Super Doctor: Become Stronger From Signing In

Chapter 5 The Trickest Situation Appears

The bleeding hepatic vein was temporarily clamped, the heavy bleeding had stopped, and the blood transfusion was still in emergency, and the boy’s vital signs had stabilized.

But the next thing to face is a tricky situation that has never happened before.

Soon, Jiang Xiaoqi, deputy director of the emergency department, director Liu of the oncology department, and director Wang of the hepatobiliary surgery department also arrived.

Under the gaze of the four directors, the doctor on duty in the radiology department was a little nervous operating the bedside CT and performed an urgent CT examination of the boy’s abdomen.

He has been in the radiology department for a few years, and he has never been watched by so many directors for examinations. It is so tricky to send so many directors of various departments to come for consultation in today’s situation!

All the people in the operating room are anxiously waiting for the results of CT at the bedside.

Soon, the inspection results came out.

The radiology doctor called up the screen and projected it onto the display screen in the operating room. Several directors stared at the display screen and carefully watched the results of the examination.

Five minutes later, Director Liu of the Department of Oncology said solemnly: “Lao Lin, this is a 3×3 tumor. The image shows that it is surrounded by the middle hepatic vein and the right hepatic vein. There are still tumor thrombi in the right portal vein. If it is removed directly In the case of a tumor, it is almost like a landmine. Not only is it easy to detonate blood vessels and cause hemorrhage, it is also difficult to remove the tumor.”

“But without removing this tumor, anastomosis of the damaged blood vessel cannot be completed. Once the vein is clamped for a long time, the liver will die due to ischemia. Then it will lead to acute liver failure, leading to the direct death of the patient.”

Jiang Xiaoqi, the deputy director of the emergency department on the side, also said very solemnly.

“Even if it is a healthy patient, it is very difficult to remove a tumor with such a tricky location without damaging nearby blood vessels and causing hemorrhage. Moreover, the patient is now in a state of multi-organ damage, can he withstand such a large amount of damage? The operation is still unknown.”

Director Wang of Hepatobiliary Surgery said with a serious face.

After several directors finished speaking, the atmosphere in the operating room fell into a solemn situation. Such a difficult situation has never been seen before. There is no precedent, and no one has experience in handling such a difficult situation.

Can you just watch this little boy dying?

“The difficulty now is that in the removal of liver tumors, the tumor is surrounded by two veins, and there is almost no entry point for surgery. One carelessness will cause the two veins to rupture, and the situation will be even worse.”

Director Liu of the Department of Oncology, while watching the CT images, put forward his own opinions.

“If it doesn’t work, we can only risk the removal of the tumor. Now we have no other choice.”

As the chief surgeon, Lin Feng is in critical condition and is dying. He must make a judgment in a short period of time.

“This way, the chance of successful tumor removal without causing vein damage is too low, and there is simply not enough surgical field of vision and operating space.”

Jiang Xiaoqi, the deputy director of the emergency department, said in a deep voice that she had never seen such a complicated situation even when she was studying abroad, let alone what good solutions could be thought of for a while.

“What if an autologous liver transplantation is performed on a patient?”

There are several directors, so naturally there is no chance to rotate doctors to speak, but now several directors are at a loss, and everyone has remained silent. However, the possibility of successful removal of this dangerous tumor directly on the liver is too low. Therefore, Su Yang had to express his thoughts.

“Autologous liver transplantation? This is too trivial. Even for normal people’s liver transplantation, it takes dozens of days to prepare, not to mention the current situation. This is absolutely impossible.”

Director Wang of the Department of Hepatobiliary Surgery immediately retorted that liver transplantation has always been his domain of authority, and it is impossible to do so in the current situation.

“Which department are you a doctor? Why don’t you even have basic medical knowledge to judge? Lao Lin, how did you bring such a doctor into the operating room?”

Director Wang went on to say that because of some old things, he has always been out of sight with Lin Feng.

“Xiao Su, why are you here?”

Jiang Xiaoqi discovered that Su Yang was also in the operating room at this time.

“Dr. Su used his bare hands to stop the bleeding of the patient’s broken liver before the patient’s surgery, so I asked him to participate in the operation together.”

Lin Feng introduced to Su Yang, otherwise, in such a scene, a rotating doctor would have no chance to speak.

“Stop bleeding with bare hands across the abdomen? Xiao Su, do you have such a technique?”

Jiang Xiaoqi was a little surprised. Although Su Yang was very handsome, she did not leave a deep impression on her during the three-month rotation in the emergency department. He did not expect that there would be such a technique.

“Yes, I was also very surprised at the time. Dr. Su was very accurate in judging the bleeding points in the patient’s abdominal cavity. Since we have no better way now. It is better to listen to Dr. Su’s opinion.”

Lin Feng intends to protect Su Yang. Although he questioned Su Yang before, it was just a professional spirit. After the patient stayed in the operating room, it showed that Su Yang’s operation was effective. Such a talent naturally gave him a passion for talent. .

“Thank you, Director Lin. The situation is urgent. Let me briefly tell the directors what I think.”

“If the patient’s liver is taken out, the liver is continuously perfused with the liver perfusion preservation solution at 0°C-4°C to keep the liver alive, so that there is a surgical field of vision and enough operating space to safely remove the tumor, and then use the saphenous vein. The blood vessels, hepatic veins and arteries are reconstructed, and the liver removed is put back into the body. I think this can safely remove the tumor, save the patient’s life, and greatly reduce the difficulty of the operation.”

Su Yang said his thoughts.

“Yes, after the liver is taken out, there will naturally be enough visual field and operating space. Since it is the patient’s own liver, and transplanted back, there will be no rejection reaction at all, the best of both worlds.”

Jiang Xiaoqi suddenly realized, why didn’t she think of it?

Lin Feng thought for a while, and felt that it was suddenly clear. This way, the difficulty of surgery is greatly reduced. Compared with removing the tumor directly on the liver, the success rate has risen sharply. Although there is no precedent for doing this, it is definitely feasible in theory. of.

Director Wang of Hepatobiliary Surgery was also silent. Surgery is such a place. As long as you are correct, even the director cannot refute you.

“Prepare for the operation, Director Jiang, please prepare for the blood vessels afterwards, Xiao Su, you are the one who proposed this plan, so let me help you, how about it, are you confident?”

“Yep”

Jiang Xiaoqi nodded. She is a person with the supremacy of technique and surgery. Being able to participate in such an unprecedented operation is something she has been pursuing, and her technique has also reached this level.

It’s just Su Yang, who seems to be just a rotating doctor. Lin Feng asked him to participate in such an operation. Isn’t it too hasty? At least I should find a senior doctor to be an assistant.

“Liver transplantation is not a child’s play. Are you sure you have such a level to cooperate with Director Lin’s surgery?”

Director Wang of the Department of Hepatobiliary Surgery questioned that the surgical plan proposed by Su Yang can be seen by discerning people. In fact, the probability of success is very high. Moreover, there is no precedent for this operation in the country. Lin Feng is the chief surgeon, so it is naturally impossible to He replaced it, but hepatobiliary surgery is doing liver transplantation. A first-aid doctor can do it on his own. This operation will be of great benefit to the future development of the department, and he must be involved.

Presumably under his pressure, this little cycling doctor will shrink back.

For a moment, everyone’s eyes were fixed on Su Yang.

In the past, he is indeed far from the level of liver transplantation.

However, the Peak Surgery Experience Card he obtained before signing in is still there, and it couldn’t be better to use it for this operation.

“Director Lin, Director Jiang, I am confident to cooperate in completing the operation.”

Su Yang looked at the four directors. The few people in front of him were all well-known experts in related fields across the country, but at this moment, he had this confidence.

“Director Wang, this is my operation. I have the right to decide who will assist me. As for whether Dr. Su has this ability, I have my own judgment.”

Lin Feng said to Director Wang neither lightly nor severely.

Director Wang’s face was blue and red, and he didn’t speak any more. After Lin Feng performed this operation, the general surgery department had to put pressure on the hepatobiliary surgery again, and he was still in the cutting-edge field of hepatobiliary surgery-liver transplantation.

“Go out with me and explain the operation to the patient’s family together, and get the family’s consent.”

“Okay, Director.”

Lin Feng looked at Su Yang approvingly, he was a good seedling.

Director Wang of Hepatobiliary Surgery was a little bored. He could not participate in such an unprecedented operation in the field of hepatobiliary surgery. You know, this operation is enough to write a paper with an SCI impact factor of at least 6. As a doctoral thesis, it is enough.