This doctor is very stable

Chapter 386 Resection of Donor Liver and Resection of Diseased Liver【For subscription, for recommendation ticket. 】

The gangster Chen Ganzhou's free reign has begun.

There is still a big difference between liver transplantation and general resection.

Liver transplantation, especially the removal of the liver from the donor, pays special attention to the preservation of the blood supply vessels of the liver. The length of the blood supply vessels after the liver block is removed needs to be carefully calculated to meet the recipient’s later transplant requirements. It must not cause too much damage to the body of the liver donor.

This is undoubtedly one of the great difficulties.

It can also be said that free resection of liver blood vessels is the biggest difficulty in resection of the whole donor liver.

There are three stages of relative liver transplantation.

First recipient diseased liver resection.

The liver of the second liver donor is harvested.

The third is to plant the donor liver into the recipient.

I saw that after the freeing of the liver was completed, the boss Chen took the scalpel from the nurse's hand and began to cut the liver and kidney ligament to loosen the liver.

After loosening the liver, the boss Chen began to free the hepatobiliary triangle area.

Below the hepatobiliary triangle area is the liver pedicle.

The hepatic pedicle includes the portal vein, hepatic artery, common bile duct, autonomic nerves of the liver, lymph nodes, and lymphatic vessels.

The purpose of freeing the hepatobiliary triangle area and dissecting the liver pedicle is to further untie the resected part of the patient's donor liver.

Among them, the liver donor’s common bile duct and other main blood vessels and lymphatic vessels exposed outside the liver cannot be cut. After all, the relatives donate the liver to ensure the liver health of the liver donor. Only the dynamic and static blood vessels of the liver can only be cut into the liver. .

It has been prepared to rebuild the liver blood supply circuit after liver transplantation, rebuild the bile flow to the pipeline, let the transplanted liver block regenerate in the recipient, and let the recipient obtain the metabolic function of the new liver and obtain bile.

Big Brother Chen's operation is not very fast, but he is very cautious.

Lin Ran was fascinated by the process of his free operation.

Wang Yihu and the others on the side were very excited to see it, their faces flushed, their eyes sparkled, and they were even reluctant to blink for fear of missing some details.

This is the best learning opportunity!

Even though their eyes were astringent and dry, they still stood firm.

……

An hour later, the boss Chen finally started to cut the liver.

On Lin Ran's side, he also started to have his liver removed.

In the same way, the skin was disinfected before the operation, and the positioning line prepared in advance was drawn.

The positioning line represents the size of the incision and the approach, and the length and position of the recipient's surgical opening are well established in the surgical plan.

Lin Ran didn't know whether the surgical incision and approach would affect the subsequent liver transplantation, so he naturally had to follow the surgical plan formulated in advance.

Lin Ran took the surgical pen from the equipment nurse, started the pen on the abdominal wall under the patient's right rib, drew an arc to the side of the abdomen, and ended the pen at the xiphoid process of the abdomen.

The entire positioning line is about ten centimeters long.

Gao Zhitie, who was helping Lin Ran at the side, nodded affirmatively after reading the round and full positioning line.

It is more cautious to strictly follow the surgical plan!

"Scalpel."

Lin Ran was also very satisfied with the positioning line he drew. He even doubted his talent for painting. If he didn't become a doctor, Lin Ran thought that he might be able to change his career to become a figure painter.

After all, he is a professional at drawing lines!
Isn't the most important part of figure painting the lines!

Since he was satisfied with the positioning line he had drawn, Lin Ran took the scalpel, held the bow, and began to cut strictly according to the positioning line.

Lin Ran's hand cut is probably perfect even for obsessive-compulsive disorder patients.

The incision cut across the patient's abdominal wall, and the different tactile sensations produced by the scalpel cutting through different tissues in the abdomen came from the hand. Lin Ran said that this tactile sensation was very wonderful!

This is not the feeling of being satisfied with the desire to destroy, on the contrary, it is a sense of pleasure obtained in the pursuit of perfection!

Because of love, so strive for perfection.

It is because of perfection that pleasure is obtained.

Seeing the scalpel come alive in Lin Ran's hand, and seeing such a perfect incision, the members of the excision team had to look at Lin Ran with admiration.

It is true that Lin Ran can let the boss Chen personally order the liver resection for liver transplantation in the future.

Boss Chen's vision is still as sharp as ever!

Just like the big brother Chen fell in love with them at the beginning.

After the incision was completed, the middle-aged hook man who gave Lin Ran and his group of hooks began to treat the abdominal wall.

Electrocoagulation to stop bleeding, pulling the hook, the work that the hookman is best at.

Expand as the ostium is pulled apart.

The vision of the patient's abdominal cavity was clear under the shadowless lamp, so it smelled like a sour smell, even if Lin Ran and the others were protected by masks, they still couldn't stop the invasion of this smell.

If there was an intern who just arrived on the operating table, he would have vomited in a mess!

The patient's abdomen was filled with light yellow transparent liquid, and many organs in the body were soaked in this light yellow liquid. Don't think about it, this is liver ascites!

The orange-yellow skin of the whole body of the patient is mostly caused by the liver and ascites soaking the internal organs. This symptom is also called jaundice. Of course, jaundice is also completely caused by the liver and ascites.

The double impact of sight and smell completely wiped out Lin Ran's wonderful mood just now.

"Aspirator,..."

Lin Ran said without any hesitation.

It is necessary to suck out the liver ascites and rinse the abdominal cavity first.

Lin Ran didn't want to perform surgery on the ascites, it was no different from making money in the stinky ditch!
With the full cooperation of the nurse and the second assistant, the liver and ascites in the abdominal cavity were quickly evacuated, and another round of normal saline was rinsed.

The patient's abdominal cavity was finally clean, and the smell dissipated a lot.

But the sour and smelly smell still exists, but there is no way, I can't have a bottle of toilet water in the operating room!
After the patient's abdominal cavity was washed, the vision of the diseased liver was completely exposed to everyone.

The patient's entire liver was in a gray and dry state.

The original dark red, round and plump has long since disappeared.

How can the patient not feel uncomfortable, how can he not be in pain, and how can he not be in pain when the abdominal cavity is in such an extremely bad situation?
Fortunately, the patient's gray and dry liver did not cause tumors, that is, no cancer.

Otherwise, with such severe liver cirrhosis and cancerous transformation, it is estimated that the gods will not be able to save him.

Once it becomes cancerous, it is estimated that the transplant operation cannot be carried out.

"Fine shears, curved nose pliers."

Lin Ran wasn't hesitating, the big brother Chen's operation was already halfway through!

Lin Ran just took over the equipment that the equipment nurse took over, and Gao Zhitie beside him was not slow at all.

"Atraumatic tweezers, electric hooks."

After the two fucked the dick, the dissecting work before the liver resection officially started.

(End of this chapter)