"Release the hemostatic forceps." Xu Qiu looked at the deputy director of the Department of Hepatobiliary Medicine.

Mo Wan and the director of the Department of Hepatobiliary Department were both left in the operating room No. 1 - this was a living liver transplantation and removal. Qiu Qinghu only removed 60% of the liver tissue, and he still had 40% left.

Generally speaking, only one percent of the donor's own body weight is needed to compensate for liver function. Therefore, Qiu Qinghu's safety is still guaranteed. Unlike corpse liver transplantation, his operation needs to be completed, and his postoperative life expectancy will not be significantly affected.

Let Mo Wan and Director Ligand rescue Qiu Qinghu, and Fang Wenwen's side, it is enough for Xu Qiu to bring a deputy director.

"It has been released!" The deputy director immediately executed the order.

Everyone's attention was suddenly concentrated and their mood became nervous.

Gurgling—

Losing the blockade of the hemostatic forceps, the blood flow immediately found the catharsis port, gradually growing from trickle stream, the blood flow and flow rate continued to increase, and finally flowed through the anastomotic vena cava of the hepatic superior and inferior vena cava.

The operating room was extremely quiet, and everyone stared at the back wall.

Dongdong--

As the blood flow washed over and over again, the sutured blood vessels also filled and expanded, but there was no trace of leakage!

"After...success?"

"My God, there is really no leakage!"

"The perfect match, how did this be done? It's simply a textbook-level liver transplant suture!"

Professor Chang and Academician Zheng stood there in a daze... Everything in front of him was too magical and too incredible, but it really happened in front of them.

Even Academician Chen, who had already been mentally prepared, sighed at this moment: "Even if it is a surgical robot, just speaking of suture, it is probably not as good as Xu Qiu..."

"Abnormal." Academician Zheng's hand trembled slightly... He understood the principle that the Yangtze River pushed the previous waves, but Xu Qiu was almost catching up with a tsunami. Will he give them the old men a way out?

"Did he... not have a doctoral supervisor yet?" Professor Chang said suddenly.

Some time ago, the CNKI incident caused a lot of controversy. He also understood the causes and consequences, and only then did he know that Xu Qiu had just graduated from a master's degree and regretted not being able to catch up with the master's defense meeting at that time.

Otherwise, he might be able to be Xu Qiu's doctoral supervisor, which is a pity!

Academician Chen glanced at Professor Chang and said, "You have been busy with surgery recently?"

Professor Chang said in confusion: "Yes, how do you know?"

Academician Chen sighed: "Because your speech is too naive, those who don't know think you are isolated from the world."

"???" Professor Chang didn't understand.

Academician Zheng said quietly: "Do you think you could be a doctoral supervisor when you went to Xu Qiu?"

Professor Chang said unhappily: "Although I am not an academician, my status is the first among academicians. Even many ordinary academicians are not as good as mine in resources and academic status. Can other doctoral supervisors compete for me? Besides, what does it mean to be a doctoral supervisor!"

Academician Zheng almost laughed out loud and said with a suppressed smile: "There are twenty-one academicians present in Xu Qiu's master's defense meeting. What did you say just now? The first person below the academician?"

Professor Chang was stunned in place. After a while, he quietly shrank back: "I'm disturbing."

This is outrageous!

Isn’t it just a doctoral supervisor? Why are even academicians fighting for it?

Academician Chen added: "Also, Xu Qiu already has a teacher."

Professor Chang immediately raised his head and said vigilantly: "Who?"

What's wrong with the academician?

The academician is not strong enough, so he still dares to steal students from the other party!

Academician Chen seemed to see through Professor Chang's thoughts and teased: "Academician Tong is just a veteran academician."

Professor Chang took a deep breath and suddenly felt a little cold in the operating room and shivered unconsciously.

Academician Tong...

Even if he himself had to call the other party a teacher, how dare he snatch someone from Academician Tong!

"Let's see the operation..." Professor Chang looked at the operation area with a blank expression.

Academician Chen and Academician Zheng looked at each other and their mouths twitched, but both of them had very high professional qualities and did not laugh out loud on the spot.

...

After giving everyone a little stitching, Xu Qiu started the next step without stopping.

"Methylprednisolone 1000mg."

“Azathioprine 50mg.”

“…”

The medicine solution is slowly injected into the body.

In the sixth hour of the operation, Xu Qiu focused again after a brief adjustment.

Next is to open the superior and inferior vena cava of the hepatic vena cava!

This step is no different from traditional liver transplantation.

First, 200 ml of blood were released from the inferior vena cava.

This is to eliminate a large amount of acid metabolites in the body and avoid damage to high potassium and portal collateral circulatory. This is also a bloody lesson from countless failed liver transplant cases...

After making all the preparatory measures, Xu Qiu looked at Ichisuke, who immediately opened the superior and inferior vena cava of the liver.

Bang--

It seemed as if there was a light sound, and blood flowed through the reopened upper and lower vena cava. After repeated circulation, the blood flow of the portal system of the liver was connected!

...

“Vascular veins are well filled!”

"No leakage was found at the anastomosis of the hepatic artery!"

"No leakage was found in the superior and inferior vena cava!"

“…”

"The portal system has been completely restored, and the liver blood circulation is good!"

After a round of examinations, the public in the operating room was full of surprises.

Academician Zheng looked at all this in a daze... He couldn't understand when liver transplantation became so simple, why didn't there even be a bleeding point, and why could the donor liver be revitalized so quickly?

This is unscientific!

...

After eight hours, the first living liver transplantation surgery in the history of Lin Medical University was successfully concluded.

Qiu Qinghu's vital signs are stable, and Fang Wenwen is much better than the situation in the plan.

On the way out of the operating room, Xu Qiu was still reminding him of various details.

"Ask a senior cardiology doctor to join the nursing team, especially paying attention to using drugs that dilate veins and reduce preload..." Xu Qiu said.

After the liver transplant is completed, the blood flow reopens, which will inevitably increase the blood that passes through the hepatic vein and enters the inferior vena cava, which will bring huge preload pressure to the heart.

If you are a person with normal right heart function, you can generally compensate for this change, which only shows pulmonary hypertension and pulmonary congestion.

However, all of them have reached the last step of liver transplantation. The patient's heart has almost all problems of big and small. At this time, the increase in preload will lead to severe heart failure, and Xu Qiu must prevent it in advance.

"Second, monitor liver function indicators such as serum aminotransferase."

This is the most intuitive way to reflect the activity of the transplanted liver, and the function test can also sensitively indicate prognosis.

"Then it's about focusing on intraperitoneal bleeding."

In general liver transplant surgery, the most common postoperative complication is abdominal bleeding. The main reason is that the bleeding stop is not strict in all aspects of the surgery and there are mistakes in sutures.

Although Xu Qiu is confident, most of the prothrombin in the human body is synthesized by the liver, and the newly transplanted liver cannot synthesize coagulation factors in the early stage, in other words, it has almost no coagulation ability.

Once bleeding is caused, it is extremely difficult to stop and problems must be prevented before they occur.
Chapter completed!