Chapter 666 Is this the legendary Dr. Xu?

The most critical point is that there is no need for intravenous bypass during the operation!

This greatly shortens the anhepatic period and minimizes intraoperative bleeding, simplifying the liver transplantation process at the expense of the complexity of suturing...

This is exactly what Mo Wan and others were worried about before - even if the traditional liver transplantation procedure is accelerated to the fastest speed, it will inevitably cause a lot of damage, and the anhepatic period can't be shortened, which is very harmful to the patient.

However, piggyback living liver transplantation solves this pain point.

Based on the preservation of the blood vessels of each section of the liver, without the use of bypass technology, coupled with Xu Qiu's more than five months of devil training, Fang Wenwen's anhepatic period is almost shortened to the point where the body can't react in time...

"What about the trumpet-shaped hepatic artery?" Academician Zheng couldn't figure it out.

He was amazed at Xu Qiu's technique. The suturing alone made the difficulty of the piggyback procedure extremely high. I'm afraid that few experts present dared to say that they could do it.

The others also looked at Xu Qiu at the same time... There were too many innovations in this operation, and they couldn't understand it for a while.

While Xu Qiu continued to speed up his movements, he explained: "The piggyback style retains the hepatic artery of the donor liver. The donor liver and the recipient hepatic artery must be anastomosed later, but the hepatic artery is too small and it is easy to form thrombosis or embolism. Modifying it into a trumpet shape can minimize complications."

A strange color flashed in Director Zheng's eyes, and he exhaled quietly... Is this the legendary Dr. Xu?

...

Swish——

As the donor liver was completely freed, the assistant immediately took it over and used four-degree Celsius liver perfusion fluid to irrigate the portal vein through the catheter.

"The flow rate is controlled at 100 milliliters per minute."

"After the liver is bloodless and cooled, it will be replaced with plasma protein perfusion fluid to maintain perfusion..."

Under Xu Qiu's command, Mo Wan and others were fast but not chaotic, and orderly.

"Notify the other side that the diseased liver can be prepared for removal." Xu Qiu said.

Organ transplant surgery requires every second to count.

The removal of the donor liver in Operating Room 1 is almost over, and Operating Room 2 can start.

Although the clinical team is currently unable to perform living liver transplantation, it is not a problem to simply open the abdomen and make all preparations for Xu Qiu to remove the diseased liver.

"Yes!" The circulating nurse immediately ran out to arrange.

At this time, the lavage of the donor liver was finally completed.

Xu Qiu took over again, quickly placed the liver in frozen saline, dissected the liver, and then exposed and ligated the phrenic artery.

This step is to prevent bleeding after liver vascular reconstruction.

The next step is to repair the donor liver.

Xu Qiu did it very carefully. He carefully examined the surface of the liver, removed the ligament tissue, diaphragm tissue and connective tissue attached to the liver, and then checked the patency of the hepatic artery, portal vein and vena cava...

Professor Chang and others were stunned.

After a series of difficult operations, these blood vessels did not leak at all. How precise control is this?

Only Academician Chen looked calm... It's like this. When I first observed Xu Qiu's surgery a few years ago, the expression on my face was as exaggerated as yours!

...

"Doctor Xu, it's ready over there." The circulating nurse came to report.

Xu Qiu nodded, finished the modification of the donor liver, and then led people to wash their hands again and entered the No. 2 operating room.

Beep, beep--

Amid the sound of the instrument running, Fang Wenwen looked pale and looked like someone who could not bear a liver transplant.

Academician Zheng was shocked... In this state, even in the heyday of their surgical team, they dared not accept Fang Wenwen's liver transplant!

"Get ready."

But Xu Qiu did not say anything, as if this was just an ordinary operation.

The removal of the diseased liver is very difficult in itself.

The piggyback living liver transplantation has taken it a few steps higher on the original basis.

Under the gaze of everyone, the scalpel fell, and the blood line emerged along the first liver portal that was dissected, and the common bile duct, hepatic artery and portal vein were also freed and exposed.

"The common bile duct is severed at the level of the cystic duct."

"The hepatic artery is severed at the bifurcation of the left and right hepatic arteries."

"And the portal vein trunk is severed at the bifurcation of the left and right portal veins..."

Xu Qiu operated calmly, flipping the liver upwards, and the third portal was exposed.

Then, the short hepatic veins here were dissected, cut and ligated.

Only after moving upwards to the root of the second portal hepatic vein did Xu Qiu slow down.

Unlike traditional surgical procedures, since the piggyback type requires anastomosis of the blood vessels retained on the liver, Fang Wenwen's abdominal cavity also needs to retain a sufficient length of hepatic veins.

After dealing with the ligaments and blood vessels around the diseased liver, Xu Qiu neatly removed the diseased liver, but retained a part of the liver tissue at the second portal.

This allows the longest hepatic vein to be retained as much as possible.

Only after the diseased liver was completely removed did Xu Qiu pick up the scalpel again and carefully remove the residual liver tissue around the root of the hepatic vein.

Then, he turned his wrist and expanded the openings of the three hepatic veins, left, middle and right, into a large opening, and anastomosed the liver of Qiu Qinghu that was transported over. After aligning the superior and inferior vena cava, he began to perform end-to-side anastomosis...

In the operating room, everyone was so shocked that they were almost speechless.

It took Xu Qiu only three hours to remove the donor liver.

The diseased liver was removed within an hour. As soon as the liver was removed, Xu Qiu quickly started to implant the donor liver. In total, Fang Wenwen's liver-free period was less than ten minutes at most!

This is a speed that clinical people dare not even think of... Without venous bypass, the liver-free period is almost insensitive. The piggyback living liver transplantation has overturned Academician Zheng's understanding of liver transplantation with its extremely superior advantages.

"It's the most critical step!" Professor Chang's voice became nervous.

The anastomosis of the superior and inferior vena cava of the liver is the most difficult step of all anastomosis, and the anastomosis of the posterior wall is even more difficult.

The suture here must also be firm and without a trace of leakage.

Otherwise, once the posterior wall bleeds after opening, it will be extremely difficult to deal with, which is equivalent to declaring the liver transplantation a failure.

"Wait... It's done?!" Professor Chang was just ready when his eyes suddenly widened and he was stunned.

In the blink of an eye, he only saw Xu Qiu's hands tumbling in the air several times, and the posterior wall was already connected while the thin wire was flying!

"This, this..." Academician Zheng was also stunned.

"How is it possible! There must be leakage!"

"To the naked eye, the sutures have no tension and are tight, but it is impossible to maintain accuracy at such a high speed. As long as it is open, there will definitely be bleeding!"

Everyone was shocked... Although Xu Qiu's surgical skills have been recognized by everyone, this most difficult posterior wall anastomosis still makes them feel unbelievable.