Chapter 409: The Peak of Medicine
After the four parents listened to Chen Chengquan's words, the parents of one of the patients were already shaken!
It's not an option to wait like this!
How do you say that sentence, a dead horse should be a live horse doctor!
"Academician Chen, we are willing to accept this risk, and we agree to do this surgery!" Patient Ah Le's parents finally agreed after some inner struggle and discussion!
Now it depends on whether the parents of the patient Xiaoqiang disagree.
If one party does not agree, then the operation cannot be carried out!
At this time, Xiaoqiang's parents were also very entangled.
If you can wait for the liver source, it is the best. But there is no news about the source of the liver yet. Their children's condition is so critical.
If we wait like this, who knows when there will be an accident?
Now the child's nerves have been damaged.
If you wait any longer, you will be a fool, and you will be a fool when you save it.
However, if the current hospital is allowed to operate, there is a huge risk.
If the operation fails, it means that there are no people.
As a parent, it must be very difficult!
"Alas~ Let's give it a go!" In the end, Xiaoqiang's father still made a decision!
When I arrived at this field, it seemed that there were not many options.
Instead of waiting to die, it's better to fight!
"Okay, we will definitely do our best!" Chen Chengquan couldn't help but breathe a sigh of relief when he saw that the parents on both sides were unified.
The most feared thing is that they don't agree, and they can only wait for the liver source when the time comes, but the liver source is far away.
After negotiating with the patient's family, Chen Chengquan took Ruan Bin to review and approve with the hospital's ethics committee.
After all, it is a new type of surgery, and the risks are huge, and this kind of surgery has never been tried before, so it needs to be reviewed and approved by the leadership of the hospital.
Since the two patients were now in critical condition, there were not many other options, and the families of the patients agreed. and academician Chen Chengquan personally presided over this operation. In addition, Ruan Bin said that he was seventy percent sure. The hospital quickly approved it.
Then the next step is to do a thorough screening of amino acid profiles and liver pathological biopsies for both patients!
At the same time, use 3D images to make a comprehensive and accurate assessment of liver volume and vascular biliary anatomy!
In the consultation room, Ruan Bin et al. used 3D fluoroscopic images of the liver to accurately calculate the size of the transplanted liver and each blood vessel and bile duct on the two livers.
Then the simulated surgery is used to remove the part of the diseased liver, remove the healthy part, and then transplant it to another patient......
"The difficulty is too high! The entanglement and overlapping of the liver canal and blood vessels in this right liver part are too complicated to be separated!" Liao Jie pointed to the blood vessels and liver tubes that are piled up in this part of the liver hilum and complained.
"I can separate it!" Ruan Bin said categorically.
"Are you sure?" Liao Jie stared at Ruan Bin suspiciously.
For Mao, the difficulties he raised once, and the other party said that they could be solved.
Really?
Or do you deliberately carry yourself?
Or bragging?
"I believe in Ruan Bin's strength, okay, now that most of the basic problems are solved, three days later, the operation will begin!" Chen Chengquan said.
He had seen Ruan Bin's separation method that was almost accurate to the nanometer level.
The tumor that isolated the root of the superior mesenteric vein that year, as well as the performance of the previous national general surgery skills competition.
There is no doubt that this challenge should be something he can have confidence in.
Otherwise, the other party would not have said such confident words!
“......”
Liao Jie is very painful, why is Academician Chen so optimistic about Ruan Bin?
Chen Chengquan's preparatory surgery, and the innovative surgery to swap part of the liver also alarmed a group of people in Zhoujiazhen next door.
In particular, Academician Zhou Jiazhen personally came to talk to Chen Chengquan.
"Lao Chen, I have also heard about the surgical test on your side, is the preliminary preparation too fast?Is the surgical plan detailed enough, is it safe enough?" Zhou Jiazhen asked with a serious face.
After all, this new liver part interchange requires accurate measurement of the size and weight of both livers before surgery, and also consideration of balancing the liver function of both sides.
As a new type of surgery, this new surgery of "liver replacement" is complex and difficult. Since the patients undergoing surgery are both donors and donors, the removal of grafts and the anastomosis of blood vessels require extremely detailed preliminary planning.
But the other party simulated it in three days, isn't it too fast?
"Ahem...... In fact, I expected that it would take at least ten days to simulate and make all the details accurate to a controllable range, but this Ruan Bin really surprised me. It is his credit to be able to complete the simulation in three days, and to achieve the removal of the graft and the anastomosis of the blood vessels within a controllable and accurate range!
"Really, can I see if there are any parameters in the surgical plan and data?" Zhou Jiazhen was interested.
"Let's go, go to my office. ”
More than an hour later.
Zhou Jiazhen patted his thigh and said excitedly: "Oh my God!
"There is really nothing wrong with the surgical plan, and we can see if the patient's condition will deviate when the time comes for the actual operation. If these two surgeries can be successfully interchanged, this is definitely the pinnacle of medicine!" Zhou Jiazhen exclaimed.
No wonder the two of them are each responsible for a liver transplant project, he wondered why Lao Chen made new progress so quickly, he was still standing still, it turned out that there was Ruan Bin, a demon.
This kid is really a demon!
Three days later.
The surgery has finally begun.
The first step of surgery is to remove the diseased livers of the two patients first, keep the bad parts, and then take them out for mutual exchange......
This operation is undoubtedly extremely difficult!
It's almost a fight against God!
In the long run, adjuvant transplantation technology faces the "blood flow competition" between the graft and the recipient's residual liver, and how to maintain the stability of the graft and control the risk of immune rejection all require professional and rigorous postoperative testing and scientific response, which is different from conventional liver transplantation. Therefore, from preoperative preparation, intraoperative surgery to postoperative monitoring, the medical team must have sufficient qualifications and experience to deal with a variety of difficult problems.
Fortunately, now Ruan Bin's team is definitely the top liver transplant team in China.
The worst assistants are all director-level!
There is no problem.
Of course, this surgery remains one of the biggest challenges of all of our lives.
After all, if it succeeds, it will be a world first!
If you fail, then everyone is guilty!
"Let's get started. Ruan Bin took a breath and began to move.
n.