Chinese medicine: from rural hospitals to top three hospitals in Kyoto

Chapter 806 Liver Transplant Storm (Part )

"Is this still a person?"

Xia Hongliang was almost heartbroken.

It took him a long time of self-hypnosis to accept the fact that Chen Yang was involved in hepatobiliary surgery, but he found it hard to accept that Chen Yang's level was so high.

"No, do you know how to learn medicine in one go?" Xia Hongliang really wanted to ask Chen Yang.

No matter how talented a doctor is, there must be a process for performing a surgery, right?

How can you grow without a certain amount of surgical experience?

But Chen Yang is young, and he is not only proficient in all aspects of traditional Chinese medicine, but also very good at hepatobiliary surgery.

"Which doctor is this?"

Borg asked the head of the Orson Group nearby.

"I'm not sure. It should be a doctor that Director Zhong found temporarily."

The person in charge of the Orson Group replied, "I'll have someone check it out."

"Thank you." Borg thanked him and continued to pay attention to the operation.

Operating room.

On the operating table, the donor liver began to beat regularly and bile flowed smoothly into the drainage tube.

When Chen Yang looked up, he found that Zhong Dongyang was staring at him. In addition to approval, there was also a hint of surprise in his eyes - this level of emergency treatment is rare even among senior transplant doctors.

"Heart rate 120, blood pressure 85/50!" The anesthesiologist's voice suddenly became nervous.

Zhong Dongyang noticed that the patient's body temperature was dropping and the blood in the surgical field seemed to coagulate faster - this was a typical "post-transplant coagulation disorder", and the low temperature and massive blood transfusion were triggering a vicious cycle.

"Prepare warm salt water for flushing and start the heating blanket." Zhong Dongyang gave the order immediately.

At the same time, Chen Yang, who was observing, had already discovered that there were tiny blood clots near the anastomosis of the hepatic vein. Those grayish-white flocs were floating along the blood flow and could block the blood vessels at any time.

"Heparin saline, 20 ml, slowly push." ​​Chen Yang reached out and took the syringe: "Director Zhong, I would like to apply for temporary blocking of the hepatic vein to remove the blood clot."

"Yes." Zhong Dongyang nodded.

Today, Chen Yang brought him more and more surprises.

This liver transplant operation has almost become Chen Yang's personal show, and the surgeon Zhong Dongyang has almost become a foil.

Tao Anping didn't even dare to breathe at this moment.

Tao Anping never expected that the young Chen Yang was actually a king!

Didn’t you study traditional Chinese medicine? How come you are so good in hepatobiliary surgery?

Which Chinese medicine teaches this?

The moment the occluding clamp was closed, the color of the donor liver darkened again.

Zhong Dongyang clamped the blood clot with microtweezers and found a small amount of fat particles mixed in it - these were lipids released by slight damage to liver cells during cold storage.

Zhong Dongyang couldn't help but feel a tightness in his heart. This situation might indicate primary non-function of the donor liver, which is one of the most serious complications in the late stages of transplantation.

"Director Zhong, can we improve microcirculation by dilating blood vessels?" Chen Yang asked tentatively.

Chen Yang currently performs the most hepatobiliary surgeries. Before his hand was injured, he had performed no less than thirty surgeries in the hospital's hepatobiliary surgery department.

Thirty cases is not a lot for most doctors, but for Chen Yang, who is good at cheating, every operation can make him improve, increase his experience and improve his proficiency.

Therefore, in the field of hepatobiliary surgery, Chen Yang's level is indeed not low, and his cognition in all aspects is also very good.

"The perfusate for the donor liver was changed to UW modified solution."

Zhong Dongyang hesitated for a moment, then said decisively: "Add prostaglandin E1, 0.1 micrograms per minute."

Zhong Dongyang is indeed a top hepatobiliary surgery expert. Chen Yang just gave him a tentative reminder, but Zhong Dongyang immediately had a plan to deal with it.

The atmosphere in the operating room froze. The replacement of UW fluid required precise temperature control and dosage calculation, and the assistants were obviously hesitant.

"Director Zhong, would you like to reconsider this?" Lang Ping urged, "The unpredictable risks are too great."

"At this time, there are already risks. Is the immediate risk more important or the unknown possible risk more important?"

Zhong Dongyang's voice was full of unquestionable authority: "I have participated in three clinical trials of improved UW fluid at Kyoto Hospital. Let's do it now."

Warm modified fluid was injected into the liver supply channel. Three minutes later, the punctate bruises on the surface of the liver began to subside and the lactate value on the monitor dropped from 4.2 to 3.5.

"Start closing the abdomen." Zhong Dongyang finally smiled, "Doctor Chen, you will sew the last layer of fascia."

At this point, Zhong Dongyang finally breathed a sigh of relief.

Originally, Zhong Dongyang thought this was a very successful operation, but he did not expect there would be so many twists and turns during the operation.

If it weren’t for Chen Yang, Zhong Dongyang felt that he might have been in trouble today.

"Oh my god, that's awesome."

The operation had been going on for more than five hours at this point, and it was already past seven in the evening, but no one had left the conference room.

Of course, the waiters brought tea and snacks for the experts attending the conference to fill their stomachs.

While eating snacks, Chen Xingwu sighed: "Why do I feel that today's operation is not as bad as Dr. Chen's."

"Get rid of the feeling." Xia Hongliang said: "When I came here, I guessed that something might happen, but I didn't expect..."

As the suture needle shuttled through Chen Yang's hands, he could clearly feel the tension of the patient's abdominal muscles - this was the touch of life being reconnected. When the last stitch was tied, the clock in the operating room showed that the operation had lasted 7 hours and 37 minutes, 50 minutes shorter than the estimated time.

"Prepare to send to ICU."

Zhong Dongyang took off his gloves and patted Chen Yang on the shoulder. "When you treated the hepatic artery plaque just now, did you use the modified Carrel patch method? I saw a similar operation when I was studying at Johns Hopkins, but your angle is more tricky."

Chen Yang smiled but did not answer. He did not know what method it was. He just relied on the system skills to assist and then operated according to the actual situation.

"Reverse anastomosis from the bifurcation of the proper hepatic artery can reduce turbulence." Chen Yang wiped the sweat from his forehead. "This is... uh, I saw it when I was reading a book in the library. I forgot which book it was."

Chen Yang almost let the cat out of the bag and quickly changed his words.

"You're such a fucking talent!"

Zhong Dongyang couldn't help but swear.

Chen Yang said that he saw such profound stuff in a book, but he forgot which book it was?

"Dr. Chen is amazing."

Cui Lang Ping also came over and said with a smile: "If I had known that Dr. Chen was so good, I should have given him the position of deputy surgeon this time."

Because of Chen Yang, Cui Lang Ping has completely become a foil today. As the chief surgeon, Zhong Dongyang is still in control of the overall situation.

"Haha, thank you all for your hard work."

Zhong Dongyang was in a good mood at the moment: "Get ready, I'll treat everyone to dinner."