Chapter 1488: Children make choices, adults naturally want it all!
Many times.
The true meaning of surgery isn't in the surgery itself, but in hope!
At this moment, a family of five with three standing outside the operating room, staring at its doors, just like all the other waiting people around...
Waiting for hope, yet fearing despair!
Chen Cang increasingly felt:
The medical profession itself shouldn't be too emotionally colored.
Because... when too many emotions accumulate on you, you'll have many strange thoughts.
Sometimes, you can't think too much.
If the heavens are sentimental, even the heavens would grow old.
Why think so much?
In hospitals, there are always a few departments where doctors are not fixed, because after seeing so much life and death, even the hardest heart would melt, and they might not even dare to think of these.
Compared to the pressure of work, the mental torment is even more painful.
Inside the operating room!
Chen Cang and others once again carried the dreams of three generations and walked into the operating room.
The elder's expectations, Zhang Ling's fear, and the child's curiosity...
Everyone knew this battle would not be easy!
Because liver transplantation itself is a very complex and meticulous task, the organization work of the preoperative liver transplantation team is extremely important, usually forming a liver donor group, liver recipient group, and anesthesia group.
The departments involved in collaboration should at least include hepatobiliary surgery, cardiothoracic surgery, laboratory, hematology, microbiology, and immunology lab, blood bank, pathology, radiology, pharmacy, and all these departments must harmonize seamlessly and undergo repeated training.
Chen Cang must fully participate in the surgery, apart from anesthesia, from the liver donor group, he must resect the liver to save this great mother while saving her son!
This requires considering too many things.
How big is a liver?
Not very big!
Yet enough to support great maternal love.
Who would have more courage than such a mother?
How to use a not-so-large liver to meet the needs of two people?
This is an extremely challenging problem!
It requires precise calculation by Chen Cang.
Even before the surgery began, Chen Cang was staring at the CT report, pondering continuously.
The ruler in his hand was constantly measuring the size and structure of the liver, analyzing how to perform the transplant to ensure the greatest chance of survival.
The four-dimensional structure built in Chen Cang's mind was displayed before him, requiring him to simulate liver cutting repeatedly!
At the same time as removing the liver, he needed to sort out the relationship of the liver vessels, calculate the liver volume necessary to meet liver function requirements, calculate complications of intraoperative abdominal bleeding, and design new bile ducts and their digestive system...
It's really too difficult!
Time passed by the minute, one minute... two minutes... ten minutes...
Until the anesthetist behind said: "Professor Chen, everything is ready, when do we start?"
One sentence made Chen Cang couldn't help but rub his brow!
Too difficult!
The mother is 160cm tall, weighs 60kg!
Sun Jian is 178cm tall, weighs 76kg!
The liver volumes of the two are different, so giving Sun Jian fifty percent of the liver does not meet his daily needs.
Moreover, normally, according to the default rules of living donor liver transplant surgery, fifty percent is already the maximum.
Chen Cang had simulated many times, and fifty percent of the mother's liver for Sun Jian is really quite strained.
What to do?
The anesthetist was already urging.
Chen Cang took a deep breath, glanced at this mother, and made a bold decision!
Remove 60% of Fan Qinghua's liver!
Thinking of this, Chen Cang said: "I'll go wash my hands."
After speaking, he walked out, and while washing his hands, Chen Cang activated a simulation stone!
Looking at the last remaining simulation stone in the space, Chen Cang took a deep breath, hoping he'd never need to use it!
Unfortunately, that's impossible!
When the scene changed, and the liver donor group and recipient group were simulated in space, Chen began the simulated surgery!
After all, live related donor liver transplantation, although not said to be very mature, is definitely an old surgery that has lasted for decades.
Mature!
But maturity also means that the difficulty of wanting to change is very high!
Such a surgery of a 59-year-old mother donating a liver to her 29-year-old son was the first one Chen Cang had seen, heard, and experienced!
Simulation started!
Chen Cang first removed 50%, and as expected, with no surprise, the surgery failed!
Even if he chose numerous skillful separation methods, used the perfect "Wu's knife method", prioritized the liver vessel compensation... all failed!
One liver for two people sounds like an Arabian tale!
If fifty doesn't work, then add more!
51% failed!
52% failed again!
...
57% succeeded!
Chen Cang couldn't help but get excited!
He finally found where the mistake was.
In the reconstruction of the liver ducts.
A liver tissue only has one liver duct, including habits, bile ducts, etc.
But for Chen Cang to complete both surgeries, he needed to accomplish bile duct reconstruction.
All at once, once Chen Cang thought it through, he began to try again!
In space! Need character sheets and glossaries? Visit MV^LEM^PYR.
Chen Cang didn't know how much time had passed!
When he opened his eyes afterward, he immediately felt changed!
Zhou Hongguang suddenly asked: "Professor Chen, why are you sweating so much?"
Chen Cang was taken aback, only then realizing he had sweated so much in that instant.
Chen Cang smiled: "It's nothing!"
Zhou Hongguang nodded, sighed: "Yes, Professor Chen, we discussed it, and I think you shouldn't put too much pressure on yourself for this surgery!"
"After all, this surgery is too difficult, and there's no precedent domestically for one liver being used by two adults."
"What I mean is, try to ensure the man survives as much as possible!"
"Right, in critical times, we can resort to liver transplant surgery!"
Chen Cang was taken aback, because this statement meant... completely abandoning Fan Qinghua, to preserve Sun Jian's health!
Gao Ronghua also nodded bitterly.
"Yes, indeed... this is also the suggestion from the family and the donor himself."
Although this answer is inhumane!
But think carefully.
If it's really a single-choice question, what would you choose?
Emotionally, you'd want to side with this great mother.
But rationally?
Perhaps saving the man is the most correct choice?
Chen Cang looked at the two and suddenly laughed.
Both of them appeared a bit stunned!
"Professor Chen, why are you laughing?" Gao Ronghua couldn't help but pause.
The surrounding directors were curious, looking at Chen Cang.
Chen Cang wiped his hands clean, walked leisurely toward the operating room.
And left a statement:
"Only children make choices, adults... naturally want it all!"
"Both people, both surgeries, will succeed! They will both survive!"
The words left everyone a bit dumbfounded.
This sentence seemed familiar?
Seemingly heard it somewhere!