Chapter 1488

The end of the first operation gave everyone confidence!

Professor Chen cuts the liver so well.

Shouldn't liver transplantation be a big problem?

After all, the most difficult part of living related liver transplantation itself is here.

What's more, Chen Cang gave Sun Jian the middle hepatic vein and cut off most of the hepatic blood vessels, hepatic ducts and bile ducts together.

Such a liver source itself is excellent enough.

But this excellence is relative.

For fan Qinghua, 55% is already very good, but for Sun Jian, who weighs 150 or 60 kilograms, he is still a little weak.

But at least the start is not a bad card.

You can still play well!

After dealing with it.

After cleaning up, Chen Cang and Zhou Hongguang came to the operating room next door.

……

……

At this time, Sun Jian here has completed the laparotomy. For experts in the capital, liver transplantation can be done.

What you can't do is those difficult transplants.

Like this one.

Several chief doctors are a little nervous.

They are all chief doctors of hepatobiliary surgery in the emergency center hospital. They are in their 40s and in their prime of life. It is time to move forward, but they are not qualified to follow Chen Cang into the operating room next door.

Everyone whispered.

"Director Feng, do you think it is feasible?"

"Harm, who knows, anyway, I can't do it for me, because fan Qinghua's liver can be cut down by up to 50%, which is not enough for Sun Jian. Whether he can survive the ICU or not is a problem!"

"Hey, it's really hard to meet this situation! You said it would be bad if we lost sister fan, but if Sun Jian disappeared, the family would be more helpless!"

"What I'm most worried about now is that it's difficult for both of them!" an older director couldn't help sighing.

He didn't mean to make everyone uncomfortable. He really... Must consider all kinds of possibilities!

If both operations fail

The consequences are almost unthinkable.

This is undoubtedly a disaster for the sun family!

However, medicine is aware of this uncertainty, who can guarantee it?

"Well, well, don't be depressed. Maybe Professor Chen has some extraordinary skills!" the old director said with a smile, trying to cheer you up!

"After all, Professor Chen has so many great achievements."

Let's encourage each other.

In fact, sometimes life needs this. In the face of adversity and difficulties, we need some like-minded friends to encourage each other.

Talking room, the door of the operating room is open!

Chen Cang came in with several directors of Zhou Hongguang.

The people looked up, and with the light in the corridor behind Chen Cang, they were suddenly stunned.

What the fuck... Can Chen Cang shine?

incorrect!

There's light behind the head!

Everyone looked silly.

Chen Cang was stunned and turned to look: "the light in the corridor is too bright. The head nurse will change it another day, or suddenly open the door and affect everyone's sight."

The head nurse was slightly stunned and quickly nodded, "OK... OK!"

As soon as this remark came out, the people in the room were slightly stunned.

I can't help feeling.

Professor Chen's words are so sweet!

Better than his anesthesiologist Zhou Lao and director Gao of hepatobiliary surgery. In a word, just change the lamp!

After the nurse helped Chen Cang get dressed, Chen Cang walked to the operating table.

Looking at the liver, I couldn't help sighing!

[Ding! A failing liver, lv91 boss, encounters a special scene and triggers a special task: one liver and two lives!

Task description: use fan Qinghua's liver to successfully save Sun Jian and let himself survive.

After completing the task, you can get a reward: "the liver is not bad"!]

Chen Cang was stunned!

What the hell is "liver without bad liver"?

Chen Cang is very confused now.

However, no matter how ignorant you are, you have to wait until you finish the operation.

Before donor placement, Chen Cang carefully checked the liver section again for open small bile ducts.

He entrusted the glorious task to director Gao ronghua.

"Director Gao, see if the bile duct is open!"

Gao ronghua nodded and began to check carefully.

At this time, Chen Cang began to prepare for implantation!

The first step before implantation is to sort out the blood vessels.

After all, whether the liver can survive depends on the supply of blood vessels.

The first step is naturally vascular anastomosis!

"No problem!" Gao ronghua handed it to Chen Cang after checking.

Chen Cang naturally believes in the cautious Gao ronghua.

As the director of hepatobiliary surgery, Chen Cang has dealt with director Gao ronghua more than once.

This person has a strong ability to stop bleeding in the liver. Chen Cang's perfect hemostasis comes from this director.

Similarly, director Gao is very experienced and careful in grasping the details!

Chen Cang is relieved to have him check!

Surgery can't be done by one person alone.

We need everyone's cooperation, otherwise it's too late.

After the operation, Chen Cang first anastomosed the right hepatic vein with the recipient's inferior vena cava, and then anastomosed the middle hepatic vein with the recipient's left hepatic vein.

This step is not a big problem for Chen canglai!

These blood vessels in the body are more familiar to Chen Cang than his house number.

I really don't know. Names can appear.

Before the completion of anastomosis, albumin must be injected through the portal vein to eliminate the gas accumulation and residual preservation solution in the lumen, so as to prevent possible air embolism and hyperkalemia.

This step is handled by Zhou Hongguang and Chen Cang!

The most serious complications of liver transplantation are pulmonary complications, intraperitoneal hemorrhage and vascular complications, biliary complications, rejection and graft dysfunction.

Chen Cang needs to be careful to reduce the possibility of various complications.

Chen Cang began to anastomose the portal vein and hepatic artery step by step.

After the completion of three vein anastomosis.

Chen Cang's fingers trembled slightly when tying knots, and a skilled and strange surgeon formed a knot!

"Open blood vessels!"

With Chen Cang's words, the vascular forceps opened and the blood began to flow instantly.

Most people don't find anything unusual in this ordinary picture.

When Zhou Hongguang's remaining light drifted a little, his face suddenly changed!

He was surprised to find a seemingly ordinary but terrible thing!

Because he found that when the blood flow was open, the anastomosis began to expand!

Generally speaking, anastomotic stenosis is an inevitable thing.

After vascular anastomosis, because of the existence of needle suture anastomosis, there will be more or less stenosis!

But Chen Cang's blood vessels were not narrowed at all!

And

The anastomosis is expanding!

After seeing this scene, Zhou Hongguang couldn't help swallowing his saliva!

This seemingly ordinary detail is actually not ordinary at all. It can even be directly related to the success rate of liver transplantation.

Thinking of this, Zhou Hongguang asked excitedly, "Professor Chen... How did you do it!"