The surgeon opens a cheat
Chapter 138 It's So Great (Subscribe)
Chapter 138 It's So Great (Subscribe)
At the rehearsal meeting, after Xiang Jianhua got the real disposable circular stapler, he studied it carefully.
Immediately certain in my heart!
According to his experience evaluation, this stapler should be able to achieve all the advantages Zhang Gu mentioned!
He has full confidence in the first plan of this operation!
After discussing the rehearsal meeting, the plan was also thoroughly finalized.
Start the operation.
Xiang Jianhua and Donnie Yen began to open their chests.
With Zhang Gu's powerful anastomosis technique as a base, Xiang Jianhua dared to take the knife with confidence. He didn't have to deliberate for a long time every time he made the knife as before.
Even the cardia and the long section of esophagus were dared to be removed directly.
Xiao Baofang looked at the big brother on the operating table, feeling a little nervous, and swallowed with difficulty.
I hope everything goes well!
Xiang Jianhua fully mobilized the esophagus and stomach, and resected the distal end of the esophagus at the cardia.The proximal end of the esophagus was cut off at a distance of 4 cm from the tumor, and then sutured with a No. 7 silk suture.
This is the part left for Zhang Gu to deal with later.
With the assistance of Donnie Yen, 3 mucous membrane forceps were used to clamp the entire thickness of the broken end and remove the auricle forceps.
The whole process, unknowingly passed 2 hours and 10 minutes.
This was when Xiang Jianhua and Donnie Yen cooperated tacitly and had mature surgical techniques.If it is done by another team, I am afraid it will take longer.
The main reason is that we must be careful not to damage the surrounding blood vessels and tissues when fully dissociated and severed the esophagus and stomach, and a lot of time is spent here.
For the next anastomosis, Zhang Gu and Xiao Mao went to the operating table.
Xiao Baofang's throat couldn't help rolling.
There is not much time left for Zhang Gu and the others to operate.
According to the original plan, the operation time should be controlled within 3 hours and 15 minutes.More than two hours have passed now, is the remaining time enough for Zhang Gu to finish the anastomosis?
Everyone knows that the tighter the schedule, the easier it is to make mistakes.
Especially when faced with the internal conditions of complex and difficult patients, if any step is not handled well, accidents may occur and more time is wasted.
If the mentality is not stable, the operation time will be delayed again and again, and the harm to the patient will become greater and greater.
Can Zhang Gu withstand the pressure and complete the anastomosis safely and smoothly in such a short period of time?
"Xiao Mao, the nail seat."
Xiaomao quickly handed over the disassembled stapler.
Zhang Gu placed the anvil into the esophagus, and tightened the purse string sutured by Jianhua just now.
"Xiao Mao, you tie the knot and stretch it, and I will continue to ligate and tighten the broken end."
The two already had a preliminary tacit cooperation.
Zhang Gu ligated with a single No. 7 thread, lifted the stomach to the chest, inserted the main part of the stapler from the broken end of the cardia, and passed the central rod through the high point of the gastric fundus, and aligned it with the previously placed anvil combine.
Next, is the focus of the operation.
It can be said that the success of the anastomosis depends entirely on this.
Zhang Gu pinched the stapler, carefully checked whether the anastomotic tissue was exposed, and ensured that the clamped backbone was not embedded in other tissues...
With the sound of "click", it marks the completion of the anastomosis operation.
Everyone stretched their necks and looked at Shuye.
What will be the anastomotic effect of this small medical device?Can it compare to Zhang Gu's artificial anastomosis?
Wait for the stapler to leave the anastomotic port gradually.
An anastomosis with tight stapling, complete clipping, and neat incision appeared in front of everyone.
Donnie Yen and the others' eyes were straightened!
This anastomosis is too good-looking, too beautiful!
It's like a masterpiece of matching masters.
And after using a disposable circular stapler, the stapling speed is too fast!
Everyone looked at the time, from the very beginning when Zhang Gu and Xiao Mao went to the operating table, began to arrange the stapler, to integrate the incision, and finally to the final click, only four or ten minutes had passed!
Compared with manual anastomosis, it almost saves nearly half of the time!
This is very important for a patient, especially an elderly and severe patient, to reduce the surgical exposure time!
The eyes of everyone looking at the disposable stapler are no longer just looking at a small tool, but more like seeing a sharp weapon that greatly improves the efficiency of surgery!
Thinking of this, everyone looked at Zhang Gu more.
As long as they have this small medical device, many anastomosis doctors can become masters of anastomosis. Isn't this taking the job of an excellent anastomosis doctor like Zhang Gu?
Zhang Gu is sacrificing his own interests, just to help patients and promote the progress of modern medicine!
This young figure is so majestic!
Xiang Jianhua's mind also became active, and he saw more and further.
If disposable staplers can be popularized, then the difficulty of esophageal cancer and cardia cancer surgery, which is already very difficult, will be greatly reduced in the third hospital, and even reach the level of daily operation.
And if it can pass the anastomosis training base, it can be exported to other hospitals.That would bring back more benefits and room for development for the three courtyards.
Of course, these are all things that the hospital's senior management should worry about.
"This Zhang Gu, gave me another big gift!" Xiang Jianhua wondered in his heart, should he also mention the position of Zhang Gu's honorary lecturer?
However, further up is the vice principal of the training base. Zhang Gu didn't even get the title of attending physician, so it's really not easy to get it.I can only think about it in the promotion system of the scientific research center.
The success of the anastomosis also marks the end of the operation.
Zhang Gu slowly turned the knob and withdrew the stapler, ensuring that no secondary damage would be caused to the surrounding wound during the withdrawal process.
After exiting the stapler, Zhang Gu performed horizontal mattress suture around the anastomosis and covered it with the mediastinal pleura. These operations were all to protect the anastomotic wound.
Finally, a gastric tube was placed, the cardia was sutured, and the gastric wall was placed into the bed of the gastric tube.
Finally, the chest was closed and sutured, and the operation was over.
Zhang Gu glanced at the time, it was 3 hours.
When they saw this, everyone had surprise expressions on their faces.
It turned out to be 15 minutes shorter than the expected time!This was the case when Xiang Jianhua and the two had slightly exceeded the time spent before.
This surgery was done great!
Xiao Baofang put his heart into his stomach even more.
Such a successful operation is definitely the best result for this big brother in his hometown.
Yang Jie was on the periphery, so excited to see it!Is this the stapler she will be teaching next?
It's really great. With the data of this operation released, the anastomotic doctors in all the surrounding hospitals in Yuancheng will flock to attend the lecture!
The training and teaching base should be booming again soon!
Come out of the operating room.
The family member of the patient, the 30-year-old simple man, came forward quickly, and with him was an old woman whose blue clothes were whitish from washing. Both of them looked at Xiao Baofang anxiously.
Xiao Baofang saw the elders in the village, and hurried forward and said, "Grandma, don't worry, my eldest brother's operation was very successful, thanks to the surgeons in our hospital."
The man and the grandmother kept thanking Xiang Jianhua and Zhang Gu.
Xiao Baofang also nodded gratefully to Zhang Gu.He knew very well that Zhang Gu's role in this operation was to some extent even greater than that of Xiang Jianhua!
……
Yang Jie followed Zhang Gu to the general surgery department, the office of Zhang Gu's team.
She still has some questions and needs to ask Zhang Gu.
"Leader Zhang, does the teaching of this stapler require a dedicated teaching doctor in the operating room?"
Zhang Gu said: "No need, this disposable circular stapler is relatively simple to use."
"You go to the operating room and ask for the video of the operation field just now, and play it back in class, just to assist teaching."
Yang Jie nodded, and she knew it in her heart.
After asking a few more specific questions, she took a new stapler back to study and ponder.
At this time, Shen Wenting smiled strangely and said, "Brother Zhang, someone has come to see you!"
Zhang Gu was a little puzzled, who would come to see me?
Come to the door.
A girl, wearing a floral white dress, was carrying a food box. When she saw Zhang Gu, she showed a sweet smile: "Doctor Zhang, I'm here to bring you delicious food again!"
It was the high school student who was rescued from the mall fire last time, but this time she came alone, and her little sisters didn't come.
Zhang Gu said with a tactful smile: "You are still in high school, right? Spending more time studying is the right way."
The girl nodded, and said helplessly, "I'm going to be a third grader soon, and I'm going to stay. I don't think I'll have time to make soup for you after that. This may be the last time this year."
Well, Zhang Gu accepted this last lunch, comforted the girl for a while, and told her to study hard.
The girl said that she also wanted to apply for the medical university and work with Zhang Gu in the future.
Wait for the girl to leave.
Shen Wenting and Xiao Mao came over.
Shen Wenting sniffed her nose: "Oh! Why is it so sweet, the air is full of sweet and soft scent!"
Zhang Gu glanced at her: "Unfortunately, this sweetness is for me, not for you. Come on, Xiao Mao, we have fresh soup to drink again! Huo Fang, Li Yunlai, you all come and taste some!"
Huo Fang came over with a smile, and the new member Li Yunlai also came over.
The two have been more and more integrated into this team, and the atmosphere is very harmonious, better than the team they were in before, very happy, and at the same time, they are full of vigor.
I have to say that the girl's cooking skills are very good, and this chicken soup is endless aftertaste.
Even Shen Wenting, who was clamoring to lose weight, had a round stomach after drinking.
……
The Third Hospital developed a disposable circular stapler and cured a case of esophageal and cardia cancer, which spread like wildfire.
Many people are saying that this stapler from the Third Hospital is very good, and it almost solves the difficult problem of esophageal cancer surgery at one time.
Many anastomotic doctors in hospitals were itchy to hear this, and wanted to see this new stapler.
Not long after, the training and anastomotic base of the Third Hospital launched a new course at the same time, specifically teaching the use of this disposable circular stapler.
As expected, the number of applicants for courses at the training base was booming again, and there was a grand occasion of queuing up for appointments.
at the same time.
Zhang Gu is also doing something very important to him.
(End of this chapter)
At the rehearsal meeting, after Xiang Jianhua got the real disposable circular stapler, he studied it carefully.
Immediately certain in my heart!
According to his experience evaluation, this stapler should be able to achieve all the advantages Zhang Gu mentioned!
He has full confidence in the first plan of this operation!
After discussing the rehearsal meeting, the plan was also thoroughly finalized.
Start the operation.
Xiang Jianhua and Donnie Yen began to open their chests.
With Zhang Gu's powerful anastomosis technique as a base, Xiang Jianhua dared to take the knife with confidence. He didn't have to deliberate for a long time every time he made the knife as before.
Even the cardia and the long section of esophagus were dared to be removed directly.
Xiao Baofang looked at the big brother on the operating table, feeling a little nervous, and swallowed with difficulty.
I hope everything goes well!
Xiang Jianhua fully mobilized the esophagus and stomach, and resected the distal end of the esophagus at the cardia.The proximal end of the esophagus was cut off at a distance of 4 cm from the tumor, and then sutured with a No. 7 silk suture.
This is the part left for Zhang Gu to deal with later.
With the assistance of Donnie Yen, 3 mucous membrane forceps were used to clamp the entire thickness of the broken end and remove the auricle forceps.
The whole process, unknowingly passed 2 hours and 10 minutes.
This was when Xiang Jianhua and Donnie Yen cooperated tacitly and had mature surgical techniques.If it is done by another team, I am afraid it will take longer.
The main reason is that we must be careful not to damage the surrounding blood vessels and tissues when fully dissociated and severed the esophagus and stomach, and a lot of time is spent here.
For the next anastomosis, Zhang Gu and Xiao Mao went to the operating table.
Xiao Baofang's throat couldn't help rolling.
There is not much time left for Zhang Gu and the others to operate.
According to the original plan, the operation time should be controlled within 3 hours and 15 minutes.More than two hours have passed now, is the remaining time enough for Zhang Gu to finish the anastomosis?
Everyone knows that the tighter the schedule, the easier it is to make mistakes.
Especially when faced with the internal conditions of complex and difficult patients, if any step is not handled well, accidents may occur and more time is wasted.
If the mentality is not stable, the operation time will be delayed again and again, and the harm to the patient will become greater and greater.
Can Zhang Gu withstand the pressure and complete the anastomosis safely and smoothly in such a short period of time?
"Xiao Mao, the nail seat."
Xiaomao quickly handed over the disassembled stapler.
Zhang Gu placed the anvil into the esophagus, and tightened the purse string sutured by Jianhua just now.
"Xiao Mao, you tie the knot and stretch it, and I will continue to ligate and tighten the broken end."
The two already had a preliminary tacit cooperation.
Zhang Gu ligated with a single No. 7 thread, lifted the stomach to the chest, inserted the main part of the stapler from the broken end of the cardia, and passed the central rod through the high point of the gastric fundus, and aligned it with the previously placed anvil combine.
Next, is the focus of the operation.
It can be said that the success of the anastomosis depends entirely on this.
Zhang Gu pinched the stapler, carefully checked whether the anastomotic tissue was exposed, and ensured that the clamped backbone was not embedded in other tissues...
With the sound of "click", it marks the completion of the anastomosis operation.
Everyone stretched their necks and looked at Shuye.
What will be the anastomotic effect of this small medical device?Can it compare to Zhang Gu's artificial anastomosis?
Wait for the stapler to leave the anastomotic port gradually.
An anastomosis with tight stapling, complete clipping, and neat incision appeared in front of everyone.
Donnie Yen and the others' eyes were straightened!
This anastomosis is too good-looking, too beautiful!
It's like a masterpiece of matching masters.
And after using a disposable circular stapler, the stapling speed is too fast!
Everyone looked at the time, from the very beginning when Zhang Gu and Xiao Mao went to the operating table, began to arrange the stapler, to integrate the incision, and finally to the final click, only four or ten minutes had passed!
Compared with manual anastomosis, it almost saves nearly half of the time!
This is very important for a patient, especially an elderly and severe patient, to reduce the surgical exposure time!
The eyes of everyone looking at the disposable stapler are no longer just looking at a small tool, but more like seeing a sharp weapon that greatly improves the efficiency of surgery!
Thinking of this, everyone looked at Zhang Gu more.
As long as they have this small medical device, many anastomosis doctors can become masters of anastomosis. Isn't this taking the job of an excellent anastomosis doctor like Zhang Gu?
Zhang Gu is sacrificing his own interests, just to help patients and promote the progress of modern medicine!
This young figure is so majestic!
Xiang Jianhua's mind also became active, and he saw more and further.
If disposable staplers can be popularized, then the difficulty of esophageal cancer and cardia cancer surgery, which is already very difficult, will be greatly reduced in the third hospital, and even reach the level of daily operation.
And if it can pass the anastomosis training base, it can be exported to other hospitals.That would bring back more benefits and room for development for the three courtyards.
Of course, these are all things that the hospital's senior management should worry about.
"This Zhang Gu, gave me another big gift!" Xiang Jianhua wondered in his heart, should he also mention the position of Zhang Gu's honorary lecturer?
However, further up is the vice principal of the training base. Zhang Gu didn't even get the title of attending physician, so it's really not easy to get it.I can only think about it in the promotion system of the scientific research center.
The success of the anastomosis also marks the end of the operation.
Zhang Gu slowly turned the knob and withdrew the stapler, ensuring that no secondary damage would be caused to the surrounding wound during the withdrawal process.
After exiting the stapler, Zhang Gu performed horizontal mattress suture around the anastomosis and covered it with the mediastinal pleura. These operations were all to protect the anastomotic wound.
Finally, a gastric tube was placed, the cardia was sutured, and the gastric wall was placed into the bed of the gastric tube.
Finally, the chest was closed and sutured, and the operation was over.
Zhang Gu glanced at the time, it was 3 hours.
When they saw this, everyone had surprise expressions on their faces.
It turned out to be 15 minutes shorter than the expected time!This was the case when Xiang Jianhua and the two had slightly exceeded the time spent before.
This surgery was done great!
Xiao Baofang put his heart into his stomach even more.
Such a successful operation is definitely the best result for this big brother in his hometown.
Yang Jie was on the periphery, so excited to see it!Is this the stapler she will be teaching next?
It's really great. With the data of this operation released, the anastomotic doctors in all the surrounding hospitals in Yuancheng will flock to attend the lecture!
The training and teaching base should be booming again soon!
Come out of the operating room.
The family member of the patient, the 30-year-old simple man, came forward quickly, and with him was an old woman whose blue clothes were whitish from washing. Both of them looked at Xiao Baofang anxiously.
Xiao Baofang saw the elders in the village, and hurried forward and said, "Grandma, don't worry, my eldest brother's operation was very successful, thanks to the surgeons in our hospital."
The man and the grandmother kept thanking Xiang Jianhua and Zhang Gu.
Xiao Baofang also nodded gratefully to Zhang Gu.He knew very well that Zhang Gu's role in this operation was to some extent even greater than that of Xiang Jianhua!
……
Yang Jie followed Zhang Gu to the general surgery department, the office of Zhang Gu's team.
She still has some questions and needs to ask Zhang Gu.
"Leader Zhang, does the teaching of this stapler require a dedicated teaching doctor in the operating room?"
Zhang Gu said: "No need, this disposable circular stapler is relatively simple to use."
"You go to the operating room and ask for the video of the operation field just now, and play it back in class, just to assist teaching."
Yang Jie nodded, and she knew it in her heart.
After asking a few more specific questions, she took a new stapler back to study and ponder.
At this time, Shen Wenting smiled strangely and said, "Brother Zhang, someone has come to see you!"
Zhang Gu was a little puzzled, who would come to see me?
Come to the door.
A girl, wearing a floral white dress, was carrying a food box. When she saw Zhang Gu, she showed a sweet smile: "Doctor Zhang, I'm here to bring you delicious food again!"
It was the high school student who was rescued from the mall fire last time, but this time she came alone, and her little sisters didn't come.
Zhang Gu said with a tactful smile: "You are still in high school, right? Spending more time studying is the right way."
The girl nodded, and said helplessly, "I'm going to be a third grader soon, and I'm going to stay. I don't think I'll have time to make soup for you after that. This may be the last time this year."
Well, Zhang Gu accepted this last lunch, comforted the girl for a while, and told her to study hard.
The girl said that she also wanted to apply for the medical university and work with Zhang Gu in the future.
Wait for the girl to leave.
Shen Wenting and Xiao Mao came over.
Shen Wenting sniffed her nose: "Oh! Why is it so sweet, the air is full of sweet and soft scent!"
Zhang Gu glanced at her: "Unfortunately, this sweetness is for me, not for you. Come on, Xiao Mao, we have fresh soup to drink again! Huo Fang, Li Yunlai, you all come and taste some!"
Huo Fang came over with a smile, and the new member Li Yunlai also came over.
The two have been more and more integrated into this team, and the atmosphere is very harmonious, better than the team they were in before, very happy, and at the same time, they are full of vigor.
I have to say that the girl's cooking skills are very good, and this chicken soup is endless aftertaste.
Even Shen Wenting, who was clamoring to lose weight, had a round stomach after drinking.
……
The Third Hospital developed a disposable circular stapler and cured a case of esophageal and cardia cancer, which spread like wildfire.
Many people are saying that this stapler from the Third Hospital is very good, and it almost solves the difficult problem of esophageal cancer surgery at one time.
Many anastomotic doctors in hospitals were itchy to hear this, and wanted to see this new stapler.
Not long after, the training and anastomotic base of the Third Hospital launched a new course at the same time, specifically teaching the use of this disposable circular stapler.
As expected, the number of applicants for courses at the training base was booming again, and there was a grand occasion of queuing up for appointments.
at the same time.
Zhang Gu is also doing something very important to him.
(End of this chapter)
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