The surgeon opens a cheat

Chapter 135 On-site Teaching of Different Anastomosis Methods
Zhang Gu looked at the patient's condition.

I knew it immediately.

For patients with such a large pancreatic stump, it is not suitable to use the bundled pancreaticojejunostomy.

It's a pity that there were so many people present, none of them noticed.

Zhang Gu looked around.

Next to the operating table was a seven-member surgical team, several of whom had been to his training and teaching base, and the anastomosis was fairly advanced.

At the door of the outer circle, there are the chief of surgery, the chief of medical affairs, the vice president and others.

There are so many people, but none of them have accurate eyesight on anastomosis.

Yang Guang and Ke Sheng, seeing Zhang Gu's silence, thought it was too difficult.

The two were also a little anxious.

Ke Sheng blamed himself: "It's all my fault. I insisted on making the best matching position, but I wasted the opportunity."

Yang Guang also worried: "Doctor Zhang, why don't you see if there is a second choice for the anastomotic location? Even if the anastomotic effect is slightly worse, now we can only try our best to ensure the patient's postoperative quality of life."

The group of people in the Second Academy had already lowered their psychological expectations, and only hoped that they would be able to settle for the next best thing.

Outside, the chief of medical affairs, the director of the major surgery department, the vice president, and others all looked at this place solemnly.

Zhang Gu said: "Don't worry."

He checked the bleeding point that was bleeding heavily just now and was sutured and ligated.

However, the stitching is not bad, and the basic skills are not bad.

After getting rid of worries, you can do anastomosis with peace of mind.

Zhang Gu said: "You have worked hard, let my people take over the anastomosis part."

Both Yang Guang and Ke Sheng nodded, and Ke Sheng still felt relieved.

This troublesome patient is in such a mess, finally someone can figure it out!If he is forced to continue to do it, with his mentality of worrying about gains and losses, I am afraid that he will not be able to do well for patients.

Zhang Gudao: "Xiao Mao will be my deputy, and Shen Wenting will help us on the periphery."

The two nodded and moved quickly.

While the crowd was watching, Zhang Gu's hands fell on the patient's wound, and he began to do stretching and anastomosis.

When he did this, Yang Guang, Ke Sheng and others below felt a little strange.

Why didn't you choose the second best fit position?
Even, it doesn't look like a pancreaticojejunal anastomosis.

Is it a new anastomosis?

But isn’t the bundled pancreaticojejunum anastomosis the most suitable anastomosis for pancreaticoduodenectomy?

At the same time, a hundred thousand reasons popped up in everyone's minds.

Zhang Gu has sutured the pancreatic tissue on the dorsal side of the broken end of the pancreas and the seromuscular layer of the jejunum, and sutured the pancreatic tissue on the posterior wall of the main pancreatic duct and the entire layer of the posterior wall of the jejunum.

Although everyone in the Second Academy was still puzzled, they were still convinced by Zhang Gu's solid basic skills.

"This stitching operation is simply too beautiful."

Ke Sheng also sighed: "If I had Dr. Zhang Gu's steady hand and such beautiful suturing and anastomotic skills, I wouldn't have accidentally damaged the best suturing position just now."

"However, what kind of anastomosis is Dr. Zhang doing? Why haven't I seen it before?"

"I haven't seen it before. How did you directly suture the pancreatic stump and the serous muscle of the jejunal mucosa?"

At this time, the movements in Zhang Gu's hands gradually slowed down.

The hardest part, the one that requires the most concentration, is done.

For the rest, for Zhang Gu who has advanced level of anastomosis, he can already focus on two purposes.

He planned to take advantage of this opportunity to give an on-site teaching of different anastomotic techniques to these anastomotic doctors in the Second Hospital.

"This anastomosis is called pancreaticojejunal mucosal anastomosis."

"This type of anastomosis does not need to consider the division of the jejunum, but depends on whether the seromuscular layer of the jejunum is suitable for the anastomotic position, except that the anterior wall of the pancreatic duct and the posterior wall of the jejunum are sutured, and the stump of the pancreas is anastomosed with the seromuscular layer of the jejunum. In addition, the ventral pancreas tissue and jejunum seromuscular layer need to be sutured.”

Only then did everyone realize that this is a method different from the bundled pancreaticojejunostomy.

Zhang Gu continued: "Its advantage is not only that it eliminates the difficulty of dissecting the jejunum and finding the best anastomotic position, but also that it is suitable for patients with large pancreatic ducts, and it is related to the permeability and continuity of the pancreatic duct and jejunal mucosa." It worked out very well."

Ke Sheng and other anastomotic doctors heard that their eyes glowed.

This anastomosis technique sounds perfect!

Many people even wondered why Zhang Gu didn't explain this anastomosis in the training and teaching base.

Is it for hiding?

Just listen to Zhang Gu said: "But this anastomosis has a big disadvantage, that is, it is not suitable for those with too thin pancreatic duct and thin wall. And this kind of patients happens to be the most in clinical practice."

After all.

This kind of anastomosis is only very suitable for this patient with large pancreatic duct and thick wall, so it looks so perfect.For most patients, the pancreas-intestine bundle is the most suitable.

While finishing the final suture, Zhang Gu said: "Therefore, there is no best anastomosis method, only the most suitable anastomosis method for a specific case."

On the operating table, with precise vision, different anastomoses are selected according to the specific conditions of the patients.

This is what Zhang Gu wants to convey to the anastomotic doctors in the Second Hospital today.

The Second Academy has declined to the bottom, and now it is time to start afresh. It is a very good idea to root this idea in the Second Academy, which is starting again.

Finally, Zhang Gu's work was over.

Xiaomao and Shen Wenting started finishing work.

After hearing Zhang Gu's words, many people in the Second Courtyard showed thoughtful expressions in their eyes.

Especially the first-line doctors such as Yang Guang, Ke Sheng, and the big surgeon felt the deepest, and their opinion of Zhang Gu has also improved.

"This Dr. Zhang Gu, in the field of anastomosis, is no longer limited to a certain anastomosis technique. He has reached the stage of making the most suitable anastomosis technique for a specific case."

This has left other anastomotic doctors far behind.

They can all start a sect.

postoperative.

The vice president of the Second Academy warmly received and thanked Zhang Gu.

Zhang Gu and several leaders sat for a while.

He found that the leadership of this session has a very strong desire to re-emerge the Second Academy.

Several leaders could put their heads down and ask Zhang Gu, a young man, for advice.

Zhang Gu feels that in the hands of these leaders, the Second Academy has a little more hope of rising again.

……

On the way back to the Third Courtyard.

Zhang Gu also praised Shen Wenting and Xiao Mao without hesitation.

Especially Xiao Mao, after this period of solid and diligent study, he has made great progress in his assistant ability.

Although compared with Xiang Jianhua's deputy, Dr. Yen Zimin, there is still a big gap.But with his willingness to study hard, as long as Zhang Gu is willing to take him with him more and give him more chances to exercise as his deputy, he should be able to grow up quickly.

As soon as he returned to the Third Hospital, Zhang Gu received good news!

(End of this chapter)