The surgeon opens a cheat

Chapter 149 Active Piercing
The meeting is over.

Yao Na, Shen Wenting, Liu Quan and others all happily took their jobs and left.

Obviously they received the division of labor tasks, but they were all as happy as if they had received a reward.

After arranging the team, Zhang Gu focused on the patient.

Gastric stromal tumor patients are also easy to find, and there are no special requirements.

Any gastric stromal tumor patient who needs open surgery can be converted to endoscopic minimally invasive surgery with lower risk.

There are such patients in the third hospital, just choose one case at random.

Everything is ready.

……

The news that the third hospital was going to perform endoscopic gastric stromal tumor surgery spread like wildfire.

In particular, the joint operation that was just completed brilliantly, and the joint operation of three teams will be performed this time, has attracted the attention of many hospitals.

The city's Fourth Hospital, Second Hospital and other hospitals, after hearing the news, could only envy.

"Is the endoscopic minimally invasive technology of the third hospital so high? They even have to do minimally invasive surgery for gastric stromal tumors?"

"The three courtyards seem to be breaking out this year! New news will come out in a few days!"

"However, we don't have any pressure. The city's First Hospital is the one with the most pressure."

"Yes, this surgery has filled the gap in our Quanyuan City, and it has achieved a surgery that even a hospital can't take down."

"It depends on how the first hospital responds."

City First Hospital.

After hearing the news, Geng Bozhong, the director of the Department of Surgery, and the director of the endoscopy department all looked cautious.

"The three courtyards are making efforts one after another, which must arouse our vigilance."

"Especially this operation is of great significance. If the third hospital can succeed, then in the future, patients with gastric stromal tumors will go to the third hospital for treatment."

"Originally the third hospital's anastomosis became famous, so some of our patients were shared. If we were given another knife, would our first hospital be able to bear it?"

"The ability of our hospital's scientific research projects must also be improved as soon as possible. The project of endoscopic minimally invasive treatment of major diseases such as gastric stromal tumors must also be launched as soon as possible."

……

Three homes.

The three teams studied and worked together for a few days.

Every day is very hard.In particular, Yao Na, Shen Wenting and Liu Quan often simulate a method of endoscopic resection and forceps until late at night.

Finally, with the joint efforts of everyone, all the simulated surgery problems were solved.

Surgery day is approaching.

Xiang Jianhua attaches great importance to this operation. On this day, he came to the operating room in person, and another deputy director of the major surgery also came to the operating room.

In the operating room, Zhang Gu, Shen Wenting, Xiao Mao, Yao Na, Feng Xuebin, Liu Quan, and Lu Dongdong.There are seven doctors in total.

The rest of Huo Fang and the others could only stand on the periphery, afraid of affecting the few people on the operating table.

The two teams, Liu Quan and Yao Na, cooperated to start the first stage of the operation.

The patient was intubated under general anesthesia, Yao Na marked the edge of the lesion with a needle incision knife, injected epinephrine, cut the surrounding mucosa of the tumor, and exposed the tumor...

When the tumor is exposed to everyone through the endoscopic monitor.

Seeing the obviously abnormal tumor, everyone's heart tightened.

The condition of the tumor is not optimistic!
The tumor body and the serosa are tightly adhered, and it may be very difficult to peel off.

This meant that they were unlucky. In the first case of this operation, they encountered a rather difficult patient.

In the operating room, several people gulped their saliva.

Just thinking about the difficulty of peeling off later, I feel beads of sweat start to ooze from my forehead.

Next, it's time to really test everyone's skills!

Liu Quan's forehead was sweating, and he glanced at Zhang Gu next to him.

Seeing that Zhang Gu looked calm, he gave Liu Quan a positive look.Liu Quan nodded, thinking of the various rehearsal plans that Zhang Gu had made for him, he made up his mind.

In the glass observation room.

Xiang Jianhua and the deputy director next to him also sweated for everyone on the operating table.

"This gastric stromal tumor is not easy to cut! It is deeply hidden in the muscularis propria, and it is also tightly adhered to the serosa, which is a test of the surgeon's technique."

The deputy director had a bad feeling: "It's a bit unfavorable to open the door."

"I'm worried now. These three teams have just run in, and many of them are newbies. This is the first case of such a difficult-to-resect tumor. This puts too much pressure on them, so don't make mistakes."

……

Yao Na and Zhang Gu exchanged glances.

Zhang Gu said calmly: "Use the HOOK knife to actively perforate."

Yao Na nodded, she thought so too.Since Zhang Gu's thinking is confirmed by her, it must be right!

Although this is a minimally invasive surgery under the endoscope, Yao Na can barely cope with it relying on her rich experience in open surgery to remove gastric stromal tumors.

She used a HOOK knife to incise the serosa around the tumor and suck out the fluid in the gastric cavity.

Little by little, the tumor was slowly peeled off from the serosa.

At this time, as the tumor gradually revealed more, another problem also emerged.

Everyone discovered that as the tumor became more and more exposed, the entire tumor actually protruded out of the stomach cavity.

At this time, only Yao Na's active perforation method could not ensure complete resection of the tumor.

Other methods must be used to forcibly interfere.

Liu Quan's heart moved, and he remembered a plan in the rehearsal, and looked at Zhang Gu: "Change the gastroscope?"

Zhang Gu nodded to him, and said: "Yes, at this time we should change to a double-forceps gastroscope."

Liu Quan immediately changed the gastroscope together with Lu Dongdong.

……

Seeing Zhang Gu's calm response, Xiang Jianhua always looked confident.

And so far, Zhang Gu has a way to deal with the sudden problems encountered.

I feel relieved a lot.

The deputy director couldn't help but nodded and said: "Zhang Gu's ability to lead a team is good! This project has only been launched for a few days, and the team members can find solutions to problems as soon as they encounter problems."

"It is enough to show that the team has done a lot of rehearsal plans and made sufficient preparations."

Xiang Jianhua said with emotion: "It is not easy to do this. It requires the team leader to have very in-depth thinking and deduction of this operation, and to be familiar with the types and characteristics of gastric stromal tumors. .”

As he said this, he looked at Zhang Gu with a smile on his face.

This young man is really reliable.

Liu Quan switched to the foreign body forceps of the double-clamp gastroscope, grasped and pulled the tumor, and used the snare and electric trap to cut the tumor.

After resection of the protruding surface of the tumor, Yao Na was replaced and continued to use active perforation to remove the base of the tumor.

This is a delicate job, which requires extremely high patience and concentration. The hands must not shake at all. Yao Na is constantly sweating, and the patrol nurse next to her keeps wiping her sweat.

Finally, when the last bit of tumor was removed, the entire operating room breathed a sigh of relief!

The first half of the operation is finally complete.

However, because of the full-thickness resection, the internal wound is much larger than that of traditional laparoscopic surgery, and the difficulty of suturing the anastomotic parts naturally becomes higher.

(End of this chapter)