The surgeon opens a cheat

Chapter 10 The Opportunity for Performance Comes

Feng Xuebin didn't dare to delay for a second, and hurried to call someone.

Yao Na began to concentrate on subtotal gastrectomy.

Zhang Gu couldn't get in the way, so he could only stand by and study hard.

I saw Yao Na skillfully incised the peritoneum on the surface of the hepatoduodenal ligament to remove fat and lymphoid tissue.After identifying the common bile duct and the hepatic artery, the right gastric artery and vein were ligated and cut off, close to the edge of the liver, and the gastrocolic ligament was cut off with an electric knife.

After a series of operations, Zhang Gu was dazzled.

"As expected of Tongji Hospital, Director Yao Na's attainment in subtotal gastrectomy is indeed very high."

The hospital's willingness to pay attention to Yao Na is not aimless.

This woman has a very good side that is worth learning from.

Zhang Gu watched eagerly, trying to learn Yao Na's handling of each part.

Under the shadowless lamp, Yao Na was focused and careful. Along the avascular area, she quickly cut off the gastrocolic ligament with an electric knife, peeled off the anterior leaf of the transverse mesocolon, and removed the anterior capsule of the pancreas.

The hands are delicate and quick, without muddling.

Zhang Gu was watching intently.

Feng Xuebin suddenly left and returned.

He looked anxious, wanted to say something, and saw that Yao Na was concentrating on the operation, afraid of disturbing her and causing irreparable mistakes.

It was the first time Zhang Gu saw Feng Xuebin panicked, and hurriedly asked, "What's wrong?"

Feng Xuebin said anxiously: "Director Xiang is also undergoing surgery upstairs, which is a radical operation for colon cancer. I'm afraid I won't be able to get off the operating table all day today! Director Xiang, I'm afraid there is no hope."

Zhang Gu's heart skipped a beat!
"Where's Director Geng Bozhong from the hospital?"

Feng Xuebin said with an ugly face: "I reported the situation here to Vice President Wang, and he is in contact with the First Hospital."

"But when I left the vice president's office, I heard on the phone that Director Geng Bozhong had gone to Xincheng to attend the surgery exchange meeting yesterday, and he won't be back until tonight. I'm afraid... I can't count on it."

Zhang Gu thought to himself that something was wrong, he glanced at Yao Na, only to see that Yao Na's body was trembling too.

Obviously also heard what Feng Xuebin said just now.

This operation, now part of the duodenum has been removed, can no longer be concluded.

If no one comes to dissociate and anastomose the jejunum today, the patient may die on the operating table to finish the operation.

Then things are really big!

Yao Na took a deep breath and said, "I believe the leaders of the institute, Vice President Wang and the others will definitely figure out a way."

"Our top priority now is to complete and complete the subtotal gastrectomy first. It is estimated that by then, experts in gastrointestinal anastomosis will be in place."

Feng Xuebin and Zhang Gu nodded nervously.

Now I can only choose to trust the leadership of the academy.

Yao Na once again devoted herself to the tense subtotal gastrectomy.

Feng Xuebin also stood on the operating table as a deputy.

He has been with Yao Na for a while, and he still has some experience in handling this operation. In this respect, he is still better than Zhang Gu.

……

At this moment, in the office of Vice President Wang Ping.

Several high-level leaders are urgently discussing ways.

Wang Ping sighed: "It just so happens that Director Geng Bozhong of the First Hospital of the Shanghai Municipal People's Court is on a business trip. It's such an unfortunate coincidence!"

Another Vice President Liu frowned and asked, "Have you contacted Director Geng? What did he say?"

Wang Ping couldn't sit still, got up and paced non-stop, and said: "After Lao Geng found out, he immediately ended the exchange meeting early and rushed back, but Xincheng is at least six hours' drive away from us. I'm afraid it's too late."

"Then what about the director?"

Vice-President Liu suggested: "Can Director Xiang temporarily hand it over to his deputy, and after the anastomosis is completed, go back to the main surgeon, and take care of both operations at the same time."

Lu Wei, chief of the medical department, said with a wry smile: "I'm afraid it won't work. Director Xiang's colon cancer radical surgery is only performed by him in our third hospital. Without him, no one would dare to use the knife!"

Vice President Liu sighed: "There are still too few pillar-type talents in our third hospital! It seems to be stretched at critical moments."

"How about contacting the province? Ask the province for help?"

Wang Ping shook his head and vetoed: "The province is sending experts immediately. I am afraid that there will be no time to coordinate and dispatch. At most, I can connect to a remote video for technical guidance."

"But the jejunum and ileum with severe free adhesions are the most challenging for doctors, and remote guidance will not work."

"Now, the most reliable one is Geng Bozhong. I will urge him again to see if he can speed up the drive and come back early to save the situation."

……

operating room.

Yao Na's forehead was dripping with sweat, and the itinerant nurse kept wiping her sweat.

Subtotal gastrectomy is also a major operation, which is very energy-intensive.

Well, it's finally done.

Yao Na raised her head and looked outside.

"What do the hospital leaders say, have you coordinated with an anastomosis expert?"

Feng Xuebin shook his head with an ugly expression.

"Director Xiang couldn't get away. Director Geng Bozhong heard that he was already on his way back. Dean Wang was on the phone to coordinate with the Medical Association to see if there was any other solution."

other way?

Only Xiang Jianhua and Geng Bozhong were able to dissociate and anastomose the jejunum with this degree of adhesion.For others, it's useless to coordinate.

Yao Na glanced at the old patient on the operating table.

The patient's physique is inherently weak, and the subtotal gastrectomy is very debilitating. If it continues to drag on, I don't know if the old man can hold on.

At this time, someone had to stand up and immediately anastomose the jejunum.

Yao Na gritted her teeth, she couldn't wait for an expert, so she had to force herself.

Although she is not as good as Xiang Jianhua in terms of free intestinal adhesion and anastomosis, the situation is urgent and she can only do her best.

At this time, Zhang Gu said: "Director Yao, do you want me to try?"

Yao Na was stunned: "You?"

Feng Xuebin was also stunned, what did Zhang Gu say just now?

Am I hallucinating?
Zhang Gu said solemnly: "Director Yao, I have learned a new technique, which can anastomose the stump of duodenum and stomach without cutting and freeing the jejunum."

"And this kind of anastomosis has low requirements for blood supply. As long as the mesangial blood vessels are not damaged, sufficient blood supply can be guaranteed."

"What you said is true?" Yao Na was surprised. Is there such a different way of anastomosis?
Zhang Gu quickly shared his thoughts with Yao Na.

"It seems to be working."

Yao Na's eyes lit up when she heard that, if this technique is really feasible, then there is no need to take huge risks to free the jejunum with severe adhesions.

The more Yao Na thinks about it, the more she feels that Zhang Gu's technique is feasible.

Not only does it not need to cut the jejunum, it can avoid the occurrence of adhesions and reverse peristalsis, but also reduces the damage to the mesangial blood vessels, and blocks the input loop jejunum, which has many advantages!

"Okay, you come to do the anastomosis work. I will be your assistant!" Yao Na knew that it was not too late and she had to be decisive.

Zhang Gu hummed, and immediately consumed a conversion card to convert the previous duodenectomy card into a modified gastrojejunostomy card.

A new icon lit up in Zhang Gu's mind.

"This anastomosis, I have to do it well."

This operation is not only related to the life and death of the patient, but also Zhang Gu's first time as the chief surgeon, and it is also an excellent opportunity for him to perform.

(End of this chapter)