The surgeon opens a cheat

Chapter 143 Going to Hepatobiliary and Pancreatic Surgery for Fun
Liu Quan fully trusted Zhang Gu.

Before hearing what Zhang Gu said, he was willing to cooperate with Zhang Gu and transfer all the work for the next week.

This is the sense of trust generated by the previous two successful cooperations.

After talking with Liu Quan.

The "second big move" prepared by Zhang Gu has a complete staff composition, and when the time comes, just make some other preparations.

"The tasks of an excellent team have already been completed for a small part. Next, we can develop step by step."

"Now, I can take some time to pave the way for another cross-domain task."

Although the task of cross-field marginal disciplines has not yet been accepted.But at this moment, we can also plan ahead and make arrangements in advance.

Zhang Gu came to hepatobiliary surgery.

Hepatobiliary and pancreatic surgery occupies only half of the 4th floor.

Not only are there few beds and staff, there is no independent operating room, and there is no intensive care bed belonging to its own department. All postoperative critically ill patients who need to be observed have to be sent to the intensive care department of the whole hospital.

The situation is much worse than that of general surgery.

In the final analysis, hepatobiliary and pancreatic surgery still lacks a powerful person with superb medical skills like Xiang Jianhua.

Without superb medical skills and unable to attract patients, the scale of the department will naturally shrink slowly.

Zhang Gu came to the Department of Hepatobiliary Surgery and wandered around the ward to observe.

The doctors and nurses of the hepatobiliary surgery are a little puzzled, how does Zhang Gu, a general surgeon, come here?

After a while, Yao Yusen, the director of the Department of Hepatobiliary Surgery, came out of the office.

"Doctor Zhang, what is this?"

Zhang Gu laughed and said, "I've heard that the hepatobiliary surgery ward is well managed, so I'm here to learn from it!"

Yao Yusen laughed, but his heart was like a mirror.

Hepatobiliary surgery can't do hard work like surgery, so it can only work hard on superficial things like ward management.

Yao Yusen knew that Zhang Gu was just looking for an excuse to praise him, and he didn't take it to heart.

He smiled frankly: "Welcome! If you have any suggestions, feel free to mention them!"

Zhang Gu: "I really have a request."

"I want to observe the operation and clinical postoperative situation of hepatobiliary surgery, is that okay?"

Yao Yusen laughed and said, "Of course! I wish for it!"

He did know that Zhang Gu's master's project "Pancreasectomy and Spleen Preservation" involves the field of hepatobiliary and pancreatic surgery, which is enough to show that Zhang Gu also has a certain amount of knowledge in the field of hepatobiliary and pancreatic surgery.

Coupled with Zhang Gu's achievements in the field of anastomosis, letting him come to observe the operating room can also strengthen communication, and maybe Zhang Gu can give some advice on anastomosis!

Yao Yusen said: "Now there is an operation from our hepatobiliary surgery in the operating room, why don't you go up and have a look?"

Zhang Gu nodded.

The two came to the operating room on the sixth floor.

At this moment, the deputy director of the Department of Hepatobiliary Surgery is performing a biliary-intestinal anastomosis due to biliary stones.

Zhang Gu observed silently, and took out his mobile phone from time to time to record something in the memo.

Yao Yusen accompanied Zhang Gulian to watch two minor operations.

As a result, Zhang Gu didn't say anything, just watched silently.

Yao Yusen had other things to do, so he had no choice but to say goodbye: "Dr. Zhang Gu, I still have something to attend to, I'll contact you later."

"it is good."

Zhang Gu continued to observe the situation in the operating room.

In his mind, he consumed a skill blank card and exchanged it for a "jejunobiliary anastomosis", and then consumed 3 primary proficiency cards and 4 intermediate cards to upgrade to the advanced level.

He compared the biliary-intestinal suture and anastomosis method performed on the operating table in front of him with the one in his mind.

The pros and cons are written one by one in the memo on the phone.

Gradually, Zhang Gu had several ideas.

……

Office of the Chief of Surgery.

Xiang Jianhua laughed alone and said, "This Zhang Gu, why did he go to the Department of Hepatobiliary and Pancreatic Surgery?"

When he heard that Zhang Gu was teaming up with Yao Na's team and seemed to want to do a joint major surgery between the two teams, he was quite happy.

He thought that Zhang Gu was going to bring him some big surprise again.

I am waiting happily.

As a result, the joint major surgery has not yet been performed, and I heard that Zhang Gu has gone to the Department of Hepatobiliary and Pancreatic Surgery.

And after I went there, I didn't do anything. For two consecutive afternoons, I just squatted in the operating room and watched.

Xiang Jianhua didn't understand, so he simply called Zhang Gu and asked him.

"Zhang Gu, what are you planning to do when you go to the hepatobiliary surgery department? I heard that you are not engaged in joint team surgery?"

Zhang Gu said: "I'm relieved that Director Yao and Zhang Luo have a joint operation."

"I went to hepatobiliary surgery because I suddenly had other thoughts in my heart."

He took out a document that had just slid out of the printer, a total of 5 pages of A4 paper.

Xiang Jianhua put on his reading glasses and took a look.

"Effects of different suturing methods on cholangioenterostomy?"

Xiang Jianhua's heart moved.

He is very clear about how strong Zhang Gu's anastomosis technique is.

It turns out that this kid is eyeing the anastomosis of the gut again!
This is no longer the convergence of the previous pure gastroenterology field, but a borderline discipline that crosses fields.

Xiang Jianhua took one more look at Zhang Gu and had two thoughts in his mind.

One is the kid Zhang Gu, who really can't rest for a moment. This time, he took such a big step that he even crossed over to other fields.

The second is this fringe subject, which coincides with but is different from the simple gastrointestinal field. If Zhang Gu plunges into it rashly, can it really make a splash?

While reading the materials, Xiang Jianhua said, "You have been studying gallbladder-enteric anastomosis for the past two days?"

Zhang Gu nodded and said: "I see colleagues in the Department of Hepatobiliary Surgery mainly use two methods to anastomose gallbladder and intestine, namely interrupted suture and continuous suture."

"I observed it and found that the continuous suture time is generally about 12 minutes, fluctuating up and down by 2 minutes, while the intermittent suture basically takes 15 minutes or more."

"Not only is there a gap in the anastomosis time, but the intermittent suture also increases surgical trauma because of the need for multiple knot tying. Therefore, I think that continuous suture training should be strengthened."

Xiang Jianhua nodded.

He is also involved in hepatobiliary surgery, and he usually notices what Zhang Gu said.But this difference is too small to be statistically significant.

Zhang Gu researched it for two days, but just because of these words, Xiang Jianhua was a little indifferent, even a little disappointed.

"besides."

Zhang Gu said: "Director Xiang, you turned to the last page. I also wrote a parachute continuous suture for the characteristics of biliary-enteric anastomosis. I think this kind of suture is more suitable for biliary-enteric anastomosis than ordinary continuous suture. "

"This anastomotic method does not need to tighten the sutures, ensures the operation space, increases the error tolerance rate, evenly and softly disperses the tension of the anastomosis, avoids cutting the bile duct wall, and improves the blood supply of the anastomosis."

When Xiang Jianhua heard it, he quickly flipped through it.

This time, his eyes lit up!
I knew that Zhang Gu would not go to the hepatobiliary surgery for no reason, this kid never does useless work.

In the fringe subject of gallbladder-enteric anastomosis, a new suture and anastomosis method has been invented!
"Parachute-style continuous stitching? Interesting, how to achieve it?"

(End of this chapter)