Chapter 1487

however!

Many people have ideas with Zhou Hongguang!

For fear of being found out that their hands... Are useless, they can only pretend to have a clear feeling and nod to Chen Cang's words!

"Oh... Professor Chen is right!"

"Well, it turns out that there can be this operation. What Professor Chen said is very true!"

"I've been taught! I've learned a lot. I'll go back and buy a pig liver tonight!"

……

Hearing these words, Zhou Hongguang panicked.

You know, as anyone can guide, the distribution of hand nerves is one of the most dense parts of the body.

The feeling here is very sensitive!

Zhou Hongguang has only one idea now. He blames himself for his youth and ignorance. He knew that the touch of his hands was like this. I would... I wouldn't do anything inappropriate for children!

I'm not as thick as my hand now!

Sure enough, the old man didn't deceive me. The young man should quit l!

However, Zhou Hongguang felt that he could not lose his momentum: "what Professor Chen said is very reasonable. I have tried blunt separation with my bare hands before, and the effect is obvious, but the sensitivity of my opponent is too high. I feel bad when I am old... Hey! I knew I could learn this technology if I had such a technique!"

As soon as this remark came out, everyone else panicked!

Many male directors recalled the unbearable past and youth, and sighed leisurely!

Blame yourself for being young and not sensible!

Chen Cang was stunned when he saw the people's tone.

You... Are you serious?

And

Still hurting each other?

This is the same root, why is it too urgent!

Chen Cang suddenly felt that he was too cruel. He had known that he would not say it. Look, it caused such mutual harm.

The process of breaking the liver is not too long, and the time of mutual injury is not too long.

Chen Cang selected the right liver.

Because in this way, the right hepatic vein, middle hepatic vein, right portal vein, right hepatic artery and right hepatic duct can be preserved and transplanted in the past!

The whole dissociation process must be careful.

When everything is ready, Chen Cang needs to determine the tangent of hepatectomy.

"Block the hepatic portal!"

Zhou Hongguang's hands and feet are very numb. He skillfully blocks the right hepatic portal.

After the hepatic hilum is blocked, the color of the hepatic hilum will change!

this moment!

Chen Cang resolutely took the ultrasonic knife and began cutting according to the change of liver color.

The whole process needs to be extremely cautious. The sharpness of the ultrasonic knife is absolutely beyond your imagination.

Chen Cang's hand is very stable!

Carefully cut it off bit by bit according to the route you plan!

Soon to the middle hepatic vein.

Chen Cang said to the crowd, "the middle hepatic vein must be included in the transplantation.

Because the middle hepatic vein drains segments V and VIII, if the middle hepatic vein is not reserved, it may lead to congestion and swelling of the right liver and affect its liver function.

In this way, complete preservation can effectively increase the success rate of small volume liver transplantation! "

This is Chen Cang's experience and skills.

After many times of training in simulated space, Chen Cang's experience is very rich.

The experience of golden simulated stone is very unusual. You can directly see the recovery in the later stage. Such an experience is really beneficial to Chen Cang!

When they heard this, they nodded.

There is no unified identification of whether the middle hepatic vein is retained during right liver transplantation!

Chen Cang's explanation directly made everyone suddenly enlightened!

The surface is calm, but in fact, the heart has been shaking.

Because, one obvious thing is that Chen Cang's liver transplantation technology has far surpassed them!

The next thing you need to do is cut in proportion!

Chen Cang chose 45%: 55%!

Forty five percent of the liver was preserved, and then the blood vessels and hepatic ducts were reconstructed.

Seeing Chen cangguo cut off 55% of the liver, plus blood vessels and liver tubes, everyone's face changed slightly!

Can you keep 45 percent?

The crowd took a look at Chen Cang.

Chen cangmo was silent. Chen Cang didn't know how many times he had done the next set of operations!

It must be completed quickly, which is the key to fan Qinghua's survival!

The liver parenchyma was cut and separated quickly!

Zhou Hongguang intubated lactate Ringer's solution from the right portal vein and placed it in a basin containing ice chips in vitro!

Continue to perfusion the right portal vein and biliary tract with UW solution. Full perfusion of biliary tract is helpful to avoid or reduce the occurrence of postoperative biliary stricture.

"Don't wash the inner membrane of the liver!" Chen Cang said quickly.

Gao ronghua nodded!

At this moment, Chen Cang's words are undoubtedly the truth!

Because Chen Cang has proved with strength that he can.

this moment!

Less than half of the liver remains.

Everyone couldn't help worrying when they saw here.

OK?

Can you survive by preserving 45% of the liver?

The liver grows.

After liver transplantation, there is a growth period. Although it is relatively slow, with the growth of the liver, it can undertake the complete function of the liver!

However, how to spend this dangerous period is particularly important!

The remaining left hepatic section must be carefully hemostatic and close all open small bile ducts!

If the previous operation is exquisite, the next one is exquisite!

Revascularization!

Hepatic duct reconstruction!

Biliary reconstruction!

Every step is excellence.

You have to be careful every step.

Only 45% of the original liver is retained, but it occupies a local advantage. After repair, the body has super healing ability!

In fact, the most powerful part of the human body is the self-defense system.

The evolution of tens of thousands of years is definitely not only the evolution of brain capacity, but also the improvement of self-recovery and defense ability.

In fact, the essence of medical treatment should eventually be restored to helping the human body heal itself.

In fact, some theories in traditional Chinese medicine are still recognized by Chen Cang!

For example, supporting the right and dispelling evil, supplementing qi and consolidating the foundation, cultivating soil and generating gold, etc

In fact, the combination of five elements may be a theory to promote self-healing.

In the sight of everyone!

Chen Cang keeps mending the section!

Preserve liver blood vessels as much as possible.

Blood is the driving force of survival.

At this time, Chen Cang had successfully ligated those subtle blood vessels.

"Professor Chen, the time is only 10 minutes!" the anesthesiologist warned!

An hour is too tight in front of such a precise operation.

But Chen Cang's speed is really fast!

Precise and rapid.

Chen Cang nodded.

Continue the operation!

Finally

After Chen Cang successfully anastomosed the last bile duct, the liver was finally revealed.

Although only about 45%.

But it feels complete!

There is no inspection certificate issued now.

Liver function must be evaluated after operation.

Therefore, the most difficult step of surgery is over.

Chen Cang retained the complete function with 45% of the liver!

He did it!

The next step is to wait patiently and react after the transaminase reaches its peak three days later.

This is the final answer!