The surgeon opens a cheat
Chapter 122 The First Spleen Preserving Example Operation
Chapter 122 The First Spleen Preserving Example Operation
Wu Yan secretly planned that next, he would push and let go of other tasks.
Focus your work on this subject.
In the afternoon, Wu Yan called Zhang Gu again to go to the simulation room of the teaching office, and conducted further simulation rehearsal and derivation and demonstration of the two spleen-preserving techniques.
The process went smoothly. Basically, Wu Yan raised questions around the technique and got answers from Zhang Gu.
The success of the simulation preview gave Wu Yan greater confidence.
Finally, good news came from the No. [-] hospital in the city, and the patients who needed to undergo pancreatectomy were also coordinated.
Finally, the first instance of surgery is about to begin!
Wu Yan seemed more excited than Zhang Gu.
Tian Sha is still dizzy up to now. Her original highest expectation was to pass this subject and attract the attention of the industry, and perhaps attract a certain genius doctor to develop the spleen-preserving technique.
Unexpectedly, Zhang Gu next to her was a genius doctor, and as soon as the technique was developed, there were two of them, and it didn't cost money, which made her feel like a dream.
The three came to the first hospital in the city.
Wu Yan led the two of them to greet Geng Bozhong first.He also has a good relationship with Geng Bozhong.
Wu Yan smiled and said, "Old Geng, these are the two students I brought, Tian Sha and Zhang Gu. Don't need to introduce more?"
Geng Bozhong looked at Zhang Gu with a smile: "Zhang Gu and I have known each other for a long time, and I have always been optimistic about him. By the way, what surgery are you going to do today?"
Wu Yan smiled mysteriously: "It can't be revealed yet."
Geng Bozhong originally just asked casually, because he thought that Wu Yan just brought two people to verify the data with examples.
But when Wu Yan said this, Geng Bozhong felt that today's surgery might be unusual.
Is there any surprise?
If he didn't have a surgery to do later, Geng Bozhong would have wanted to observe it.
Geng Bozhong smiled and said: "Okay, then I wish you all a complete success!"
Come out from Geng Bozhong.
Bao Zhihui, the chief of the Department of Hepatobiliary Surgery, was already waiting outside.
Wu Yan: "Director Bao, how is the patient's condition? Is it suitable for surgery?"
Bao Zhihui nodded and said, "Operation is possible. The patient is ready now. Let's go into the operating room now. Isn't there any problem?"
"No problem!" Wu Yan was already gearing up.
Bao Zhihui was a little puzzled, isn't it just a spleen operation?
With the qualifications of the old principal Wu Yan, why are you so excited?
……
Several people were sent to the operating room.
Bao Zhihui withdrew.
He still has a lot of things to do, and he was able to spare time today to accompany a few people throughout the whole process, which is already the result of Geng Bozhong's special instruction to make him pay attention to Zhang Gu.
However, what Bao Zhihui didn't expect was that he would soon regret his departure.
Bao Zhihui left, but he also left behind a professional surgical team.
There are two instrument nurses and three itinerant nurses, all of whom are the best in the operating room of the first hospital.
Zhang Gu was the chief surgeon, Wu Yan was his assistant, and Tian Sha was responsible for recording various data.
On the operating table, the patient was given general anesthesia, endotracheal intubation, lying on the right side, with the head above the soles of the feet.
Wu Yan's eyes fell on Zhang Gu.
I was also a little curious.
He had never seen Zhang Gu perform an operation before, and he had always heard Xiang Jianhua praise Zhang Gu's high level of practical operation.
He also wanted to see what level of practical ability the outstanding young people had.
Zhang Gu picked up the scalpel.
The master-level ability made him feel different from the previous operation this time.
That is focus, ease of use, and the confidence that you are not afraid of the complicated situation of the patient and the accident of the operation.
Zhang Gu made a one-centimeter incision on the patient's umbilicus, and punctured it with a rising and falling needle to establish pneumoperitoneum.
Seeing Zhang Gu's basic laparotomy, Wu Yan nodded slightly.
The basic skills are precisely the ones that can be seen the most. Just now Zhang Gu's basic skills are very solid.
Wu Yan manipulated the laparoscope and explored from under the puncture.With the deepening of the laparoscopy, Zhang Gu made a 12mm incision at the left midline of the clavicle five centimeters below the ribs, and then made a [-]mm incision at the midpoint of the line connecting the umbilical cord and the xiphoid process...
The entire laparotomy process was the first cooperation between Zhang Gu and Wu Yan.
But the two behaved very tacitly.
Wu Yan took another look at Zhang Gu, and was a little surprised at Zhang Gu's practical operation ability.
He could vaguely feel that Zhang Gu's practical ability could obviously be better, but in order to cooperate with him, he had to suppress his own level.
This feeling was so hazy that Wu Yan couldn't believe it.
How many surgeries did this young man have to practice his basic skills to such a solid level?
After Zhang Gu used an ultrasonic scalpel to cut off the gastrocolic ligament and spleen and stomach ligament, explored and used ultrasound to locate the mass on the body and tail of the pancreas, after this series of operations...
Wu Yan was completely overwhelmed by Zhang Gu's operation.
At this moment, Wu Yan had only one thought in his mind.
Xiang Jianhua is too conservative!
Zhang Gu's operation is more than possible?It was clearly done very well!It's Xiang Jianhua doing it himself, at most that's it!
The gentleness of the technique, the stability of the hands, the proper strength of the pulling force, the sophisticated placement of the vascular sling when freeing, and the wise separation of the loose tissue first when separating...
Waiting for this series of outstanding performances, Zhang Gudu looks more like a veteran than a young man in his 20s!
Even sometimes, when Zhang Gu made a very detailed operation, Wu Yan thought for a moment, what kind of student he recruited.
Even the cooperating equipment nurse and itinerant nurse next to him felt that this young chief surgeon performed the operation very professionally.
It is Bao Zhihui, the department director they often cooperate with, who sometimes seems to be less professional than this young doctor.
When the body and tail of the pancreas are fully exposed, the mass is revealed.
That means, it is time to start the spleen-preserving surgery!
Wu Yan couldn't help asking: "Which spleen-preserving technique do you plan to use?"
Zhang Gu said with a faint smile: "This patient is in good condition. The pancreatic lesion is not tightly adhered to the splenic blood vessel, and it is easy to separate. The first method can be used."
Wu Yan nodded. Do you want to choose the first technique that is more difficult but more effective?
Tian Sha beside her also widened her eyes.
The spleen-preserving technique she was looking forward to the most is finally coming!
At the same time, she also carefully records the data.
Whether the surgical method is excellent or not depends not only on the excellent surgical thinking.
It also depends on the data such as the length of operation time and the amount of blood loss of this operation. Compared with the splenectomy operation, whether there will be a significant gap.
If the gap is too large, then no matter how good the technique is, it will lose a considerable part of its positive meaning.
Because no matter how successful the operation is, if the time is too long, the amount of bleeding during the operation is too large, there are too many complications, incision infection, etc., and it is not good for the patient, then this operation will still be abandoned by the medical profession.
Everything depends on Zhang Gu's performance next.
Under everyone's expectation, Zhang Gu started the spleen-preserving operation.
(End of this chapter)
Wu Yan secretly planned that next, he would push and let go of other tasks.
Focus your work on this subject.
In the afternoon, Wu Yan called Zhang Gu again to go to the simulation room of the teaching office, and conducted further simulation rehearsal and derivation and demonstration of the two spleen-preserving techniques.
The process went smoothly. Basically, Wu Yan raised questions around the technique and got answers from Zhang Gu.
The success of the simulation preview gave Wu Yan greater confidence.
Finally, good news came from the No. [-] hospital in the city, and the patients who needed to undergo pancreatectomy were also coordinated.
Finally, the first instance of surgery is about to begin!
Wu Yan seemed more excited than Zhang Gu.
Tian Sha is still dizzy up to now. Her original highest expectation was to pass this subject and attract the attention of the industry, and perhaps attract a certain genius doctor to develop the spleen-preserving technique.
Unexpectedly, Zhang Gu next to her was a genius doctor, and as soon as the technique was developed, there were two of them, and it didn't cost money, which made her feel like a dream.
The three came to the first hospital in the city.
Wu Yan led the two of them to greet Geng Bozhong first.He also has a good relationship with Geng Bozhong.
Wu Yan smiled and said, "Old Geng, these are the two students I brought, Tian Sha and Zhang Gu. Don't need to introduce more?"
Geng Bozhong looked at Zhang Gu with a smile: "Zhang Gu and I have known each other for a long time, and I have always been optimistic about him. By the way, what surgery are you going to do today?"
Wu Yan smiled mysteriously: "It can't be revealed yet."
Geng Bozhong originally just asked casually, because he thought that Wu Yan just brought two people to verify the data with examples.
But when Wu Yan said this, Geng Bozhong felt that today's surgery might be unusual.
Is there any surprise?
If he didn't have a surgery to do later, Geng Bozhong would have wanted to observe it.
Geng Bozhong smiled and said: "Okay, then I wish you all a complete success!"
Come out from Geng Bozhong.
Bao Zhihui, the chief of the Department of Hepatobiliary Surgery, was already waiting outside.
Wu Yan: "Director Bao, how is the patient's condition? Is it suitable for surgery?"
Bao Zhihui nodded and said, "Operation is possible. The patient is ready now. Let's go into the operating room now. Isn't there any problem?"
"No problem!" Wu Yan was already gearing up.
Bao Zhihui was a little puzzled, isn't it just a spleen operation?
With the qualifications of the old principal Wu Yan, why are you so excited?
……
Several people were sent to the operating room.
Bao Zhihui withdrew.
He still has a lot of things to do, and he was able to spare time today to accompany a few people throughout the whole process, which is already the result of Geng Bozhong's special instruction to make him pay attention to Zhang Gu.
However, what Bao Zhihui didn't expect was that he would soon regret his departure.
Bao Zhihui left, but he also left behind a professional surgical team.
There are two instrument nurses and three itinerant nurses, all of whom are the best in the operating room of the first hospital.
Zhang Gu was the chief surgeon, Wu Yan was his assistant, and Tian Sha was responsible for recording various data.
On the operating table, the patient was given general anesthesia, endotracheal intubation, lying on the right side, with the head above the soles of the feet.
Wu Yan's eyes fell on Zhang Gu.
I was also a little curious.
He had never seen Zhang Gu perform an operation before, and he had always heard Xiang Jianhua praise Zhang Gu's high level of practical operation.
He also wanted to see what level of practical ability the outstanding young people had.
Zhang Gu picked up the scalpel.
The master-level ability made him feel different from the previous operation this time.
That is focus, ease of use, and the confidence that you are not afraid of the complicated situation of the patient and the accident of the operation.
Zhang Gu made a one-centimeter incision on the patient's umbilicus, and punctured it with a rising and falling needle to establish pneumoperitoneum.
Seeing Zhang Gu's basic laparotomy, Wu Yan nodded slightly.
The basic skills are precisely the ones that can be seen the most. Just now Zhang Gu's basic skills are very solid.
Wu Yan manipulated the laparoscope and explored from under the puncture.With the deepening of the laparoscopy, Zhang Gu made a 12mm incision at the left midline of the clavicle five centimeters below the ribs, and then made a [-]mm incision at the midpoint of the line connecting the umbilical cord and the xiphoid process...
The entire laparotomy process was the first cooperation between Zhang Gu and Wu Yan.
But the two behaved very tacitly.
Wu Yan took another look at Zhang Gu, and was a little surprised at Zhang Gu's practical operation ability.
He could vaguely feel that Zhang Gu's practical ability could obviously be better, but in order to cooperate with him, he had to suppress his own level.
This feeling was so hazy that Wu Yan couldn't believe it.
How many surgeries did this young man have to practice his basic skills to such a solid level?
After Zhang Gu used an ultrasonic scalpel to cut off the gastrocolic ligament and spleen and stomach ligament, explored and used ultrasound to locate the mass on the body and tail of the pancreas, after this series of operations...
Wu Yan was completely overwhelmed by Zhang Gu's operation.
At this moment, Wu Yan had only one thought in his mind.
Xiang Jianhua is too conservative!
Zhang Gu's operation is more than possible?It was clearly done very well!It's Xiang Jianhua doing it himself, at most that's it!
The gentleness of the technique, the stability of the hands, the proper strength of the pulling force, the sophisticated placement of the vascular sling when freeing, and the wise separation of the loose tissue first when separating...
Waiting for this series of outstanding performances, Zhang Gudu looks more like a veteran than a young man in his 20s!
Even sometimes, when Zhang Gu made a very detailed operation, Wu Yan thought for a moment, what kind of student he recruited.
Even the cooperating equipment nurse and itinerant nurse next to him felt that this young chief surgeon performed the operation very professionally.
It is Bao Zhihui, the department director they often cooperate with, who sometimes seems to be less professional than this young doctor.
When the body and tail of the pancreas are fully exposed, the mass is revealed.
That means, it is time to start the spleen-preserving surgery!
Wu Yan couldn't help asking: "Which spleen-preserving technique do you plan to use?"
Zhang Gu said with a faint smile: "This patient is in good condition. The pancreatic lesion is not tightly adhered to the splenic blood vessel, and it is easy to separate. The first method can be used."
Wu Yan nodded. Do you want to choose the first technique that is more difficult but more effective?
Tian Sha beside her also widened her eyes.
The spleen-preserving technique she was looking forward to the most is finally coming!
At the same time, she also carefully records the data.
Whether the surgical method is excellent or not depends not only on the excellent surgical thinking.
It also depends on the data such as the length of operation time and the amount of blood loss of this operation. Compared with the splenectomy operation, whether there will be a significant gap.
If the gap is too large, then no matter how good the technique is, it will lose a considerable part of its positive meaning.
Because no matter how successful the operation is, if the time is too long, the amount of bleeding during the operation is too large, there are too many complications, incision infection, etc., and it is not good for the patient, then this operation will still be abandoned by the medical profession.
Everything depends on Zhang Gu's performance next.
Under everyone's expectation, Zhang Gu started the spleen-preserving operation.
(End of this chapter)
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