The operating room chosen was the operating room of hepatobiliary surgery. The operating room was full of people.
Naturally, such an operation cannot be completed by one or two doctors. There are eight or nine people involved in the operation, including Fang Le. Counting anesthetists, nurses and replacements, the number of medical staff for one operation reaches two.
More than ten people.
In fact, from this operation, we can see why one or two critically ill patients can put the entire department into a state of tension, and three or four critically ill patients can overload a large department.
"Hou Chengyang?"
The anesthesiologist stepped forward to confirm the patient's identity, and after confirmation, Hou Chengyang was rolled over on the operating table.
"Prepare for surgery and follow the previous division of labor arrangements."
Fang Le first confirmed the situation with the anesthesiologist, and then walked to the operating table first, preparing to start the operation.
Eighty-nine doctors gathered on both sides of the operating table, covered them with drapes, and exposed the location where surgery was needed. For semi-isolated liver tumor resection, the incision chosen was still selected based on the specific situation. Today's surgery is still a combined thoracoabdominal incision.
.
A combined thoracoabdominal incision, even if the incision is larger, only takes up a small area, so many doctors are gathered together, and everyone has their own work to do. This is also one of the difficulties of this operation. The doctors have very little operating space.
"knife!"
Fang Le opened the abdomen himself. The instrument nurse patted the scalpel into Fang Le's hand. Fang Le held the scalpel and made a slight stroke to determine the incision, and then began to separate layer by layer.
All the doctors involved in the operation were paying full attention.
At this moment, it was just an abdominal opening, and most doctors didn't have a chance to get started yet, so they just watched Fang Le perform it.
Except for Xiao Conglin, who had already performed an operation with Fang Le, Zhu Hongquan and Zhao Shuanglong were operating on the same stage as Fang Le for the first time. Seeing Fang Le's operation, Zhu Hongquan had to admit why Fang Le dared to do it.
Such an operation.
As for the location of the incision and the abdominal opening operation, Fang Le chose it very accurately, and his hand was quite stable.
In terms of the degree of surgery, the difficulty of semi-isolated liver resection is actually higher than that of isolated surgery.
Isolated liver resection and semi-isolated liver resection both combine some aspects of liver transplantation and apply them clinically.
Xijing Hospital has actually always been at the forefront in liver transplantation. The first partial living donor liver transplant in China was completed in 1997 at Xijing Hospital.
However, this time, under the leadership of Fang Le, the semi-isolated liver resection was performed two years earlier than the living donor liver transplantation, but the semi-isolated liver resection was more difficult than the liver transplantation.
On the side, several experts in the field of hepatobiliary surgery from other hospitals in Xijing City were wearing surgical uniforms and watching. The operating table was surrounded by a large group of doctors. In fact, what the doctors on the side could see was quite limited, but no one was willing to give it up.
Leave.
The video recording function in the operating room has also been turned on. For today's operation, the operating room specially replaced the latest camera with a clearer picture.
The operating room cannot accommodate too many people, and most people are gathered in the demonstration classroom of the emergency department.
At this time, the video call function is not yet mature, and there is no way to synchronize the video in the classroom with that in the operating room. However, three cameras are specially installed in the operating room to shoot and record the surgical footage from different angles, and wait for the surgery to proceed for a certain period of time.
, you can replace the three cameras and broadcast them here. Although there may be a delay, even so, there are many people waiting here to see the first semi-isolated liver resection surgery.
In the demonstration classroom, not only Huo Zhenping, Han Jiangong and other school and college leaders, but also Guan Liangshan, Dong Guoqiang and others are waiting here, waiting for the recording over there to be almost the same. After processing, they can be taken over and played.
In half an hour to forty minutes, the next three cameras will ensure that the operating room can continue to be seen here.
This is also Xijing Hospital, a large hospital with a big business. It did cost a lot of money for this surgery.
At this time, the price of film was almost one to two thousand, and the recording time of a roll of film was only about four or five minutes, and the cost of one hour was tens of thousands.
If this operation lasts ten hours, the cost of recording it on a video recorder alone will be around RMB 100,000.
It can be said that this operation is already quite arrogant.
However, as the first semi-isolated liver resection surgery, it is indeed worth paying such a high cost.
Before it started, Guan Liangshan was doing popular science for everyone.
Semi-isolated liver resection surgery refers to the operation of turning the liver out of the body while retaining the first hepatic portal vein and completely cutting off the retrohepatic inferior vena cava. After extracorporeal hypothermic perfusion, liver tumors are removed in a cold preservation state.
A technique that involves resection, repair and reconstruction of affected vascular structures, and finally implanting the remaining healthy liver in situ into the patient's body.
"Compared with total isolated liver resection, the surgical field is limited and the space is limited, so the surgical complexity is higher."
Guan Liangshan said: "It can be said that under the current conditions, semi-isolated liver resection is more difficult than liver transplantation and total isolated liver resection."
"However, for patients, post-operative recovery will be better after semi-ex vivo surgery, and postoperative biliary and arterial complications will be much less."
"Professor Guan, what do you think the success rate of this operation is?"
The person asking the question was the pharmaceutical manager from Johnson & Johnson.
Xijing Hospital is doing the first semi-isolated liver resection in China, and naturally there is a lot of excitement in all directions. People from Johnson & Johnson and Hyson Group are here today. For these medical representatives, they are actually more concerned about the success rate of the operation.
If the operation is successful, then their strategies for Fang Le and Xijing Hospital will need to be re-evaluated.
"Yesterday, Professor Dong, Professor Chao and Fang Le and I conducted a detailed rehearsal and calculation of this operation. If there are no accidents during the operation, all aspects can be coordinated in place. Under Fang Le's surgeon, I feel that the operation will be smooth.
The success rate is at least 70%.”
The determined path of Guanliang Mountain.
"Seventy percent?"
Many people took a breath of cold air.
As the first highly difficult operation in China, it has a 70% success rate, which is quite remarkable.
After this operation, at least Xijing Hospital will have richer experience in liver resection and liver transplantation. It may not be long before the first living donor liver transplant operation is completed in Xijing Hospital.
First it was semi-ex vivo, then liver transplantation, fully ex vivo...
It is foreseeable that Xijing Hospital will definitely be far ahead in the field of liver surgery, and Fang Le's reputation and status in the field of extrahepatic surgery will also skyrocket.
"Fang Le's insights and level in extrahepatic surgery are quite high, and he is quite forward-looking. During yesterday's preview, Fang Le took almost every aspect into consideration. I am very confident in this operation."
Guan Liangshan continued to speak.
As a senior professor who has researched in the field of liver disease for many years, only after discussing and communicating with Fang Le in person yesterday did Guan Liangshan understand how talented Fang Le really is.
Fang Le has considered many ideas, opinions, and problems that Guan Liangshan envisioned, and has appropriate solutions.
(It involves a lot of technical stuff, so I looked up a lot of information, and it’s really slow to write. Please forgive me, even though this is a novel, it still has to look like that, right?)