Finished 33 infant and pre-school children's liver transplantations in 3

Finished 33 infant and pre-school children's liver transplantations in 3
There is a piece of enclosure not firm between Yan Chai Hospital and children in Shanghai medical center, exchanged ward mate and relative push the grove aside, cross over the cement wall, has actually stepped on a shortcut of seeking medical advice of convenience. The one unknown by the people is, in the past 3 years, a group of doctors engaged in liver transplantation treatment are passing through this " shortcut " silently too ,Combine the medical advantage of the Supreme People's Court and the Supreme People's Procuratorate spontaneously, and become persons who lead of national infant and pre-school children's intravital liver transfer operation rapidly.

Liver transplantation centre director Professor Xia Qiang of Yan Chai Hospital says: "Cross over the hospital, cross over the cooperation between the departments, has not merely created the achievement on medical science, the most key one is to facilitate patients and improve the medical security coefficient. "

Since 2006, Yan Chai Hospital, since last cooperation two of centre side,it finish already by infant and pre-school children liver transplantation 33s intravital so far, accounts for domestic 22% of child's liver transplantation of the same period, among them is smaller than 23 within a year old, accounts for domestic 39% of child's liver transplantation of the same period. All operation adopt the intersection of parent and intravital liver transplantation, survival rate 83.1% 1 year, and domestic child overall survival rate is 73% one year such as liver transplantation, among them it is only 57% to smaller than a year old children.

Afternoon of last Monday, doctor Chen QiMin of surgery of medical center of the children in Shanghai, the doctors of gi medicine and ICU come to the meeting room of the 15th floor of surgical building of Yan Chai Hospital to participate in the case and discuss as a rule. The son 7 months old is permanent just among them, what he suffered from is an inborn biliary tract to lock disease, undergo an operation treatment before the 4 month, it's a pity surgery had not succeeded, the only hope which he survives of liver transplantation.

With holding a consultation difference, if you can't last liver transplantation the consultations of the groups, last fee after charging one branch never at benevolence to centre doctors. The child centre head of the department of internal medicine Wang Ying says: "We seem not to always consider the economical thing either. "

Yan Chai Hospital, last one that initiate cooperation of centre " The new developing front technology of hospital at city level unites the brainstorm project " --Intravital liver transplantation treats infant and pre-school children's end latter stage hepatopathy.

For a long time, liver transplantation is to treat children's only effective way of hepatopathy in end latter stage, have already succeeded in implementing liver transplantation for the 40th multi-type disease so far, include locking, breaking out liver of inborn biliary tract to decline etc.. In our country, this technology starts very late, compared with launching U.S.A. of children's intravital liver transplantation,etc. earlier, overall survival rate is on the low side. China needs to set up a whole set of complete, safe, high-efficient therapeutic systems urgently.

"At the beginning of cooperation, our experiences are not enough, must be interdisciplinary and stepping the cooperation of the hospital, studying constantly, may make the break-through. " Xia Qiang says.

Ying Wang remember in cooperative course of the past 3 years, appear case that surgery failed too. Each introspection, the doctors will all emphasize: "Must consider the work before the skill a bit more careful. " Then, the discussion is huger and huger in scale before the skill of the Supreme People's Court and the Supreme People's Procuratorate. "Now, we can fully assess the infant's state, and responsible for helping them to change states such as the administration of health,etc., must be very steady, just transplanted a doctor. " After transplanting, last group that centre can control condition changes postoperative against infant also as a rule, in order to guarantee the children see through the most difficult period.

At present,Yan Chai Hospital and form centre already last the child liver transplantation operation regulations clinicals of China's actual conditions each, include choosing the best operation opportunity, accurate operation planning, exquisite operation to be operated, followed up a case by regular visits to etc. at a specified future date.

"We expect permanent cooperation still, look for one sustainable development step the intersection of institute and cooperative Luis. " Xia Qiang introduces. Except that the operation is nursed to need cooperating, infant and pre-school children must also actually consider factors such as child's future growth, intelligence,etc. in liver transplantation. "Perhaps, only the doctor pushes the enclosure aside, cross over the enclosure and may bring the greatest benefit to infant. "

Chief correspondent Shi JiaQi of this newspaper

Finished 33 infant and pre-school children's liver transplantations in 3