General surgery.

Jing Sheng, director of the Department of Hepatobiliary and Pancreatic Surgery, found this place.

"Doctor Hu, what about your director, call and turn off the phone!" Jing Sheng asked Hu Changmao.

"I went on a business trip a few days ago, and he couldn't get through on the phone? Could it be that he was in a meeting?" Hu Changmao said suspiciously. My own director rarely seems to have his mobile phone turned off.

Is it something unseemly?

Ahh

"When will he come back?" Jing Sheng's face suddenly became a little anxious.

"I guess it's going to be a week away...... Director Jing, do you have anything to do with him?" asked Hu Changmao curiously.

"Three hours later, my department needs to perform two split liver transplants! Because another director of my department recently divorced his daughter-in-law, I don't feel very comfortable handing over this operation to him. The other director hasn't come back yet. Jing Sheng explained.

"Split liver transplant surgery?" Hu Changmao took a cool breath after hearing this.

Both general surgery and hepatobiliary and pancreatic surgery do this procedure.

After all, hepatobiliary and pancreatic surgery is also a branch of general surgery, which can be regarded as a family.

Hu Changmao knows that split liver transplantation is super difficult!

There is even a hospital in some provinces that can do this kind of surgery, which proves how difficult it is.

This is because liver transplantation is a world-class operation.

A liver transplant is the transplantation of one person's liver into another person.

Of course, there are also autologous liver transplants, and the difficulty of autologous liver transplantation is also super high.

In the case of split liver transplantation, the liver of an organ donor is split in two, split into two structurally and functionally intact parts, and transplanted to two patients to replace the diseased liver.

Split liver transplantation is more difficult than traditional liver transplantation and focuses on separating the two complete sets of tubes without damaging the blood vessels.

The difficulty lies in the fact that the whole liver transplantation operation is only used by one patient, and the split liver transplantation needs to be carried out under the premise of maintaining the blood circulation of the donor, and two sets of liver pipelines including hepatic artery, portal vein, biliary tract, etc., are repaired and separated, and are provided to the two recipients to complete the transplantation. Compared with traditional whole liver transplantation, the difficulty of reconstructing the canal in split liver transplantation is significantly increased.

That's where the difficulty lies!

As for why one liver should be used for multiple purposes, because the liver source is very scarce in the world, and even if there is a liver source, it may not match the patient's liver.

Take the famous king of mobile phones, Qiao Busi, just because he can't wait for the liver source burp.

It is precisely because of the scarcity of liver sources that this split liver transplantation was invented, it is also called one liver with multiple recipients, which can make a donor liver for the treatment of two patients, which is an effective means to deal with the shortage of donor liver sources in the world, but because of the high technical difficulty, complex surgical process, high risk, high requirements for the comprehensive strength of the hospital and other factors, only a few hospitals at home and abroad can carry out.

With such a complicated operation, it is no wonder that Jing Sheng did not dare to hand this over to an emotionally unstable doctor.

The doctor recently divorced his wife, and he must have brought his emotions to work more or less, and even because of poor rest, all kinds of restlessness or temporary loss of mind may lead to the failure of the operation!

After all, man is man, and he can't be God!

In that case, it is better to come to the general surgery department and find someone to help!

Thinking of this, Hu Changmao sighed and said, "Director Jing, our director here will do this operation, but it's a pity that he is on a business trip." ”

If it's a simple liver transplant, he might be able to help......

"Okay, I can only go to Director Qian. Jing Sheng said helplessly.

As soon as the liver source such as split liver transplantation arrives, it is immediately divided into two, and then two patients are transplanted at the same time, that is, the two surgeries need to be started at the same time.

So he needs Director Qian to make one, and he needs to make one.

He didn't worry about Director Qian's level at all, after all, the big man in the general department was also promoted by the other party back then.

Soon Jing Sheng came to the emergency department and found Director Qian.

"Split liver transplantation?" Director Qian was slightly surprised after listening to Jing Sheng's words.

I didn't expect that hepatobiliary and pancreatic surgery and general surgery were really short of manpower in the past week!

Well, originally this split liver transplant was only possible in a few hospitals in China.

This kind of surgery basically needs to rely on director-level doctors, and those attending physicians really do not have that level of operation.

Even in those top hospitals, it is estimated that they need to be at or above the deputy director level.

"Okay, let's go. Director Qian nodded.

Although the surgery is not performed until a few hours later, it is now necessary to go over and develop the following surgical plan and have a comprehensive understanding of the patient.

This kind of patient who needs a liver transplant is a big danger every minute and every second, and the sooner the transplant, the better.

"Ruan Bin, come with me, there are two rare surgeries, you must not have seen them!" Director Qian still found Ruan Bin and took him with him.

Ruan Bin asked curiously, "What surgery?"

"Split liver transplantation, how about it, haven't you encountered it?" Director Qian continued with a smug smile: "Your kid shouldn't have had a liver transplant yet, let alone this split liver transplant!"

"Who said I hadn't had a liver transplant, I participated in a wave of worm cancer surgery and autologous liver transplantation with Professor Chen last time. I have watched a lot of videos of this split liver transplant operation, and I am quite familiar with it~" Ruan Bin pouted.

“......”

"I almost forgot that Professor Chen borrowed someone from our hospital last time, to be honest, the worm cancer surgery was indeed a super high-level operation, autologous liver transplantation, it is said that there is still an island doctor who is the king of liver and gallbladder in the world to participate in the main surgery...... Director Qian was slightly envious.

Being able to participate in a surgery with such a world-class doctor is the best opportunity to learn and communicate with each other!

"By the way, aren't you known as a demon who can operate after watching it a few times, and you have participated in autologous liver transplantation. What's the matter, will you have this split liver transplant?" Director Qian looked at Ruan Bin with some curiosity and asked.

"Guess what~"

"Get out!"

The two followed Jing Sheng to the hepatobiliary and pancreatic surgery consultation room.

Understand the specifics of the two patients.

The first patient, a 60-year-old male patient, went to the hepatobiliary surgery department of the hospital in April this year for treatment, and was diagnosed with liver cirrhosis by the doctor due to symptoms such as massive ascites and severe abdominal distention, and needed a liver transplant.

The other patient was an 8-year-old boy with congenital biliary atresia, which was also a match for the hepatic source.

But there is only one matching liver source, so only two can share it!