Chapter 493: Chapter 358: Surgery Completed (2)
But his mind was already in complete awe!
Qin Feng is a few years younger than him, and hasn’t even graduated with a doctorate yet, but his surgical prowess is something that he can’t even dream of competing with~
"The liver surface has an active bleeding point."
"Electric knife."
"Vascular clamp."
...
It’s undeniable that the collaboration between the two directors is very high, with one responsible for separating the right liver parenchyma, and the other swiftly clamping and blocking blood vessels with fierce technique.
The hepatic left vein, portal vein, hepatic artery, detached rear hepatic capsule membrane, both ends sewn together.
Director Gu has also performed artificial vessel repair, the suturing went smoothly.
Qin Feng took a deep breath, his gaze becoming even more serious.
Up until now, the most difficult part of the entire surgery has officially begun!
The patient had the eroded portal vein removed, and the artificial vessel substitution was still okay, after peeling off the part of the right liver with the cyst, only about half remained.
Now, the patient has less than one-third of the liver left, half of the right kidney is missing, one-third of the left lung has been removed, parts around the pericardium have been excised, the portal vein and inferior vena cava have been removed and replaced...
The trauma to this extent is really too severe!
Two hours later...
"Director Qin, I’ve completed this part."
Gu Song lifted his head, raised his arms and exhaled a long breath.
"Good, thank you, Director Gu."
Upon hearing this, Qin Feng promptly stood up, and Zhang Qingquan beside him immediately followed.
The two went on stage again, and opposite them, Director Sun had been standing for 7 consecutive hours, his energy severely depleted.
"Director Sun, why don’t you take a rest first?"
Qin Feng glanced at him and said.
But Director Sun shook his head: "Never mind, let’s finish the job at hand first."
"Can you manage?"
"Don’t worry."
"Alright, sever segment eight of the liver."
Qin Feng nodded slightly, deciding to keep him, he spoke solemnly.
Autologous liver transplant, start!
The greatest difficulty in autologous liver transplants lies in the meticulous suturing of the liver ducts and blood vessels.
If it were a direct transplant of another’s liver, you only need to match the larger blood vessels and ducts, though challenging, the success rate is high.
But now, they face the most difficult type of liver transplant, the autologous transplant.
Moreover, the patient’s condition mandates as complete a transplant as possible to ensure postoperative recovery and promote active healing.
The hepatic segment eight is currently the best, and it’s the most suitable part of the remaining right liver for transplantation.
If this part can be used to replace the left liver function, it would mean the success of the surgery.
Now the total surgery time has exceeded 12 hours, 2 hours faster than expected.
The outside sky has long turned pitch dark...
Crack crack~
Director Sun forcefully shook his neck, a sound of vertebrae friction resonating.
"Sever."
Soon, the hepatic segment eight was successfully cut down, and Director Sun took on an assistant role, picking up the PRL suture to begin sewing.
The incision was neat, the liver surface was smooth, saving him a lot of trouble.
"Prepare for liver duct imaging."
After completing the suturing, the four of them and the nearby instrument nurse got down from the operating table simultaneously, while the circulating nurse hurried to fetch instruments.
Change lead aprons.
With everything ready, Zhang Qingquan began injecting imaging fluid into the liver ducts.
Soon, Qin Feng glanced at the screen showing the structure inside the liver ducts, the imaging was complete.
"No need."
After removing the lead apron, an instrument nurse pushed the microscope over, Qin Feng shook his head to decline.
To him, the microscope wasn’t as useful as his own eyes.
On the side, Director Sun was preparing to use the microscope, but froze upon hearing these words.
"Director Qin, it’s better to use it, liver duct suturing is a very precise task."
He advised.
"Don’t worry, Director Sun, my eyes are fine."
Qin Feng smiled lightly and then extended his hand,
"Liver needle."
"Director Qin doesn’t need the microscope? This seems too overconfident."
"Yeah, this surgery is no joke, how can he be so casual?"
"If something goes wrong, who’s responsible?"
"Exactly, Dean Yuan, what do you think of this?"
...
At this moment, the observation room erupted with discontent and opposition.
It’s known that the hardest part of autologous liver transplants is matching numerous capillary liver ducts which can’t be discerned or matched with the naked eye at all.
If there is a problem with the anastomosis, it may cause the patient to bleed to death or liver necrosis at any time during postoperative recovery.
At that time, there would be no chance at all!
"Alright, Qin Feng is in charge. I believe he has his own ideas, so you don’t need to worry."
Yuan Bin saw this scene and frowned slightly, but upon hearing the discussions from behind, he immediately steadied his wavering thoughts, raised his hand and said,
"I want to see how he manages to anastomose these liver ducts with the naked eye. You all should sit down as well."
Hearing this, everyone exchanged helpless glances and had to sit down with a sigh.
After all, since the leader spoke, it wouldn’t be appropriate for them to argue anymore.
"Brother Quan, eighth segment image."
In the operating room, Qin Feng had already started to anastomose the liver ducts, speaking while he worked.
Beside him, Zhang Qingquan immediately retrieved the entire liver CT, displaying detailed cross-section images on the screen.
Qin Feng glanced up at it, then quickly lowered his head, increasing his speed as he rapidly sutured the liver wound on the patient.
Director Sun saw that he wasn’t listening to advice and decided not to intervene, proceeding to suture the right liver.
Beep~ Beep~ Beep~
The entire operating room was silent except for the alarm of the monitor. Qin Feng’s pupils narrowed, and the hepatic capillaries on the cut surface in his vision kept magnifying clearly, what originally looked like hair-sized ducts appeared as large as soybeans in his eyes.
minutes...
minutes...
hour...
As time passed, Director Sun’s right liver was already completed.
Clang~
He placed the needle holder into the tray and took a deep breath, finally completing all the anastomosis.
However, when he glanced at Qin Feng, he was struck dumb.
Click!
Director Sun’s eyes couldn’t help but widen, staring fiercely at the swiftly traversing hands.
The speed of this suturing is absurd!
"How is it possible?... "
By this time, the people in the observation room were already shocked, continuously watching the liver transplant suturing.
Qin Feng constantly listened to the monitor’s alarm, during a surgery lasting over ten hours, the patient’s vital signs were maintained purely by medication, but keeping it safe for such a lengthy procedure was exceptionally challenging.
He didn’t have much time, and the speed of his anastomosis kept accelerating, with his fingers manipulating the sutures as if playing the piano.
Finally, all the capillary liver ducts were anastomosed, leaving only the final major blood vessels and liver ducts.
Clang~
As Qin Feng clipped the suture, the needle holder fell into the tray, the entire liver transplant completed, connecting the portal vein bypass.
His hand already gripped the clamp on the inferior vena cava, and at this moment, everyone’s heart was in their throat.
Qin Feng slowly released the vascular clamp, Yuan Bin and Liu Guofeng in the observation room couldn’t help but stand up.
Everyone’s eyes focused on that small piece of liver, awaiting the transplant result...
The transplanted liver itself had some blood loss, plus slight edema, giving it a pale color, but as the blood slowly infused, the blood flowed into the capillary liver ducts along the major vessels, and the color visibly restored at a fast pace.
Even at the incision, there was not a trace of bleeding!
Seeing this, everyone took a sharp breath, feeling their scalp tingle.
Clap-clap-clap~
At this moment, Yuan Bin couldn’t hold back, his face bursting into a smile, leading the applause.
The autologous liver transplant surgery was successful!
The tense atmosphere in the operating and observation room instantly released, Director Sun’s gaze still somewhat incredulous.
He simply couldn’t fathom how a human could manage such a difficult and precise surgery with vision alone, it was just too unbelievable.
Could Qin Feng be a robot?
Nevertheless, the outcome was indeed what he hoped for; the surgery was impeccably perfect.
"Director Sun, thank you for your hard work."
At this moment, Qin Feng took the initiative to come down, smiling as he spoke to him.
"Director Qin..."
Director Sun responded, his voice a bit dry, his eyes complex, pondering silently before speaking with a bitter smile,
"Congratulations, I am truly convinced, young people are formidable!"
"You’re too kind, if it weren’t for the full support of all the directors, this surgery wouldn’t have been successful, thank you all."
Qin Feng was also very courteous, not taking all the credit, although everyone understood.
Yuan Bin in the observation room couldn’t help but gleam with admiration when hearing their exchange.
A doctor, with a sense of grand purpose, neither arrogant nor impetuous.
A talent indeed~~~
"Prepare to stop bleeding and close the abdomen."
The remaining procedures Qin Feng didn’t continue, instead handing over to Zhang Qingquan and a chief surgeon from the hepatobiliary surgery department.
Next were relatively simple steps, cleaning, placing drainage strips, covering with hemostatic gauze, suturing...
Qin Feng glanced at the time, the surgery in total took 14 hours.
Three hours ahead of the expected time, pretty good.
With the patient sent back to the ICU, they finally left the operating room.
Outside, it was already completely dark, early morning...
