Boss, slow down, look dizzy. Su Yun stood on Zheng Ren's right side, subconsciously blew a breath, and said.

"It's okay, not fast. "Zheng Ren removed his left liver, and a basin of pathological specimens appeared on the left hand side.

The left liver, which is full of hydatids, is placed in a basin, and people with dense phobia will become ill at just one look.

Shay beckoned to the itinerant nurse and carefully threw the left liver of the pelvis into a yellow garbage bag to avoid contaminating the sterile area.

It wasn't until the left liver, full of hydatid worms, disappeared that Shay breathed a sigh of relief.

Take this liver...... It's scary.

At the same time, after Zheng Ren removed the diseased liver, he quickly infused UW fluid from the portal vein.

UW fluid is the liquid used to preserve the donor organ during organ transplantation, which mainly contains lactobionic acid, which is the main non-permeable anion and has a relatively large molecular weight.

It reduces the swelling of cells when refrigerated and contains cotton candy, hydroxyethyl starch and adenosine.

On that side, the removal of the portal vein and the repair of artificial pipes have also begun.

Zheng Ren devoted half of his energy to the operation of vascular surgery, and when he saw that the blockage, excision, and suturing were going well, he was relieved.

After all, Su Yun is a doctor who has done a heart transplant, and this is not a joke.

Heart transplantation in mice is definitely more difficult than heart transplantation in humans. Because the blood vessels are small in diameter, sutures require a microscope.

However, the difficulty of suturing the portal vein segment containing hydatid emboli and replacing the portal vein with an artificial blood vessel is not comparable to that of heart transplantation. The portal vein is relatively stiff and less difficult to suture.

Zheng Ren knew that Su Yun would definitely be able to do it, but in the system operating room, the relevant steps were not trained in detail.

Originally, he wanted to be a substitute himself, just in case. However, Su Yun did not give him this opportunity, and he cooperated with Director Bao very smoothly.

The liver invaded by hepatic echinococca was cut out, and the patient's remaining liver was pitifully small.

"I guess I'll have liver failure for a long time after surgery. Someone in the stands couldn't hold back and asked.

"The volume of the liver is 1/3 of the original, and there is a high probability of liver failure. ”

"So what's the point of this surgery?"

Yes, what is the significance of this operation? After stepping down, liver failure is bound to occur, and the patient's chance of survival is less than 5.

Is surgery still necessary?

Even if you are a normal person, you can't stand cutting off such a large volume of liver tissue. What's more, this patient had a right renal segment resection, lung segment resection, pericardial partial resection, superior vena cava resection and diversion......

The traumatic impact of this series of surgeries is very huge.

In addition, the patient had septic shock before surgery......

Even in 912, many surgical professors were half cold in their hearts when faced with such a situation.

Professor Yang had the same idea in his heart as his colleagues who were whispering behind him, but he couldn't stop at all.

The assistant on the other side was as calm as an AI, and he couldn't keep up with his full attention, let alone discuss post-operative problems with others.

The most important thing is that although the operation has been going through for several hours, it has not yet reached the most critical step.

Autologous liver transplantation can solve the questions of colleagues. But autologous liver transplantation is the most difficult!

If rejection is not counted, but only the difficulty of surgery, the difficulty of autologous liver transplantation is far greater than that of ordinary liver transplantation.

Ordinary liver transplantation can be done as long as the large blood vessels and liver tubes are anastomosis, and the operation is ...... It's actually quite big. But Professor Yang had a liver transplant, and he was able to take it completely.

When the patient arrived, he first thought about a liver transplant. But who would have thought that the patient had a ruptured hydatid cyst wall in the emergency department, resulting in septic shock.

There is no time to wait for the liver source, so I can only do autologous liver transplantation.

The thought of an autologous liver transplant led Professor Yang to despair.

Large and small hepatic ducts and blood vessels......

Professor Yang has also tried this kind of difficult surgery. Although he succeeded, he was not satisfied with his performance. Originally, he planned to hone his skills, and then hit the last barrier of hepatobiliary surgery again, but he didn't expect an operation to fall from the sky and force him to the operating table.

"Teacher Yang, what do you think of the eight sections of the liver?" Zheng Ren gave Su Yun a hand, and said politely during the interval.

Professor Yang's hands are numb.

Cutting the liver into eight sections is indeed the best choice now. According to the disease, the eight-segment liver is intact but not the most important liver. If an autologous transplant can be successfully performed and the left lobe of the liver can be achieved, the operation can be said to be a great success.

However......

Because there is not much left of the liver, the liver function is severely impaired, and the operation time must be controlled within 2 hours.

This is still different from ordinary autologous liver transplantation, it is more difficult than that, and it is unimaginably large.

Professor Yang moved his hand, sighed, and asked, "Boss Zheng, are you sure? To tell you the truth, I'm not sure at all." ”

Hearing Professor Yang say this, the operating room fell silent again.

Everyone sees the difficulty of the operation, and no one will say that Professor Yang's level is not enough. The patient is too sick, and there will always be a time when the manpower is exhausted.

Can you only sigh?

It would be disappointing if such a wonderful operation did not succeed in the end.

"Eighty percent sure. Zheng Ren saw that Su Yun's side had begun to block the superior vena cava, and it was about to be removed and sutured, so he said lightly.

Probably...... Is this high?

Professor Yang was puzzled.

He lifted his head, and his cervical spine creaked tooth-aching as it had been held in one position for a long time.

Without bothering to move his cervical spine, Professor Yang looked into Zheng Ren's eyes, trying to see if this was a joke.

"I will do an intraoperative cholangiogram and anastomosis of the bile duct is no problem. The capillary bile ducts of the thin branches can also be anastomosed. Zheng Ren's words completely stunned Professor Yang.

In general, an autologous liver transplant anastomoses the bile ducts, but only the coarse bile ducts, and the remaining capillary bile ducts close themselves. Drainage should be done after surgery to avoid complications such as infection.

But what did you hear?

Intraoperative cholangiogram and then anastomosis of the capillary bile duct?!

This...... Professor Yang had heard of this technique, but only when a master-level person proved that he could do it, he would do it once.

Theoretically, it works. But in this case, will anyone be able to do it?

Zheng ...... Boss Zheng, you're not kidding. Professor Yang began to stutter as he spoke.

In his opinion, this is a joke.

"Cut the liver in eight sections, let's prepare for transplantation, the patient's vital signs are not very stable, we don't have time. Zheng Ren glanced at the ECG monitor and said.

"You're coming to me?" Professor Yang said again.

"You come first, and after a while, I'll help you with your autologous liver transplant. Zheng Ren's eyes narrowed, as if he was smiling.

On the operating table, it is a great shame to be robbed of the operator's position!

However, when Professor Yang heard Zheng Ren say this, his heart suddenly relaxed.

He dared to say that, compared to the possibility of being able to do it. If it was an ordinary young doctor, Professor Yang would have knocked him down a long time ago.

But standing opposite him was a Nobel Prize-nominated doctor, and the Nobel Prize's aura was shrouded, and in the face of such a situation, Professor Yang could only choose to believe it.

"Good!" Professor Yang said through gritted teeth.

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776 Intraoperative cholangiography + capillary bile duct anastomosis