The surgeon opens a cheat

Chapter 137 Can Always Bring Surprises (Update Notice)
I saw Xiang Jianhua and Zhang Gu discussing the operation plan.

Xiao Baofang was a little nervous.

The result of the discussion between these two people will determine whether his eldest brother can perform the operation.

Xiang Jianhua said: "For this patient, I think so."

"Considering that the esophageal cancer in this patient has spread to the cardia, I plan to cut off the esophagus at the cardia from the left lateral thoracic incision, and cut off the tumor lesion four centimeters above the cardia and esophagus."

"But doing so will make the anastomosis of the cardia and esophagus more difficult. Do you have a solution?"

Xiang Jianhua stared at Zhang Gu.

What he just said is the best way to remove it.If all the cardia can be removed, it will be a good thing for the patient once and for all.

With this plan, Xiang Jianhua's resection will become simpler and better for the patient, but correspondingly, Zhang Gu's anastomosis will become more complicated.

It's like kicking the ball of the problem to Zhang Gu who is in charge of the second half of the anastomosis.

If Zhang Gu can't get it off, then Xiang Jianhua will choose the second option, which will be divided into two phases of surgery. Although the tumor and cancerous lesions cannot be completely removed at one time, at least the anastomosis can be guaranteed.

Of course, because the second plan is divided into two phases, many variables will be added in the middle, and the removal of unclean lesions will also cause hidden dangers in the future. Not only that, but for elderly patients who can no longer bear more troubles, repeated operations are also harmful. greater than profit.

In short, the danger and risk are far greater than the first option.

Which option to choose depends entirely on Zhang Gu's anastomosis.

Xiao Baofang also looked at Zhang Gu, his heart fluttering.

Under the watchful eyes of the two, Zhang Gu considered for a moment.

"Director Xiang, you have a problem, it's a bit of a challenge."

Hearing Zhang Gu's slightly relaxed tone, Xiang Jianhua's heart moved, with a smile on his face: "Just say it's okay!"

Zhang Gu also said with a smile: "Yes, yes, but you have to give me a day or two."

He looked at Xiao Baohua next to him: "How is the patient's condition? Is there still time for the surgery in two more days?"

Xiao Baohua quickly said: "No problem, the cancerous lesions have not spread quickly in the past week, and two days are completely enough."

"Well."

Zhang Gu said to Jianhua: "Recently, Wenxin Medical and I are jointly developing a circular stapler. It is just right for patients with esophageal cancer and cardia cancer."

Zhang Gu explained the general structure and principle of the stapler to Jianhua Xiang.

"The biggest advantage of the circular stapler is that it can effectively shorten the operation time by 30-40 minutes. Director Xiang, Dr. Xiao, you all know what this means for this patient, right?"

Shocked, the two looked at each other.

This elderly patient is in poor health.

The longer the operation time is exposed, the more unfavorable it is to the patient.

Not to mention that it can reduce three or four 10 minutes, it can effectively shorten the operation time by 10 minutes, which is great news for patients!
Zhang Gu continued: "The second advantage is that the anastomosis at the cardia is very difficult, and it is easy to cause excessive embedding around the anastomotic stoma, which will eventually lead to anastomotic stenosis."

"The circular stapler can choose the best suitable caliber, avoid repeated pulling and overlapping, less sutures, less tissue reaction, and facilitate the rapid healing of the anastomosis."

"The third advantage is also a very important point, because when I designed this disposable stapler, I fully considered the characteristics of the esophagus, and the nail seat is tight, which can effectively reduce the amount of bleeding at the anastomosis."

In the end, Zhang Gu smiled: "So, give me another day or two, and if I use the disposable circular stapler, I will be more confident in getting the stapled part."

Xiang Jianhua nodded frequently.

Compared with the principle of the stapler mentioned by Zhang Gu, Xiang Jianhua is very clear that the advantages of the stapler mentioned by Zhang Gu can be achieved in all likelihood.

And the significance of this disposable stapler is not limited to this patient.

In the future, even if you switch to other anastomotic doctors who are not as skilled as Zhang Gu, you can use this disposable stapler to perform the anastomotic part of this esophageal and cardia cancer surgery.

This has a very long-term significance for the development of the three hospitals.

Xiang Jianhua was a little excited, and patted Zhang Gu on the shoulder: "You boy, why do you always surprise me? When did you conceive this disposable circular stapler?"

Zhang Gu casually made up an excuse: "Some time ago, when I was making the previous improved stapler, I had a new idea in my mind."

He was right in saying that, the idea did come from his head.

While Xiang Jianhua and Xiao Baofang were happy, they also sighed.

There is really no comparison between people!
Why is Zhang Gu's head so bright?
Xiao Baofang felt more at ease!Big brother's illness is cured!He looked at Zhang Gu with a little more gratitude.

At this time, Xiang Jianhua remembered something and said, "By the way, there is one more thing I forgot to tell you."

"You have won the title of youth progress, and the city leaders will give you the award at the half-year mid-year summary party."

"When the time comes, dress smartly to show the spirit of our Third Academy!"

Xiang Jianhua looked at Zhang Gu, quite satisfied.He was already old when he started his career, and he did not receive the title of Progressive Youth.But finally, the young junior gave his strength and fulfilled his wish that he could not realize at the beginning.

Come out of Xiang Jianhua's office.

Zhang Gu called Li Yunlai who was ready, and returned to his small team.

Shen Wenting, Xiao Mao and Huo Fang were a little curious when they saw Zhang Gu bringing Dr. Li from neurosurgery.

Zhang Gu introduced to everyone: "From now on, Dr. Li Yunlai is also a member of our team, everyone is welcome!"

After Shen Wenting and the others were stunned for a moment, they all laughed and applauded!

"Welcome, welcome! Our small team has grown stronger again!"

Shen Wenting said happily: "Our team should be the one with the largest number of people in the general surgery department, right?"

Huo Fang thought, it really is!The team is constantly growing, which shows that there is a future!

However, she also felt a sense of crisis in her heart. Could this new Dr. Li be taking over his job?
Is she not doing a good enough job?Or do you have other plans for her?
At this moment, Huo Fang felt uneasy.

Let everyone sit down, Zhang Gu said: "The division of labor in our team will undergo some changes."

Hearing Zhang Gu's words, everyone became nervous and serious, and sat upright.

This involves everyone's vital interests, and involves everyone's job responsibilities in the future.

Zhang Gu found it very interesting.Just a few months ago, he was still a small role arranged by others. Now, he is considered the middle-level in the department and can arrange others.

Zhang Gudao: "From now on, Xiao Mao will mainly follow me and be my deputy."

Xiao Mao was overjoyed when he heard that!It seems that my assistant job has finally been recognized!

In the past few months, almost every day after work, he would go to Dr. Yen Zimin to ask about his assistant's abilities.All these hard work and dedication have not been in vain!

Shen Wenting's eyebrows were a little anxious, but she also knew that it was the time for the leader to speak and make arrangements, so she couldn't interrupt.

Her current situation is a bit embarrassing: go out with Zhang Gu, the deputy is not as capable as Xiao Mao.Let's carry out daily operations in the department, she is a bit stretched without Xiaomao.

Zhang Gu looked at Shen Wenting: "Shen Wenting, I assigned Dr. Huo Fang to be your assistant. You two are responsible for the daily operations. Can you take it down?"

Shen Wenting thought about it for a while, and suddenly she was not in a hurry, and nodded quickly!
For her, it can be regarded as having a long-term stable deputy, which is better than having an unstable deputy that Xiao Mao often goes out with Zhang Gu.

Huo Fang was even more elated. She had been a marginal person in other departments for so many years, but she was transferred to the general surgery department, and she was promising!
Now that she has joined the surgery team, her salary, treatment, respect, etc., will definitely be much better than the previous records!
"After Dr. Huo Fang, I will learn and discuss with Dr. Xiaomao and Dr. Yen Zimin more about the ability of assistants, and strive to get on the right track as soon as possible."

Huo Fang hurriedly said: "Okay!" She has often participated in Shen Wenting's operations recently, and she has some foundations and foundations, so she has no pressure to become a deputy.

"Doctor Li Yunlai, you are responsible for taking over Huo Fang's previous job, is it okay?"

Li Yunlai also nodded. Although he was dull, he was also sensible.Huo Fang's today is his tomorrow.If you work hard in this promising team, you will always succeed, much better than the original department!
……

The expansion of Zhang Gu's team made Zhou Dongfeng, Yao Na and others envious.

Especially the younger generation like Zhou Cheng and Feng Xuebin are even more delicious.

They didn't even realize that their mentality had changed from wanting to catch up with Zhang Gu at the beginning to now regretting why they didn't join Zhang Gu's team.

Look at Shen Wenting, who is also a young man, and now she is the chief surgeon, and has her own long-term and stable deputy!

Gap wow!
If I had known earlier, if I had joined Zhang Gu's team, I might have already survived by now.

……

Liu Guoxiang from Wenxin Medical Company brought good news to Zhang Gu the next morning.

The disposable circular stapler has finally been produced!

Zhang Gu took Yang Jie to the site of Wenxin R&D Department to inspect the actual products.

The quality and specifications are well done.

Liu Guoxiang is a bit old-fashioned and pedantic, and he strives for perfection in everything.Zhang Gu is still at ease when entrusting things to this kind of person.

Return to the Third Hospital with a circular stapler.

Xiang Jianhua immediately called everyone together to start the first rehearsal meeting of the operation plan.

A total of seven people, five doctors, and two senior surgical nurses formed this special diagnosis team.

Yang Jie will also observe the whole process of meetings and operations to lay the foundation for future training and teaching of this stapler.

At the meeting, everyone looked curiously at the disposable circular stapler Zhang Gu took out, knowing that this stapler would be the focus of the surgery.

Especially Donnie Yen and others, who are completely unfamiliar with this stapler, are full of curiosity at the moment.

Can this little medical device really be so magical?
……

Updates are announced at the end of the chapter "Writer's Words".

　In the future, the number of words in each chapter will be changed to [-] words, and two chapters will be updated every day.In this way, [-] words are updated every day, which is a little more than the previous [-] words a day.My codeword speed has been very slow, and I am trying to adjust and try to speed up the update speed.In addition, I would like to thank the book friends who have given rewards in the past few days, and those who are willing to come to Qidian to support genuine subscriptions, you are the best!thank you for your support!

　　
　
(End of this chapter)