China News Service, Hangzhou, April 14 (Reporter Zhang Bin, Intern Hu Dingyu, Correspondent Wang Rui, Jin Lina) On the 14th, the reporter learned from the First Affiliated Hospital of Zhejiang University School of Medicine (hereinafter referred to as the First Hospital of Zhejiang University) that the hospital conducted a few days ago. In a rare and difficult "Domino" organ transplant operation, three liver transplant operations and one small intestine transplant operation were performed in succession on the same day, saving the lives of three patients.

According to the hospital, the above operations were performed in 30, 31, 32, and 33 operating rooms of the hospital before. They were organ transplant experts and Liang Tingbo, secretary of the Party Committee of the First Hospital of Zhejiang University, and Wu Guosheng, director of the anorectal surgery department of the First Hospital of Zhejiang University and director of the small bowel transplantation center Lead the team to implement.

In the 32 operating rooms, the life of a young man came to an end in a car accident. In his grief, his family decided to continue his life by donating organs. After bowing and paying tribute, the medical staff who performed the operation divided his donated liver into two parts to save two patients in 31 and 33 operating rooms who needed a liver transplant to save their lives. At the same time, patients in 31 operating rooms will undergo small bowel transplantation after transplantation, and part of the liver under "replacement" can save children with congenital biliary atresia in 30 operating rooms.

The 4 operations are like "domino", staged the life relay of "You save me, I save him".

According to the hospital, Mr. Chen, who is located in 31 operating rooms, had all the small intestine removed at the local hospital in Gansu two years ago due to small intestine necrosis, and underwent several surgical operations. To survive with high quality, Mr. Chen can only carry out small bowel transplantation. Due to the memory function of the human immune system, Mr. Chen has undergone many operations in the local hospital and has a history of multiple blood transfusions, which is not conducive to organ transplantation. If Mr. Chen simply carries out small bowel transplantation, this "foreign organ" is bound to be violently attacked by the patient's immune system, causing the operation to fail.

Against this background, the liver transplant team led by Liang Tingbo and the small bowel transplant team led by Wu Guosheng boldly proposed to use the "special liver immunity" feature to alleviate the severe rejection caused by small bowel transplantation. After several consultations by multidisciplinary experts, the hospital finally decided to implement "liver combined small bowel transplantation" for Mr. Chen and "paving the way" for small bowel transplantation.

However, Mr. Chen's liver function is normal. Is it a "waste" to transplant a new liver after normal liver resection?

"He only needs to remove part of the liver to make room for the new liver, and then transplant the part of the liver to other patients." Liang Tingbo said that in the current shortage of donor liver, this approach can bring new life to more patients. It guarantees the safety of patients to the greatest extent, and at the same time poses greater challenges to doctors' technology.

The hospital introduced that part of the liver that was replaced after Mr. Chen's liver transplantation in 31 operating rooms was transplanted live to a 6-month-old boy with cirrhosis due to biliary atresia.

According to reports, the bile of children with congenital biliary atresia cannot be smoothly discharged from the bile duct, and then the body is waxy yellow, becoming a "little yellow man", and irreversible cholestasis cirrhosis gradually occurs, and eventually liver failure and liver coma , Many can't live one year old. Chaochao did not improve after undergoing surgery in a local hospital in January this year. He was transferred to the First Hospital of Zhejiang University and successfully received a liver transplant.

In addition, the organs of the 32 operating room donors were also sent to 33 operating rooms. The patient was Ms. Zhang, 45 years old. She was in a desperate situation due to primary cholestasis cirrhosis and eventually received a liver transplant.

According to the hospital, the vital signs of the three patients are stable, and they are gradually recovering in the liver transplant ward. (Finish)