Chapter 1490： : That unbearable past!

ut!

Many people have ideas with Zhou Hongguang!

They were afraid that their hands would be found... they were useless, they could only pretend to have a clear feeling, and nodded at Chen Cang's words!

"Oh... Professor Chen is right!"

"Why, this operation can still be used, what Professor Chen said is very true!"

"Teached! Long-term knowledge, try to buy pork liver tonight!"

...

Hearing these words, Zhou Hongguang panicked.

You know, anyone guides, hand nerve distribution is one of the most densely divided places.

The touch here is very sensitive!

Zhou Hongguang now has only one idea, blaming his young ignorance, knowing that the hand touch is like this, I just... I won't do something that is not suitable for children!

It's not that I have such a thick hand skin now!

Sure enough, the old man does not deceive me, the young man should quit!

However, Zhou Hongguang felt that he could not lose his momentum: "Professor Chen made a lot of sense. I have also tried to use freehand blunt separation. The effect is very obvious, but the sensitivity of the opponent is too high. These years old, I feel No way... Hey! I knew I would learn this technique if I had such a way!"

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

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

I blame myself for being young and ignorant!

Seeing everyone's tone like this, Chen Cang couldn't help but froze for a moment.

Are you... actually taken seriously?

and……

Still hurt each other?

This is why it's too urgent to grow up with each other!

Chen Cang suddenly felt that he was too cruel. He knew that he wouldn't talk about it, which caused such mutual harm.

The process of breaking the liver is not too long, and the time for harming each other is not too long.

Chen Cang chose to cut right liver.

Because in this way, the right hepatic vein, middle hepatic vein, right portal vein, right hepatic artery and right hepatic tube can be saved and transplanted!

The entire dissociation process must be done carefully.

When everything is ready, Chen Cang needs to determine the tangent line for liver resection.

"Block the liver!"

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

After hepatic hilar occlusion, the color of hepatic hilar will undergo some changes!

At this moment!

Chen Cang decisively changed the liver color to the boundary and took the ultrasonic knife to start cutting.

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

Chen Cang's hand is very stable!

Carefully cut off according to your planned route bit by bit!

Soon to the middle hepatic vein.

Chen Cang said to everyone: "The transplant must include the middle hepatic vein.

Because the middle hepatic vein is drained in sections Ⅴ and Ⅷ, if the middle hepatic vein is not retained, the right liver congestion and enlargement may affect the liver function.

This complete retention can effectively increase the success rate of small volume liver transplantation! "

This is Chen Cang's experience and skills.

After many trainings in the simulation space, Chen Cang's experience is very full.

The experience of golden simulated stone is very unusual, you can directly see the later recovery, such an experience is really beneficial to Chen Cang!

After they heard it, they nodded one after another.

There is no unified determination as to whether the middle hepatic vein is retained during right liver transplantation!

Chen Cang's explanation directly made everyone suddenly cheerful!

The surface is still, but the heart is already shaking.

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

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

Chen Cang chose the ratio of 45%: 55%!

Retain 45 percent of the liver, and then rebuild blood vessels and hepatic ducts.

Seeing Chen Cang decisively removed 55 percent of his liver, plus blood vessels and hepatic ducts, everyone's face changed slightly!

Is it possible to keep 45 percent?

Everyone glanced at Chen Cang.

I saw Chen Cang was silent. The next set of operations Chen Cang did not know how many times!

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

The liver parenchyma was quickly cut and separated!

Zhou Hongguang perfused the lactated Ringer's solution through the right portal vein cannula and placed it in a basin filled with ice chips in vitro!

Continue to infuse the right portal vein and biliary tract with UW solution. Full biliary infusion is conducive to avoid or reduce the occurrence of postoperative biliary stenosis.

"Don't rinse the liver lining!" Chen Cang said quickly.

Gao Ronghua nodded!

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

Because Chen Cang has proved with his strength that he can.

At this moment!

Less than half of the remaining liver.

When I saw this, everyone couldn't help worrying.

May I?

Can you survive 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 assume the complete function of the liver!

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

The remaining left liver section must be carefully hemostasis and close all open small bile ducts!

If the operation just emphasized exquisiteness, the next thing is precision!

Revascularization!

Hepatic duct reconstruction!

Biliary reconstruction!

No step is to keep improving.

It is necessary to be careful without anastomosisThe original liver retention is only 45%, but it occupies a local advantage. After the body is repaired, it has super healing ability!

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

Over the course of tens of thousands of years of evolution, it is definitely not only the brain capacity that has evolved, but the improvement of self-recovery and defense capabilities.

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

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

Such as helping the body to eliminate evil, replenishing qi and solidifying the foundation, cultivating earth and raising gold, etc...

The five-element coexistence may actually be a theory that promotes the body's self-healing.

In the sight of everyone!

Chen Cang constantly repaired the section!

Save the liver blood vessels as much as possible.

Blood is the driving force for survival.

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

"Professor Chen, only 10 minutes!" the anesthesiologist reminded!

An hour is too nervous in front of such a delicate operation.

But Chen Cang's speed can be really fast!

Precision and speed.

Chen Cang nodded.

Continue to start the operation!

at last……

After Chen Cang successfully anastomosed the last bile duct, his liver finally appeared.

Although only about 45 percent.

But the feeling is complete!

No inspection has been issued yet.

The function of the liver must be evaluated after surgery.

Therefore, the most difficult step of the operation is completed.

Chen Cang has retained the full function with 45% of his liver!

he made it!

The next step is to wait patiently, three days after the transaminase peaks.

This is the final answer!

(End of this chapter)