Chapter 418: I didn't know until I tried it

He knew that Director Xia was one of the top liver transplant experts in China, especially in pediatric liver transplantation, which was definitely one of the few, and even in Asia, he was very famous.

That's why he let his daughter be treated here.

But before Director Xia said that he was not sure about this operation, but now he suddenly said that the young and excessive doctor in front of him could do this operation, and he was very sure.

How do you get him to trust?

At first glance, he is not an old driver!

"I didn't lie to you, Dr. Nguyen looks very young, though. However, he has a superb technical level in the field of liver transplantation! Some time ago, he created the first new type of surgery in China with one liver and three uses. Do you know what one liver and three uses are?" Xia Donghua patiently explained.

"The first in China?"

"One liver for three purposes?"

Xiao Haifeng and other family members all looked at each other after hearing this, and they were very surprised.

Sounds pretty lofty.

"One liver for three purposes is a liver source, which is opened up into three parts and used by three patients! This technique has not been done by any doctor in China before, and Dr. Ruan is the first to do it!"

In addition, some time ago, Dr. Ruan was also at Jianxi Hospital, where he and the team developed a new type of surgery for partial liver swap in children. I'm ashamed of this. Xia Donghua said strongly.

He knows that many families and patients today have a distrustful attitude towards young doctors.

After all, in the subconscious of many people, the older ones are the old drivers.

After Xia Donghua's explanation, Xiao Haifeng looked at Ruan Bin again in disbelief.

"Hehe, speaking of which, he still won't do my niece's single-segment liver surgery! Didn't you say that no one in China has done this operation yet? Do you plan to use my niece as a guinea pig?" Xiao Xiaoruo is very good at picking words, you have bragged about it, but you have never done this laparoscopic single-stage liver transplantation for liver donation!

Isn't this using her niece to practice?

"Are you still human?"

Ruan Bin frowned, this old woman is very prejudiced against herself!

"This lady, the operation is not certain, Dr. Ruan dare not say that there is a certain certainty. If my grasp is higher than his, I will definitely not let him be the main knife!" Xia Donghua said to Xiao Haifeng after speaking: "I have talked to you before, but it really won't work when the time comes, either take a risk or go with the flow." Mr. Xiao, think about it. Your daughter's condition is best treated with surgery as soon as possible. ”

Xiao Haifeng fell silent after hearing this.

He did think about it before, but when the time came, he really couldn't wait for the liver source, so he could only let Director Xia take a risk, although the other party once said that he was only one or two percent sure.

Now that he saw that the young doctor in front of him had a higher grasp than Director Xia, he had already made a decision in his heart.

"Okay, I'll think about it. ”

"Brother, they want to use your daughter as a guinea pig, are you willing to do it?" Xiao Xiaoruo suddenly became anxious.

"Let me explain, this is not being a guinea pig, I'm not sure, I'm not going to go to the operating table. Any surgery will be a first, and if we don't go for surgery because of this, more patients will not be treated for this reason. Ruan Bin said.

"You...... What nonsense!" Xiao Xiaoruo pointed at Ruan Bin and scolded.

"Okay, you don't have to say a word. I know the doctor's difficulty!" Xiao Haifeng glared at his sister.

Because if his daughter's current situation has not waited for the liver source, she is indeed desperate!

Where will any other factors be taken into account?

I can only give it a go!

"Brother, you ......" Xiao Xiaoruo didn't expect his brother to scold him!

"You guys think about it, your daughter's situation seems to be a little worse today, I suggest that it is best to have surgery within a week, and it can't be delayed any longer!" Xia Donghua said earnestly.

"I'll think about it. ”

............

Three days later, Xiao Haifeng's daughter had no news about the liver source because of the worsening of liver failure, so she could only agree to start the operation immediately.

Fortunately, Ruan Bin's side has prepared everything and can operate at any time!

In the operating room, Xiao Haifeng's father was already lying on the bed, and the anesthesia had already taken effect.

The first step is to remove a single liver in the uncle's body!

"Ruan Bin, are you ready?" Xia Donghua glanced at Ruan Bin and asked.

The success or failure of this operation depends on Ruan Bin, he is a dignified director, and the top liver transplant expert in China is only an assistant!

He is well aware that laparoscopic living donor liver transplantation is difficult and has a long learning curve. Minimally invasive and safety should be the basic points, and the surgical plan should be planned more carefully. Preoperative precise imaging evaluation, intraoperative liver dissociation, hilar treatment, liver parenchymal dissection and other aspects are essential.

"Have faith in me!" Ruan Bin smiled and began the operation.

At this time, the old man was in a flat position, with his feet apart, raising his right waist, and Ruan Bin was standing on the right side of the hospital bed.

The nurse has adjusted the uncle's bed during the operation, with the head high and the feet low, the right side raised, and adjusted the surgical position in real time as needed.

Since the left internal sector is taken, it is the 4th segment of the liver.

This location is super difficult!

Because it's not the left lateral lobe, it's the left inner fan! The first tricky problem is to keep the left outer lobe!

Ruan Bin did it.

Since he was taking a single segment of the liver in the area of the left inner fan, he cut the hole slightly to the left in the left half of the liver.

Cut-out, single-hole operation!

Seeing Xia Donghua's fierce stomach, Ruan Bin pinched his sweat!

Holes, blows, tools down, all in one go!

I saw Ruan Bin first dissect the liver portal after perihepatic dissociation, complete the separation of the left hepatic artery, middle hepatic artery, and biliary tract with a diameter of about 2 mm under laparoscopy, ligation, cut off the right hepatic duct in order, clamp and cut off the right hepatic artery and the right branch of the portal vein after systemic heparinization, and cut off the right hepatic artery and the right branch of the portal vein after systemic heparinization, and the right side of the hepatic vein with a closure device!

It's like going back and forth in the range of a few millimeters, and 404 is frantically tested back and forth!

Finally, the small incision in the abdomen was removed, the donor liver was quickly removed, the severed end of the right hepatic vein was cut, and perfusion.

"Shhh...... Take it out!" He watched Ruan Bin take it out just now, and he knew that this single segment of liver had completely preserved the hepatic canal and arteriovenous blood vessels......

"The next step is to transplant it to the patient. Ruan Bin said secretly in his heart.

At this point, an hour had passed since the surgery began.

The liver taken out needs to be processed by Ruan Bin again, after all, it is too big and thick, and it needs to be reduced!

This step is very crucial!

n.