Chapter 1489 How Did You Do It! (Add More Monthly Ticket)

The end of the first operation gave everyone confidence!

Professor Chen's liver cutting is so powerful.

Liver transplantation shouldn't be a big problem, right?

After all, the most difficult part of living donor liver transplantation itself is here.

What's more, Chen Cang gave Sun Jian the middle hepatic vein, and most of the liver blood vessels, hepatic ducts, and bile ducts were removed together.

Such a liver source itself is good enough.

But this excellence is relative.

For Fan Qinghua, fifty-five percent is pretty good, but for Sun Jian, who is 150 to 60 pounds, he is still a little weak.

But at least it wasn't a bad start.

You can still play well!

After some processing.

After Chen Cang, Zhou Hongguang and others cleaned up, they came to the operating room next door.

...

...

At this time, Sun Jian has completed an abdominal surgery. For experts in the capital, liver transplantation can be done.

What can't be done are those difficult transplant operations.

Just like this one.

Several chief physicians were a little nervous.

They are all chief physicians of the Department of Hepatobiliary Surgery of the Emergency Center Hospital. They are in their 40s and strong. It is time to move forward, but they are not qualified to follow Chen Cang into the operating room next door.

Everyone was talking quietly.

"Director Feng, do you think the feasibility is high?"

"Damn, who knows, anyway, for me, I can't do it, because Fan Qinghua's liver can be cut off at most 50%, and this 50% is not enough for Sun Jian. Whether it can survive the ICU is a question!"

"Hey, it's really hard to meet this situation! You said that if we lost Big Sister Fan, it wouldn't be good to spread the word, but if Sun Jian was gone, the family would be even more helpless!"

"What I'm most worried about now is that it's hard for both of them!" An older director couldn't help but sighed.

He didn't mean to make everyone uncomfortable, it really is... all kinds of possibilities must be considered!

If both operations fail...

The consequences are almost unimaginable.

This is undoubtedly a disaster for the Sun family!

However, medicine just feels that there is such uncertainty, who can guarantee it?

"Okay, okay, everyone, don't be discouraged, maybe Professor Chen has some extraordinary skills!" The old director said with a smile, wanting to cheer everyone up!

"Professor Chen has so many remarkable achievements after all."

Everyone encouraged each other.

In fact, sometimes life needs to be like this. When faced with desperate situations and difficulties, we need some like-minded friends to encourage each other.

While talking, the door to the operating room opened!

Chen Cang walked in with Zhou Hongguang and several directors.

Everyone looked up, and with the lights in the corridor behind Chen Cang, everyone suddenly froze for a moment.

This goddamn... Chen Cang will shine?

wrong!

It's the light behind the head!

Everyone was dumbfounded.

Chen Cang was stunned for a moment, then turned to look: "The lights in the corridor are too bright, the head nurse should change it another day, or else the sudden opening of the door will affect everyone's sight."

The head nurse was stunned for a moment, then nodded quickly: "Okay...Okay!"

As soon as these words came out, everyone in the room was slightly stunned.

Can not help but sigh.

Professor Chen's words are very helpful!

It's better than the words of his anesthesiologist Lao Zhou and the high director of hepatobiliary surgery. In a word, the lights can be changed!

After the nurse helped Chen Cang get dressed, Chen Cang walked to the operating table.

Looking at the liver, I couldn't help but sigh!

【Ding! A failing liver, a level 91 boss, encounters a special scene and triggers a special mission: one liver, two lives!

Mission description: Use Fan Qinghua's liver to successfully save Sun Jian while allowing himself to survive.

After the task is completed, you can get a reward: "Liver that is not bad"! 】

Chen Cang was stunned for a moment!

What the hell is a "liver that's not bad"?

Chen Cang is confused now.

However, no matter how confused you are, you have to wait until the operation is completed.

Before the donor was placed, Chen Cang carefully checked the liver section for any open small bile ducts.

He handed over this glorious task to Director Gao Ronghua.

"Director Gao, see if the bile duct is open!"

Gao Ronghua nodded and began to examine it carefully.

At this time, Chen Cang started to prepare for implantation!

The first step before implantation is to sort out the blood vessels.

After all, whether the liver can survive depends on the supply of blood vessels.

The first step is naturally vascular anastomosis!

"No problem!" Gao Ronghua handed it to Chen Cang after checking.

Chen Cang can trust the cautious Gao Ronghua.

As the director of hepatobiliary surgery, Chen Cang and Director Gao Ronghua have dealt with each other more than once.

This person has a strong ability to stop bleeding in the liver, and Chen Cang's perfect hemostasis comes from this director.

Likewise, Director Gao is very experienced and careful in grasping the details!

With him checking, Chen Cang is very relieved!

Surgery is not something a person can do alone.

It needs everyone's cooperation, otherwise the time will be too late.

After the operation, Chen Cang first anastomosed the right hepatic vein with the recipient inferior vena cava, and then performed the middle hepatic vein with the recipient left hepatic vein.

This step is not a big problem for Chen Cang!

These blood vessels in the body are more familiar to Chen Cang than his house number.

Really do not know, names can appear.

Before the completion of anastomosis, albumin must be perfused through the portal vein to remove gas and residual preservation solution in the lumen to prevent possible air embolism and hyperkalemia.

This step is handled by Zhou Hongguang and Chen Cang together!

The most serious complications of liver transplantation are pulmonary complications, intra-abdominal hemorrhage and vascular complications, biliary tract complications, rejection and nonfunction of the transplanted liver.

Chen Cang needs to be careful to reduce the possibility of various complications.

Chen Cang began to anastomos the portal vein and hepatic artery step by step.

After the three-vein anastomosis is completed.

Chen Cang's fingers trembled slightly when he was tying the knot, and a skilled and unfamiliar surgeon was formed!

"Open the blood vessels!"

Following Chen Cang's words, the blood vessel clamp was opened, and blood began to flow instantly.

This ordinary picture, most people do not find anything unusual.

And when Zhou Hongguang drifted past a little, his expression suddenly changed!

He was surprised to find a seemingly ordinary but terrifying thing!

Because he found that when the blood flow was opened, the anastomotic stoma began to expand!

Generally speaking, anastomotic stenosis is an inevitable thing.

After vascular anastomosis, there will definitely be more or less stenosis due to the existence of needle and thread anastomosis!

But Chen Cang's blood vessels were not narrowed at all!

and……

The anastomosis is actually expanding!

After seeing this scene, Zhou Hongguang couldn't help swallowing!

This seemingly ordinary detail is actually not ordinary at all, and can even be directly related to the success rate of surgery after liver transplantation.

Thinking of this, Zhou Hongguang asked excitedly, "Professor Chen... how did you do it!"