In the afternoon, the doctors and nurses in the emergency department were shocked.
First, Director Xiao from the Department of Hepatobiliary Surgery brought several doctors from the Department of Hepatobiliary Surgery to the emergency department. Two deputy directors, five or six attending doctors, plus Xiao Conlin herself, a total of eight or nine people, almost one-third of the Department of Hepatobiliary Surgery were dispatched.
Two middle- and senior-level doctors.
Situations like this are rarely encountered even when the emergency department encounters some sudden situations.
Afterwards, Dean Han Jiangong and Vice Dean Liu Changsheng also arrived.
Originally, the doctors in the emergency department thought that this was the last senior officer. Unexpectedly, about an hour later, Huo Zhenping, President Huo from the Military Medical University, also came. Along with President Huo were three professors in the field of extrahepatic surgery from the Military Medical University.
Most of the doctors at Xijing Hospital have either attended or graduated from the Military Medical University. Everyone knows the principal Huo Zhenping, and even the three professors who came with Huo Zhenping are known to many people.
"Principal Huo?"
"Professor Guan Liangshanguan, Professor Chao Pingjun, Chao Ping, and Professor Dong Guoqiang in the field of extrahepatic surgery!"
For a moment, the doctors and nurses in the emergency department didn't know what was going on, so many senior officials could come to the emergency department.
When Xiao Conglin first came with the people from the hepatobiliary surgery department, some people speculated that something had happened and that a critically ill patient might be brought, but after waiting for a while, there was nothing.
Then Han Jiangong and Liu Changsheng came, and then Huo Zhenping, Guan Liangshan and others came.
"They all went to the consultation room."
"Is some important person sick?"
Some doctors and nurses who don't know the truth are speculating.
In the large consultation room of the emergency department, here are the director of pediatrics Han Shengxue, deputy director Yang Xiaohui, deputy director Zheng Jinfan, resident doctor Fang Le and others, director of hepatobiliary surgery Xiao Conglin, deputy director Wu Leyang and others, plus Han Jiangong, director of Xijing Hospital.
, Vice President Liu Changsheng.
When Huo Zhenping came in with Guan Liangshan and others, everyone stood up in a hurry.
"Dean Huo, Professor Guan..."
"Everybody sit down, everybody sit down."
Huo Zhenping was not polite. He first asked everyone to sit down and then looked at Fang Le, the youngest person in the consultation room.
"Xiao Fang?"
"Principal Huo."
Fang Le stood up again.
"Come, let me tell you about the patient's condition first."
At this moment, Huo Zhenping couldn't care less about being surprised at Fang Le's youth, but he couldn't wait to know how feasible this operation was.
Whether you are young or not, or whether you are old or not, the most important thing is the success of the surgery.
Currently, no hospital in China has performed semi-extracorporeal liver tumor resection, at least not independently. No one can calm down about this temptation, whether it is Han Shengxue, Xiao Conglin, or Han Jiangong and Huo Zhenping.
of.
It is the first of its kind in China. This kind of thing is worthy of special mention, not to mention that what is needed now is liver tumor resection.
Those who came today are all top experts in the industry, and they have a good understanding of international and domestic medical conditions.
Semi-extracorporeal liver resection can be said to be the basis of extracorporeal liver resection, and extracorporeal technology is the guarantee for the success of liver transplantation.
Although Shanghai Ruijin Hospital completed the first liver transplant in 1977, due to limited conditions, the efficacy of the liver transplant was very poor, and it was almost never considered a success.
A successful operation is not only about completing the operation, but also ensuring the patient's postoperative recovery and survival. If you finish the operation but the patient does not survive for a few days, the operation will not be considered a complete success.
From the 1970s to the 1990s, domestic liver transplant operations were almost at a standstill, and the technology was in the hands of top foreign medical institutions. It has only begun to improve slightly in the past two years.
Moreover, liver transplantation is different from pure hemi-extracorporeal resection and extracorporeal resection. Liver transplantation is performed without choice. The entire liver cannot be used. If you don’t transplant, you will die. However, you may still survive after transplantation.
Under such circumstances, liver transplantation is actually a gamble on life.
However, in vitro and semi-extracorporeal surgery only remove tumors or part of tissue, and cannot be generalized to whole body transplantation. If the mortality rate or prognosis of in vitro and semi-extracorporeal transplantation is the same as that of liver transplantation, then... what else is it called resection?
In this case, it is actually more difficult to master the difficulties of semi-extracorporeal and extracorporeal surgery, but this aspect can accumulate rich experience in liver transplantation.
At this moment, Huo Zhenping couldn't think of anything else.
"Okay, let me tell you about the patient's condition first."
Fang Le did not shy away, walked forward, and began to talk about the patient's condition: "The patient is 48 years old, has mild cirrhosis of the liver, a long history of smoking and drinking, and has no previous history of liver disease..."
"The CT scan showed that there were three tumors of different sizes on the lower side of the right liver... The tumors were all benign. The largest tumor was about 6cm. Due to the pressure on the liver, there was a risk of rupture at any time...
"
"Look, everyone, this is the location of the patient's liver tumor."
At this time, the consultation room of Xijing Hospital did not have an electronic display screen. When Fang Le spoke, the curtains in the consultation room had been drawn, and the patient's examination results were displayed in the form of slides on the white cloth in the consultation room.
"The location of the tumor is quite special. It happens to be in the right posterior lobe of the patient's liver, and the tumor has invaded the arteries of the liver. It is very difficult to remove. If conventional techniques are used, not only is it difficult to remove, but it is also easy to damage the arteries and cause massive bleeding.
....”
If you want complete resection, the best way is to perform semi-isolated liver resection, take the liver out of the abdominal cavity, but some adhesions do not need to be cut off, and then perform resection."
"Xiao Fang....."
After Fang Le finished explaining the situation, Guan Liangshan said: "We already understand the patient's condition. Based on the patient's condition, how long will it take if no surgery is performed?"
"If no surgery is performed, it will take up to three months."
Fang Le made a relatively conservative estimate.
This is based on taking treatment and excluding the possibility of accidental tumor rupture.
"If an accident happens, it can happen at any time."
"Well, judging from the patient's condition, accidental risks cannot be ruled out."
Dong Guoping nodded.
"Semi-isolated liver resection is more difficult than liver transplantation."
Guan Liangshan has been studying this: "Every link must be very cautious, especially when the space is very limited during operation, and the requirements for each doctor are relatively high. If there is a problem in one link, it may cause the operation to fail."
"Xiao Fang, Professor Guan has always been a pioneer in the field of liver disease in our school. He has done in-depth research on foreign semi-isolated liver resection surgeries, and Professor Guan has a strong say in the difficulties."
Han Jiangong said to Fang Le.
Because Fang Le invented the Fang method for tendon suturing, both Huo Zhenping and Guan Liangshan and Dong Guoqiang, who came with Huo Zhenping, had a good attitude toward Fang Le.
At such a young age, young people like him can invent new tendon suturing methods, even if they have no achievements in other fields. Such young people are worthy of attention.
What's more, Fang Le also has experience in two liver resection surgeries, which is even higher than Xiao Conglin's.
When Huo Zhenping said this, Guan Liangshan and the other three people did not doubt it.
Most of the experts and scholars of this era are still very simple, especially the old experts in their fifties and sixties, who have really gone through ups and downs.
Guan Liangshan is sixty-five years old. He belongs to the kind of state where he never quits his job. He has reached the retirement age, but he is still engaged in research. They have grown up with New China all the way, and all they care about is the country.
Guan Liangshan and others are very pleased to have such an outstanding young junior like Fang Le.
Compared with Han Shengxue, Xiao Conglin and even Han Jiangong and others care more about the honor of the first case. Guan Liangshan and others care more about this technology. If it can succeed, it will mean that the country has taken another step forward in the field of liver disease.
The level of the field has been improved a step further.
"I have read Professor Guan's article on liver resection."
Fang Ledao: "The difficulty of semi-isolated liver resection is indeed higher than that of liver transplantation. The main difficulty is that the operating space is limited and the requirements for doctors are very high. Secondly, low-temperature organ perfusion technology and venous bypass technology must also be in place."
.....”
Now that he has decided to undergo this operation, Fang Le has made a lot of preparations just now. The difficulties of semi-isolated liver resection and how to solve them need to be addressed by Fang Le.
After all, this operation was different from the liver resection performed by Fang Le at Dongcheng People's Hospital.
There were no constraints at that time, it was an emergency, and Fang Le could make a decisive decision.
As people often say, there are only first times and countless times for many things. The hardest thing is to take the first step. No matter how difficult it is later, you can always go on.
After having the first one, Fang Le naturally made the second one when he returned to the hospital. No one would question it.
But now semi-isolated liver resection surgery is unprecedented in China. If you want to complete such an operation, it’s not just Fang Le who thinks he can do it. He must convince others so that he can do it.
Do this surgery.
Listening to the discussion between Fang Le, Guan Liangshan and others, the other doctors in the Department of Hepatobiliary Surgery went from being confused to becoming even more confused.
Before Guan Liangshan and others came just now, no one in the consultation room said anything. Fang Le was still writing and drawing. Except for insiders, Wu Leyang and others didn't know anything.
This doesn't sound right to me.
Is this going to be fucked?
Semi-ex vivo, to be precise, semi-ex vivo liver tumor resection?
For a time, several doctors in the Department of Hepatobiliary Surgery could not control their emotions.
Are you and others going to witness history?
"In order to complete this operation, I specially budgeted the patient's liver and rehearsed some details..."
Fang Le continued to talk.
In Fang Le's memory, the first semi-isolated liver tumor resection operation in China was at least ten years later. Now such an operation is performed ten years earlier and is more difficult than ten years later, so Fang Le does not dare at all.