Chapter 2200: with translation of title
"Okay." Lin Ge was already flying about, busy contacting everything.
Zheng Ren personally laid out the drapes, while Su Yun, Li Zhu ren of Hepatobiliary, and Professor Yang went to scrub.
"Boss Zheng, the hospital has coordinated everything; traffic police are assisting to keep a green lane, sirens blaring all the way, so there shouldn't be a jam," Lin Ge said hurriedly.
Professor Zhang felt in his heart that this time the 912 Hospital side had truly given its all.
Li Zhu ren of Hepatobiliary, having changed clothes, stood on the operating table, also feeling a bit dazed.
Zheng Lao Ban hesitated not at all, taking the surgeon's position, not even offering a polite gesture to himself.
He was full of confidence; under the shadowless lamp, an air of unwavering determination emanated from him. Even Li Zhu ren faintly sensed that Zheng Lao Ban exuded an aura of having victory in hand.
According to Li Zhu ren's knowledge, Zheng Lao Ban seemed never to have performed a liver transplant before.
Previously, Zheng Lao Ban was in Hai Cheng; in such a shabby fourth-tier city, getting a professor to do a liver transplant would make the hospital director's ancestors' graves smoke.
What exactly gave him that confidence? Li Zhu ren felt somewhat puzzled.
If it were anyone else, Li Zhu ren would surely have blown up already—this is just nonsense. But with Zheng Lao Ban, he didn't dare to interject too much.
After interventional embolization for liver cancer followed by surgical resection, Zheng Lao Ban had already demonstrated outstanding cross-disciplinary surgical ability. Recently Li Zhu ren had been thinking of sending his own doctors to learn interventional liver cancer techniques from Zheng Lao Ban.
Bringing the surgical items under his own control—that's what matters most.
At this moment Zheng Lao Ban is to be the lead surgeon for the liver transplant—could he possibly manage that? Li Zhu ren pondered.
"Bring the vascular anastomosis magnetic ring for me to look at," Zheng Ren said.
Xie Yiren handed the vascular anastomosis magnetic ring to Zheng Ren.
"Boss, that's a bit unsuitable," Su Yun said, standing in a strange position on Zheng Ren's left, not the usual first-assistant spot.
"Hmm, indeed I hadn't considered that before," Zheng Ren said.
"Boss Zheng, how many cases of magnetic levitation liver transplant have you done?" Li Zhu ren asked in surprise upon seeing Zheng Ren produce the vascular anastomosis magnetic ring.
This is a new technology; during exchanges and study at that hospital in Chang'an, Li Zhu ren had seen how the vascular anastomosis magnetic ring shortens the anhepatic phase.
However, the vascular anastomosis magnetic ring has only appeared a short time ago, not yet widespread clinically, and the technique itself could still be improved to some extent.
Otherwise it wouldn't have been updated to the fourth generation within a few years.
"I've seen others do it," Zheng Ren answered honestly.
"Tch," Su Yun scoffed, thinking the boss had merely copied a skill he could learn after one look.
Li Zhu ren wanted to say a word, but now the arrow is already on the bow; he must let it fly, and anything he says would be Monday-morning quarterbacking.
Having seen it and having done it—how could they be the same?!
Zheng Lao Ban… thinking, Li Zhu ren slightly shook his head.
Su Yun saw Li Zhu ren's movement, ignored him, and instead searched on the sterile sheet for the spot at the lower third of the patient's sternum.
"Yi Ren, bring a dressing," Su Yun said.
"Huh?" Li Zhu ren startled.
Zheng Ren and Su Yun also didn't explain; Su Yun took the dressing and applied it to the lower third of the patient's sternum.
This is to make a mark; Su Yun had everything ready, then turned and said, "Director Lin."
"Doctor Su, what's wrong?" Lin Ge, his forehead practically on fire, harried and frazzled. Amidst the busyness, he still looked after the whole scene, not missing Su Yun's or his own words.
"Keep an eye on that side, and report the ambulance's position every three minutes."
"Okay." Director Lin felt a bit embarrassed; there were too many things to coordinate on his end, and reporting his itinerary every three minutes was somewhat difficult.
"Let Lin Yuan come," Zheng Ren said, "share location and report in real time."
"All right." Lin Yuan had no objection to this kind of errand work and readily agreed.
He contacted the 120 Emergency Rescue personnel, added them on WeChat, shared location, and Lin Yuan began intermittently reporting his itinerary.
Lin Ge felt a bit confused; wasn't it agreed that the expert team would do the surgery? But the patient's condition was not optimistic, so he couldn't dwell on it.
Perhaps they would do this side first, then bring up the expert team when they arrived.
Hope everything goes smoothly; Lin Ge can't do much now, only handle liaison work. As for whether the surgery is done by Zheng Lao Ban or someone else, Lin Ge can't control that.
After arranging all that, Zheng Ren began the incision; doing this side too quickly serves no purpose—cutting off the liver wouldn't change anything, since in the end they still have to wait for the fresh liver from the other side.
The surgery proceeded step by step, not fast; after opening the abdomen, Zheng Ren began isolating various blood vessels and tying ligaments, etc. As soon as the 120 Emergency Rescue vehicle arrived, this side could start working.
With the traffic police's assistance, the 120 Emergency Rescue vehicle indeed ran unimpeded, arriving at 912 Hospital at nearly top speed.
Normally, to drive that smoothly on the roads of Di Du, only one or two days a year are possible—New Year's Day and the second day; even the third day is doubtful.
At the same time Zheng Ren finished the pre-transplant preparations, taking less than twenty minutes.
Li Zhu ren felt somewhat moved; looking at Zheng Lao Ban's technique, if not for his own "knowing the roots and details," he would surely have thought Zheng Lao Ban had trained many years at the UK King's Hospital, performing who-knows-how-many liver transplants.
"Boss Zheng, the 120 Emergency Rescue vehicle is already downstairs," Lin Yuan reported.
Zheng Ren covered the incision with warm saline gauze, did not touch it, and merely watched the monitor and ventilator readings in silence.
"About three minutes left," Lin Yuan said, putting away his phone.
Zheng Ren nodded, but still did not move.
Finally he moved; at this point, in Li Zhu ren's view it seemed a bit late. Although the prior preparations had been thorough, removing the liver in three minutes—mainly dealing with the blood vessels—was too rushed.
It seems Zheng Lao Ban is still rather conservative; Li Zhu ren felt somewhat relieved.
Once the liver arrived, this side still hadn't finished cutting; letting the donor liver wait a few minutes is the most conservative, steady approach.
Li Zhu ren, who has performed over a hundred liver transplants, knows well the crux of this.
But Zheng Lao Ban's surgical speed exceeded Li Zhu ren's expectations; after just a dozen seconds, he stopped thinking about all those miscellaneous matters.
Zheng Lao Ban's hand speed is too fast; even giving his all as an assistant feels insufficient—there's no time to think about anything else.
"The donor liver has arrived!" Lin Yuan shouted.
UK experts, carrying a liver preserved in a life-support system, hurried in.
Zheng Ren reached out, and the hemostatic forceps slapped into his palm.
Li Zhu ren looked at the life-monitoring equipment, his eyes turning red.
This is an article published in April 2018 in Nature magazine that mentioned a method called the 'life support system' for body-temperature liver preservation Method. It helps improve transplant outcomes, increase the number of usable donor livers, thereby reducing mortality among those awaiting liver transplantation.
Yingguo Oxford University scientist David Nasralla and his colleagues conducted the first randomized trial on 220 liver transplant patients, comparing traditional cryopreservation storage Method and room-temperature mechanical perfusion Method; this approach proved effective.
End of Chapter
