489 Autologous liver transplant

The operation was carried out step by step and was carried out slowly and slowly.

10 cm away from the left side of the center, Su Yang used an electric knife to incite the liver capsule and superficial liver parenchyma.

Fang Min placed his left thumb on the surface of the liver, and extended the remaining four fingers to the back of the liver to gently lift the liver, and bluntly separated the liver parench along the cutting line with the shank.

This step seems simple, but it is actually very dangerous and extremely difficult.

Fang Min lifted the liver. During this process, Su Yang had to clamp and cut and ligate the various duct arteries, veins, and ligaments encountered by Fang Min's hand one by one. This action should be fast, precise, and gentle.

Therefore, this process is very important in cooperation, and the two parties should cooperate closely. Generally speaking, for this kind of surgery, the main surgery and Yishang usually require more than a few years to achieve a high degree of tacit understanding.

But what Fang Min didn't expect was that although Su Yang and him had not cooperated several times, the two of them seemed to be in the same mood, cooperated tacitly, flowing smoothly, and had extremely neat movements, which was smoother than Lin Xia or Wang Chun and him.

Fang Min didn't understand what was going on. He didn't know that Su Yang had a system. Su Yang had a charming aura that could make him unconsciously influenced and assimilated. He just knew that he and Su Yang were like working together for many years, the feeling of working together...

Wow, it’s really not been there for a long time!

It's really comfortable!

The operation continues.

Fang Min carefully held up the liver pages, and Su Yang cleaned up all kinds of blood vessels cleanly.

It is not just a small arteriovenous vein, but encountering the left hepatic vein, the left branch of the portal vein, and the left branch of the hepatic artery near the first hepatic portal. Su Yang still clamps, cuts, ligates, and then cuts off the posterior wall capsule, removes the left half of the liver, loosens into the liver blood flow blocking zone, and the bleeding points on the liver section are sewn one by one to stop the bleeding, and the two ends are closed and sutured.

The whole process took less than fifteen minutes.

The operation continues.

This is a large-scale operation with rich content and complicated processes, one after another.

The operating room was quiet, with only the slight sounds made by Su Yang, Fang Min, and Lin Feng. The rest of the people did not dare to make a sound, for fear of disturbing Su Yang, Fang Min and Lin Feng. Of course, they could not make any sounds. They were all shocked by the movements in front of them that were more beautiful and accurate than textbooks.

Doing surgery is like climbing a mountain. First of all, you have to see the mountain and then you can climb it. As someone said, why do you climb it is very simple, because the mountain is there, and it is the same as being a doctor. Why do you have surgery? Because the surgery is there, but many doctors can't climb too high peaks in their lifetime. One is that they have limited ability, and the second is that they can't see the mountains, and even the mountains cannot be seen, so there is no way to talk about climbing. But at this moment, the doctors at the Guantai all saw a mountain, a mountain like Mount Everest, which is very high and very high. They may not be able to climb it. But at least they know that there is such a mountain in the world. As a doctor in the general hospital, they are somewhat ambitious. As long as they see it, they want to try it. At this moment, many people secretly thought in their hearts: "I must be like Su Yang! My surgery must be as good as him! So, I have to work hard! I can't slack anymore!"

In the quiet operating room, a strange feeling was slowly brewing.

The next surgery was the most difficult part of the entire operation, autologous liver transplantation.

If the previous surgeries were peaks and it was difficult to climb, then the surgery we were facing at this moment, autologous liver transplantation, is Mount Everest, which is unattainable!

Of course, the function and significance of this surgery are self-evident, just like Mount Everest. Once you reach the top, you will see the unique scenery in the world, which is extremely beautiful, and you will see all the mountains. From now on, you will feel that they are so simple and so easy!

Autologous liver transplantation is a surgical technique that absorbs liver transplantation technology and corresponding procedures, separates the liver with liver place-occupying lesions in vitro or semi-exclusive, and then completes the lesion removal and liver retention trimming under different temperature perfusion, and finally retransplant the well-developed retaining liver back into the patient's body.

Autologous liver transplantation technology includes liver transplantation, organ perfusion, organ preservation, external circulation, internal environment and hemodynamic management, and is the most complex surgery with the highest operation difficulty coefficient and risk index.

It is worth noting that autologous liver transplantation retains liver repair and re-implantation is more complicated than orthotopic liver transplantation. The close coordination of various processes during the operation is the key to the success or failure of the operation.

In 1988, Pichlmayr, who was from the Hannover Organ Transplantation Center in Germany, performed the world's first ex vivo cold perfusion liver tumor resection, and first proposed the concept of autologous liver transplantation.

Later, it was improved based on the pichlmayr technology and semi-exclusive autologous liver transplantation technology was derived.

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Semi-exclusive autologous liver transplantation technology keeps breaking the first liver port, shortens the hepatic phase, avoids the anastomosis of the hepatic artery, portal vein and bile duct, thereby reducing the occurrence of complications of vascular and bile ducts.

The liver is turned up, down, left and right by using semi-exclusive method, which can also make the placeholding disease in different parts of the body remove.

Since Wen Hao and others reported that my country's first autologous liver transplantation was used to treat hilar cholangiocarcinoma, more than a dozen liver surgery centers have successively carried out autologous liver transplantation technology.

Compared with routine liver resection and allogenic liver transplantation, autologous liver transplantation has the following advantages: First, it can improve the resection rate of routine lesions that cannot be cured; second, allogenic liver transplantation shortage; third, it reduces the treatment cost compared with routine liver transplantation and has social benefits of saving economic resources; fourth, no need to take immunosuppressants.

However, due to the complex operation technology of autologous liver transplantation, high requirements for intraoperative coordination, high risk of surgery, and narrow selection of indications, it is nearly 30 years since the autologous liver transplantation technology was proposed, but the number of completed cases worldwide is less than 200.

This shows how difficult this surgery is today.

That's why Su Yang insisted on doing today's surgery and insisted on taking the surgery himself. The reason is very simple. Once the surgery is completed, he will directly use iron-like facts to all the experts, doctors, directors of major departments, and leaders of the General Hospital, and he will directly use the facts to announce to all the experts, doctors, directors of major departments, and leaders that he will tell them directly with the facts:

I.

Su Yang.

He is also a great doctor who can undergo autologous liver transplantation.

My medical skills can already stand at the highest peak of the main hospital.

In the past 30 years, there have been no more than 200 cases of autologous liver transplantation in the world, but one of them is mine!

Therefore, the General Hospital must have a location in mine!

If you don’t give me this position, then I’ll go to a place where I can give me this position!
Chapter completed!