"Dr. Fang, based on your operation, are you planning to remove the inferior vena cava?"
Chu Jianlin finally couldn't help but ask.
"What Dr. Fang is doing this time is a new attempt, which he named piggyback liver transplantation."
Before Fang Le could speak, Xiao Haoping couldn't help but say.
Before the operation, the doctors involved in the operation must have known what kind of operation Fang Le was going to perform, what operations were required during the operation, what difficulties there were, and where cooperation was needed.
After all, it is an unfamiliar operation. The more you know before the operation, the lower the probability of making mistakes during the operation.
Before the operation, Fang Le not only held a pre-operative analysis meeting, but also the small group involved in the operation met more than once for analysis. In the two or three days before the operation, Fang Le was at the provincial hospital all day, just to prepare for this operation. .
Guan Liangshan, Xiao Haoping, Xiao Conglin and others naturally know it very well.
"Piggy liver transplant?"
Chu Jianlin and others were a little confused.
The term piggyback liver transplantation has not yet appeared. If Fang Le did not exist, according to the original trajectory, it would take another two years for this medical term to appear and be announced.
At this moment, Guan Liangshan was explaining to people there that piggyback liver transplantation and the orthotopic liver transplantation performed before were both considered orthotopic liver transplantation, and orthotopic liver transplantation was later collectively referred to as classic liver transplantation.
Any surgery is summarized, improved, and innovated through continuous surgical accumulation. Like the tendon suturing method, it is constantly improved to adapt to more patients.
With the development of liver transplant surgery, there are more and more methods of recipient surgery, including orthotopic liver transplantation, piggyback liver transplantation, reduced-volume liver transplantation, split liver transplantation, living relative liver transplantation and auxiliary liver transplantation. .
Orthotopic liver transplantation is a standard procedure for liver transplantation; piggyback liver transplantation is also called inferior vena cava-preserving orthotopic liver transplantation, which means that the inferior vena cava is preserved when the recipient's diseased liver is removed. The veins anastomose the superior and inferior vena cava of the donor liver with the inferior vena cava of the recipient in a certain manner, resembling the inferior vena cava of the recipient carrying the donor liver on its back, hence the name.
Reduced-volume liver transplantation is to reduce the size of an adult's liver and then transplant it into a child. Split liver transplantation is to split a solid donor liver into two halves and transplant them to two different recipients at the same time, etc.
However, liver transplant surgery had not been developed for a long time at this time, and due to limited conditions, the risks of liver transplant surgery were quite high. The surgical procedures were still standard procedures such as orthotopic liver transplantation, piggyback liver transplantation, and body-reduced liver transplantation. Transplantation, split liver transplantation and many other surgical procedures have not yet appeared.
This time, Fang Le chose piggyback liver transplantation based on the patient's specific situation, which was also a careful consideration.
For doctors in this time and space, many surgical techniques are unfamiliar, but for Fang Le, he has mastered too many advanced surgical techniques. These things need to be slowly brought out in order to change and Improve the current medical level.
Piggyback liver transplantation is not only more suitable for current patients, it is also an innovation.
"This is a technique that Dr. Fang analyzed and pondered by himself."
Xiao Haoping had a rare sense of superiority.
It feels really good to have this sense of superiority in front of several great directors like Union Hospital and Yanjing Hospital.
Although these things are only known to Xiao Haoping, but now Chu Jianlin and others don't know, but he knows, isn't this superiority?
"Dr. Fang, liver transplant surgery is very risky, and this is the first case in our country..."
Chu Jianlin couldn't help but remind him.
"I know."
While performing the operation, Fang Le said: "After careful consideration, I feel that retaining the inferior vena cava and anastomosing the donor liver's superior and inferior vena cava with the recipient's inferior vena cava in a certain way is more suitable for the patient."
When preparing for the operation, Fang Le tried his best to convince Guan Liangshan and others.
In fact, the advantages of surgical operations and new procedures cannot be explained before and during the operation, but also after the operation.
Piggyback orthotopic liver transplantation has the advantage of reducing the recurrence of the primary disease. For patients with liver cancer, piggyback orthotopic liver transplantation is more appropriate, and the patient's condition also meets the conditions for piggyback orthotopic liver transplantation.
.
It's just that these benefits are summarized after surgery. At present, it can only be said to be a possibility. There are still many variables as to what the specific effects will be and how much impact they will have on the surgery.
"In specific operations, we still have to refer to the patient's condition as much as possible and make appropriate adjustments. We don't necessarily have to stick to the form and follow the path of our predecessors."
Fang Le said calmly.
The three of them, Chu Jianlin, looked at each other.
What you said makes sense.
But everyone knows this truth. The problem is that you have to have the ability.
Is it so easy to adapt to local conditions and adapt to changes?
Shouldn't seeking change be about summing up experience through continuous accumulation and then slowly adapting?
Has this changed since your first case?
Fang Le's operation really refreshed Chu Jianlin's three views. Can people really be such a genius?
What do you mean when someone curses someone? Why the hell do you want to run when you can't walk?
Fang Le seems to be like this now, and this is the first of its kind. Fang Le plans to put aside his previous tradition and innovate here.
You have to say that Fang Le is bold. He only performed the first semi-liver resection a month ago. There are not many countries in the world that can perform this level of surgery.
You can say that people are timid, but they started to innovate after the first liver transplant.
How much confidence is this?
Fang Le subconsciously glanced at Chu Jianlin and the others, as if he thought this was a bit shocking, and explained: "The first liver transplant operation was just a trial, why can't we work around it?"
Chu Jianlin: "......"
In fact, Chu Jianlin really wants to say that your explanation is very good, so don’t explain it again next time.
The first liver transplant went through so many experiments, first on animals, and then on humans. Even though the first liver transplant was a success, we don’t even know how many patients died.
Just two simple sentences from your side?
Just looking at Fang Le's skillful surgical operation, Chu Jianlin seemed to be unable to find the right words to refute.
Next to the operating room, Gao Dawei was holding a landline phone and talking on the phone with Han Shengxue, who was thousands of miles away.
"Well, Director Han, the operation has started. Well, yes, Dr. Fang is doing it."
Gao Dawei was paying attention here and reporting to Han Shengxue. Director Han was thousands of miles away in Xijing City and was also worried about this.
"So far, the operation is going well, yes, but... forget it, it's okay."
Gao Dawei said a few words, but suddenly felt inappropriate and he didn't understand.
"What does it mean to be unlucky and not to be unlucky?"
Gao Dawei's words made Director Han's heart pick up in his throat.
"Gao Dawei, are you distracted? Halfway through your words, do you want to die?"
Director Han became popular instantly.
It's like saying a lot before, and then coming up with a but, just but, and then not saying it again.
"Director Han, I don't quite understand either."
Gao Dawei said: "I heard that the surgery performed by Dr. Fang seems to be a little different from the original one. Dr. Fang made some changes. It is called piggyback orthotopic liver transplantation."
"What piggyback position, hugging position?"
Han Shengxue was confused for a moment: "After a good operation, why are there still changes? Why are you still doing piggyback posture? Who is piggybacking on?"
No, although this is the first case, hasn't it been done abroad? Although some things about liver transplantation are not easy to find, some things such as liver transplantation procedures can still be obtained.
For example, Jingnan also invited liver surgery experts from country R for guidance.
After all, it makes sense. Why is it so different when you get to Fang Le?
For a moment, Director Han's heart was in his throat.
This kid really tests people's nerves all the time.
If I had known that I would have followed anyway, I wouldn't have had to worry here.
"Director Han, let me say something that shouldn't be said."
Gao Dawei glanced around and lowered his voice: "I don't know where Dr. Fang learned what he said. How about being in vitro? Dr. Fang has never been abroad. The same goes for liver transplantation. There is no precedent to follow. Dr. Fang
For such a genius, there is no precedent, and he himself is the precedent."