Chapter 710 [710] Estimated Volume

Well-founded, methodical, and practical viewpoints. A person who can combine academic and clinical studies, obviously?

"I feel that she must be a good hand at writing papers."

When it comes to how to write papers, female medical students seem to have certain advantages over male medical students in organizational language. However, in terms of the number of published papers, male doctors have always occupied an absolute advantage, and the right to speak clinically is in the hands of male doctors.

Maybe the same thought flashed in Deputy Director Xue's mind at this moment, thinking that no matter how good the girl's answer is, she is probably like the other girls, and will only be reduced to writing papers for the team and the laboratory. He didn't ask her any more. Turning his head, he asked Song Xuelin: "How big a liver do you think we need now? Obviously, we don't need this whole liver right now."

It was Song Caizi's turn to answer the question. There was a sense of anticipation in the eyes of the seniors.

Looking at the donor liver, Song Xuelin's dark brown eyes narrowed his pupils, as if he was measuring the liver like a delicate instrument, and his slightly hoarse voice revealed a strong academic atmosphere: "Generally speaking, the right hemi-liver is The larger one accounts for 55% of the whole liver. The recipient of our operation weighs only 100 catties, and the donor liver only needs 0.8% of his body weight, about 400 grams. Compared with Under the circumstances, the donor’s liver is about 1500 grams, and cutting the right or left half of the liver is enough for the recipient. The problem is that only half of the liver is cut, and the other half must be wasted.”

Therefore, 0.8% of the donor's weight required for liver transplantation refers to the minimum limit. In fact, in surgery, the best situation is that the donor's liver is the same size as the recipient's liver or a little smaller .

According to the latter standard, considering that the patient’s liver has shrunk due to advanced liver cirrhosis, if the current weight of 100 catties is used to estimate the liver weight, the weight value is multiplied by 2%, and the normal liver weight should be reasonable. 1000 grams.

For details, refer to the location of the liver transplant in the recipient's abdominal cavity, and how much liver can be accommodated.

Cutting a 1,500-gram liver into 1,000 pieces is equivalent to cutting off one-third, which is a test of the surgeon's skills and surgical thinking.

After listening to the results of Song Xuelin's quick calculation, Deputy Director Xue nodded quite satisfied. Obviously, this newcomer has a solid theoretical foundation and fast calculation ability, and said, "Where do you think the best place to cut his 1,500-gram liver? Someone said It's fatty liver, what do you think?"

The donor's liver was obviously too large, and Qiu Ruiyun suspected mild to moderate fatty liver at first glance. In this regard, is it possible to cut off the fatty liver and then transplant it to the recipient, which is equivalent to a perfect transplant.

Song Xuelin said: "Fatty liver is a benign disease. It is a fatty liver with single or multiple foci and local fat deposits around blood vessels. However, most fatty livers are diffuse and evenly distributed fat deposits. So I don't think there is a single piece of fat. Areas that we can cut out."

"Are you sure you don't?" Deputy Director Xue asked, looking at his face.

"Yes, I don't think so. This weight of 1,500 grams is still within the normal liver weight range for men. Some people's normal liver weight can reach 2,000 grams." Song Xuelin said.

After listening to his words, Deputy Director Xue also thought that there was no chance of such a perfect excision.