Chapter 712 Serious accident! The right hepatic artery is mutated!
For example, if different people perform an operation and are responsible for different aspects, it will definitely not be as smooth as the same person.
However, it has long been an industry consensus that each surgical team performs its own duties, and it is almost impossible for one person to complete a major operation from start to finish.
Not to mention keeping every cut accurate for ten hours, even standing for ten hours is not an easy thing to do.
Therefore, the inconsistency in the surgical process caused by different surgeons is not a shortcoming, but a necessary step in the surgery.
For example, after the single lung removed by the resection group, the pulmonary artery and pulmonary vein are cut off, the transplant doctor needs to trim it and adjust it to a suitable shape.
These are all important parts of the surgery.
But the appearance of Xu Qiu broke this thinking inertia.
He personally removed the diseased lung. When the removal was completed, the blood vessels waiting for anastomosis were cut and trimmed into the required shape, just waiting for docking and suturing.
The middle pruning step simply disappears!
"Continue...keep reading." Bei Mudong was also shocked. He asked everyone to be quiet and became nervous for the first time.
The last step is just a liver transplant!
If liver transplantation can also be completed, then Xu Qiu may become a legend in the surgery competition.
Miaoyou Clinic has worked hard for more than seventy years to advance heart, liver, and lung transplantation to this stage. However, Xu Qiu came out of the blue and single-handedly overshadowed the efforts of countless generations of Miaoyou Clinic!
"Liver transplantation is more difficult!"
"The patient has advanced liver cirrhosis, with only some residual liver function left. He also suffers from portal vein thrombosis, collateral circulation, and extremely unstable hemodynamics!"
"Yes, blood clots are very serious!"
"Wait, look!"
Suddenly, one of the judges' expressions changed drastically, his pupils suddenly dilated, and he pointed at screen No. 1 in horror.
Bei Mudong and others looked quickly, and then took a deep breath with extremely solemn expressions.
"Hepatic artery variation!"
Bei Mudong exclaimed.
The patient's right hepatic artery was mutated.
Looking carefully, inside the bloody abdominal cavity, the patient's right hepatic artery branches off from the common hepatic artery at a low level, then passes through the right side of the cystic duct and enters the liver. The cystic artery originates from the left hepatic artery...
This variation, if conventional anatomical procedures are followed, will almost certainly damage important blood vessels and cause irreversible complications.
Even if it is an ordinary liver transplant, or even just a small partial liver resection, if this happens, it will be regarded as an extremely serious intraoperative accident...
"Why didn't the preoperative CT scans and other scans detect it?"
"This mutation is so subtle. The blood vessels are so deeply hidden that they cannot be detected until the abdomen is opened!"
"It's over, the previous surgical plan is invalid!"
"It's just the last one. Unfortunately, Xu Qiu will fall short. Omid is slightly better."
Some people expressed regret, while some judges stared at the screen with gloating.
Bei Mudong stood up nervously, clenching his fists unconsciously.
He doesn't care who wins the championship.
However, Omid only took the existing surgery to an extreme, in other words, he just pushed the old model to its theoretical limit.
However, Xu Qiu made many improvements during the operation, including single sinus node surgery for heart transplantation, eversion suture method, small incision sequential double lung transplantation for double lung transplantation, etc., all of which incorporated his own opinions.
, this is precisely the most correct direction for heart, liver, and lung transplantation...
A stability seeker in the old era or a pioneer in the new world, Bei Mudong prefers the latter!
Even if the operation fails, Bei Mudong will give Xu Qiu a very high score. This is a reward for the brave people who truly challenge the limits of surgery and explore the boundaries of medicine for mankind!
"Just a little bit."
"Any accident in a very large operation may directly lead to the failure of the operation, let alone such a serious vascular mutation!"
"If a patient dies on the stage, at least ten points will be deducted. Even if the other aspects are full points, it will only be ninety points. What's more, he has not completed the combined heart, liver and lung transplant... Unless he dares to violate the rules and continue the operation on the dead person.
Done!"
The black judge is grinning...performing surgery on a dead person? As long as Xu Qiu dares to do this, he will completely lose the chance to stay in the industry.
A person who forcibly completes surgery in order to get high scores, no matter how superb his skills are, no one will dare to use them.
But at this moment, he suddenly found that the office had become quiet...
The black judge was stunned for a moment: "What's going on?"
The judges, who were discussing enthusiastically just a second ago, suddenly fell silent, and they all stared at the No. 1 screen with expressions on their faces that were extremely horrified.
The black judge felt cold. He had a bad feeling and gritted his teeth and turned around to look.
Soon, his eyelids twitched, veins popped up on his temples, and he said in a panic: "How... is this possible!"
The hands in the picture are too fast.
It was as if the speed had been turned on three times. If it weren't for the large number of assistants who were equally sluggish next to the surgeon in the camera, everyone would even think that this was a surgical video that was recorded in advance and played at double speed...
No one expected that while everyone was still feeling sorry, Xu Qiu would resolutely change the surgical method.
He immediately began to dissect, freeing the hepatic artery, portal vein, mesenteric artery and major blood vessels one by one, and then severed the mutated right hepatic artery at the gastroduodenal artery with a hemolock clamp...
"Huh? Retrohepatic inferior vena cava resection?"
"This is not a classic orthotopic liver transplant!"
More than half an hour later, everyone realized something was wrong again.
They noticed that the suprahepatic inferior vena cava of the donor liver and the suprahepatic inferior vena cava of the recipient were anastomosed side by side. At the same time, the infrahepatic inferior vena cava of the liver donor was ligated...
"What about intraoperative diversion?"
“The anhepatic period is also very short!”
Bei Mudong and others did not recognize him.
However, this is actually the piggyback liver transplantation that Xu Qiu used on Fang Wenwen and Qiu Qinghu.
That surgery once caused a stir in China, but because Xu Qiu has never written a paper and it has not been officially made public, coupled with domestic protection of technology, it has not been able to spread abroad.
This operation also demonstrated another characteristic of piggyback liver transplantation.
Don’t be afraid of right hepatic artery variation!
In other words, Xu Qiu is not worried about the abnormality of liver blood vessels at all!
In his simulation training, Michels's ten types of right hepatic artery, including double hepatic artery, quadruple hepatic artery, three accessory hepatic arteries, etc., have all been found, and they have all been integrated into the piggyback hepatic artery.
During transplantation...
For others, it's a serious surprise that disrupts surgical plans.
But for Xu Qiu, this is just one of the countless accidents he has rehearsed, and it can only be ranked in the middle or top...
——
Chapter completed!