Chapter 2117： Unfinished surgery
Zheng Ren glanced at Su Yun and asked: "I think there is no other way, you are staring at the letter."
Su Yun nodded.
This is the only thing that can be done. In addition, there are many troubles. The medical team, as a small branch of the 912, is like a part, and it does not play much.
Lin Gedao, "Zheng boss, then I am going to be busy. This thing should be reported to the hospital, waiting for the director's instructions."
A few people are divided.
Back to the intervention department, Zheng Ren did not say a word, to achieve a familiar position, pick up the fifth edition of the surgery, and began to face each other.
Seeing Zheng’s sullen face, Lin Yuan did not say a word, working with his head down. Gu Xiaoyu has just arrived today. Everything is familiar. I have just been trained by Chang Yue, and I dare not speak.
"Boss, still haven't believed." Su Yun looked at the mailbox and said.
Zheng Ren thinks that the face should be confirmed, but the possibility of not sending an email is relatively large, and the big pig's hooves generally do not have problems in this kind of thing.
It may not be that several foreign lines can provide liver source, but there is a liver source somewhere in the country, and it is contacting the 912 hospital.
In short, first take a look at the system space.
He closed his eyes slightly and entered the system space.
Click to buy the surgery training time, with the system operating room pulled up, Zheng Ren strode in.
There is an experimental body in the operating room, not empty!
The spirit of Zheng Ren is shocked, which means that no matter what the source of the liver, in general, the liver can be used.
Then start surgery training, Zheng Ren took a deep breath and was ready to start surgery.
Liver transplantation, the difficulty of its own surgery is not particularly large. Compared to the donor liver source, the surgery becomes a fine branch.
Standing in front of the operating table, Zheng Ren was calm and calm, and the lancet in his hand seemed to be lighter, revealing a joy.
At the core of liver transplantation, the most difficult and most dangerous time for patients is the time when the original liver is removed and the new liver is taken to make an anastomosis.
This period of time, called the "hepatic phase", is also known as the dark period.
Unlike kidney transplants and lung transplants, there is only one liver. The original liver is cut, even if the liver has no longer been able to ensure the health of the body because of acute liver failure, it will also cause a certain change in the human body due to a large change in the original physiological anatomy.
In the non-hepatic stage, the lower body and gastrointestinal blood cannot return to the heart, and the patient is in a state of stagnation. At this time, the patient's blood flow is reduced and the vital signs fluctuate greatly. This is a period of special attention for the surgeon and anesthesiologist during the whole liver transplantation operation.
In addition, the patient Chen Li has a large amount of bilateral pleural effusion, atelectasis, heart failure, respiratory failure, so the possibility of cardiac arrest during surgery is particularly large.
Emergency surgery is several times more difficult than slow surgery, and even a geometric order of magnitude higher.
Otherwise, Zheng Ren will not desperately want a liver source with matching blood type and matching type. Only in this way can the patient's vulnerable body be affected as much as possible.
However, Zheng Ren is not very concerned, surgery training time is sufficient, he is also a master-level surgeon, as well as organ transplant specialization bonus, coupled with the lucky aura envelope, really do not believe that surgery is not complete!
Open skin, layer by layer, blunt separation, peritoneal protection, open the abdominal cavity, Zheng Ren feels that his surgery is done in general.
Zheng Ren’s heart is very happy.
When I used to explain the condition to the patient's family, I occasionally said that it is good to be able to perform surgery. If you get sick, you can't do surgery, and that's it.
This time, Zheng Ren really felt the joy of being able to perform surgery.
Entering the abdominal cavity, Zheng Ren first freed the left and right liver ligaments and disconnected the left triangle ligament of the liver. After separating the left and right livers and turning the liver up, the first hepatic hilum was revealed, and the isolated hepatic artery, the portal vein trunk and the common bile duct were respectively ligated.
Turn the left half of the liver to the right to reveal the third hepatic hilum, ligature the branches of the hepatic vein, and finally disconnect the left hepatic vein and the right hepatic vein of the liver to remove the diseased liver.
Excision is very simple.
Destruction is always easier than construction. From ancient times to the present, this is a fact.
Zheng Ren's surgery is more meticulous. Even if he is replaced by a liver transplant transplanter, simply cutting the liver, as long as one blood vessel, one ligament is ligated and cut off is enough.
Although Zheng Ren surgery will not be so meticulous and clean, it is no problem to cut it off.
After cutting the liver, Zheng Ren picked up the donor's right lobe next to the liver to prepare for the various reconstructions of the liver transplant.
It is simple, but it is compared to finding a donor.
In fact, the whole process is still complicated.
After the new liver enters the peritoneal cavity of the recipient, the anastomosis reconstruction of the hepatic accessory duct is completed, including the portal vein, the superior and inferior vena cava, the inferior vena cava, the hepatic artery, and the biliary tract.
The portal vein, the superior hepatic superior vena cava, and the inferior vena cava of the diseased liver are cut off to the new liver and the portal vein, the superior hepatic superior vena cava, and the inferior vena cava of the patient are completed and the blood flow is opened. The speed is likely to determine the patient. Life and death.
This is the so-called period of no liver.
Zheng Ren has confidence in his own surgical methods.
Start rebuilding various pipelines.
Zeiss's microscope, Dr. Charles gave Zheng Ren's various surgical instruments, played a huge role.
however……
but……
Nothing is used.
At the time of the 10'22′′ in the period of no liver, the heartbeat of the experimental body was stopped.
Zheng Ren stunned. He did not go to the experimental body for cardiopulmonary resuscitation, but stood in front of the system operating table and began to ponder his own surgery.
The whole process is correct, even if it is once again, it seems that he can't shorten the no-hepatic period to less than 10 minutes.
What is the world record? It seems to be about 26 minutes, and this is recorded. And this record, Zheng Ren recalled should be mentioned in a case report published in the "Lancet" magazine three years ago.
Under normal circumstances, surgical liver transplantation surgery, the time of no liver should be 30-40 minutes, this is the top surgeon's main knife.
Although it is not like the world record of the Olympic Games, it is remembered by the masses of the people, but the surgeons who know the surgery will know how long the shortest period of liverlessness is.
This is a competition in the real technical field.
However, this small patient named Chen Li actually gave the surgeon only a little more than 10 minutes of liverless surgery...
Zheng Renxuan looked at the operating room of the system and the experimental body of the operating table.
I was confident enough that the surgery would be taken down.
Master's level of general surgery skills, organ transplant specialization, lucky aura enveloped......
But this is not enough!
Why is it so short? Even with the addition of heart pressure, I have to face the impact of the door to restore blood supply, but also face... in the face of countless tests.
With heart compression, it is absolutely impossible for patients to persist for so long.
Zheng Ren is a little crazy.
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Su Yun nodded.
This is the only thing that can be done. In addition, there are many troubles. The medical team, as a small branch of the 912, is like a part, and it does not play much.
Lin Gedao, "Zheng boss, then I am going to be busy. This thing should be reported to the hospital, waiting for the director's instructions."
A few people are divided.
Back to the intervention department, Zheng Ren did not say a word, to achieve a familiar position, pick up the fifth edition of the surgery, and began to face each other.
Seeing Zheng’s sullen face, Lin Yuan did not say a word, working with his head down. Gu Xiaoyu has just arrived today. Everything is familiar. I have just been trained by Chang Yue, and I dare not speak.
"Boss, still haven't believed." Su Yun looked at the mailbox and said.
Zheng Ren thinks that the face should be confirmed, but the possibility of not sending an email is relatively large, and the big pig's hooves generally do not have problems in this kind of thing.
It may not be that several foreign lines can provide liver source, but there is a liver source somewhere in the country, and it is contacting the 912 hospital.
In short, first take a look at the system space.
He closed his eyes slightly and entered the system space.
Click to buy the surgery training time, with the system operating room pulled up, Zheng Ren strode in.
There is an experimental body in the operating room, not empty!
The spirit of Zheng Ren is shocked, which means that no matter what the source of the liver, in general, the liver can be used.
Then start surgery training, Zheng Ren took a deep breath and was ready to start surgery.
Liver transplantation, the difficulty of its own surgery is not particularly large. Compared to the donor liver source, the surgery becomes a fine branch.
Standing in front of the operating table, Zheng Ren was calm and calm, and the lancet in his hand seemed to be lighter, revealing a joy.
At the core of liver transplantation, the most difficult and most dangerous time for patients is the time when the original liver is removed and the new liver is taken to make an anastomosis.
This period of time, called the "hepatic phase", is also known as the dark period.
Unlike kidney transplants and lung transplants, there is only one liver. The original liver is cut, even if the liver has no longer been able to ensure the health of the body because of acute liver failure, it will also cause a certain change in the human body due to a large change in the original physiological anatomy.
In the non-hepatic stage, the lower body and gastrointestinal blood cannot return to the heart, and the patient is in a state of stagnation. At this time, the patient's blood flow is reduced and the vital signs fluctuate greatly. This is a period of special attention for the surgeon and anesthesiologist during the whole liver transplantation operation.
In addition, the patient Chen Li has a large amount of bilateral pleural effusion, atelectasis, heart failure, respiratory failure, so the possibility of cardiac arrest during surgery is particularly large.
Emergency surgery is several times more difficult than slow surgery, and even a geometric order of magnitude higher.
Otherwise, Zheng Ren will not desperately want a liver source with matching blood type and matching type. Only in this way can the patient's vulnerable body be affected as much as possible.
However, Zheng Ren is not very concerned, surgery training time is sufficient, he is also a master-level surgeon, as well as organ transplant specialization bonus, coupled with the lucky aura envelope, really do not believe that surgery is not complete!
Open skin, layer by layer, blunt separation, peritoneal protection, open the abdominal cavity, Zheng Ren feels that his surgery is done in general.
Zheng Ren’s heart is very happy.
When I used to explain the condition to the patient's family, I occasionally said that it is good to be able to perform surgery. If you get sick, you can't do surgery, and that's it.
This time, Zheng Ren really felt the joy of being able to perform surgery.
Entering the abdominal cavity, Zheng Ren first freed the left and right liver ligaments and disconnected the left triangle ligament of the liver. After separating the left and right livers and turning the liver up, the first hepatic hilum was revealed, and the isolated hepatic artery, the portal vein trunk and the common bile duct were respectively ligated.
Turn the left half of the liver to the right to reveal the third hepatic hilum, ligature the branches of the hepatic vein, and finally disconnect the left hepatic vein and the right hepatic vein of the liver to remove the diseased liver.
Excision is very simple.
Destruction is always easier than construction. From ancient times to the present, this is a fact.
Zheng Ren's surgery is more meticulous. Even if he is replaced by a liver transplant transplanter, simply cutting the liver, as long as one blood vessel, one ligament is ligated and cut off is enough.
Although Zheng Ren surgery will not be so meticulous and clean, it is no problem to cut it off.
After cutting the liver, Zheng Ren picked up the donor's right lobe next to the liver to prepare for the various reconstructions of the liver transplant.
It is simple, but it is compared to finding a donor.
In fact, the whole process is still complicated.
After the new liver enters the peritoneal cavity of the recipient, the anastomosis reconstruction of the hepatic accessory duct is completed, including the portal vein, the superior and inferior vena cava, the inferior vena cava, the hepatic artery, and the biliary tract.
The portal vein, the superior hepatic superior vena cava, and the inferior vena cava of the diseased liver are cut off to the new liver and the portal vein, the superior hepatic superior vena cava, and the inferior vena cava of the patient are completed and the blood flow is opened. The speed is likely to determine the patient. Life and death.
This is the so-called period of no liver.
Zheng Ren has confidence in his own surgical methods.
Start rebuilding various pipelines.
Zeiss's microscope, Dr. Charles gave Zheng Ren's various surgical instruments, played a huge role.
however……
but……
Nothing is used.
At the time of the 10'22′′ in the period of no liver, the heartbeat of the experimental body was stopped.
Zheng Ren stunned. He did not go to the experimental body for cardiopulmonary resuscitation, but stood in front of the system operating table and began to ponder his own surgery.
The whole process is correct, even if it is once again, it seems that he can't shorten the no-hepatic period to less than 10 minutes.
What is the world record? It seems to be about 26 minutes, and this is recorded. And this record, Zheng Ren recalled should be mentioned in a case report published in the "Lancet" magazine three years ago.
Under normal circumstances, surgical liver transplantation surgery, the time of no liver should be 30-40 minutes, this is the top surgeon's main knife.
Although it is not like the world record of the Olympic Games, it is remembered by the masses of the people, but the surgeons who know the surgery will know how long the shortest period of liverlessness is.
This is a competition in the real technical field.
However, this small patient named Chen Li actually gave the surgeon only a little more than 10 minutes of liverless surgery...
Zheng Renxuan looked at the operating room of the system and the experimental body of the operating table.
I was confident enough that the surgery would be taken down.
Master's level of general surgery skills, organ transplant specialization, lucky aura enveloped......
But this is not enough!
Why is it so short? Even with the addition of heart pressure, I have to face the impact of the door to restore blood supply, but also face... in the face of countless tests.
With heart compression, it is absolutely impossible for patients to persist for so long.
Zheng Ren is a little crazy.
Dear, click inside, give a good comment, the higher the score, the faster the update, it is said that the new wife who found the perfect score has found a beautiful wife!
Mobile phone station new revision upgrade address:, data and bookmarks synchronized with the computer station, no ads fresh reading!
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