2117 An impossible operation
Zheng Ren glanced at Su Yun and asked,””Let me think if there’s any other way. You keep an eye on the replies.”
Su Yun nodded.
This was also the only thing that could be done. Other than that, there were a lot of troublesome things. The medical group was a small branch of 912, so it was like a spare part and could not play much of a role.
Lin Ge said,”boss Zheng, I’ll get back to work.” We have to report this to the hospital and wait for the director’s instructions. “
The few of them said.
After returning to the Department of interventional services, Zheng Ren did not say a word. He sat at a familiar position, picked up the fifth edition of the Department of foreign surgery, and began to read it.
Seeing boss Zheng’s gloomy face, Lin Yuan didn’t say a word and just lowered his head to work. Gu Xiaoran had just arrived today and was familiar with everything. She did not dare to say anything after being scolded by Chang Yue.
“Boss, there’s no news yet.” Su Yun said as she looked at her email.
Zheng Ren felt that the other party had probably confirmed it, but it was more likely that they hadn’t sent an email yet. Big pig trotter usually wouldn’t have any problems with this kind of thing.
Or perhaps it was not because there were a few foreign sources that could provide liver sources, but because there was a liver source somewhere in the country and they were contacting 912 hospital.
Anyway, he had to go to the system space to take a look.
He closed his eyes and entered the system space.
He clicked on the purchase of surgery training time. As the system’s operating theater rose from the ground, Zheng Ren strode in.
There were experimentals in the operating theater, not an empty one!
Zheng Ren’s spirit jolted. This meant that no matter what source of liver it was, there would always be a liver that could be used.
“Then let’s start the surgery training.” Zheng Ren took a deep breath and prepared to start the surgery.
Liver transplant was not a difficult surgery. Compared to the donor liver, the surgery was a minor detail.
Standing in front of the operating table, Zheng Ren was calm and composed. The lancets in his hands seemed to have become lighter, and there was a sense of joy in them.
The core of liver transplantation was the time it took for the original liver to be removed and the new liver to be brought in for anastomosis.
This period of time was called the “liver-less period,” also known as the dark period.
It was different from a kidney or lung transplant, as there was only one liver. When the liver was removed, even if the body’s health could no longer be guaranteed due to acute liver failure, it would still cause a significant change in the original physiological anatomy, which would lead to certain changes in the human body.
The blood in the lower body and gastrointestinal tract of patients in the liver stage could not flow back to the heart, and they were in a state of stagnation. At this time, the amount of blood returning to the heart was reduced, and the patient’s vital signs fluctuated greatly. This was a period of time that the surgeon and anesthetist paid special attention to during the entire process of liver transplantation.
In addition, the patient, Chen Li, already had a large amount of thoracic cavity collected on both sides, his lungs were not dilated, and he had heart and respiratory failure. Therefore, the possibility of cardiac arrest during the operation was particularly high.
The difficulty of an emergency surgery was several times higher than that of a slow diagnosis surgery. It was even several orders of magnitude higher.
Otherwise, Zheng Ren would not have been so desperate to get a liver with the same blood type and matching type. This was the only way to affect the patient’s fragile body as much as possible.
However, Zheng Ren did not care much about it. He had plenty of time to train in surgery, and he was also a master-level surgeon. He also had the bonus from his specialization in organ transplantation and the lucky Halo. He did not believe that he could not complete the surgery!
Zheng Ren felt that he had performed the surgery very smoothly. He made a skin incision, layer by layer, separated the peritoneum with blunt force, protected the peritoneum, and opened up the abdominal cavity.
Zheng Ren was extremely happy.
In the past, when he explained the patient’s condition to the patient’s family members, he would occasionally say that it was good as long as the surgery could be performed. If the patient was beyond cure and couldn’t be operated on, it would end there.
And this time, Zheng Ren truly felt the joy of being able to perform surgery.
When he entered the abdominal cavity, Zheng Ren first separated the left and right hepatic ligaments and cut off the left triangular ligament of the liver. After separating the left and right livers and turning them upside down, the first hepatic portal was revealed. The inherent hepatic artery, the main hepatic portal vein, and the common bile duct were respectively ligated.
He flipped the left half of the liver to the right to reveal the third hepatic portal. He then ligated several short hepatic veins. Finally, he severed the left hepatic vein and the right hepatic vein in the middle of the liver to remove the diseased liver.
Resection was very simple.
Destruction was always easier than construction, and this had been a fact since ancient times.
Zheng Ren’s surgery was more meticulous. Even if it was performed by a newbie who had never performed a liver transplant before, it was enough to just cut the liver and ligate and sever the blood vessels and ligaments one by one.
Although it would not be as detailed and clean as Zheng Ren’s surgery, it would not be a problem to cut it off.
After the liver was cut, Zheng Ren picked up the right lobe of the donor liver and prepared to complete the reconstruction of the various tubes for the liver transplant.
It might sound simple, but that was when compared to finding a donor.
In fact, the whole process was quite complicated.
After the new liver entered the recipient’s abdominal cavity, anastomosis and reconstruction of the hepatic duct, which included the hepatic portal vein, superior and inferior hepatic vein, inferior hepatic vein, inferior hepatic vein, and bile duct, had to be completed.
The speed at which blood flow was cut from the hepatic portal vein, superior and inferior vena cava, and subhepatic portal vein to the new liver and the patient’s hepatic portal vein, superior and inferior vena cava, and subhepatic portal vein could very likely determine the patient’s life and death.
This was the so-called no liver stage.
Zheng Ren was confident in his own surgical technique.
They began to rebuild the various pipes.
Zeith’s microscope and the various surgical instruments that Dr. Charles had given Zheng Ren played a huge role.
However …
But …
There was no f * cking use.
At the 10 ‘ 22 “point of the No liver stage, the experimental’s heart stopped.
Zheng Ren was stunned for a moment. He did not perform CPR on the experimental. Instead, he stood in front of the system’s operating table and began to think about his own surgical process.
The entire process was flawless. Even if he were to do it again, it seemed that he could not shorten the liver-free period to less than ten minutes.
What was the world record again? It seemed to be around 26 minutes. This was recorded. Zheng Ren recalled that this record should have been mentioned in a case report published in the lancets magazine three years ago.
Under normal circumstances, the non-liver stage of a surgical liver transplant surgery should be around thirty to forty minutes, and this was when a top surgeon was the chief surgeon.
Although it was not like the world record of the Olympic Games, which was remembered by the general public, all surgeons who could perform surgery would know how long the shortest period of no liver period was.
This was a real competition in the field of technology.
However, this young patient called Chen Li only gave the surgeon a little more than ten minutes to perform the surgery at the No liver stage …
Zheng Ren stared blankly at the operating theater of the system. The experimental on the operating table was a little distressed.
Previously, he had been so confident that he would be able to perform the surgery.
Master level general surgery technique, specialist level organ transplant, luck aura …
However, all of this was still not enough!
Why did it only take such a short time? Even with chest compressions, they would still have to face the impact of restoring blood supply to the portal vein, and … Countless tests.
Chest compressions would definitely not allow the patient to last that long.
Zheng Ren was a little mad.