zheng suddenly spoke, and everyone looked over.

Academician Chen smiled and said, "You said that I have a good relationship with him, so I must be optimistic about him... I know Xu Qiu. Since he proposed to be the surgeon, this operation is more than half successful!"

"Oh?" Academician Zheng was a little surprised.

Academician Chen is not someone who can say polite words. Since he gave Xu Qiu such a high evaluation, it is definitely not because of the good relationship, but because Xu Qiu's ability is indeed incredible!

"Then I'll wait and see." Academician Zheng was shocked and even more curious about how this operation would end...

...

The next day, at nine o'clock in the morning, the daughter of Qiu Qinghu and his wife also came to the preoperative interview room, where the family witnessed the signing of documents one by one.

When Qiu Qinghu signed and stamped his handprints on the consent forms for organ donation and liver donation, Fang Wenwen and her daughter burst into tears.

Qiu Qinghu wiped his red eyes and smiled, "Why are you crying? It's just donating a liver. I can live for a long time after the operation."

Without giving his relatives a chance to answer, he looked at Xu Qiu again and pleaded with a little: "Doctor Xu, my wife's life is in your hands... We know how dangerous this operation is. Even if it fails, we won't blame you.

"We should have died long ago. It was you, the doctor who gave us the opportunity to live until now and gave us the opportunity to survive liver transplantation. We will always remember this kindness! "...

An hour later, Qiu Qinghu was pushed into the operating room.

General anesthesia, ECG, SPO2 and other anesthesia monitoring... After completing all the preparations, the removal of the donor liver was ready to begin!

The operating room was crowded with experts from all over the country. Academician Chen, Academician Zheng, Professor Chang and others stood in the distance with extremely solemn expressions.

Swish——

Under the shadowless lamp, the sharp scalpel cut the skin. When the chest and abdominal cavity were opened, the first assistant Mo Wan quickly assisted in the perfusion of the abdominal aorta segment above the iliac artery and the superior mesenteric vein.

"Lactated Ringer's solution at four degrees Celsius!"

"Infuse two thousand milliliters through the abdominal aorta!"

"Infuse one thousand milliliters through the superior mesenteric artery!"

"Infuse pressure 100mmHg! "

On the operating table, everyone cooperated closely, and the doctors, nurses and others were extremely focused. Many people were extremely nervous.

With so many hepatobiliary experts watching, there must be no mistakes!

Otherwise, it would not only be a problem of surgical failure, but the face of the doctor would be lost!

Xu Qiu's expression was still calm. He focused on the overall situation, arranging the work in various places, and controlling the progress of the whole operation.

"When perfusing, sterile ice chips must be spread around the liver..."

"Second assistant, use UW solution to repeatedly flush the bile duct! "

These two steps were repeatedly emphasized by Xu Qiu in the surgical plan. After he went on stage, the first assistant Mo Wan and the second assistant hepatobiliary director cooperated very well.

The sterile ice chips are for cooling.

The repeated flushing with UW fluid is to completely remove the bile in the bile duct - this is the biggest culprit of postoperative biliary complications, such as bile duct stenosis and gallstone formation.

"It's at this time..." When the perfusion fluid entered two-thirds, Xu Qiu's eyes became sharp.

At the same time, he began to free the liver.

The action was so fast that both Professor Chang and Academician Zheng were stunned and almost didn't react.

"Wait... the suprahepatic ligaments are all cut off?"

"The freeing is completed as soon as the superior and inferior vena cava are exposed, without even a glance?"

Professor Chang was shocked: "This is not directly cutting the superior and inferior vena cava, he kept it! Why? "

Academician Zheng said in a low voice: "Not only did he preserve the vena cava, he also made this section of the hepatic artery into a trumpet shape..."

At the beginning of the liver removal operation, everyone could still understand it. Everyone present was an expert, and they were all very experienced. Naturally, they could see that Xu Qiu had real skills.

But when it came to this, they began to be full of doubts.

What is this?

What is that!

Can the operation be done like this?

Faced with countless questions, Xu Qiu still performed the removal without looking away.

This is the piggyback living liver transplantation!

For this operation, Xu Qiu has been practicing in the simulated operating room since he found out that Qiu Qinghu intended to donate his liver to his wife.

It has taken more than five months to this day.

For nearly half a year, Xu Qiu has practiced countless times in the simulated operating room, constantly adjusting and improving, and finally selected this surgical method.

For this reason, at least more than 60 simulated patients died in Xu Qiu's simulated operating room!

For liver transplant experts, if two transplant patients die in a year, their mentality will collapse. Xu Qiu challenged the limit in just five months, using the lives of more than 60 simulated patients with advanced hepatocellular carcinoma in exchange for piggyback living liver transplantation...

This is almost a blessing for all critically ill liver transplant patients.

Compared with traditional in situ liver transplantation, piggyback has too many differences, the most critical of which is the discovery of Professor Chang, Academician Zheng and others that "the superior and inferior vena cava of the donor liver should be retained, and the inferior vena cava under the liver should be ligated".

In addition, after removing the diseased liver, the traditional surgical procedure also requires the simultaneous removal of the retrohepatic inferior vena cava of the diseased liver, but the piggyback style still needs to be retained.

In the later stage of the operation, these arteries and veins need to be anastomosed one by one and reconnected...

Since the traditional surgical procedure is a one-size-fits-all approach, there is almost no trouble in this regard, so the operation is relatively easier.

However, Xu Qiu chose the most suitable surgical method for him.

His suturing foundation is extremely solid, and he is even more proficient in the use of various suturing methods. Therefore, too many blood vessels that need to be anastomosed are not a disadvantage for Xu Qiu. He can complete the suturing of blood vessels with ease, which is a chic that other doctors cannot do.

Of course, the piggyback style is by no means a simple pursuit of cumbersome operation. After the extremely difficult operation, it brings jaw-dropping advantages!