Chapter 554 Another case of the first case in the country?
Just as Fang Le hung up the phone with Chu Jianlin, Niu Baohua called.
"Doctor Fang, the liver source of bed 13 has been found."
"The child with liver failure yesterday?" Fang Le asked.
"Yes, Doctor Fang."
Niu Baohua replied, and then said: "But it's a bit troublesome now."
"What's wrong?"
Fang Le asked: "Is it the donor who doesn't agree?"
"No, this time the donor was a death row inmate who donated voluntarily. However, in addition to matching the 13-bed child, the donor was also matched with a patient from Union Medical College Hospital."
Niu Baohua said: "Now it's like one liver, two patients..."
"Xie He Hospital?"
Fang Le was stunned for a moment, thinking, is it such a coincidence?
"Doctor Fang, what should we do now?"
Niu Baohua said: "One liver cannot be coordinated. Personally, I prefer to save children, but in the eyes of doctors, all patients are treated equally. Union Medical College may not agree. Even if the hospital agrees, the patient's family members will not agree."
Will agree."
Niu Baohua was excited when he learned that there were patients at Xiehe who could be matched.
This is the first time Niu Baohua has encountered this situation.
Liver transplant surgery is a blank area. There were no experts in China who could do liver transplant surgery before, let alone this kind of situation. It was the first time to encounter it and everyone had no experience.
"It's Concord, right?"
Fang Le asked: "Where are death row prisoners executed?"
"In Shanghai."
Niu Baohua said hurriedly.
This is one of the reasons why Niu Baohua is willing to fight for it.
The donor is in Shanghai. Their Shanghai hospital is the most convenient and the risk will be relatively small. If it is Xiehe, it will need to be refrigerated and airlifted.
"Okay, I'll call Director Chu and ask him. If it's the same donor, I'll try my best to negotiate with Director Chu to send the patient to Shanghai and we can do the surgery together."
Fang Ledao.
"Together?"
Niu Baohua was stunned and asked in surprise: "Doctor Fang, one liver can be used by two people?"
Fang Le replied: "Yes, one liver for two uses, no, one liver for two uses, using the split method. The specific situation depends on the patient's condition."
"Split style?"
Niu Baohua was silent for two seconds and said in shock: "Dr. Fang, the first split liver transplant in China?"
"At present, it seems that this is indeed the first case." Fang Le said.
"Okay, I understand. Doctor Fang, please communicate with Chu Jianlin first."
Niu Baohua hung up the phone excitedly, unable to restrain his emotions.
Another first in the country.
Split liver transplant surgery is to divide a person's liver into two parts into two inhibitors with independent functions, which are transplanted to two recipients respectively.
The reason why Niu Baohua did not think of this at first, or rather, was because split liver transplantation is more difficult.
It has only been six years since the world's first split liver transplant. The operation is difficult and very few people know how to do it.
Before the success of living donor liver transplantation, the largest source of liver donors was corpses, and it can be said that a large part of them came from death row prisoners.
However, due to the living environment problems of death row prisoners, there are few healthy groups and many infections. In addition, the country must adopt a voluntary system, which leads to fewer donors.
Therefore, since the first liver transplant operation, the world's top experts have been trying to find ways to use donors to treat more patients as much as possible, and split liver transplantation is a method that uses the liver as much as possible.
.
It's easy to say.
Even some people who know about liver transplantation subconsciously think that it is divided into two parts.
After all, living donor liver transplantation only removes part of the donor's liver. So isn't it simple for cadaveric liver transplantation to divide one liver into two parts?
However, in actual operation, split liver transplantation is more difficult.
First of all, split liver transplantation is definitely a cadaveric liver transplantation. Living donor liver transplantation is basically difficult to guarantee two recipients on the basis of retaining the donor.
Compared with living donor liver transplantation, cadaveric liver transplantation has a lower probability of being a biological relative, greater rejection, and there is usually a process of preservation and transportation after the liver is removed.
At the same time, the livers must be separated and the livers required for the recipients calculated...
The operation is more difficult than living donor liver transplantation.
After Niu Baohua learned that the donor was matched with a patient from Xiehe University, the reason why he was worried was precisely because he had not considered the splitting method.
Unexpectedly, when he called, Fang Le gave him such an answer directly.
Split type?
The first split liver transplant in China?
This is another first in the country.
Director Niu's mood suddenly changed.
After sitting in front of his desk for a few minutes, Niu Baohua couldn't help but call Fang Le.
"Director Niu, is there anything else?"
Fang Le was about to call Chu Jianlin when he received a call from Niu Baohua.
"Doctor Fang, are you sure you can do the splitting technique?"
Niu Baohua asked in an unbelievable tone.
"It's still somewhat certain."
Fang Le thought for a while and answered cautiously.
Niu Baohua: "..."
"Okay, then you contact Chu Jianlin first."
Niu Baohua opened his mouth, really not knowing what to ask.
As Fang Le was the first person to have a liver transplant in China, Niu Baohua asked himself that he was really not qualified to question anything.
Xie He Hospital.
Chu Jianlin is talking to the patient’s family.
As I said before, most of the patients who can undergo liver transplantation have a good family background. Especially at this time in 1995, most of them were wealthy people.
As for the children in Shanghai Hospital, their family backgrounds are average. The reason why Shanghai Hospital pays attention is because Shanghai Hospital really needs to get involved in the field of liver transplantation as soon as possible.
For large hospitals, at certain times, they can indeed consider reducing part of the patient's surgical fees to achieve certain purposes.
In modern medicine, there is the term experimental therapy. After some new drugs or new procedures are created, some patients need to be clinically verified. At this time, some relief measures will be given to the patients.
The patient here at Xiehe is a 35-year-old female patient. At this time, Chu Jianlin was talking to the patient's husband and father.
The patient's father is a deputy director-general of Yanjing, and the patient's father is a recently retired veteran cadre who also retired from a department-level position. After retirement, his salary was increased by half a level and he enjoyed deputy prefecture-level treatment.
.
When facing such patients' families, Chu Jianlin is also very cautious and polite.
"I just had a phone call with Dr. Fang Lefang from Xijing Hospital. Dr. Fang should be arriving in Yanjing today, or tomorrow at the latest."
"Thank you, Director Chu."
The patient's husband thanked Chu Jianlin: "Thanks to Director Chu this time."
"Si He is so polite. Since the patient is in our hospital, we must be responsible for the patient."
Chu Jianlin said politely.
"Xiao Chu."
The patient's father spoke slowly.
"Mr. Miao, please tell me," Chu Jianlin said hurriedly.
"How is Fang Le's level? Can't we, Xiehe, currently contact foreign experts?"
"Miao Lao."
Chu Jianlin said: "As far as the actual situation is concerned, there are not many experts who can perform liver transplant operations in the world, and the operation schedule is very full. We have also tried to contact them this time, but now we have a suitable donor and the operation time is
We can't delay it any longer. It's almost impossible to contact foreign experts within this time frame."
Mr. Miao opened his mouth but said nothing.
If the donor is a death row prisoner, then the operation time will be the day of the death row prisoner's execution. It cannot be postponed or brought forward. This time point is fixed unless the execution date can be changed.
What we need to do now is a liver transplant. This kind of surgery attracts so much attention that even Mr. Miao dare not perform it in private.
Now that a suitable liver source has been found, the operation must be done openly and honorably.
Some illegal surgeries can only be performed in black clinics and private hospitals. Union Medical College will definitely not take this risk.
What's more, liver transplantation, a top surgery in the extrahepatic field, cannot be performed by black clinics and private hospitals.
"As for Fang Le."
Chu Jianlin said: "The first living donor liver transplant performed by Dr. Fang was more than a month ago. You can ask about the patient's condition now. There are many uncontrollable factors after this kind of surgery. I don't know how to do it in the long term."
I can guarantee that, but for now, the liver transplant patient in Jiangzhou Province is still in pretty good condition."
"Um."
He Si nodded to Mr. Miao, they had inquired about it.
"Okay, I'll leave it to you, Xiao Chu."
Mr. Miao nodded and stood up.
"When Dr. Fang arrives, I will take Dr. Fang to check the patient's condition first, and then communicate with Mr. Miao and He Si if there is any situation."
Chu Jianlin stood up and said goodbye.
As soon as the patient's family members were sent out of the office, the deputy director came over and informed: "Director Chu, the donor can also be matched with a patient from Shanghai Hospital..."
"Shanghai Hospital?"
Chu Jianlin frowned.
One donor matched to two recipients?
Just as Chu Jianlin was about to say something, the phone on his desk rang.
"Hello, I'm Chu Jianlin."
Chu Jianlin picked up the phone.
"Director Chu, I am Fang Le."
"Doctor Fang, please tell me."
Chu Jianlin said hurriedly.
"Director Chu, I would like to ask for the patient's information. There is a patient here in Shanghai Hospital who seems to have the same donor as your Union patient."
Fang Ledao.
"Dr. Fang also knows?"
Chu Jianlin said hurriedly: "I just learned about the situation."
"I'm in Shanghai right now. Director Niu just called me."
Fang Le said.
"Are you in Shanghai?"
Chu Jianlin was stunned and began to mumble in his heart. Did Niu Baohua secretly invite Fang Le to Shanghai without saying a word?
"Doctor Fang, what do you mean?" Chu Jianlin asked.
"If possible, can Director Chu send me a fax about the patient's condition? I will understand the situation first. If possible, the patient can be transferred to Shanghai for a split liver transplant to save both lives as much as possible.
patient."
Fang Ledao.
"Split type?"
There was no difference between Chu Jianlin's expression and that of Niu Baohua at that time.
"Another first in the country?"
Chu Jianlin couldn't help but feel confused in his heart. Do you want to be so strong?