Chapter five hundred and seventy-five while doing surgery, while digging the wall
With a single stroke of the sharp scalpel, a long incision was made, and then Fang Le separated them one by one.
Because the time was still short and the blood had not yet coagulated, Fang Le was very careful during the separation. The only thing he did not need to pay attention to was that he did not have to worry about dying again because of the liver removal.
After all, you can only die once.
Liver transplant surgery uses a combined thoracoabdominal incision, which requires not only an abdominal opening, but also a thoracotomy and opening of the chest cavity.
This time it was a split liver transplant, with two surgeries on one side and a liver harvest on the other, so everything was planned before the operation.
The left liver lobe was transplanted to the child in a piggyback manner, and the right liver was transplanted to Miao Dongmei in an orthotopic liver transplantation manner.
"Dr. Fang's rhythm is very good."
Although a group of people could not see the specific details in the demonstration classroom because the camera could not move and occasionally blocked the field of view, this live broadcast method still excited the experts in the demonstration classroom.
Not to mention the level of live broadcast equipment, even the current operating room is far from the scale it will be in the future.
Like later generations, the operating rooms at Shanghai Hospital can be viewed directly from the second floor and the sides through single-layer glass.
In this split liver transplant operation, together with nurses, anesthesiologists and doctors, the total number of people involved in the operation exceeds thirty. Even if the operating room of Shanghai Hospital is not small, it can no longer accommodate many doctors.
I watched the surgery directly in the room.
Originally, most people had the same idea as the last time at Xijing Hospital and Jiangzhou Provincial Hospital, but they did not expect to see a live broadcast.
Although the resolution is not high and the angles are not perfect in all aspects, this live broadcast style definitely looks more immersive. Especially when watching it for the first time, many people have an immersive feeling.
.
Everyone can intuitively observe the rhythm and progress of the operation.
"After all, it was the first semi-isolated liver resection and the first living donor liver transplant. Could it be that it was done by blowing it out?"
Someone beside me said calmly.
Fang Le's age makes it really difficult for people to have a sense of empathy, and they always subconsciously ignore that he is actually a top player.
After all, it was a liver removal from a corpse. Fang Le's progress was much faster, and the liver was quickly exposed.
"Block the portal of the liver to prevent blood infection."
Fang Le gave instructions while operating.
The person next to Fang Le who was helping Fang Le was Xiao Conglin.
"Dr. Fang uses couinaud segmentation?"
Director Xiao, who was just flirting with him at first, never expected that he would become the person closest to Fang Le in the end, and even spoke a little tremblingly.
Compared with conventional liver transplantation, one of the difficulties of split liver transplantation lies in splitting this piece.
Now Xiao Conglin was only next to Fang Le and could see Fang Le's operations at close range.
"Yes, it's couinaud segmentation."
Fang Le nodded.
Couinaud segmentation was proposed in 1957. It divides the liver into 8 independent segments based on function. Each segment has its own inflow and outflow blood vessels and bile duct system.
In the center of each segment there are branches of the portal vein, hepatic artery and bile duct, and on the periphery of each segment there are outflow vessels through the hepatic vein.
In splitting surgery, the conventional basis for splitting is couinaud segmentation.
Each segment of Couinaud segmentation can be regarded as a functional anatomical unit of the liver. Split liver transplantation is based on the segmentation theory of Couinaud segmentation. The required liver segments are separated as completely as possible while retaining necessary blood vessels, bile ducts and so on.
Obtain a split donor liver that can work independently.
The liver has a strong ability to recover, which is also the basis of split liver transplant surgery. Therefore, as long as there is a split donor liver that works independently and meets the needs of the patient, the liver can regenerate to ensure the needs of the recipient.
“couinaud segmented!”
In the demonstration classroom, there are also experts in liver surgery discussing the matter and providing science popularization to some laymen.
At this moment, Zhang Ruihua was conducting science popularization for Director Han.
"The couinaud segmentation method is the basis for split liver transplantation. However, it is still very difficult to complete the separation during the operation, and one must have a good understanding of the structure of the liver."
Zhang Ruihua asked strangely: "Dr. Fang is not old, and he went to a traditional Chinese medicine school. He probably rarely encounters physical anatomy. Did Director Han specially provide Dr. Fang with an anatomy teacher?"
Han Sheng Xuexin said that I myself don’t have this kind of treatment.
In general, teachers are no easier to find than liver donors, but major medical schools are not that wealthy.
For most medical students, all they use for practice in school are animals. Anatomy, suturing, etc. are all done with animals. It is really a thousand-year wait to be taught by an anatomy teacher.
"Old Zhang, don't think so much about some things. If you worry too much, your hair will fall off."
Han Shengxue comforted him.
As Gao Dawei said, Dr. Fang himself is a precedent, so why worry so much?
In the beginning, there might be some people who questioned why Fang Le was so awesome, but as Fang Le behaved more and more evil, in fact, this was no longer important, because Fang Le's personal value was enough.
Is it really possible to pick up Fang Le and slice it into slices for study?
If something good comes out of research, but nothing can be done, the loss will be huge.
"I just feel emotional."
Zhang Ruihua sighed.
"The retrohepatic inferior vena cava is reserved for the right hemi-liver to perform portal dissection for the purpose of isolating the hepatic artery, portal vein and bile duct..."
While separating, Fang Le explained to Xiao Conglin: "Because the left branch of the portal vein and the right hepatic artery are long, we often choose to disconnect them during the split to facilitate intraoperative vascular anastomosis, but the bile duct of the right liver can be preserved.
To the common bile duct..."
"Uh-huh!"
Xiao Conglin hurriedly remembered that this was very important.
On the side, Tanabe Youlang has also come to Fang Le's side. The two surgeries there are currently only at the stage of thoracotomy and abdominal dissection. With the level of Niu Baohua and Chu Jianlin, they are completely competent.
Listening to Fang Le's explanation to Xiao Conglin, Tanabe Youlang was thoughtful.
Compared with Xiao Conglin, Ariro Tanabe has participated in split liver transplant surgery and is familiar with some details of the operation. However, Ariro Tanabe really didn't pay attention to some of Fang Le's remarks before. Now,
When I think about it carefully, it makes sense.
"Professor Tanabe."
Fang Le shouted.
"Doctor Fang, what are your orders?"
Tanabe Yuro said hurriedly, his attitude was quite humble.
The closer he observed Fang Le's operations, the less Tanabe Yuro dared to be arrogant in front of Fang Le.
It is also a liver transplant surgery. The level of liver transplant surgery mastered by Fang Le is fifty or sixty years ahead of this period. Although due to the limitations of the times and the limitations of some instruments and equipment, Fang Le cannot perform much.
But over the years, the surgery has continued to improve.
Even without advancements in equipment and instruments, with the accumulation of surgeries, doctors can learn more about the shortcomings, and these shortcomings are slowly being improved.
With this alone, Fang Le's level has already surpassed all liver surgeons in this era.
In terms of the level of traditional Chinese medicine, Fang Le may still be a little behind Qi Youmin, Xue Shuyang and others. The advantage is that he has mastered some things that Qi Youmin and others don't know.
For example, Mr. Li’s extraordinary heart-saving soup.
After all, there were many great doctors in the time and space before Fang Le's rebirth, so Fang Le could learn from other people's thoughts and medical records.
There is definitely a gap in overall level compared to Qi Youmin and Xue Shuyang.
But in surgery, with fifty or sixty years of experience, it’s really not that simple.
Even if Fang Le only made slight improvements or undoubtedly avoided some things, it would still be shocking to Tanabe Yuro.
"If Professor Tanabe is interested, you can come to our Xijing Hospital."
Fang Le said calmly to Tanabe Yuro while staring at the liver for chopping.
Tanabe Yuro's heart suddenly moved.
"Fang Lejun."
"I know that Professor Tanabe is a top liver surgery expert at the Dongjiang Medical University Affiliated Hospital of Country R. He doesn't need to stay long. How about three years?"
Fang Le said slowly.
Xiao Conglin looked at Fang Le in astonishment. Is Fang Le poaching while performing surgery?
To be honest, Xiao Conglin was a little looking forward to it.
Excluding Ariro Tanabe's level as a native of Japan, Ariro Tanabe's level is absolutely impossible to say. If he could go to Nishikyo Hospital, he would definitely stay in his own extrahepatic hospital.
"Professor Tanabe can think about it."
Fang Le said without saying anything more. This young tool was a good person. Experts in liver transplantation are not easy to train. Even Xiao Conglin needs training in several surgeries.
Ariro Tanabe is able to operate independently and can provide guidance when the time comes.
Having a top expert who can independently perform liver transplantation is something that every hospital in the country is looking forward to.
As for Yuro Tanabe, his little life must have a purpose. Fang Le is not afraid of this. A little leakage will be enough for his little life.
When a group of talents are cultivated, Fang Le can also teach some things here, and he is not afraid of teaching his disciples and starving the master to death.
The most important thing is that Tanabe Yuro is quite famous and this sign is very useful.
"No need to think about it, I promise Fang Lejun."
Tanabe Youlang immediately said: "I hope Fang Lejun will take care of me in the future."
"Professor Tanabe is too polite. From now on he will be one of our own."
As Fang Le spoke, the left liver lobe was gradually separated.
Ariro Tanabe stood on the edge and was really frightened.
During such a difficult split, Fang Le was still talking to him, this...
It's really unbelievable.
You must know that the more difficult the operation, the more focused the doctor's attention is and the less he dares to be distracted. At least Tanabe Yuro himself does not dare to be careless in the slightest.
"Go and see what's going on over there, don't make any mistakes."
Fang Le said to Tanabe Yuro.
"Hi!"
Tanabe Yuro responded and left reluctantly.
Don't worry, if he goes to Xijing Hospital, he will definitely have the opportunity to study with Fang Le.
Ariro Tanabe is only in his forties and is still very young. If he really has the opportunity to be promoted, he will naturally cherish it very much.