Anesthesia is effective.

Open chest.

I saw the whole liver unfold in front of everyone's eyes.

In fact, this kind of resection of the liver is different from the traditional resection of the liver.

Traditionally, the removal of liver lesions can be done in a one-size-fits-all manner.

Anyway, just roughly remove the lesion.

But now it's different.

This is because a small part of the lesion may be transplanted to another patient. So you have to be a little bit careful about it.

Another is that when removing a part, it is also necessary to take into account the size and anastomosis of the partially exchanged livers of the two patients.

It's absolute precision surgery!

At this time, every blood vessel and biliary end severed by Ruan Bin must be considered whether it can be reconstructed after the exchange!

In order to ensure "supply", he could not remove as many livers as he did with exogenous livers, so he had to accurately measure the size, weight, length of blood vessels, and distance between the hilas before surgery to determine which side of the liver was removed, how much, and where to remove and anastomosis.

It's up to you to experience and how to excision!

These are all things that need to be predicted, judged in the heart, and cut accurately.

At this time, Wu Junhua, as Ruan Bin's assistant, was sweating on his forehead.

Nervous!

If you're not careful, you'll never recover.

If there is too much excision, what should I use to make up for it?

I don't have to make it up!

The key is that he saw that Ruan Bin was removed quickly, and the speed of the operation was too fast.

On the contrary, on the other side, Chen Chengquan resected another patient's surgery, this is the old god, pay attention to one word - stable as an old dog!

"Should the speed be slower? I don't think Academician Chen's speed is that fast. Wu Junhua couldn't help but remind.

"You have to understand that Academician Chen is already an old man, and it is normal to slow down. Ruan Bin smiled.

“......”

Wu Junhua was speechless, can't you hear what I said or what?

The old man is telling you not to be so fast, the faster the speed, the easier it is to have accidents!

However, Ruan Bin used superb knife skills to shut up Wu Junhua!

At this time, Ruan Bin seems to be multitasking, and his brain is like an intelligent supercomputer, while predicting and considering the balance of liver function on both sides, if a certain metabolic disease is severe, then in order to avoid the adverse effects of the transplanted party, the proportion of transplanted livers must be controlled......

The scalpel in one hand is flying!

It took an hour to finally remove the lesion, and at the same time remove the part of the liver that could be transplanted, and then it can be transplanted to another patient at any time.

It didn't take long for Academician Chen's side to be almost finished.

Next up is the transplant!

The biggest difficulty in transplanting this part of the interchangeable liver source to another patient is the anastomosis of the blood vessels and bile ducts.

As long as the fit is seamless, then the operation of these two is almost stable!

Finally, 5 hours later.

Both surgeries were successfully completed before and after!

"Whew...... The next step is to see if the liver function of the two children can circulate normally in the next 24 hours, whether the previous metabolic disorders can be corrected, and whether the blood flow, volume and function of the transplanted liver are normal, and there are no surgical complications!" Chen Chengquan showed a smile on his face.

To be honest, he never thought these two surgeries would go so smoothly!

It is really exactly the same as Ruan Bin's simulation, there is not much difference, and the thorny problems are solved by Ruan Bin's previous analysis and simulation.

The operation he had just performed was almost according to Ruan Bin's ideas and methods!

No problem!

"The operation was a success! It's incredible. Huo Canhui, as Chen Chengquan's assistant, was still a little like a dream at this time.

"We still need to look at the situation for 24 hours. Liao Jie said, but he was jealous in his heart!

Outside the operating room.

The family heard that the operation was successful.

It's all fun.

However, they were also told by the doctor that postoperative observation was still needed to determine whether the surgery was successful.

24 hours, quietly passed.

Patient Ale's methionine dropped by 40% on the second day after surgery! It proved that the operation was successful and worked! In addition, Xiaoqiang's condition was also very good.

In the next two weeks, Ah Le dropped by 90% and has now returned to normal. However, due to Ah Le's older age and more serious injury, he needed a longer recovery process, but the language barrier that had occurred for a while was gradually relieved, and his muscle tone also decreased significantly compared with before the operation. The latest test results showed that the amino acid metabolism and blood ammonia of the two children remained normal under the condition of a completely unrestricted protein diet. Of course, that's all for later!

At the same time, Chen Chengquan also put this surgery video on the surgery forum, and the media also came to interview!

As soon as this operation video came out, many surgeons on the surgery forum were stunned!

"Oh my God! This is an innovative pediatric liver transplant!"

"The patient swapped part of the liver! It was done, and some people put forward theories and directions two years ago, but the difficulty was too high. ”

"The first of its kind in the world!"

"I'm a novice, orthopedic, both of them suffer from hereditary metabolic diseases, and they have liver problems, can exchanging each other's "defective livers" really play a therapeutic role instead of aggravating each other's conditions?"

"Hehe, there is a message from Academician Chen below. Both metabolic disorders can cause neurological damage, but they are in different pathways and do not intersect. Generally speaking, a patient's liver can not metabolize substance A, and the liver of another patient cannot metabolize substance B, after the exchange, half of the liver of one assumes the function of metabolizing substance A for Xiaoyong, and the liver of one helps Xiaohang's liver metabolize substance B, which can realize the complementary improvement of liver function. The biggest advantage of "half liver" is that it retains part of the patient's own liver!"

This is also the reason why gene therapy is favored by the industry in curing metabolic diseases!

Soon, after seeing this report and the operation video, Modu Renji Hospital was stunned!

No, I guess I'm jealous.

Because in the field of pediatric liver transplantation, Modu Renji Hospital dares to call it the first, and no one dares to call it the second!

Now, doctors from other hospitals have innovated this new procedure!

Three years ago, they successfully completed 1,000 pediatric liver transplants, about half of the total number of pediatric liver transplants in the country, making Renji Hospital the hospital with the largest number of pediatric liver transplants in the world in the past six years.

In other words, in the field of pediatric liver transplantation, their technology has always been the first in China and the forefront in the world.

But now this pediatric liver partial exchange transplant is also something they are studying, and now, someone else has taken the lead!