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Modu Ruijin Hospital.

Hepatobiliary and pancreatic surgery consultation room.

Bigwigs gathered.

Because these two days are rare domestic and foreign hepatobiliary surgery seminars.

Not only the famous hepatobiliary and pancreatic doctors from many hospitals in the magic capital have gathered to discuss and exchange, but also many hepatobiliary and pancreatic surgeons from other top hospitals in China. At the same time, several famous foreign hepatobiliary surgeons arrived!

Yesterday, we started to hold a symposium and academic exchange conference.

Of course, this symposium is not only a verbal exchange, but also a real exchange of surgical techniques.

Especially at that time, Chen Chengquan and Fujiwara Takashi from the island country will have a difficult operation tomorrow morning, and at the same time, the online operation will be live-streamed.

After this morning's seminar, this afternoon is in the consultation room to discuss the patient's surgical options for tomorrow's surgery.

The consultation room is almost dominated by Chen Chengquan and Fujiwara Takashi, because tomorrow it will be the two of them as the main surgeons!

This seminar, in terms of the identities of the two of them, they are the biggest coffee!

Needless to say, Chen Chengquan is well-known at home and abroad.

Of course, this Fujiwara Takashi is not bad, and a few years ago he was known as the king of the liver and gallbladder in the world!

As for Chen Chengquan, he is not only very strong in the liver and gallbladder area, although he has not won the title of the king of liver and gallbladder. But he's a big guy with liver and gallbladder and pancreas. Hepatobiliary hepatobiliary, he is hepatobiliary pancreas, and there is an extra pancreas, so he is more comprehensive. In particular, his pancreaticoduodenectomy is definitely the first in the world!

And Fujiwara Takashi is the most prominent in the liver and gallbladder area, and the two have their own merits!

The patient was a 56-year-old man with echinococcosis, a zoonotic disease caused by parasites. Because of its high mortality rate, it is also known as worm cancer.

Truth be told, this patient is lucky to have access to one of the best doctors in the world to plan his surgery and tomorrow's surgery.

Of course, the reason why he was operated on by Chen Chengquan and others was mainly because his disease was too serious at present!

Echinococcosis, which is mainly endemic in areas with developed animal husbandry, is a zoonotic parasitic disease. The parasite first hides in the dog's small intestine and is excreted in the feces. It pollutes water sources, pastures, and livestock. People get sick when they are ingested or touched by contact. The 56-year-old man is a rancher who has been running a ranch for more than 30 years, so he accidentally contracted this hydatid disease.

Because of the high mortality rate, the local people call this disease "worm cancer".

Once, patients with advanced hepatic echinococca had only two outcomes: one waiting for death and one waiting for liver transplantation. This is a problem that the world recognizes as insurmountable.

However, in recent years, Professor Chen Chengquan has made a great breakthrough in the surgical treatment and improvement of hepatic echinococcosis, so the world's recognized problems are gradually being dismantled.

Takashi Fujiwara is also very good at this type of surgery, so he traveled thousands of miles to attend this hepatobiliary seminar. The main thing is that he also wants to communicate with Chen Chengquan and learn from each other.

In the consultation room, in addition to the two of them, there were more than a dozen hepatobiliary and pancreatic experts sitting on both sides and listening carefully.

On the podium, Chen Chengquan said while playing the patient's various examination results: "The patient has been suffering from alveolar hepatic echinococcosis for 25 years, and he has undergone two surgeries to remove the right half of his liver, but the disease still recurs and seriously erodes the remaining liver and blood vessels, and his life is in danger." ”

"Two failed worm cancer surgeries?"

"It seems that the last two surgeries either removed the liver hydatid and did not clean it, or it was infected by hydatid again. ”

"However, the probability of the latter is very small, and I think there is a high probability that the previous two surgeries did not clean up the hydatids!"

In the consultation room, many people expressed their opinions.

"After 2 surgeries, hydatid has been in the patient's body for 25 years, and now I look at the examination results and find that the patient's abdominal organs have severe adhesions, and the lesions have invaded the liver on a large scale, destroying important vasculature structures closely related to liver function, including the portal vein, the main trunk of the hepatic vein, the posterior inferior vena cava, and the bile duct in the liver have been eroded...... This is the first time I've seen this rare advanced hepatic echinococcus!" Takashi Fujiwara said in stiff Chinese.

"Yes, it is the first time I have seen such a serious patient with liver invasion!" Chen Chengquan nodded, he knew that alveolar hepatic echinococcosis has the characteristics of infiltrative growth and metastasis, infiltrating and destroying liver tissue, and developing to the terminal stage, which will seriously damage the important blood vessels and bile ducts of the liver, etc., and it is extremely difficult to treat such hepatic echinococcosis with extensive liver invasion, and was once considered the last bastion of hepatobiliary surgery.

"Conventional surgery cannot control the patient's bleeding, nor can it repair the damaged blood vessels, and it is very easy to cause residual liver ischemic damage, so I think that only ultra-extreme extracorporeal liver resection and autologous residual liver replantation can achieve the goal of radical resection of the lesion. Chen Chengquan continued.

"Chen Sang, I agree with your surgical plan, but the patient has undergone 2 surgeries, and once he also cut off the right half of his liver. Now the liver is so badly eroded by the recurrent hydatid worm that it almost exceeds the forbidden area of surgery! The difficulty and risk are extremely high! The slightest carelessness will lead to the failure of the operation. Fujiwara Takashi said solemnly.

At this time, the patient's liver is as if it has been eaten by hydatid worms and most of it has been damaged, in fact, the best surgical option is to perform a liver transplant.

But the risks of a liver transplant are also huge!

Liver transplantation is generally not performed as a last resort.

The biggest disadvantage of liver transplantation is that it can be counter-rejected!

"I know it's a big challenge, but isn't this seminar just to challenge the impossible?" said Chen Chengquan with high morale. In fact, he preliminarily judged that he had 50 percent of the operation! That's why he dared to say this! As long as he had an in-depth discussion and solved some of the thorny problems, then he would have great confidence that he could complete this operation!

"Chen Sang, you're right!" Fujiwara Takashi was a little behind.

"Then let's make a preliminary surgical plan now and see how sure we are!"

"Good. ”

A group of people, led by Chen Chengquan and Fujiwara Takashi, began to formulate a preliminary surgical plan.

More than 2 hours later.

There was a lot of discussion in the consultation room.

Because they know that they have to be very sure, because this surgery is going to be webcast tomorrow!

There is no room for error!