Jimu news reporter Li Manying
Correspondent Tong Xuan
Video clip Peng Ying
At 7 a.m. on March 21, it rained lightly in the gray sky. In the Tongji Children's Hospital of Huazhong University of Science and Technology, Ms. Wang, 40, handed over her child Yangyang (pseudonym) in her arms to her husband, Mr. Cheng, and then followed the medical staff to the operating room. When she left the ward, she looked back again and told her husband that Yang Yang's hospital bracelet was on his neck to let him see that he should not lose it. An hour later, Mr. Cheng got up and sent Yang Yang to the operating room.
On this day, it is a big day of life and death for this ordinary family, and Yang Yang and his mother's surgery will be carried out simultaneously at Tongji Children's Hospital. In one operating room, Ms. Wang performed liver donation surgery; in another operating room not far away, Yangyang would surgically remove his diseased liver that had developed cirrhosis and liver failure, and then implant the new liver given by his mother to meet the new hope of recovery.
A 1-year-old boy has cirrhosis of the liver, and his mother and sister want to donate a liver to save him
"When I sent Yang Yang into the operating room, he lay on my shoulder and kept crying, and I felt very uncomfortable in my heart." In the ward, after sending his wife and son to the operating room, Mr. Cheng, 41, felt empty in his heart. He bowed his head for a long time, saying that he was not good at words, and when he left, he did not say anything encouraging and relieved to his wife, but silently wished his wife and son in his heart that they could successfully survive this difficult time.
Mr. Cheng's family is from Anlu, Hubei Province. In addition to Yang Yang, he and his wife also have a daughter, who is currently 17 years old. "Yang Yang was conceived unexpectedly, I thought that my wife and I were old and not suitable for another child, but my daughter wanted to have a companion, and my wife also felt that since she was pregnant, she would be born, and I agreed." Mr. Cheng said that before Yang Yang was born, he worked as a mason in Guangzhou, his wife took care of his daughter at home, and the life of a family of three was relatively easy and stable. The arrival of Yangyang has brought joy to the family, but also made them face unprecedented challenges.
From birth, Yangyang had the problem of high jaundice, and was later diagnosed with "biliary atresia", after The Operation of Kasai, jaundice and liver function briefly returned to normal, and then developed into cirrhosis, liver failure, liver transplantation became the only way to save Yangyang. After learning the news, Yang Yang's mother and sister offered to donate their livers to save him, and Mr. Cheng, as the main source of income for the family, raised money everywhere and provoked economic pressure on his shoulders.
After completing the liver extraction surgery, the mother is most concerned about the child's condition after waking up
"Where is your turn to donate, let me save him." The mother, Ms. Wang, stopped her daughter, who also wanted to donate a liver to save her brother, and she completed the matching at the first time and prepared for liver transplantation.
On March 21, lying on the operating table, Ms. Wang's calmness and calmness impressed the doctor. "She is a very simple mother, not much to say, but a firm attitude, simple with tenacity, from admission to the operating table, never saw her have a trace of hesitation or fear." 」 Doctor Zhu Tianqi said so.
At 3 p.m. on the 21st, after successfully completing the liver surgery, Ms. Wang completely woke up. Despite her weakness, she was most concerned about the child's physical condition, and when she learned from the doctor that Yangyang's surgery was also going smoothly, she expressed her gratitude at the first time.
"Such a big operation, I am actually afraid in my heart, but the child is so cute, we will definitely save it." Ms. Wang said that due to the illness, Yangyang has been growing very slowly, and will only simply call her father and mother until she is 1 year and 4 months old, and will not say other words, and will not walk at present. Worried about infection, YangYang has not been out much since birth, and for more than 1 year, Yangyang has either treated patients in the hospital or recovered at home. Whenever she thinks about the future of Yangyang, Ms. Wang and her husband can't help but worry. If a liver transplant can be exchanged for the health of the child, she said, it will all be worth it.
Academician on-site guidance, multidisciplinary joint efforts to complete the mother and child liver transplantation
On March 21, the Jimu News reporter saw that when Ms. Wang and Yang Yang were undergoing surgery, Academician Chen Xiaoping personally visited the operating room and gave on-site guidance.
Carry out liver extraction surgery, send the donor liver to the Yangyang operating room... Ms. Wang's surgery went smoothly. Professor Zhang Wanguang, the chief surgeon and liver surgeon, introduced that before the operation, they used the computer to "reconstruct" the 3D digital liver of Yangyang Mama through the computer, accurately assess and calculate the appropriate liver site and size, and at the same time, cholangiography determines the location of the bile ducts and preserves as much healthy bile ducts as possible. During the operation, Ms. Wang's healthy liver was extracted from 240g, accounting for about 2% of Yangyang's body weight.
At 1:02 p.m., the operation entered the most critical implantation stage, and the difficulties were the anastomosis of the inferior vena cava, portal vein, hepatic artery, and biliary reconstruction. The hepatic artery in children is only about two millimeters and must be done carefully under a microscope. Feng Jiexiong, director of pediatric surgery, the chief surgeon, said frankly that operating on children is like repairing a watch, compared with adults, the complexity and fineness of the same disease, and the difficulty of surgical operations have increased exponentially.
Happily, at 5:52 p.m. on the 21st, the good news came from the operating room. With the multidisciplinary cooperation of pediatric surgery, liver surgery, anesthesiology department and operating room of Tongji Children's Hospital, Yangyang successfully completed liver transplant surgery. "Both surgeries went well and the mother and child were safe." The doctor said happily.