"Director Qian, the basic situation is like this, you should have no problem with the operation, right?" Jing Sheng asked Director Qian.

At present, the condition of the two patients is quite stable, and it is very suitable for transplant surgery at this time!

"No problem!" Director Qian nodded to indicate that it was not a problem.

"In this case, 70% of the liver was used by a 60-year-old male patient, and the remaining 30% was transplanted to an 8-year-old boy. Jing Sheng said.

This is also the surgical plan he had made before.

Three hours later, when the liver source arrived as soon as possible, the operation was immediately started.

Director Qian was in charge of the surgery of a 60-year-old male patient, and Jing Sheng was in charge of the operation of an 8-year-old male patient.

Before the surgery, the two worked together to split the liver source in two!

This first step is very important!

I saw Director Qian explain while separating: "The donor's liver should not be too small, and the distribution of blood vessels, bile ducts, etc. should not have obvious anatomical variations. The first step is to isolate the liver source, first of all, to repair and isolate two sets of liver ducts, including hepatic artery, portal vein, biliary tract, etc.!"

Ruan Bin laid his hand on the side.

While studying 'seriously'.

A liver contains too many arteries, veins, bile ducts, etc., so if you want to divide it into two, it still requires a lot of technology, and you also need to cut it according to the size of the liver source that the patient needs......

Fortunately, Director Qian and the two are old drivers, so they separated after a lot of effort.

After the separation, they were sent directly to the next operating room to start the operation.

Operating Room 2.

Director Qian is the chief knife, and Ruan Bin is the assistant.

I saw that Director Qian had already operated on the patient and began to remove the cirrhosis of the liver in the patient's body.

One knife at a time, as steady as an old dog!

Finally, Director Qian successfully removed the diseased liver, and the next step was to transplant the liver source!

Director Qian said while doing the operation: "When a liver source is split in half, the liver has left the donor, and the blood flow and blood supply cannot be intuitively judged, and the section of the liver, with a large number of bile ducts, blood vessels and other pipes, is likely to appear small holes that are not easy to detect, and the risk of postoperative bile leakage, heavy bleeding, and abdominal infection will increase." Therefore, in the transplant process, it is necessary to rely on the doctor's rich experience to make judgments and accurate operations!"

Director Qian continued while anastomosizing the bile ducts: "Therefore, the anastomosis of the biliary tract, the anastomosis of the blood vessels, and the anastomosis of the liver section are particularly important...... Then the whole operation will end up in failure!"

"Because of this situation, serious postoperative complications will definitely break out after the operation!"

Ruan Bin nodded as he listened.

The operation was finally over three hours later.

Needless to say, Director Qian's level was that the operation went smoothly.

However, whether it is feasible or not depends on whether there will be postoperative bleeding, hepatic artery embolism and biliary complications and other symptoms after surgery.

When Director Qian and Ruan Bin walked out of the operating room, they found that Jing Sheng had just come out of the operating room next door at this time.

Looking at the other party's smiling face, the operation should have gone well!

"Director Qian, how is the operation over there?" Seeing that Director Qian also came out, he asked expectantly.

"I didn't live up to your instructions, the operation went well!" Director Qian smiled.

"Okay, okay! This time I really thank Director Qian and Dr. Ruan for your help, I'll invite you to dinner after work tonight, I don't know if you two appreciate your face?" Jing Sheng said with a smile.

"Yes!" Director Qian and Ruan Bin readily agreed.

At this moment, suddenly an attending doctor came over in a hurry!

"Director, another liver source will arrive the afternoon after tomorrow, matching three patients among the dozens of patients currently queuing up! Do you see if the operation will be arranged immediately the day after tomorrow? If it is arranged, I will notify the patient and the patient's family now!" asked the attending doctor of the hepatobiliary and pancreatic surgery department.

"Did the liver source supply agency say when there will be a second liver source of this type of match?" Jing Sheng didn't rush to speak, but asked another question.

Because this time the liver source came to one, but there were three patients!

Even if a split liver transplant is performed, only two patients can be transplanted.

And what about the remaining one?

"This ...... The other party said that he didn't know when there would be a new matching liver source. ”

"Okay, let's arrange the surgery according to the time before and after the patient registers. Jing Sheng waved his hand. Of the three patients, only 2 can receive liver transplants. Then it will be arranged according to the registration of the three people, and the first two people in the queue will definitely get priority transplantation!

Because at present, not only in China, but also in the world, there is a shortage of liver sources.

If you want to get a matching liver source, you have to queue up first.

When it's your turn, only God knows!

Maybe it's a week, maybe it's a month, maybe it's a year, maybe when you die, you can't wait for a matching liver source.

Because, it's so scarce!

I don't know how many patients who need liver transplantation die every year on the way to the source of the liver?

Ruan Bin and Director Qian didn't have anything to do, so they went back to the emergency department first!

After all, it's very busy over there.

......

At this time, the two patients were overjoyed to hear that a liver source had arrived, and that they could perform the operation at any time the day after tomorrow.

In particular, both patients are currently in the hospital.

An hour later.

Jing Sheng came out of another biliary surgery, and as soon as he arrived at the office, he suddenly saw four people standing in his office! a couple and a little girl. The last one was an attending doctor in his department!

The little girl is the one who needs a liver transplant!

This patient is a little girl, 5 years old, the same year as his daughter!

The middle-aged couple knelt down when they saw Jing Sheng's brushing: "Director Jing, please save my daughter......! If the surgery is delayed...... I'm afraid she won't be able to wait for the next liver source!"

Jing Sheng frowned after hearing this: "What's the matter? Didn't I ask Doctor Zhou to inform you that you can operate the day after tomorrow?"

He looked puzzled as he looked at Doctor Zhou next to him.

Doctor Zhou looked bitter at this time, then glanced at Jing Sheng vaguely, and then explained, "Ahem...... I missed the queue before, and there were two patients before her, so she needs to wait for the next liver source to come before she can have liver source surgery......"

？？？

Jing Sheng's brows tightened, if he remembered correctly, this little daughter should be ranked second in this match for the liver source! Why can't it be her turn to have surgery?

"Director Jing, Dean Chen has something for me to convey to you, and I will tell you when you come out......"