You didn't ask~" Ruan Bin pouted. If it weren't for my brother taking the initiative to break the news, you would probably be helpless.

“......”

"Is this seventy percent sure true?" Xia Donghua scratched the back of his hand and asked in a loud voice.

Seventy percent!

If it is really seventy percent, this surgery can definitely be done.

"In fact, the living organism single-segment liver retrieval of this laparoscopic liver transplant is similar to the pediatric partial liver exchange technology I developed before. As for the patient's grandfather's liver, which is much larger than the patient's, it needs to be made smaller and thinner, and my technology in this aspect can also be completed with one liver and three uses. So I still have this certainty!" Ruan Bin said confidently.

In fact, the biggest difficulty of this laparoscopic single-stage liver transplantation is not the above two points.

The main challenge is to protect the safety of the donor and minimize the trauma and risk caused by this type of surgery!

This time, it is a living single-segment liver extraction.

Each segment of the liver has a branch of the Glisson system that supplies blood and drains bile, and the hepatic vein between each segment drains the return blood of adjacent segments.

This is not an excision, and a portion of the excision does not require reflux.

Now only a part of it is taken out, and it is necessary to deal with the blood supply, drainage of bile, blood return, etc., once the treatment is not good. The donor is dangerous.

There is also the problem of anastomosis of bile ducts and blood vessels.

The blood vessels and bile ducts of the 70-year-old man's liver must be much larger than those of children.

In particular, the patient was a 9-month-old baby girl. You can believe how thin the blood vessels and bile ducts are in one of the single segments of her liver!

Take an example.

Many children who are a few months old have a fever and are inadministered, and the nurse cannot find the blood vessels on the back of the hand!

When the time comes, let the blood vessels of the 70-year-old man connect to the baby's tiny blood vessels and bile ducts.

Let's take an analogy.

It's equivalent to holding a chopstick in your mouth, do you think the chopsticks are small?

Only large sausages feel big!

No, it's as small as a toothpick in your mouth!

You get the analogy, right?

So it's super difficult to match like this.

Still done laparoscopically!

At the age of 9 months, the laparotomy is still too traumatic, the recovery is slow, and it is easy to cause more postoperative complications.

You must know that for this kind of liver transplantation, there is no doubt that the surgical field is the broadest if you open your abdomen.

If it's laparoscopic!

The surgical field will be severely challenged, and the difficulty of the surgical operation will also increase exponentially!

This is also the reason why there is no laparoscopic single-stage liver transplantation in China, and it is still too difficult.

It has only been around for 2 years, and there are still many places where the technology is still immature and cannot reach the point of large-scale promotion.

After listening to Ruan Bin's words, Xia Donghua believed seven or eight points.

People do have this foundation.

"Let's go, I'll take you to study the patient's and his grandfather's examination data now, so that you can conceive a surgical plan!" Xia Donghua suggested.

"Okay!" Ruan Bin nodded. Now that you're already famous for your liver, make yourself even more famous!

Soon came to the consultation room.

Ruan Bin simply read the baby's records and examination materials, as well as the results of her grandfather's various liver function tests.

"How?"

"Her grandfather's liver function is really okay, and at the age of 70, he is barely healthy, and it seems that he is usually very self-disciplined!" Ruan Bin praised.

In today's society, many people in their forties and fifties have big and small physical problems, and this uncle's liver function at the age of 70 is quite healthy, and it is very rare to meet the standard of providing liver to his granddaughter.

"Yes, this uncle doesn't smoke or drink, and he insists on exercising every day, and he looks like he is in his fifties at the age of 70. ”

"Niu Break, it seems that he will manage his time reasonably. Ruan Bin sighed.

"Ruan Bin, what an embarrassment you said. It should be called being able to manage life reasonably! Time management is a stunt that only the ancestors of the entertainment industry can do!"

"That's the same~"

"Okay, do you have a clue about your surgical plan?"

"I'll give you an answer tonight!"

"Okay!"

Afternoon.

Nguyen Bin continued to give lectures to these dozens of doctors.

Two classes in the afternoon.

During the fifteen-minute break, Ruan Bin turned on the system.

[System points]: 127,600

[Laparoscopic single-stage liver transplantation with donor liver acquisition]: Not initiated+

"Level up!"

"Ding-dong...... Deduct 6000 points, [Single-stage liver transplantation obtained by laparoscopic donor liver]: Beginner+!"

"Ding-dong...... After deducting 9000 points, [single-stage liver transplantation obtained by laparoscopic donor liver]: proficient level +!"

......

"Ding-dong...... After deducting 18,000 points, [single-stage liver transplantation obtained by laparoscopic donor liver]: world-class +!"

Rumble......

The experience of this new type of surgery was pouring into his brain.

At the same time, he felt as if he had undergone thousands of such surgeries on his hands, and all kinds of rare and difficult cases had been encountered.

In a flash, the afternoon passed.

"Do you want to send you back?" Xia Donghua and Ruan Bin walked out together. He felt that Ruan Bin had only been in the magic capital for a short time, so he should not have bought a car yet.

After all, it's easy to buy a car in Modu, it's hard to maintain a car, and it's not easy to take pictures. Especially if you want to develop in the magic capital for a long time in the future, you should consider buying a house first.

If you buy a car, you will waste hundreds of thousands.

"I have a car. Ruan Bin said lightly.

"Oh, okay!"

As he spoke, the two walked together to the hospital's staff parking lot.

"By the way, I have preliminarily finalized the surgical plan, you can communicate with the family, and I can operate on them in a few days! Ruan Bin said.

"What? You, do you have a preliminary surgical plan?" Xia Donghua was taken aback, didn't this kid teach in the afternoon?

He thought that the other party would make a plan at home after he went back, but this was done in his head?

"Yes, I'll send it to you when I'm done. ”

"Okay, I'll talk to the family tomorrow and see what they think. ”

The two walked to the parking lot at this time.

Didi!

Ruan Bin took out the car key and pressed it.

Immediately, the car's lights lit twice.

"it...... Lamborghini ......" The corners of Xia Donghua's mouth twitched after seeing it, more than seven million Lamborghini, just now he thought that the other party couldn't afford to buy a car.

The other party is the rich second generation?

The next morning, Xia Donghua negotiated with the patient's family.

I plan to have a good talk with Ruan Bin, the chief knife, at noon.

Inside the office.

When Xiao Haifeng, Xiao Xiaoruo and others saw that such a young Ruan Bin turned out to be the chief surgeon of the operation, they were all stunned.

"How young is he, okay? Don't tease me, okay?" Xiao Xiaoruo said without giving face. She remembered that this person was the one who lost her face yesterday!

"Director Xia, you're not kidding, are you? you're not sure...... He, is he seventy percent sure?" Xiao Haifeng frowned.