211. Intermittent Intermittent Intermittent Hepatic Hepatectomy at Normal Temperature
"The method of intermittently blocking the hepatic portal liver cervix at room temperature is to temporarily block the hepatic duodenal ligament, including the hepatic artery, portal vein, and bile duct in the hepatic portal area. Each blocking time takes 15-20 minutes, and intermittent for 3-5 minutes." Jiang Lai explained that after exposing his vision, he took a special small oval forceps wrapped in moist gauze from Xia Yu's hand.
Intermittent liver duct blocking liver resection at room temperature is one of the main founders of Huaxia hepatobiliary surgery... Mr. Wu was the first to create it. It will take another twenty years, so it is normal for them to know the residual temperature.
Thinking of this, Jiang Lai remembered the old man who insisted on seeing patients himself even in his 90s. In the history of medical development, Chinese doctors are also an integral part of modern medicine!
"Can safety be guaranteed?" Yu Wen had to ask, because this was different from his past cognition. The tissue ischemia will of course lose its activity, that is, the death of ordinary people's cognition, let alone this kind of blockade that lasts for more than ten or twenty minutes.
"Yes." Jiang Lai nodded, "Yes."
"this……"
"This method can remove normal liver tissue as little as possible." Jiang Lai used gauze to free the liver vent area. "Although liver tissue can be regenerated, the shorter the recovery time he needs to retain as much normal liver as possible. In addition, he also had a major gastrectomy."
"Can liver tissue be regenerated?!" Yu Wen had not recovered from the previous news, and heard another news that surprised him.
"Well, I've done animal tests before." Jiang Lai was not guilty at all. "Mice in healthy state can regenerate even if their liver is cut off by 3/4, but they cannot be completely cut."
Yu Wen's eyes at Jiang Lai have changed and changed.
With another younger military doctor, he was so surprised that he couldn't close his mouth.
Although it was the first time Xia Yu heard it, she believed what Jiang Lai said.
Before Jiang Lai, no one thought that his finger could be taken back, and no one could challenge heart surgery... But Jiang Lai did it, Dr. Jiang never talked nonsense.
"I suddenly felt that the person who did not participate in this operation was a huge loss." Yu Wen smiled bitterly and exhaled, "You have surprised me more than once... What you said tonight will bring great convenience to the surgeons once it is spread! The prognosis of many patients can also be improved!"
Jiang Lai smiled, "Okay, I'm working."
"Okay." The remaining warmth will come true. If you are surprised, you still have to do the work.
He didn't know how a doctor could be proficient in so many procedures. As for himself, he was more clear about thoracic and abdominal surgery and orthopedic surgery, and had many surgery.
But where is Jianglai?
I won’t mention the re-plantation of the broken finger, but also the skin transplantation. I even used a knife to the heart a few days ago.
Now... I have proposed such an innovative way of blocking. Behind Jiang Lai's firm tone is it really animal tests?
Just like the first time I doubted, Yu Wen once again doubted Jiang Lai.
The smooth promotion of finger cutting replantation made him clearly realize that it was not a new discipline that had not yet been fully developed. Jiang Lai's current ideas made him even more doubt... Is the medical progress abroad has reached a point that they really cannot surpass?
It is clear that he also pays attention to medical news abroad... it hasn't reached that point yet!
Of course, when Jiang Lai knew that these technologies that were inconsistent with the times were proposed, people would be surprised and doubtful, but so what? He was just a doctor, and no one would think that there were few techniques for treating diseases and saving people.
What's more, he didn't come up with anything that was far beyond this era.
Explanation can also be explained.
Of course he is not afraid.
The small pliers in your hand carefully separate the relevant tissues. As long as you separate a small hole that can accommodate the passage of the rope, it is basically enough.
Although Gu Tongen's liver has not yet reached the stage of cirrhosis, it has a trend in this direction. At least, the synthesis and regulation function of the liver must be worse than that of ordinary people. Therefore, Jiang Lai will remove as little liver as possible, but... the tumor still needs to be removed cleanly. At least, the 2cm edge of the tumor should be negative.
In the era without CT and nuclear magnetic field, Jiang Lai had to be cautious.
The harm of alcohol is actually far beyond ordinary people's imagination. Of course, everyone has different physical constitutions and different tolerance to alcohol, but there is no doubt that alcohol is not a good thing.
"Blocking rope." Jiang Lai took the pliers with the blocking rope, passed the blocking rope through the bottom of the hepatoduodenal ligament, and then pulled it out.
"That's... OK?"
"It's almost the same." Jiang Lai nodded, "However, before blocking, it must be clear that what we blocked is right."
" Need to confirm again?"
"right."
Yu Wen also understood that no matter how cautious it is during the operation, it is not an exaggeration to prevent it from being blocked incorrectly and cause a chain reaction of other organs.
So, he listened to Jiang Lai reporting the organizational structure of the Ganmen District, and also leaned over and confirmed with Jiang Lai one by one, which was correct.
"Okay, Xia Yu, look at the time and remember to remind us in 15 minutes." Jiang Lai spoke immediately.
"I understand." Xia Yu took a deep breath and responded.
This surgery... is also the first case in the world, the first case, intermittent blocking of the liver duct at room temperature!
Even if she is just a nurse, she also knows the significance. The development of medicine is just to cure diseases and bring health to patients.
She always felt that she had seen something different in Jiang Lai countless times.
"The blockade start time, at 1:35 am on March 8th." Xia Yu looked at the clock on the wall and called out the time.
...
Outside the operating room, a group of people did not leave, and there were even a few more.
It was already past 12 o'clock when Jiang Jikai and Gu Ya arrived.
Originally, Jiang Jikai wanted to arrange some things with his father tonight, but there was no one in the whole family. His father was not here, and Uncle Zhang was not here either...
He remembered that his father was about to have dinner with Gu Tongen, so he called Gu's house again.
I only found out that Gu Tongen had been sent to the hospital.
My younger brother was also urgently pulled to the hospital.
"Dad..." Looking at such a group of people, Jiang Jikai couldn't say what he said to let his old father go back to rest. However, he still handed over the coat in his hand, "Put it's cold."
When Jiang Yunting saw Jiang Jikai, "Why are you pulling your wife here to do so late? It's not good for pregnant women to go to bed too late. Didn't Jiang Lai say that?"
Jiang Jikai:...
"Dad, I'm fine, at most, tomorrow Sunday." Gu Ya smiled, "You'd better wear clothes first."
Seeing that his daughter-in-law spoke, Jiang Yunting disappeared. He took the clothes, put them on, and looked at Uncle Zhang, "Old Zhang, send Yaya back to rest first."
"Yes, lord." Zhang Boying said.
"Dad, cousin..."
"Yaya...your cousin..." When Mrs. Gu saw Gu Ya, she seemed to have met her confidant.
Except for Miss Sheng Qi, there was no woman present, but Miss Sheng Qi was not the kind of person who could listen to her complaints. When she saw Gu Ya at this moment... she could no longer hold it back.
"Auntie..." Gu Ya saw Mrs. Gu thought Gu Tongen was in a bad condition, "Uncle he..."
Chapter completed!