medical road high rise

Chapter 289 Cholangiography
Chapter 2: Cholangiography
Qin Feng raised his head, and his cervical spine creaked like firecrackers.

This was caused by Qin Feng's head bowed for a long time. Three consecutive surgeries lasted more than ten hours, which meant that Qin Feng worked with his head down for ten hours.

In terms of surgery field, Qin Feng has been working for the three professors until the end, so that they can go to surgery conveniently.

Although Qin Feng is a little tired, he is still very concerned about the operation.

Professor Xie followed Qin Feng to the operating table again. This time, the identities of the two were switched. Qin Feng was the chief surgeon and he was the assistant.

"Is there a biliary tract retrograde imaging tube?" Qin Feng asked.

"Why do you want this?" Professor Xie was stunned for a moment, and then showed a surprised expression, "You don't want to do cholangiography during the operation, and then anastomose the blood vessels?"

Qin Feng nodded, because autologous liver transplantation requires anastomosis of the bile duct, and if the anastomosis is not good, it will cause infection in the surgical area.

"Cut off the eight-segment liver later, and then transplant it directly, so as to ensure the activity of the liver." Qin Feng said.

Professor Xie talked to Professor Zhao from the Vascular Department, and Professor Zhao made a phone call and asked for all the equipment Qin Feng needed to be delivered.

Qin Feng and Professor Xie also put on lead clothing, and the others moved into the operating room to observe the operation.

"Professor Xie, after the radiography is done, help me put this microscope on my eyes." Qin Feng said.

"What are you planning to match? You still need a microscope?" Professor Xie looked at Qin Feng puzzled, but agreed.

Qin Feng didn't explain too much. The main reason is that he is a little tired and it is better to save some energy for surgery.

With a ready-made surgical field, Qin Feng directly cut off the eighth segment of the liver, and used titanium clips and PRL wires to stop bleeding on the wound.

Then, Qin Feng picked up the hemostatic forceps, began to mobilize the duodenal bulb, punctured it, and inserted the contrast catheter.

If it is an ordinary patient, liver skin puncture is required before contrast imaging can be done.

But now the patient’s condition is special, and the laparotomy has already been performed, so there is no need to send the catheter through the skin, and the contrast catheter can be inserted directly from the duodenum.

Qin Feng connected the high-pressure injector, stepped on the wire to let Professor Xie press the button of the high-pressure injector, and the contrast agent entered the patient's body through the injector, showing the complete structure of the hepatic duct in the patient's liver.

"Professor Xie, help me put on the microscope." Qin Feng shouted.

Professor Xie picked up the microscope and put it on Qin Feng. Qin Feng closed his eyes, opened them again to adapt to the tiny field of vision, and then continued to enter the operation state with Professor Xie.

Qin Feng's speed increased, and he anastomosed the large blood vessels and hepatic ducts at the left lobe where the eighth segment of the liver connects with the liver.

It took nearly an hour, mainly because some liver ducts were too thin, and Qin Feng had to operate several times to succeed.

The portal bypass was relieved, and the autologous liver transplantation was completed. Qin Feng repaired the stump of the subhepatic vena cava with a vascular patch, loosened the vascular blocking forceps, and observed the situation of the autologous liver transplantation.

Professor Xie was also nervously standing aside, watching the preserved white liver gradually turn rosy, and the blood flow continued to pour in. Although the liver tissue at both ends had slight bleeding, there was no bile secretion.

Autologous liver transplantation was considered a success.

Qin Feng breathed a sigh of relief. Allogeneic liver transplantation and autologous liver transplantation are completely different things. Allogeneic liver transplantation is to replace the engine on a stopped vehicle, but autologous liver transplantation is to replace the engine on a moving vehicle. In normal form, the difficulty is quite high.

Professor Xie in the operating room, including everyone in the operating room, breathed a sigh of relief. As long as there are no serious complications after the operation, the patient has a high probability of surviving.

In addition, there is no overflow of bile, and the probability of toxic shock from infection is also very low.

Even if bile overflow occurs, drainage and drugs can be used to suppress and treat it early.

"Little Qin, amazing." Professor Xie praised.

"No, no, let's check the bleeding point first." Qin Feng asked for warm saline to wash the abdominal cavity, and left a drainage strip.

Hemostatic powder was sprinkled on the wound of the liver, covered with absorbable hemostatic gauze, and the diaphragm was sutured. No active bleeding was found.

After the operation, the patient was directly pushed to the ICU.

This can be regarded as a relatively successful case in multidisciplinary surgery.

Now hospitals are slowly implementing multi-department co-creation surgery to ensure the efficiency of surgery.

"Xiao Qin, let's go eat something together?" Professor Wang suggested.

This operation really lasted eight hours from the afternoon until the early morning.

When Professor Wang said this, Qin Feng was really hungry.

"Okay." Qin Feng was not polite.

After changing their clothes, the three professors took Qin Feng to a nearby 24-hour Lawson supermarket.

It was past three o'clock in the morning, and even the barbecue stalls were closed. The four of them discovered this after they came out. They had to find a supermarket to buy some heated rice to deal with it.

"Xiao Qin, I'm really sorry, I wanted to bring you something to eat." Professor Wang said with an apologetic expression.

He really didn't check the time, who knew it was deserted outside.

"It's okay, it's pretty good." Qin Feng unscrewed the mineral water and took a sip.

"Xiao Qin, I'm curious, who did you learn this interventional surgery from?" Professor Xie asked after a bite.

"Ah, I learned from one of my former directors. I used to be in the Department of Vascular Medicine." Qin Feng said.

"You used to work in the vascular department, why didn't you join our vascular department, but went to the emergency department instead?" Professor Zhao was a little puzzled.

"Because I don't really want to do a single operation, I want to challenge myself." Qin Feng said.

Professor Zhao glanced at Qin Feng, and muttered: "Indeed, only the emergency department can get in touch with so many surgical patients."

"Haha, Xiao Qin, you have to be careful about Lao Zhao, he might dig you out again one day." Professor Wang laughed.

The relationship between the three professors is quite good, especially today they had another operation with a sense of accomplishment, and they are all very happy.

If you pay the bill, Qin Feng will naturally buy it.

It is impossible for him to let three professors buy it. This is a kind of respect for the elders from the younger generation.

The three professors didn't say much. At their age, they put more emotions in their hearts.

Qin Feng sent the three professors to the taxi one by one, and he also hailed the car and went home.

Sitting in the taxi, Qin Feng suddenly had an idea.

"Should I buy a car too?"

It is absolutely no problem for Qin Feng Wealth to buy a car now, and he can afford it himself, so it is fine to use it for transportation.

Back home, Lu Shan had already fallen asleep. After washing, Qin Feng hugged Lu Shan and fell asleep.

(End of this chapter)