Let's discuss it with you husband and wife, I don't know when the next liver source will be waiting! And your daughter checked it this morning and found that her condition is getting worse and worse. Jing Sheng said in a deep voice.

The daughter of the middle-aged couple suffered from hyperbilirubinemia, ascites, abnormal coagulation function, hypoproteinemia and other symptoms. This condition is actually very high-risk, and the condition can worsen at any time.

Today he had a check-up and was in a more unstable condition than the other day.

"Well, how long will my daughter's condition last?" the man asked.

"This ...... It's hard to say, maybe a week, maybe half a month, but it definitely can't be delayed for a month!"

"So, when will the new liver source be available soon?" the woman asked with concern.

"There's no news yet!" Jing Sheng shook his head.

The middle-aged couple's faces darkened after hearing this.

They also know the extent to which this liver source is lacking.

Their daughter was diagnosed with this disease more than half a year ago, and she has been treated with drugs, and after waiting for more than half a year, she finally waited for the liver source......

Although the risk of this kind of one liver triple use is high!

But there is no way back!

"Doctor, we agreed to take the risk of surgery! One liver is used for three purposes!" The man finally made up his mind.

"Okay, I guess I can arrange surgery for your daughter tomorrow. ”

......

Soon, Jing Sheng communicated with two other patients.

That rich patient is very unconvinced!

Isn't it shared by two people?

But this time, with Dean Chen's decision, it was useless for him to shout.

The next day at noon.

Hepatobiliary and pancreatic surgery consultation room.

Ruan Bin, Jing Sheng, Director Qian, and several attending doctors of hepatobiliary and pancreatic surgery were all there.

Since the surgery was about to start at 2 p.m., the final preoperative arrangement was performed.

"System!"

[System points]: 108,600

[Split liver transplantation]: Not started+

"Level up!"

"Ding-dong...... Deduct 6000 points, [Split Liver Transplantation]: Beginner+!"

"Ding-dong...... Deduct 9000 points, [Split Liver Transplantation]: Proficiency +!"

...

"Ding-dong...... After deducting 18,000 points, [split liver transplantation]: world-class +!"

Rumble......

Ruan Bin had an extra stream of technology and experience in split-split liver transplantation in his mind. At the same time, his hands seem to have undergone tens of thousands of such surgical exercises.

"The surgical plan was finalized, and when the donor liver was split and trimmed, it was divided into three transplant livers with intact blood vessels and biliary systems, and two-fifths of the liver was transplanted to patient No. 1, the remaining two-fifths were transplanted to the rich man, and the remaining one-fifth was transplanted to the little girl. Jing Sheng said.

"Well, that's pretty much it. ”

The surgery is finalized.

At 2 p.m., the operation began on time.

This operation was the first of its kind in the hospital, so the whole operation was videotaped at the beginning of the operation!

In the operating room.

Now the first step of the operation is to separate the liver source that has just been transported from the hole into three parts!

Because this is to be used for three purposes.

This step is definitely the most critical and difficult step of split liver transplantation.

Once successfully separated out in three parts.

Then the next liver transplant is absolutely no problem for Director Qian and Jing Sheng.

One of the most difficult aspects of the separation of a whole liver is the need to preserve a complete set of hepatic canals, veins, and arterial ducts.

Originally, splitting one liver into two parts was already a super high preparation operation, but if you want to divide it into three parts, three sets of recyclable parts, it is definitely a taboo challenge.

I challenged the limits of this surgery!

Once the challenge fails, GG.

At this time, Ruan Bin took the scalpel and began to isolate the whole liver source.

One knife and one cut.

One hook and one stroke.

Every movement, every step is like a meticulous craft.

Particular care should be taken when dealing with small veins and hepatic ducts.

Once there is a small gap, it will definitely have a fatal impact on the postoperative effect!

So this time, even if Ruan Bin upgraded this operation to a world-class level, and at the same time had his own 'nano' operation possession, he was also cautious.

Director Qian and Jing Sheng next to him felt sweaty on their foreheads while looking at them.

It's a challenge to the unknown!

Of course, although they heard Ruan Bin say that they were ninety percent sure.

But the devil knows if there will be any accidents.

After all, every surgery has uncontrollable circumstances!

You're not God, aren't you?

However, they watched Ruan Bin sharply divide the liver source into three parts.

The size is just right.

At the same time, three sets of recyclable piping systems are retained.

"Succeeded?" Jing Sheng was overjoyed.

This is the most crucial step to succeed!

"Whether it works or not depends on the postoperative condition after the transplant. Ruan Bin didn't choose to say big things this time, but told the truth.

"Without further ado, let's start transplanting three patients. Director Qian said in a deep voice.

"Good. ”

Director Qian is in charge of Patient No. 1, Jing Sheng is in charge of the rich patient, and Ruan Bin is in charge of the little girl.

The smallest part of the liver source is sent directly to the operating room next door.

In the operating room.

Ruan Bin made a cross incision in the patient's abdomen, followed by a sharp blockade of the hepatic artery, portal vein and biliary tract!

Neat!

Everything is so elegant.

The assistant who saw the attending doctor of the Department of Hepatobiliary and Pancreatic Surgery was dumbfounded!

At this time, Ruan Bin had already begun to remove the diseased liver in the surprised expression of his assistant!

At this point, Ruan Bin's speed finally slowed down slightly.

This process is made difficult by portal pressure, which stiffens the liver, making it difficult to be free.

At the same time, portal venous pressure will open the collateral circulation around the liver and increase bleeding.

In addition, bleeding is affected by the coagulation function of the diseased liver and the recipient's history of surgery, which can lead to peritoneal adhesions caused by scar tissue, making resection of the diseased liver difficult.

When Ruan Bin had solved most of the difficulties in removing the diseased liver, he directly handed over the rest of the work of removing the diseased liver to the assistant doctor of the hepatobiliary and pancreatic surgeon.

Then he began to trim one-fifth of the liver source that had been isolated before, in fact, it was to trim the blood vessels and remove the small bile ducts.

When Ruan Bin finished correcting it, the assistant also removed the entire diseased liver.

The next step is to transfer the donor liver into the patient's body and anastomoses the blood vessels and bile ducts!

This part is also very crucial.

Anastomosis of blood vessels, anastomosis of bile ducts.

It needs to fit seamlessly, otherwise it will be equivalent to losing all the previous efforts!

Ruan Bin coincided with meticulous study.

Each vein.

Every artery.

Every capillary.

Each hepatic tube.

Find out.

Surgical trim matching.

Anastomosis.

It took Ruan Bin an hour to fit all the pipes together.

"Now that the match is complete, the next step is to see if there is anything missing. Ruan Bin said.

"Let's bleed!"

The assistant nodded, carefully released the arterial vascular clip, and in the next second, blood flowed throughout the liver. Ruan Bin began to carefully check for blood leakage.

Fifteen minutes later.

Nothing was found!

The surgery was successfully completed and nothing went wrong!

Since it was found that there was no leakage and bleeding, Ruan Bin sutured the abdomen with absorbable sutures and silk sutures, and placed a drainage tube in the abdominal cavity.