Chapter 2194: with translation of chapter title

Zheng Ren glanced at Su Yun, asked: "I'll think if there's any other way, you keep an eye on the reply."

Su Yun nodded.

This is also the only thing that can be done; besides, there are many troubles. The Medical Team, as a small branch unit of 912, is like a component, not playing much role.

Lin Ge said, "Zheng Lao Ban, I'll go get busy. This side's matters need to be reported to the hospital, awaiting the director's instructions."

Several people went their separate ways.

Returning to the Intervention Department, Zheng Ren said nothing, went to his familiar spot, picked up the Fifth Edition of External Medicine, and began to read faces.

Seeing Zheng Lao Ban with a grim face, Lin Yuan said nothing, kept his head down and worked. Gu Xiao Ran had just arrived today; everything was still familiar, having just been scolded a couple of times by Chang Yue, and likewise did not dare to speak.

"Boss, no letter yet." Su Yun glanced at the mailbox and said.

Zheng Ren felt it should be that side already decided, just that not having sent the email is more likely; the Big Pig Trotter usually doesn't have problems in such matters.

Or perhaps it's not that a few overseas lines can provide liver sources, but that there is a liver source somewhere domestically, currently in contact with the 912 hospital side.

In short, first go to the System Space to have a look.

He slightly closed his eyes and entered the System Space.

Selecting to purchase Surgical Training Time, as the System Operating Room rose from the ground, Zheng Ren strode in.

The Operating Room had an experimental subject, not empty!

Zheng Ren's spirit was shaken; this meant that no matter what channel the liver source comes from, in short, there is a liver that can be used.

Then let's start the Surgical Training; Zheng Ren took a deep breath, preparing to begin Shou Bing.

Liver transplant, the Shou Bing itself is not particularly difficult. Compared to the donor liver source, the Shou Bing becomes trivial.

Standing before the Operating table, Zheng Ren calmed his mind; the Willow Leaf Blade in his hand seemed a few ounces lighter, exuding a sense of pleasure.

And the core of liver transplant, the most difficult and most dangerous moment for the patient, lies in the time when the original liver is removed and the new liver is brought over for anastomosis.

This period is called the "no-liver period", also known as the dark period.

Unlike kidney or lung transplants, the liver is only one. Removing the original liver, even if it already could not guarantee bodily health due to acute liver failure, will still cause certain changes in the human body due to a major alteration of the original physiological anatomy.

During the no-liver period, blood from the lower body and gastrointestinal tract cannot return to the heart, being in a state of stasis; at this time the patient's venous return decreases and vital signs fluctuate greatly, making it a period that surgeons and anesthesiologists pay special attention to during the entire liver transplant procedure.

Moreover, patient Chen Li already had bilateral pleural effusion, lung collapse, heart failure, and respiratory failure, so the possibility of cardiac arrest during surgery is especially high.

Emergency surgery difficulty is several times that of Outpatient surgery, even an order of magnitude higher.

Otherwise Zheng Ren wouldn't be desperately wanting a liver source matching blood type and tissue type; only then could he possibly minimize impact on the patient's fragile body.

However, Zheng Ren isn't particularly concerned; Surgical Training Time is ample, he himself is a Master-level practitioner, plus organ transplant specialty bonus, and with the lucky halo surrounding him, he truly doesn't believe he can't complete Shou Bing!

Opening the skin, cutting layer by layer, Blunt Dissection, peritoneal protection, opening the abdominal cavity, Zheng Ren felt his Shou Bing was as smooth as flowing clouds and water.

Zheng Ren felt extremely delighted inside.

In the past, when explaining the condition to patients' families, he would occasionally say that being able to do Shou Bing is good. If the disease is beyond treatment, and Shou Bing cannot be done, then that's it.

And this time, Zheng Ren genuinely felt the pleasure of being able to do Shou Bing.

Entering the abdominal cavity, Zheng Ren first separated the left and right hepatic ligaments, severed the left triangular ligament of the liver. After separating the left and right lobes and lifting the liver upward, the first hepatic portal was exposed; he separately ligated and severed the liver's proper artery, the main trunk of the portal vein, and the common bile duct.

Rotating the left lobe to the right side exposed the third hepatic portal; he ligated and severed several short hepatic veins, finally severed the left hepatic vein and the middle and right hepatic veins, and removed the diseased liver.

Removal is quite simple.

Destruction is always easier than construction; from ancient times to now, this has always been a factual truth.

Zheng Ren's Shou Bing was relatively meticulous; even if replaced by a novice who has never done a liver transplant, simply cutting the liver, as long as each blood vessel and each ligament is ligated and severed, that's enough.

Although it won't be as meticulous and clean as Zheng Ren's Shou Bing, removing it is no problem.

After removing the liver, Zheng Ren picked up the donor liver's right lobe from beside him, preparing to complete the various vascular reconstructions for the Liver transplant.

Saying it's simple, but that's only compared to finding a donor.

Actually, the whole process is still relatively complex.

After the new liver enters the recipient's abdominal cavity, the reconstruction of the liver's auxiliary vessels must be completed, including the portal vein, hepatic supra- and infrahepatic veins, hepatic infrahepatic veins, hepatic artery, and biliary tract.

Among them, from cutting the portal vein, hepatic supra- and infrahepatic veins, and hepatic infrahepatic veins of the diseased liver to anastomosing the new liver's portal vein, hepatic supra- and infrahepatic veins, and hepatic infrahepatic veins with the patient's, and restoring blood flow, the speed of this likely determines the patient's survival.

This is the so-called no-liver period.

Zheng Ren has confidence in his Shou Bing technique.

Begin reconstructing the various conduits.

Zeiss's Microscope, the various Shou Bing instruments sent by Doctor Charles to Zheng Ren, played a huge role.

However……

But……

It's utterly useless.

At 10 minutes 22 seconds of the no-liver period, the experimental subject's heartbeat stopped.

Zheng Ren stared for a moment; he did not go to perform CPR on the experimental subject, but stood before the System Operating Table and began to ponder his surgical procedure.

The whole process was flawless; even if done again, he seems unable to shorten the no-liver period to under 10 minutes.

What was the world record again? It seems to be around 26 minutes, and this is documented. And this record, Zheng Ren recalls, should have been mentioned in a case report published three years ago in Willow Leaf Blade.

Under normal circumstances, for a Surgical Liver Transplant Shou Bing, the no-liver period should be 30-40 minutes, even when performed by a top-tier surgeon.

Although it's not like the world record of the Olympic Games, remembered by the masses, yet anyone who can perform Shou Bing knows how short the no-liver period can be.

This is a true competition in the technical field.

But this little patient named Chen Li actually gave the practitioner only a little over 10 minutes to perform the no-liver period Shou Bing……

Zheng Ren blankly stared at the System Operating Room, the experimental subject on the Operating table, feeling somewhat troubled.

Before, he was full of confidence, believing the Shou Bing would surely succeed.

Master-level General Surgery surgical skills, organ transplant specialty, lucky halo surrounding……

But all this still isn't enough!

Why is there only such a short time? Even if we add chest compressions, afterwards we still have to face the impact of portal vein blood supply recovery, and also have to face…… face countless trials.

And chest compressions absolutely cannot let the patient Persistence that long.

Zheng Ren was somewhat frantic.