In a small conference room, a surgical seminar on Yasuta Murata is in progress.

In addition to Chen Yu and Damen Unknown, several professors and doctors from the hepatobiliary surgery, vascular surgery and organ transplant surgery were also present in the room, and the meeting was chaired by Professor Kube himself.

"Since Chen Yujun has introduced the patient's condition just now, let's discuss the specific plan of the operation next." Professor Kube said as he looked at Chen Yu and signaled him to explain: "Chen Yujun, you can talk."

"Yes, professor." Chen Yu nodded, and saw that everyone in the conference room looked at him, so he spoke and explained: "This is a very difficult operation and the process is very complicated. First of all, we need to isolate the patient's tumor. Because the tumor has invaded the entrance of the atrium, we also need to consider the possibility of atrium being needed when performing tumor resection."

"Where are you pulling the tumor downwards and leaving the atrium?" Hearing Chen Yu say that he might need a happy atrium, Unknown said the door opened and expressed different opinions: "Pull the tumor out of the atrium, so there is no need for a happy atrium."

Chen Yu nodded, affirming the statement of the unknown boy from the gate, and also explained: "Of course this is possible, but we must consider all possibilities. If the pulling is not successful, or the tumor adhesion is too severe or has entered the atrium, then we must consider the atrial surgery."

After hearing Chen Yu say this, Unknown, nodded after thinking about it for a while, and said nothing.

Seeing that the door unknown had no other opinions, Chen Yu continued: "After completing the tumor separation, the inferior vena cava needs to be cut off the upper inferior vena cava below the atrium, the portal vena cava cannula is transferred through the external circulation, the hepatic artery, portal vena, common bile duct, and the inferior vena cava below the plane of the left renal vena, the entire inferior vena cava and liver are completely removed, and the body is removed and sent to the hepatobiliary surgery and organ transplant surgery for hepatobiliary vein to be trimmed, and the caudate lobe of the liver is removed."

"It's quite complicated! But there's no problem with our hepatobiliary surgery." Professor Tashita, who was sitting in the conference room, asked for a brief evaluation and knew that this was not an easy surgery, but he still made a guarantee.

Professor Kobayakawa, who was sitting next to him, nodded and said with certainty: "Our organ transplant surgery will also cooperate fully. I will go on the battle this time."

Seeing that both professors made a promise, Chen Yu nodded and thanked the two professors before continuing to say: "After completing the inferior vena cava and hepatic resection, the patient needs to undergo artificial vena vascular transplantation and reconstruction of the inferior vena cava-left renal vena, as well as the right renal vena and artificial vascular anastomosis reconstruction to preserve the renal function on both sides of the patient, which requires vascular surgery to cooperate."

"No problem. Since Professor Kobayashikawa has decided to go on the battlefield in person, I can't lose to him! I'll do it myself, too." Professor Shino of the vascular surgery department smiled and looked at Professor Kobayashikawa who was sitting aside, and agreed to cooperate.

"Then the last thing to do is autologous liver transplantation. After Professor Tashita and Professor Kosakikawa completed the hepatic venous trimming and caudal lobe removal of the liver, the patient's liver was retransplanted back." Chen Yu looked at the unknown son of the gate beside him, as if he was confirming whether she had any problems.

The unknown boy from the gate felt Chen Yu's gaze, showed her usual confident expression, and said seriously: "Since you have Professor Chen Yu, you will not fail."

"Since Doctor Omen said that, the entire process of the operation can be determined." Chen Yu said, then stood up and went to the whiteboard in the conference room, and wrote down the results he had just mentioned: "The surgery was performed by Doctor Omen, and I served as the first assistant, responsible for completing the patient's inferior vena cava and liver resection. Then Professor Sino replaced Dr Omen and I to complete the venous artificial vascular transplantation and reconstruction of the patient's inferior vena cava-left renal vena and the anastomosis reconstruction of the right renal vena and artificial vascular anastomosis reconstruction. At the same time, Professor Kosakikawa and Professor Tianxia need to complete the hepatic vein trimming and caudal lobe removal of the patient's liver.

After these two steps are completed, the processed liver will be taken over by me and the doctor, retransplanted back to the patient's body, and the blood vessels will be reconstructed to restore the patient's liver function. The expected operation will be nine hours. I wonder if you have any other supplements or questions?"

After Chen Yu wrote down the dense surgical steps on the whiteboard, all the doctors in the conference room looked solemn, because this was really a too complicated operation and had very high requirements for every step of the operation. Any error in any link may lead to the patient's death on the operating table.

Looking at the surgical steps written by Chen Yu, Professor Kobayakawa suddenly asked: "From the patient's examination, his kidney may have been violated. Do you need to prepare for nephrectomy and autologous transplant?"

Hearing Professor Kosakikawa's question, Chen Yu looked at Daemon Weike and nodded and said, "Although there is no need for this aspect at present, considering the possibility of the patient's condition worsening, it is better to prepare for this aspect. If the patient needs to be nephrectomy, the doctor and I and Daemon will handle the kidneys while performing the liver part."

Seeing that Chen Yu had made the arrangement, Professor Kobayakawa nodded and did not raise any objections.

Professor Kube looked around the conference room and saw that all the doctors did not give any other opinions, so he decided to type: "Then prepare according to the surgical plan proposed by Chen Yujun. All departments must cooperate with each other. There are only two successful cases of autologous liver transplantation and autologous kidney transplantation after removing inferior vena cava tumors. Currently, there are only two cases in the world, which is the first time in Japan.

This is an important opportunity for our University of Tokyo Medical Affiliated Hospital to demonstrate our medical strength and medical level. Please be sure to work hard and heal this patient at all costs!"

"Yuyi!" The doctors in the conference room responded quickly when they heard Professor Kube's words so serious.

Professor Kube nodded with satisfaction, then looked at Chen Yu and asked his beloved disciple: "Chen Yujun, do you still need anything else for this operation?"

"During the operation, the anesthesiologist needs to closely monitor the patient's physical signs. Other anesthesiologists are not skilled enough with me and the doctor at the gate, so let the doctors in the city be responsible for the anesthesia. In addition, I hope the hospital can provide the highest priority for this operation."
Chapter completed!