What are the advantages of liver transplantation
summary
A colleague has liver disease and needs liver transplantation, which is also a serious operation. So what's the difference in the process of liver transplantation? Let's talk about it.
What are the advantages of liver transplantation
Step 1: remove the diseased liver. It is necessary to separate, cut off and repair all kinds of ligaments, arteriovenous vessels, bile ducts and other tissues connected with the liver, and block the inferior vena cava. In this link, we should not damage the big blood vessels to cause massive hemorrhage, and we should not block the inferior vena cava too long, otherwise the blood flow of abdominal organs and lower limbs will be obstructed. At this time, the free diseased liver can be taken out, and the patient is in anhepatic state. My diseased liver is very special, especially polycystic liver, which has grown very big. The doctor has to pierce countless vesicles and squeeze out the liquid to take it out. This huge monster weighs 24 kg, several times of the normal liver. The anhepatic state time should be short, otherwise it will cause cardiac and renal function and coagulation dysfunction and endanger life. In general, liver cancer is easier to remove than liver cirrhosis.
Second, repair the donor liver. The blood vessels, ligaments and bile ducts of the donor liver were excised to ensure the smooth surface of the liver. The quality of the donor liver and the length of time of preservation are the key factors to ensure the success of liver replacement. I have a deep understanding of this.
The third step is to implant the donor liver. The donor liver was placed in the position of abdominal liver, and the blood vessels and bile ducts of the patient were anastomosed with the blood vessels and bile ducts of the donor liver one by one. This is a delicate work, and it is also the key to the success or failure of the operation. The requirement of bile duct anastomosis is higher, which determines whether the biliary stricture will occur after the operation. Some patients who change the liver have suffered a lot on the biliary problem. Generally speaking, the biliary tract problems in the early stage after operation are related to the quality of the donor liver or the surgical technique. At this time, the blocked blood vessels can be released and the blood flows into the newly implanted liver. The surface of the new liver turns bright red, and the golden bile flows out of the bile duct, which is a sign of successful liver transplantation. The last is to close the abdominal operation. Under normal circumstances, such an operation usually takes about 4 to 8 hours, and it should be carried out according to different patients. At the same time, it is also a major surgical treatment.
matters needing attention
After liver transplantation, patients should pay attention to their own nursing, and also use drugs according to the doctor's guidance. They should keep the law of life and avoid fatigue, but this does not mean that only patients stay in bed all day, and appropriate activities are beneficial.
