Chen Chengquan et al. used the IQQA precision surgical planning platform to perform a full-quantified three-dimensional reconstruction of the patient's liver, hydatid lesions, invaded portal vein, main trunk of the hepatic vein, posterior inferior vena cava, and intrahepatic bile duct.

The whole anatomical picture of the liver is intuitively reproduced in three dimensions, and the relationship between the main blood vessels and the lesion is displayed in detail.

After systematic examination and evaluation by their group of professors and experts, the three core stages of liver resection, extracorporeal lesion resection and residual hepatic vascular repair, and autologous liver replantation were discussed.

"The first step in extracorporeal liver resection surgery is to free the liver, and after blocking all the blood vessels that enter and exit the liver, the liver is removed from the body. Due to the patient's history of multiple previous surgeries and extensive lesions, organ adhesions are severe, and it is very difficult to block blood flow from dissecting the first hepatic hilum to exposing the blood vessels entering the liver to the whole hepatic blood flow. ”

After the liver is separated from the body, it is immediately placed in an ice bath, and the organ preservation solution is perfused to remove the diseased liver part and repair the remaining liver vessels, and the liver section is densely covered with small blood vessels, which requires the surgeon to maintain a high degree of concentration, carefully and carefully block and close one by one, and any omission will cause massive bleeding after liver replantation. Chen Chengquan put forward the difficulties in this surgical plan.

"That's right, the other is that the patient reconstructs the inferior vena cava by allogeneic vascular grafting in the hepatic phase, which is the largest vein in the body, and the liver blood must be returned to the heart through the inferior vena cava. The final step of the whole operation of autologous residual liver replantation needs to complete six sets of anastomosis including hepatic superior and inferior vena cava, inferior hepatic vena cava, hepatic vein, portal vein, hepatic artery, and bile duct, and timely detection and repair of hepatic cross-sectional bleeding after blood reflux. The whole team follows the concept of certain, predictable, and controllable precision surgery, and every step of the operation seems to be full of dangers, but in fact, it is within the accurate prediction and precise control of the surgeon!"

"Professor Fujiwara, the allogeneic vascular graft method to reconstruct the inferior vena cava is your specialty, you should have no problem, right?" Chen Chengquan said with a smile.

"Of course, I'm still confident in this!" Fujiwara Takashi nodded, and then said with a smile: "After removing the liver from the body, and then putting the liver in an ice bath to repair the diseased liver, this ultra-difficult autologous residual liver replantation Professor Chen, you should have no problem, right?"

"Well, although the patient's liver is full of holes, I have just evaluated it, and there is a high chance that autologous residual liver replantation can be done!" Chen Chengquan nodded.

In fact, the surgical steps this time are: open the abdomen - remove the liver from the body - remove the lesion and repair the remaining liver blood vessels and autologous liver replantation in vitro.

"Two of the three major problems in this operation are certain, and now I think the most uncertain one is to remove the liver from the body!" said Song Jie, director of the Department of Hepatobiliary and Pancreatic Surgery at Ruijin Hospital, in a deep voice.

In this step, the blood vessels of the first and second hepatic hilum criss-cross are removed, and then all the blood vessels entering and leaving the liver are blocked. Then the whole liver can be taken out of the body, and then the second step of extracorporeal lesion resection and hepatic vascular repair can be carried out.

"Who can handle the problem of removing the liver from the body?" Chen Chengquan looked at everyone and asked softly.

"The blood vessels at the first and second hepatic phylum are too complex and too thin. There are also patients whose liver erosion is too severe, and the slightest movement may cause the feeling of blood vessel rupture. It's too easy to bleed when the time comes......"

"There is some certainty, but not high. ”

"I think it's better to make a detailed estimate before ......"

"It's not easy, mainly because the patient's condition is too serious, more serious than any other serious situation we've encountered before. To do this kind of surgery, it is almost necessary to cross the forbidden area of surgery! Whether it can be crossed over is still unknown!" Fujiwara Takashi took a breath.

He felt that he had come to the right place to participate in the Hepatobiliary Surgery Symposium in China this time, at least this operation could bring him a huge challenge. At the same time, maybe I can cooperate with Professor Chen very perfectly and break this technical barrier!

Seeing that none of the people dared to make a decision to win one of these tasks, Chen Chengquan's brows furrowed.

Because he is not too sure to take this place that separates the first and second liver gates.

"Do you want to run aground?"

Suddenly, a picture of surgery suddenly appeared in Chen Chengquan's mind!

This picture is beginning to coincide with the current predicament!

That's right, that was Ruan Bin's wave of final surgical operations at the finals of the National General Surgery Skills Competition a few days ago.

The test question of the day was to remove the liver from the body!

The exam question that day was one of the surgical steps of the extracorporeal liver resection surgery.

And he still remembered that Ruan Bin dissected the complex blood vessels of the first and second liver gates in 15 minutes, and then removed the entire liver!

The other party's kind of operation may be able to face the current thorny problems?

Coupled with Ruan Bin's performance in the past six months, the most important thing is that the problems he encountered when he underwent pancreaticoduodenectomy in the First Affiliated Hospital of Modu were all solved by Ruan Bin.

With Ruan Bin's hand, which can be called the operation level of nano operation, he is even more looking forward to Ruan Bin's reply! That's right, he plans to contact Ruan Bin and ask him to come over to see if he can do it!

"Since none of you have much confidence at the moment, then I'll call someone over to see if he can do it!" Chen Chengquan said lightly.

"It turns out that Professor Chen has the right candidate in mind, so this should not be a big problem. ”

"I don't know who Professor Chen recommends? Which hospital is in the magic capital?" Song Jie was curious. Most of the well-known hepatobiliary and pancreatic experts in the magic capital are here, who is it?

"Ruan Bin from the First Affiliated Hospital of the Demon Capital, this person should be able to do it!" Chen Chengquan smiled faintly.

"The First Affiliated Hospital of the Demon Capital?"

"Ruan Bin?"

"I've never heard of it, but it's a familiar name. ”

"Oh, the one who won the competition the other day?"

"You're young!"

Everyone was looking at each other.

They thought that Professor Chen would pull out a big man, but they didn't expect it to be a young doctor!

Will it work?

Some people have heard of Ruan Bin, but some doctors from other provinces do not know.

Even some people who have heard of it don't know what Ruan Bin's level is. This kid doesn't seem to be a doctor specializing in hepatobiliary and pancreas, right?