The world's first example!The simplified version of my country's completion of the process of "ischemic" liver transplantation surgery- "Life Fate" takes you to witness a breakthrough of a liver transplant surgery

Author:Beijing Beijing Time:2022.09.12

In the early autumn, in the conference room of the liver transplantation center of the China -Japan Friendship Hospital, a special consultation brought together experts with many departments. "Liver transplantation surgery.

Due to a special technology, this surgical challenge and risk coexist, which makes all the participating medical staff such as thin ice.

01

Six years with liver disease

54 -year -old patients face liver transplantation

For patients who undergo this liver transplant surgery, it will be an opportunity to regain new life.

The 54 -year -old Lao Gao has been fighting liver disease for six years. His complexion is dark, his eyes are dark, and red bloodshots are still transparent in his eyes, which makes people look very worried. Not only does the liver have serious problems, but the older body is also accompanied by more than a dozen diseases such as esophageal veins, spleen, and cholecystitis. With the deterioration of the liver's condition, Lao Gao has reached the point where he has to face liver transplantation.

Lao Gao and his lover have done a lifetime wholesale vegetable business. For decades, he gets up at two in the morning to work, and has worked hard to raise two sons. Since the old age, the younger son has continued to handle the vegetables at home to send business, so he knows his father's hard work. For six years, lover has been with Lao Gao for medical treatment throughout the country. They have been married for more than 30 years and have two sons, and there are old mothers who have been rare. As the pillar of the family, there are too many concerns about the old high. In order to let the family regain happiness, Lao Gao decided to last fight and undergo liver transplant surgery.

02

Collect multi -section backbone force

The world's first case of co -creation

Because this surgery is the world's first procedure simplified version of the "ischemia -free" liver transplant surgery, it is extremely difficult and challenged. In order to complete this creation, the China -Japan Friendship Hospital has gathered the backbone force of many departments such as the liver transplant center team, anesthesia and nursing team, surgery ICU, blood transfusion department, pathology, ultrasound and video.

The surgery is divided into three stages: the obtaining the liver, the preservation of the liver and the liver, and the implantation of the liver. The whole process is like a marathon. Carry liver transplantation. In the early morning of August 14, as organ donors were pushed to the operating room, it also meant that the marathon officially started. The young and great donor left a precious liver, kidney, heart, heart, lungs, and cornea, and selflessly saving others. Death is the end of every life, but some death is the end of life and the beginning of more life.

At the same time as organ obtaining surgery, a machine is also in debugging. This machine called the "Multi -organ functional repair system" is the world's first process simplified version of the "ischemia -free" liver transplant surgery. An important part. This system can replace the human body's blood supply mechanism and achieve a smooth transition after the liver supply. Once any failure occurs, the "ischemia -free" liver transplantation surgery will not continue. It can only be immediately adopted to use a spare plan to initiate traditional liver transplant surgery.

Traditional liver transplantation surgery, once the liver leaves the donor's body, in the state of "no blood flow supply", the process of experiencing ischemia, cold preservation and re -injection may last for several hours or even tens of hours. Avoid, this is the main reason that affects the efficacy of transplantation and even leads to failure. The "ischemic" liver transplantation technology can effectively solve the problem of long -term liver in the liver.

03

Multi -disciplinary collaboration like a relay race

The 17 -hour battle surgery was a great success

Professor He Xiaoshun, a special -appointed professor of the "ischemia -free" liver transplantation technology, and the subject leader of the subject leader of the liver transplantation center. Remove the liver and liver from the "multi -organ function repair system", put the liver from the "multi -organ function repair system", put it in the old high body, and start the blood vessel suture of the new liver. Director Han Dongdong of Friendly Hospital took over. A liver transplantation surgery requires at least 30 medical staff to participate in order to ensure smoothly. So liver transplantation surgery is like a relay match.

After 17 hours, as the liver supply in the old high body began to secrete golden yellow bile, the world's first process simplified version of the "ischemia -free" liver transplant surgery was successful!

On the first day of the operation, Lao Gao had been able to drink water by himself and chat with his family. After 20 days of recuperation and rehabilitation training, Lao Gao was discharged smoothly. A precious life gift provides a steady stream of vitality for the 54 -year -old Lao Gao. This experience also makes Lao Gao cherish his family who accompanies him through the "Ghost Gate" and live a stable and happy life now.

The success of this example marks a new major breakthrough in the "ischemia -free" liver transplant surgery. It will provide a new basic research solution for research on organs, organ interaction, organs ionizing treatment, and organ function repair. The possibility of multi -disciplinary and multi -level improvement in clinical medical research in my country is possible!

"Fate of Life" small popular science:

Since the advent of organ transplantation technology, the organs donated by volunteers must be transplanted in the body of the donated patients through the process of irrigation, low temperature preservation, and re -injection. This process was written as a textbook for medical students as "common sense of medical".

Specific to traditional liver transplantation, in general, in the process of removing the liver from the donor's body, doctors must first use an organs to save the liver and cool down the liver. The liver with yellow hair and white hair due to ischemia is stored in organs with 0 to 4 degrees Celsius stored, and the abdominal cavity of the transplant receptor is implanted. The blood vessels and bile ducts of the new liver are in line with the patient's blood vessels and bile ducts. As the blood flows into the new liver, the cold liver has become warm, and the surface is recovered with bright red. When the bile duct has golden yellow bile flowing out, it indicates that the transplantation is successful. In the process, once the liver leaves the body of the donor, there will be a few hours to dozens of hours in a "blood -free supply" state, which will inevitably suffer from ischemia, cold preservation and re -injection, leading to damage to the liver function. These factors are the most important reasons for affecting the efficacy of transplantation and even the failure of transplantation.

Therefore, many doctors are trying to overcome this disadvantage. He Xiaoshun, a special professor of the China -Japan Friendship Hospital and the leader of the subject leader of the liver transplantation center, led his team to overcome this problem.

At present, the most advanced technology in the world is the "ischemia -free" liver transplantation technology. In general, it is the liver transplant or fresh liver transplant that does not interrupt the blood flow. This technology can effectively solve the problem of long -term liver in the liver, so that the organs can immediately play their functions in the patient's body in a state of nearly normal, avoiding common complications such as low temperature ischemia re -injury in organ transplantation.

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