Liver transplants for 2-year-old patients: Successful!

16 pm 6/12, Children's Hospital (BV) 2 held a press conference on liver transplants for 2-year-old patients . The liver transplant was successful! Doctors conducting liver transplant surgery for the youngest child in Vietnam have added many new details .

After more than 15 hours, from 8:00 to 23:30 minutes on December 5, the big liver transplant surgery for Le Ngoc Xuan Quy (23 months old) from her mother Vo Thi Ngoc Hanh (31 years old) lives in District 12. Ho Chi Minh City is finished.

Xuan Quy baby weighs 11.7kg with end-stage liver failure due to congenital biliary atrophy. Before that, the doctor had surgery to connect the intestinal straps to the liver door to help the bile to go straight into the intestine.

According to the plan, the experts will remove all 2 liver of the patient, then cut a part of the liver corner of the mother to transplant instead.

Surgical choreography was performed by ekip surgery including 5 surgical and anesthesiologists working at the Institute of Saint-Luc University (Belgium) and 60 professors, doctors and direct nurses of Children's Hospital Dong 2 and some other hospitals in the city such as Binh Dan, People Gia Dinh, Medic.

4 hours of stress in the operating room .

Doctors at Children's Hospital 2 are conducting liver transplant surgery for Xuan Quy baby

At 8 am on December 5, the patient was transferred to the operating room.

10 minutes 40 minutes, GS. Otte (Belgium), GS. Tran Dong A and other specialized experts had 'lowered' the first knife line to reveal the mother's liver.

At the operating room next door, at 10 am, Quy is transferred to the operating room.

At 12:20 pm, the group undertook surgery for Quy, led by GS Reding (Belgium) and the team of Children's Hospital 2 and another group of specialists also started the skin incision, revealing the liver of Q.

By 15 o'clock, the work revealed both of their mother's liver had been completed. 45 minutes later, the doctors carried out a cut of the lobe 2 and 3 of Ms. Hanh's left liver (weighing 200g) and washed.

On the other side, the doctors also carried out the removal of all 2 sclerosis and darkening liver of the precious baby, weighing 850 gr.

At 16:30, the most important step is to start a liver transplant for the patient, in the next operating room.

At this time, the surgical team also conducted the closure of the abdomen for the mother. Then she was transferred to the anesthesia room and postoperative. By 18:00 on the same day (December 5), Ms. Hanh had awakened and was transferred to the recovery room.

At Quy's operating room, at 16:30 after giving the mother's liver to her baby, the surgeons began to carefully and meticulously connect each and every vein, bile, and bile from the mother's liver piece into the vein. baby's blood and liver bile ducts. The work lasts until 23:30 minutes to complete.

By 24 hours, the baby is transferred to the recovery room.

By 9 am yesterday (December 6), the signs of mother's survival were completely stable, talking to the doctor.

As a baby, it takes up to 16 hours for new signs of survival to be stable, the catheters work well, without bleeding.

The surgical process takes place as expected. The liver cut in the mother does not have to use stored blood as the hospital uses a complete blood transfusion machine (blood is recovered from the patients themselves, filtered through the machine and passed on), while Quy only has to transmit 1 blood unit. (250ml of blood).

Evaluation of the success of the surgery, BS. Nguyen Hong Thu - Director of Dong 2 Children's Hospital said that liver transplantation is a high and complicated technique, currently Belgian experts and resuscitation team BV 2 must continue to monitor closely the next developments.

4 years of preparation for liver transplant surgery

To successfully perform a liver transplant surgery for 2-year-old patients, doctors in VN Pediatrics 2 had to prepare for 4 years .

It is known that in order to perform a liver transplant for the first time in the South, Children Hospital 2 had to do preparations for the past 4 years.

Specialists are sent to study in Belgium and France. In October 2005, professors and experts from Belgium - who transferred the liver transplant technique to Children's Hospital 2, came to check the preparation work of the BV on the couples and receive the liver .

On the Vietnamese side, the Ministry of Health has also sent a team of experts to appraise with 7 contents: from the technical and professional qualifications, the selection of diseases, the source of liver to the organization . .

And the person working in the bridge between foreign experts and Children Hospital 2 is BS. Tran Dong A. BS. Tran Dong A had to constantly be present at the Belgian organ transplant center to observe and collect graft materials.

From the beginning of the year, GS every 2 weeks. Tran Dong A re-organized the film of the liver transplants in Belgium that he obtained for the hospital's doctors, from the stage of liver transplantation, liver washing to transplantation .

Due to the great contributions of Belgian experts, Ho Chi Minh City People's Committee has decided to reward Ho Chi Minh City badge for Professor Reding, a certificate of merit for Prof. Otte. Ho Chi Minh City Department of Health awarded certificates of merit to 3 other surgeons.

This is the first liver transplant in the southern region and the third liver transplant in Vietnam. This is also a liver transplant for the youngest child ever.

In preparation for a liver transplant, the total cost of surgery is about 3 billion VND, of which 2.5 billion is equipment money, which is funded by the HCMC People's Committee leaders.

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