Chapter 710: 【710】Estimated volume
Chapter 710 [710] Estimating Volume
is well-founded, well-organized, and all from a practical point of view. A person who can combine academic and clinical together, clearly?
"I feel like she must be a good writer of papers."
When it comes to how to write papers, female medical students seem to have a certain advantage over male medical students in terms of organizational language. However, in terms of the number of published papers, male doctors have always had an absolute advantage, and it is the male doctors who have the right to speak clinically.
Maybe the same thought flashed in Deputy Director Xue's mind at this moment, thinking that no matter how well this girl answered, it is estimated that like other girls, she can only be reduced to writing papers for the team and the laboratory. He didn't ask her any more. When he turned his head, he asked Song Xuelin: "How much liver do you think we need now? Obviously, we don't need this whole liver right now."
It was Song Caizi's turn to answer the question. The seniors showed a lot of anticipation in their eyes.
Looking at the donor liver, Song Xuelin's dark brown eyes narrowed, as if he was measuring the liver like a fine instrument, his slightly hoarse voice revealed a strong academic atmosphere: "Generally speaking, the right half of the liver is The larger one accounts for 55% of the entire liver. The recipient of our operation weighs only 100 pounds, and the donor liver needed is only 0.8% of his body weight, about 400 grams. Compared with Now, the donor's liver is about 1500 grams, and either the right half of the liver or the left half of the liver is enough for the recipient to use. The problem is that only half is cut, and the other half is definitely wasted."
Therefore, 0.8% of the donor's weight required for liver transplantation refers to the minimum limit. In fact, during the operation, the best condition is that the donor's liver is the same size as the recipient's liver or a little smaller. .
According to the latter standard, considering that the patient’s liver has shrunk due to advanced cirrhosis, if the current weight of 100 catties is used to estimate the liver weight, and the weight value is multiplied by 2%, the normal liver weight should be 1000 grams.
For details, please refer to the location in the recipient's abdominal cavity for liver transplantation, and how much liver can be accommodated.
1500 grams of liver is cut into 1000 pieces, which is equivalent to cutting one third of the liver, which is a test of the surgeon's skills and surgical thinking.
After listening to the result of Song Xuelin's quick calculation, Deputy Director Xue nodded and was quite satisfied. Obviously, this newcomer has a solid theoretical foundation and fast computing power. He said, "Where do you think his 1500-gram liver should be cut? It's fatty liver, what do you think?"
The donor's liver was significantly larger, and Qiu Ruiyun suspected mild to moderate fatty liver at first glance. In this regard, is it possible to cut off this part of the fatty liver and then transplant it to the recipient, which is equivalent to a perfect transplant.
Song Xuelin said: "Fatty liver is a benign disease. It is a fatty liver with single or multiple foci and local fat deposits next to blood vessels. However, most fatty livers are diffuse and evenly distributed fat deposits. So I don't think there is a single piece of fat. Zones allow us to cut away."
"Are you sure it's not?" Deputy Director Xue looked at his face and asked.
"Yes, I don't think so. This weight of 1500 grams is still within the normal weight range of a male liver. Some people's normal liver weight can reach 2000 grams." Song Xuelin said.
After listening to his words, Deputy Director Xue also believed that there was no such perfect opportunity for excision.
(end of this chapter)
