Chapter 1315

The operation has not started yet, but the knife in Chen Cang's hand has become the focus.

Everyone stared at this seemingly ordinary scalpel.

I don't know why today's knife is even dazzling!

The most difficult core operation of liver transplantation mainly has two steps.

The resection of recipient liver is one of the most difficult parts in liver transplantation.

Because most patients who need liver transplantation often have severe liver cirrhosis and portal hypertension, and have a history of abdominal surgery for various reasons, including cholecystectomy, splenectomy, portal shunt, etc., they form extensive intra-abdominal adhesion, which is often mixed with abundant collateral circulation, making the resection of diseased liver more difficult.

Wang Dong's operation has removed most of the liver and gallbladder, but this shows the skill of the chief surgeon.

That is whether abdominal adhesion is serious!

When the patient's abdomen was cut open, the abdominal organs and tissues were exposed.

Everyone looked at Wang Dong's abdominal cavity and couldn't help sighing.

"What a clean abdominal cavity!"

Zhou Hongguang looked at Chen Cang: "what did you do?"

Chen Cang nodded.

Zhou Hongguang couldn't help thumbing up: "it's really powerful!"

"Why don't you be an academician? What if I don't do it?"

Chen Cang glanced at Zhou Hongguang and smiled: "I don't have time."

A sentence seems like a joke, but we can't hear the meaning of the joke. Instead, we think... Chen Cang can't be serious?

He Zhiqian thinks it's possible!

Because Chen Cang is really busy. At the time of selecting academicians, isn't he fragrant? Isn't the Lasker medical award good? Not really. Isn't Wu Jieping's medical award uncomfortable?

Of course, a big man like Mr. Chen doesn't care about fame and wealth. It's estimated that there will be time to create a new technique?

Hey

He's too busy!

Zhou Hongguang smiled awkwardly, but his heart was also touched.

Liao Jia shook her head. She thought Chen Cang was bragging.

Who doesn't want to be an academician?

Lifetime honor, academic hall of fame, who doesn't want to go in.

However, Chen Cang ignored academician's.

The most important thing now is to complete such an operation.

No adhesion in the abdominal cavity does not mean that the operation is simple!

Most of Wang Dong's liver disappeared, with abnormal liver function and disordered coagulation mechanism.

Therefore, it is likely to face a problem: more bleeding in the book!

Therefore, there should be sufficient estimation of intraoperative bleeding, and all blood vessels encountered should be properly ligated and carefully stopped bleeding.

Assessment and emergency response, although the requirements are very high for the chief surgeon!

At this time, everyone remembered that Chen Cang had warmed up his blood before.

Chen Cang had already calculated before he arrived?

At this moment, everyone was stunned!

The operation hasn't started yet, but Chen Cang has given enough shock.

Details!

It's all details!

Liao Jia can't feel it yet.

But Zhou Hongguang couldn't help feeling.

To the high depths, it's all little Kung Fu.

The major operation of liver transplantation has to start from the details.

"Establish venous venous circulation!"

When they were thinking, Chen Cang said to Zhou Hongguang.

Vein vein circulation is very important. Chen Cang can't give consideration to it. He must have a person of the same level or even higher to work together.

This is why he invited Zhou Hongguang.

It's hard to train an assistant!

And to tell the truth, no one in this society really wants to be an assistant all the time.

So cooperation is the best form.

This is why Chen Cang has not formed a team.

The boss doesn't want to come.

It's too difficult to train new people.

Ordinary directors think qualitatively, and others are in a corner.

Instead, it's better to find some like-minded directors and someone to help in case of dangerous surgery.

During liver transplantation, it is necessary to block the portal vein and inferior vena cava. In this way, the blood of the gastrointestinal tract and lower body can not flow back to the heart at all. When blocked, the amount of return blood is less than half.

As a result, the patient has severe organ congestion during anhepatic period, increasing portal hypertension.

The consequence is the increase of venous pressure, which is in the abdominal cavity with coagulation disorder. Once bleeding, the consequences are unimaginable!

Even the metabolites accumulated during anhepatic period will enter the circulation once liver transplantation is completed, resulting in metabolic acidosis!

The case fatality rate has increased significantly!

So we must deal with this step.

Three veins were selected for extracorporeal circulation: great saphenous vein, portal vein and vena cava.

During the treatment, Liao Jia suddenly found that these intrahepatic blood vessels seemed to have no trace of suture!

But... The cutting marks of the liver are very obvious.

Liao Jia immediately exclaimed:

"How did you do this?"

Even Liao Jia can find it, not to mention Zhou Hongguang.

He found these traces long ago!

Because of this, Zhou Hongguang couldn't help being silent.

To tell you the truth, I came to the operation today to make friends with Chen Cang and give personal affection.

But

Up to now, Zhou Hongguang has been shocked by what he has seen.

He was stunned by Chen Cang's technical methods.

Awesome!

Liao Jia's words were not answered, which made her blush for a moment.

Instead, Chen Cang glanced at the unruly young doctor.

But I didn't say anything.

After all, yelling on the operating table is taboo, especially if you are still a bystander.

Liao Jia blushed and was extremely ashamed.

For a time, I was embarrassed to stay and left the operating room in a hurry.

After coming out, Liao Jia's face was blue and red, and she blamed herself very much!

Leave the operating room before the operation begins.

I am embarrassed!

But out of courtesy, Chen Cang and he Zhiqian didn't drive her away, but she couldn't afford to stay.

However, she couldn't control herself when she saw that scene.

At this time, the operating room.

Chen Cang and Zhou Hongguang have a tacit understanding.

Intubation was completed soon!

Chen Cang turned and said, "use a special anticoagulant silastic tube to connect the diversion system."

After all the venous pipes are connected, the venous bypass system can start to operate!

At this moment, everyone was relieved.

The first step is finally completed.

The next dissociation and resection work was originally the most difficult.

Because during normal operation, the patient's abdominal adhesion must be serious. Once separation begins, it is bound to cause massive bleeding.

And the constitution of abnormal coagulation will aggravate bleeding, which is the main cause of death during operation!

But

At this time, where is there any adhesion in the patient's abdominal cavity?

The whole abdominal cavity is very clean!

Zhou Hongguang has had surgery for so many years. This is the first time he has seen liver transplantation with such a clean abdominal cavity!

For a time, Zhou Hongguang's inner impact was unparalleled.