Many times.
The significance of surgery really lies not in the surgery itself, but in hope!
At this moment, a family of five and now three are standing outside the operating room, looking at the door of the operating room, just like all the waiters around
Waiting for hope, but also fear of despair!
Chen Cang feels more and more that:
The profession of doctor itself cannot have too much emotional color.
Because... Too many feelings accumulate on you, you will have a lot of strange thoughts.
Sometimes, you can't think too much.
If there is love in the sky, the sky will grow old.
Why think so much?
There are always doctors in several departments in the hospital who are not fixed, because no matter how hard they are, they will melt and even can't bear to think of them.
Compared with the pressure of work, mental torture is more painful.
Operating room!
Chen Cang and others once again came into the operating room with the dreams of three generations.
The old man's expectation, Zhang Ling's fear, and the child's curiosity
Everyone knows that this war is not easy to fight!
Because liver transplantation itself is a very complex and delicate work, the organization of preoperative liver transplantation team is very important. Usually, it is necessary to form donor group, recipient group and anesthesia group.
The departments participating in the cooperation shall at least include hepatobiliary surgery, cardiac surgery, laboratory, hematology, microbiology and immune room, blood bank, pathology, Radiology, pharmacy, etc. all these departments have a tacit understanding and orderly running in and exercise again and again.
Chen Cang must participate in the operation in its full name. In addition to anesthesia, starting from the liver donor group, Chen Cang wants to cut off the liver and save her son while keeping this great mother!
There are too many things to consider.
How big is a liver?
It's really not big!
But enough to support great maternal love.
It is said that she is full of courage. Who can be braver than such a mother?
How to use a small liver to meet the needs of two people?
This is a very difficult problem!
Chen Cang needs to calculate accurately.
Before the operation started, Chen Cang stared at the CT report and kept thinking about it.
The ruler in his hand constantly calculates the size and structure of the liver and analyzes how to transplant to ensure the maximum survival probability.
The four-dimensional mechanism built by Chen Cang's brain is displayed in front of Chen Cang. He needs to simulate liver cutting again and again!
While the liver needs to be removed, sort out the relationship between liver blood vessels, calculate the liver volume to meet the needs of liver work, calculate the complications of intraoperative intraperitoneal hemorrhage, and design new bile ducts and their digestive system
It's really hard!
As time goes by, one minute... Two minutes... Ten minutes
Until the anesthesiologist behind him said, "Professor Chen, ready. When will it start?"
In a word, Chen Cang couldn't help rubbing his eyebrows!
it's too hard!
Mother's height is 160 and her weight is 60kg!
Sun Jian is 178 in height and 76kg in weight!
The two people's livers are different in size, so giving Sun Jian 50% of his liver can't meet his daily needs.
Moreover, in general, according to the default provisions of living donor liver transplantation, 50% is already the limit.
Chen Cang has simulated many times. 50% of his mother's liver is really choking for Sun Jian.
What should I do?
The anesthesiologist is already urging.
Chen Cang took a deep breath, looked at the mother and made a bold decision!
Remove 60% of fan Qinghua's liver!
After thinking of this, Chen Cang said, "I'll wash my hands."
Then he went out and washed his hands. At the same time, Chen Cang opened a simulated stone!
Looking at the only analog stone left in the space, Chen Cang took a deep breath and hoped that he would never use you!
Unfortunately, this is impossible!
When the picture changed and the donor liver group and recipient group were simulated in the space, Chen began the simulated operation!
After all, although living relative donor liver transplantation is not very mature, it is definitely an old operation that has been preserved for decades.
Mature!
But maturity also means that it is very difficult to change!
Such a 59 year old mother donated liver to her 29 year old son is the first one Chen Cang has seen, heard and experienced!
Simulation starts!
Chen Cang first removed 50%. Sure enough, there was no accident. The operation failed!
Even if he chose countless ingenious separation techniques and used the perfect "Wu's knife method" to give priority to the compensation of liver and blood vessels... And so on, he failed!
One liver for two people, after all, how it sounds is impossible!
Fifty can't, just add it!
51% failed!
52% failed again!
……
57% successful!
Chen Cang couldn't help getting excited!
He finally found out where the mistake was.
In the reconstruction of the liver.
A liver tissue has only one hepatic duct, including habit, hepatic duct, etc.
However, if Chen Cang wants to complete the operation of two people, he needs to complete hepatic duct reconstruction.
For a time, after Chen Cang thought clearly, he began to try again!
In space!
Chen Cang doesn't know how long it has been!
After he opened his eyes, he suddenly felt different!
Zhou Hongguang suddenly asked, "Professor Chen, why are you sweating?"
Chen Cang was stunned and found that he was sweating so much at this moment.
Chen Cang smiled: "it's all right!"
Zhou Hongguang nodded and sighed: "well, Professor Chen, we discussed it. I don't think this operation should put too much pressure on yourself!"
"After all, this kind of operation is too difficult. We haven't heard of this kind of operation for two adults in China."
"I mean, try to keep the man alive!"
"Yes, at a critical time, we can use liver transplantation!"
Chen Cang was stunned, because this sentence means... Giving up fan Qinghua completely to preserve Sun Jian's health!
Gao ronghua nodded bitterly.
"Well, indeed... This is also the suggestion of the family and the donor himself."
Although the answer is inhuman!
But think about it.
If it was really a multiple-choice question, how would you choose?
Emotionally, you are willing to stand on the side of this great mother.
But rationally?
Maybe saving a man is the right choice?
Chen Cang looked at them and suddenly smiled.
Look at the two people are a little stunned!
"Professor Chen, what are you laughing at?" Gao ronghua couldn't help but be stunned.
Several directors around looked at Chen Cang curiously.
Chen Cang wiped his hands and walked towards the operating room.
And left a sentence:
"Children make choices, adults... Of course they want them all!"
"Two people, two operations, will succeed! They will survive!"
Some words confused the people.
Why does this sentence sound familiar?
Seems to have heard of it somewhere!