The most critical thing is that there is no need for venous flow during the operation!

This greatly shortens the time of liver-free period and minimizes intraoperative bleeding, which simplifies the steps of implanting liver donor...

This was exactly what Mo Wan and others were worried about before - performing traditional liver transplantation, even if the speed is increased to the fastest, it will inevitably cause many injuries. Moreover, the liver-free period is not much shorter, and the damage to the patient is very great.

However, piggyback living liver transplantation solves this pain point.

Based on the preservation of various blood vessels in the liver, no transfer technology is used, and combined with Xu Qiu's more than five months of devil training, Fang Wenwen's liver-free period has almost been shortened to the point where the body has no time to react...

...

"Where is the hepatic artery at the trumpet mouth?" Academician Zheng couldn't figure it out.

He was amazed by Xu Qiu's technique. The stitching alone made the difficulty of this piggyback approaching to the extreme. There were probably few experts present who dared to say that they could do it.

The others also looked at Xu Qiu at the same time... There were too many innovations in this operation, and they couldn't understand it for a while.

While Xu Qiu's hand movements continued to accelerate, he explained: "Pouristback retains the hepatic artery of the donor liver, and the anastomosis between the donor liver and the recipient liver artery must be performed later. However, the hepatic artery is too small and it is easy to form a thrombus or embolism, which is modified into a flap-mouthed shape, which can minimize complications."

A strange color flashed in Director Zheng's eyes, and he let out a gentle breath... Is this the legendary Doctor Xu?

...

laugh--

As the donor liver was completely freed, the assistant immediately took it and used 4 degrees Celsius liver perfusion fluid to wash the intravenous veins through the catheter.

"The flow rate is controlled at 100 milliliters per minute."

"The liver has no blood. After cooling, it will be replaced with plasma protein perfusion solution to maintain lavage..."

Under Xu Qiu's command, Mo Wan and others were fast but not chaotic and orderly.

"Notify the other side that the diseased liver can be removed." Xu Qiu said.

Organ transplant surgery requires a race against time.

The liver donor removal in Operating Room 1 is coming to an end, and Operating Room 2 can begin.

Although the medical team at the moment cannot carry out living liver transplantation, it is still no problem to simply open abdomen and make all preparations to wait for Xu Qiu to remove the diseased liver.

"Yes!" The nurse of the tour immediately ran out to arrange.

At this time, the liver irrigation was finally completed.

Xu Qiu took over again, quickly placed the liver in frozen saline, dissected the liver, and then exposed and ligated the diaphragmatic artery.

This step is to prevent bleeding after hepatic vessel reconstruction.

Then there is the repair of liver donation.

Xu Qiu did a very meticulous job. He carefully examined the surface of the liver and removed the ligament tissue attached to the liver, the connective tissue of the diaphragm tissue and the hierarchy of the liver, and then checked the smoothness of the hepatic artery, the portal vein and the vena cava...

Professor Chang and others were stunned.

After a series of difficult operations, these blood vessels did not leak at all. How precise is this?

Only Academician Chen looked calm... It's like this. When I first watched Xu Qiu's surgery a few years ago, the expression on my face was as exaggerated as you!

...

"Doctor Xu, you're ready there." The nurse of the tour came over to report.

Xu Qiu nodded and finished the modification of liver donor. Then he took someone to clean his hands again and entered the operating room No. 2.

Didi--

Amid the sound of the instrument running, Fang Wenwen was pale and didn't look like a person who could withstand a liver transplant.

Academician Zheng was shocked... In this state, even in the heyday of their surgical team, he would not dare to take Fang Wenwen's liver transplant!

"Prepare."

But Xu Qiu didn't say anything, as if this was just a surgery that was so ordinary that it could not be more ordinary.

The removal of the diseased liver is very difficult.

Piggyback living liver transplantation has taken several steps up from the original basis.

Under the gaze of everyone, the scalpel fell down, and the blood line emerged along the dissected first liver portal, and the common bile duct, hepatic artery and portal vein were also freed and revealed.

"The common bile duct is disconnected at the plane of the gallbladder."

"The hepatic artery is cut off at the bifurcation of the left and right hepatic arteries."

"The portal vein trunk is disconnected at the bifurcation of the left and right portal veins..."

Xu Qiu was operating calmly. He turned his liver upwards and the third liver portal was exposed.

Then, the hepatic vein was dissected and ligated separately.

Only then did Xu Qiu slow down after floating upwards to the root of the second hepatic vein.

Unlike traditional surgery, since the piggyback method needs to be consistent with the blood vessels retained on the liver, Fang Wenwen's abdominal cavity also needs to retain a sufficient length of hepatic veins.

After Xu Qiu treated the ligaments and blood vessels around the diseased liver, he neatly removed the diseased liver, but retained part of the liver tissue at the second liver hilar.

Doing so allows for the longer hepatic veins as possible.

It was not until the diseased liver was completely removed that Xu Qiu picked up the scalpel again and carefully removed the residual liver tissue around the root of the liver vein.

Immediately afterwards, he turned his wrist and expanded the openings of the three left, middle and right hepatic veins into a large mouth, which coincided with the liver of Qiu Qinghu who was transported. After aiming at the upper and lower vena cava, he began to perform end-side anastomosis...

...

In the operating room, everyone was so surprised that they could hardly speak.

Xu Qiu only took three hours to remove the liver.

The liver resection of the disease was completed within an hour. As soon as it was removed, Xu Qiu quickly began liver implantation. Calculated that Fang Wenwen's liver-free period was only less than ten minutes long!

This is a speed that I can't imagine in clinical practice... There is no venous flow, no liver phase, and almost no sense of feeling. The piggyback living liver transplantation has overturned Academician Zheng's understanding of liver transplantation with its extremely superior advantages.

"It's the most critical step!" Professor Chang's voice became nervous.

The anastomosis of the superior and inferior hepatic vena cava is the most difficult step of all anastomosis, and the posterior wall anastomosis is even more difficult.

The suture here must also be firm, without a trace of leakage.

Otherwise, once the posterior wall is bleeding after opening, it will be extremely difficult to deal with, which is about the same as an announcement that the liver transplantation has failed.

"Wait... it's done?" Professor Chang was just ready, and his eyes suddenly glared, and he was stunned.

In the blink of an eye, he only saw Xu Qiu's hand churning in the air several times, and the back wall of the thin line was already connected!

"This..." Academician Zheng was also stunned.

"How is it possible! There must be leakage!"

"There is no tension in the stitching with naked eyes and the sutures are tight, but it is impossible to maintain accuracy at extreme speed. As long as it is opened, blood will definitely leak!"
Chapter completed!