Chapter 667 Unscientific Surgery

"Loosen the hemostatic forceps." Xu Qiu looked at the deputy director of the hepatobiliary department of the clinical hospital.

Mo Wan and the director of the hepatobiliary department both stayed in the operating room No. 1 - this was a living donor liver transplant. Qiu Qinghu only removed 60% of the liver tissue, and he still had 40% left.

Generally speaking, only one percent of the donor's own body weight of the liver needs to be retained to compensate for liver function. Therefore, Qiu Qinghu's safety is still guaranteed. Unlike cadaveric liver transplantation, his operation still needs to be completed, and his life span after the operation is not long. will be significantly affected.

Let Mo Wan and the director of liver and gallbladder rescue Qiu Qinghu. For Fang Wenwen, it is enough for Xu Qiu to bring a deputy director.

"Release!" The deputy director immediately executed the order.

Everyone's attention was suddenly focused, and they couldn't help but feel nervous.

Gurgling——

Without the blockage of the hemostat, the blood flow immediately found its vent, and gradually grew from a trickle to a trickle. The blood flow and velocity also continued to increase, and finally flowed through the suprahepatic and inferior vena cava that had been anastomosed.

The operating room was unusually quiet, with everyone staring closely at the back wall of the anastomosis.

Dong Dong——

As the blood flow washed over and over again, the sutured blood vessels also filled and expanded, but there was no leakage at all!

"Is it...successful?"

"Oh my god, there is really no leakage!"

"Perfect anastomosis, how is this done? It is simply a textbook-level liver transplant suturing technique!"

Professor Chang and Academician Zheng froze in place... Everything in front of them was too magical and unbelievable, but it was really happening in front of them.

Even Academician Chen, who had been mentally prepared for a long time, sighed at this moment: "Even the surgical robot, in terms of suturing alone, is probably not as good as Xu Qiu..."

"Abnormal." Academician Zheng's hands hidden behind his back trembled slightly... He understood the principle that the waves behind the Yangtze River push the waves ahead. However, Xu Qiu was about to catch up with a tsunami. Will he give old men like them a way to survive?

"He...doesn't he have a doctoral supervisor yet?" Professor Chang said suddenly.

Some time ago, the CNKI incident caused quite a stir. After learning about the causes and consequences, he realized that Xu Qiu had just graduated with a master's degree. He regretted not catching up with the master's defense meeting at that time.

Otherwise, he might be able to be Xu Qiu’s doctoral supervisor, which would be a pity!

Academician Chen glanced at Professor Chang and said, "Have you been busy with surgeries recently?"

Professor Chang said doubtfully: "Yes, how do you know?"

Academician Chen lamented: "Because your speech is so naive, people who don't know think you are isolated from the world."

"???" Professor Chang didn't understand.

Academician Zheng said quietly: "Do you think you can become a doctoral supervisor if you go to Xu Qiu?"

Professor Chang said unhappily: "Although I am not an academician yet, my status can be regarded as the first person below academicians. Even many ordinary academicians have less resources and academic status than me. How can other doctoral supervisors compete with me? Besides, what? Call me a PhD supervisor!”

Academician Zheng almost laughed out loud, suppressing his laughter and said: "Xu Qiu's master's defense meeting, there were twenty-one academicians present. What did you just say, the first person among academicians?"

Professor Chang froze on the spot. After a while, he silently took a step back and said, "Excuse me."

This is outrageous!

Isn’t he just a doctoral supervisor? How come he’s even competing for academicianship!

Academician Chen added: "Moreover, Xu Qiu already has a teacher."

Professor Chang immediately raised his head and said warily: "Who?"

What happened to the academician?

Although the academician is not strong enough, he still dares to steal students from the opponent!

Academician Chen seemed to have seen through Professor Chang's thoughts and teased: "Academician Boring is just a veteran academician."

Professor Chang took a deep breath and suddenly felt a little cold in the operating room, and shivered unconsciously.

Boring academician...

Even if he himself had to call the other person "teacher", how could he dare to snatch someone from Academician Boring!

"Let's watch the surgery..." Professor Chang looked towards the surgery area with an expressionless expression.

Academician Chen and Academician Zheng looked at each other, and the corners of their mouths twitched. However, both of them had very high professionalism and did not laugh out loud on the spot.

…

After giving everyone a little suture shock, Xu Qiu started the next step without stopping.

"Methylprednisolone 1000mg."

"Azathioprine 50mg."

"..."

The medicinal solution is slowly injected into the body.

On the sixth hour of the operation, Xu Qiu concentrated again after a brief adjustment.

The next step is to open the suprahepatic and inferior vena cava!

This step is no different from traditional liver transplantation.

First, two hundred milliliters of blood were bled from the infrahepatic vena cava.

This is to eliminate a large amount of acidic metabolites in the body and avoid high potassium and portal collateral circulation damage. This is also a bloody lesson learned from countless failed liver transplant cases...

After taking all the preparations, Xu Qiu looked at Yishu, who immediately opened the suprahepatic and inferior vena cava.

boom--

As if there was a soft sound, the blood flow surged through the re-opened superior and inferior vena cava. After repeated circulation, the blood flow of the liver's portal system has been fully connected!

…

"Good blood vessel filling!"

"No leakage was found at the hepatic artery anastomosis!"

"No leakage was found in the suprahepatic and inferior vena cava!"

"..."

"The portal system is fully restored and the blood supply to the liver is good!"

After a round of examinations, everyone in the operating room was greeted with a steady stream of surprises.

Academician Zheng stared at all this in amazement... He couldn't understand when liver transplantation became so simple, why there was not even a bleeding point, and why the donor liver could recover so quickly?

This is unscientific!

...

After eight hours, the first living liver transplant in the history of clinical medicine was successfully completed.

Qiu Qinghu's vital signs were stable, and Fang Wenwen was much better than in the plan.

On the way out of the operating room, Xu Qiu was still reminding various details.

"Please ask a senior cardiologist to join the nursing team, especially pay attention to the use of drugs that dilate veins and reduce preload..." Xu Qiu said.

After the liver transplant is completed, the blood flow will be reopened, which will inevitably increase the blood entering the inferior vena cava through the hepatic vein, which will bring huge preload pressure to the heart.

If the right heart function is normal, it can generally compensate for this change, and only show pulmonary hypertension and pulmonary congestion.

However, it has come to the last step of liver transplantation. The patient's heart almost has big and small problems. At this time, the increase in preload will lead to severe heart failure, and Xu Qiu must prevent it in advance.

"Second, monitor liver function indicators such as serum transaminase."

This is the most intuitive test to reflect the activity and function of the transplanted liver, and it can also sensitively indicate the prognosis.

"Then focus on intraperitoneal bleeding."

In general liver transplantation, the most common postoperative complication is intraperitoneal bleeding, and the main reason is that the hemostasis in each link of the operation is not strict and there are loopholes in the suture.

Although Xu Qiu is confident that it is foolproof, most of the prothrombin in the human body is synthesized by the liver, and the newly transplanted liver cannot synthesize coagulation factors in the early stage, in other words, it has almost no coagulation ability.

Once bleeding occurs, it is extremely difficult to stop, and prevention must be done before it happens.

"And the most important point." Xu Qiu's voice rose slightly.