The surgeon opens a cheat

Chapter 140 Put a big move first

With the deepening of thinking.

The plans for the two big moves gradually took shape in Zhang Gu's mind.

"Let's do it this way. This time, I will lead Shen Wenting and Xiao Mao to expand the scope of surgery vigorously and get an advanced and excellent team!"

Zhang Gu could have imagined that Shen Wenting and Xiao Mao would definitely fly with joy after knowing the news.

Thinking of this, Zhang Gu first took over the task of "Excellent Progressive Team".

As for the other task of "interdisciplinary and borderline disciplines", three interdisciplinary surgeries are required. Zhang Gu's current thinking is still relatively vague and needs to be improved.

Just as I was pondering, I also waited for the other task bar to be vacant before picking it up.

Back to General Surgery, on the way to the team office.

In Zhang Gu's mind, he consumed a skill conversion card to convert the extra "hernia repair card" into another operation.

And consume proficiency primary card and intermediate card to upgrade it to advanced level.

Look at the name of this operation.

Zhang Gu revealed a smile.

This operation not only expanded the scope of his small team's operation, but also needed to cooperate with Yao Na's team to complete it.

This kind of cooperation between the two teams is unprecedented in general surgery.

This is his first big move.

Zhang Gu returned to the small team and called Shen Wenting and Xiao Mao over.

Shen Wenting and others also looked at Zhang Gu curiously.

I don't know what kind of meeting Zhang Gu will hold for everyone.

Zhang Gu is planning to announce the news.

At this moment, Corey's emergency landline rang.

Everyone looked at the phone, could it be that the emergency department sent an urgent patient?
……

10 minutes ago, the City First Hospital.

In the modern operating room of digestive surgery, a bundled pancreaticojejunostomy is being performed.

"How is this anastomosis? The stump of the pancreas in this patient is pointed, and the pancreas is thin and delicate, so it is not easy to perform a bundled pancreaticojejunostomy!"

When the chief surgeon opened the abdomen and everyone saw the delicate and thin pancreas, everyone felt a little embarrassed.

The pancreas of this patient is much smaller than that of ordinary people, but other parts are normal.The size of the two sides does not match, which brings great difficulties to the anastomosis work.

"Why don't you ask the Second Municipal Hospital? I heard that the Second Municipal Hospital just performed a pancreaticojejunostomy a few days ago. It seems that a new anastomosis method was used."

"Is that kind of anastomosis suitable for our patient?"

"I heard that the city's second hospital also invited Dr. Zhang Gu from the third hospital to do the anastomosis. Why don't we just invite Dr. Zhang Gu to come over and see if he has a good anastomosis method."

After the chief surgeon confirms that the anastomosis doctor can't take it down, he will report it immediately.

Soon, Luo Changsheng, the head of the Department of Digestive Surgery, rushed over.

After studying the patient's condition on the spot, he immediately identified it as a serious and difficult patient and reported it to Geng Bozhong.

Geng Bozhong immediately asked the Third Hospital for help, and urgently invited Zhang Gu to come over to participate in the consultation.

At the same time, we are also ready to contact the major hospitals in the province.

If Zhang Gu couldn't solve it, he had to use an ambulance to send him to the corresponding hospital in the province as quickly as possible.

……

General Surgery of the Third Hospital.

"Brother Zhang, the emergency phone is ringing." Shen Wenting said.

Zhang Gu picked up the emergency landline.

After answering, Zhang Gu said: "Both of you hurry up and clean up, let's go to the first courtyard of the city."

"By the way, call Huo Fang too."

This kind of operation to support other hospitals is also an opportunity to hone the team.

It is also helpful to complete the task of an excellent team.

Think of it as a foreshadowing and warm-up.

The four of Zhang Gu came to the city's No. [-] Hospital, familiar with the Department of Digestive Surgery.

The last time I went to the Second Division of Gastroenterology Surgery to observe the fundoplication performed by Lu Tao, the director of the Second Division.

This time, it was Luo Changsheng, the director of the first branch, who received Zhang Gu and his party.

Luo Changsheng quickly explained the patient's condition to Zhang Gu.

When Zhang Gu heard that it was a thin and tender pancreas, he felt confident.

Zhang Gu's team came to the operating room.

Once you enter the modern, spacious operating room of the first hospital, where modern precision instruments are neatly arranged.

Huo Fang and the others were still a little uncomfortable.

The comparison with the three courtyards came out immediately.

The operating room of the third hospital seemed cramped and crowded.

"Doctor Zhang Gu, this way." Luo Changsheng brought Zhang Gu to the operating table.

"Look at the condition of the patient's pancreatic stump, which is relatively delicate and pointed. Our anastomosis team has considered your pancreaticojejunal bundle anastomosis method, but encountered many difficult problems in the actual operation of this special patient. .”

Several anastomotic doctors immediately told Zhang Gu about their previous operations and ideas.

Zhang Gu nodded and exclaimed: "Your ideas are consistent, but they are generally correct."

"To deal with this delicate and thin stump of the pancreas, the pancreaticojejunal bundle anastomosis is the most suitable anastomosis."

"The only thing you don't think about is just a little flexibility."

The eyes of these anastomotic doctors from the first hospital all revealed the color of thinking, but after thinking about it, they were still confused.

What kind of modification can make the bundled pancreaticojejunostomy suitable for this patient?

They can't even think of it.

As Zhang Gu said, he took over the position of the chief surgeon.

"Xiao Mao, come here and help me free the stump of the pancreas."

With the help of Xiao Mao, Zhang Gu said to everyone while freeing:
"To deal with such a small, pointed stump, be patient and dissociate, and stop the bleeding with interrupted sutures."

"Huo Fang, help me hold the silicone tube and insert it at the main pancreatic duct."

"Shen Wenting, you put the drainage tube 10 centimeters away from the distal end of the pancreaticojejunostomy, and poke a hole in the mesenteric limbus intestinal wall."

Before he knew it, Zhang Gu's team had fully taken over the operation.

The surgical team of the city's No. [-] hospital was forced to leave the operating table because they couldn't help.

He directing his own people like this is also helping a few people to cooperate skillfully, and by the way, he regards this operation as a way for everyone to improve.

Under the watchful eyes of many doctors including Luo Changsheng.

Zhang Gu used 4-0 sutures to make a U-shaped suture on both sides of the pancreatic duct, and passed the thread head and tail through the jejunum wall.

Everyone saw something different at this time.

"It seems that there is no such step in the bundled pancreaticojejunostomy."

"This kind of U-shaped suture on both sides seems to play a special role... I preliminarily deduce that it can at least reduce the needle holes in the operation. It is so friendly to this kind of stump with small tips!"

Zhang Gudao: "This double U-shaped suture is what I call flexibility."

"Its principle is to insert the purse-string bundle pancreaticojejunostomy through double U sutures, to ensure the depth of insertion into the jejunum, to avoid the cutting effect, not easy to fall off, and to ensure the tightness of the binding to reduce the effect of needle-hole pancreatic fistula."

At this moment, Geng Bozhong also rushed over.

He asked at the door of the operating room, the idle doctor said: "How is the situation now? Can Dr. Zhang Gu do anything? Does the patient need to be sent to the province?"

The doctor at the door saw that the boss was coming, and quickly replied: "Doctor Zhang Gu seems to have a solution, and he is doing the anastomosis now."

Hearing this, Geng Bozhong felt relieved a little.

Taking a closer look, he found that Zhang Gu had put the bundled stump of pancreas into the jejunum.

"Is there still such an operation?" Geng Bozhong frowned.

(End of this chapter)