In the demonstration classroom, many people were a little unbelievable.
The blood arrow just now was really scary. Many people thought that the game was about to end, but they didn't expect it to pass so easily.
"amazing."
Wang Yunjiang is one of the only relatively calm people in the classroom. After all, he is an expert in his seventies and has seen many strong winds and waves in his life.
But at this moment Wang Yunjiang couldn't help but sigh: "It is said that doctors treating diseases are like generals using troops. A general must be calm in the face of danger. Fang Le does have the style of a great doctor."
Sometimes, whether the crisis is serious or not depends not only on the crisis itself, but also on the doctor's handling methods.
As for the bleeding just now, Fang Le handled it calmly and calmly. The crisis just now didn't seem to be critical. But if it were someone else, he would stop the bleeding first in an emergency. Once he messes up, it may cause more serious consequences.
.
"Instill 4°C albumin emulsion solution through the portal vein!"
Youlang Tianbian was guiding Chu Jianlin and others.
When Fang Le walked over, Chu Jianlin was performing an anastomosis of the suprahepatic and inferior veins under the command of Tanabe Yuro.
"The degree of attention is judged by the disappearance of the distal pulse."
Fang Le stood by and gave timely reminders.
It has only been four or five years since liver transplantation surgery began to mature. What is more groundbreaking is the use of microsurgical vascular reconstruction technology as a routine method for hepatic artery reconstruction, which has greatly improved liver transplantation.
Transplant prognosis.
The vascular reconstruction technique that Fang Le mastered was more advanced than the technology at this time. This was also the first patient with semi-isolated liver resection and the first patient with living donor liver transplantation performed by Fang Le. The prognosis was better than that of previous liver transplants.
The patient's prognosis is much better.
Before rebirth, by the time when Fang Le was born, liver transplant surgery had developed over decades, and the technology had become quite mature, and the risks of the surgery were already quite small.
"Um!"
Chu Jianlin nodded.
"The anesthesiologist pays attention to blood pressure and must be reminded in time when blood pressure fluctuates greatly."
Fang Le said to the anesthesiologist again.
"Don't worry, Dr. Fang, you're always paying attention." the anesthesiologist replied hurriedly.
"After intravenously administering a large dose of hormone, the portal vein, suprahepatic and infrahepatic inferior vena cava are opened in sequence, and each anastomosis is checked for bleeding."
Fang Le continued to conduct in a timely manner.
Originally, some doctors in the operating room were more or less contemptuous of Fang Le. However, after the incident just now, everyone now admires Fang Le.
Especially the doctors here at Xiehe.
According to the original plan, Union Medical College was actually responsible for Miao Dongmei, Shanghai Hospital was responsible for the children, and each hospital was responsible for the patients in their respective hospitals. However, before the operation, Fang Le considered that Union Medical College had rich experience in treating children with extrahepatic diseases.
Therefore, the Xiehe Hospital was responsible for the children, and the Shanghai Hospital was responsible for Miao Dongmei.
At the same time, exchanges between hospitals on both sides can actually relieve the pressure on doctors to a certain extent.
All doctors participated in the preoperative analysis and preparation, and Fang Le made appropriate adjustments in the preoperative allocation.
Although there are two patients, it can actually be regarded as one operation, so there is no problem with this adjustment. (The main reason is that I made a mistake before, so I can only make up for it here, which cost me hundreds of words).
The bleeding on Miao Dongmei's side just now made the doctors on Xiehe's side very cautious.
While Fang Le was instructing Chu Jianlin, Niu Baohua had already taken out the diseased liver, and Xiao Conglin's trimmed liver was sent to Niu Baohua for transplantation.
Unknowingly, the operation had been going on for four hours. The doctors entered the operating room at about six o'clock. It was almost eleven o'clock now.
Outside the operating room, many parents, grandparents, relatives and friends of the child came and were waiting at the door of the operating room.
Over at Miao Lao, many family members of patients are also waiting.
"It's been this long?"
The child's mother's eyes were a little red and swollen, and she kept paying attention to the operating room from time to time. More than four hours, to the patient's family, seemed like several years.
"This kind of liver transplant operation takes a long time. It's a good thing that there has been no movement for such a long time."
Mr. Miao comforted softly.
"Yes, the old man is right."
The child's father hurriedly said: "There is no movement at the moment. This is a good thing."
For this kind of relatively long operation, the doctor came out to notify you just two or three hours after entering. That is the worst situation. No one came to inform you for such a long time, and no one asked you to sign any agreement. This means that the operation went well.
"Check the anastomosis for bleeding, and open it to check the arterial pulse."
As the operation continued, unknowingly, the operation had reached the advanced stage.
After Miao Dongmei suffered spurt-like bleeding, subsequent surgeries went smoothly without any further problems.
"There was no bleeding from the anastomosis."
"Pulsation is normal."
The voices of the doctors rang out in the operating room.
Showing the classroom, everyone also breathed a sigh of relief at this time.
"At this point, the operation is basically considered a success."
Zhang Ruihua said: "The first split liver transplant in China, Dr. Fang has successfully completed another first case in China."
"This surgery Fang Le can only be regarded as a guide."
Han Shengxue smiled modestly.
For this surgery, Fang Le was regarded as the surgical guide. He did not do many actual operations during the surgery. His biggest role was to provide guidance on some key points.
The team level at Union Medical College and Shanghai Hospital is much higher than that at Jiangzhou Provincial People's Hospital. With technical guidance, Chu Jianlin and Niu Baohua are capable of undertaking the entire operation.
"Director Han has also learned to be humble?"
Meng Qingfei's tone was filled with envy: "Although Dr. Fang was only a guide, the most important liver splitting was done by Dr. Fang."
"Split liver transplant surgery is very difficult. The prognosis of several split liver transplant surgeries performed internationally in the past few years is not good, and the graft survival rate is quite low."
This graft survival rate refers to the donor liver. Not all livers will survive completely after transplantation. In some patients, due to various reasons after transplantation, the transplanted donor liver may fail again or various situations may occur.
This problem is more likely to occur in split liver transplants.
Grafts are often lost due to early organ failure, multi-organ failure, and graft torsion.
"Director Meng is right, in split liver transplantation, the splitting of the donor liver is a very important part."
Zhang Ruihua took over: "I remember at the preoperative analysis meeting, Dr. Fang said that donor liver splitting is similar to living donor liver resection, and the structures of the hepatic vein, hepatic artery, portal vein and bile duct are completed in the donor body.
Separation, try to clear the actual segmentation and blood supply of the liver by trying to block it, and use this as the anatomical basis for separation of the donor liver. After the left donor liver is removed, blood oozing, bile leakage and other conditions on the separation surface can be observed intraoperatively.
This allows immediate processing to reduce
Reduce bleeding during transplantation and reduce the incidence of postoperative bile leakage complications.”
"yes."
Meng Qingfei said: "So, the most critical part is done by Dr. Fang. If Chu Jianlin and Niu Baohua can't do the other things well, then they can go home and have their children."
Director Han listened with a smile on his face, his little eyes narrowed to a slit, and he said in his heart, you continue, continue.
Not to mention, it feels really wonderful to listen to Meng Qingfei and Zhang Ruihua complimenting me from the side.
Although the two of them praised Fang Le, Director Han still felt honored.
There are so many experts today, whether they are in the operating room or in the classroom, except Wang Yunjiang, who dares to call Fang Le Xiaofang carelessly?
Only Director Han has one ear!
While Meng Qingfei and Zhang Ruihua were talking, they saw Han Shengxue's smiling face and shouted that they had been fooled.
Ma De, no wonder the man surnamed Han suddenly became humble. Is this a trap for the two of them?
But even though they knew Han's thoughts, Meng Qingfei and Zhang Ruihua still wanted to continue talking.
What they care about is Fang Le, not Han Shengxue.
The first semi-isolated liver tumor resection, the first living donor liver transplantation, and the first split liver transplantation.
Today's surgery is over, and Fang Le can become a god in the extrahepatic field.