The surgeon opens a cheat

Chapter 152 Don't You Know Better Than You

Zhang Gu now has two main quests, one long and one short.

The long-term task is to capture all the bigwigs in the scientific research center and obtain the qualifications of the Seventh Standing Committee. This has to be done slowly and one by one.

The short-term task is to complete three cross-field and marginal subject tasks, which can be started.

Zhang Gu pondered: "Cross-field surgery still has to make a fuss about biliary-enteric anastomosis."

He had paved the way before, and it was much easier now.

Zhang Gu came to the Department of Hepatobiliary Surgery again, intending to review the hospital records.

See if you can find a breakthrough.

When he came to the Department of Hepatobiliary Surgery, Zhang Gu walked around, but he couldn't find a single doctor.

Only a group of young nurses were busy. When Zhang Gu came, the head nurse greeted him with a smile.

"Doctor Zhang is here."

Zhang Gu also greeted with a smile.

He is in hepatobiliary surgery and is already listed as a favorite.

After the last training lecture, Zhang Gu is already familiar with everyone in this small hepatobiliary surgery department.

"What about Director Yao Yusen and the others? Why didn't any doctor see him?"

The head nurse hurriedly said, "They happen to be in a meeting right now."

"Then I'll wait."

The owner is not around, so it is not easy for Zhang Gu to rush into other people's offices to check medical records.He was in the inpatient ward, waiting and observing the patient's condition.

At this moment, in the doctor's office of the hepatobiliary surgery department.

Except for the absence of the two doctors who were on vacation, the remaining four doctors were all present.

Everyone is discussing a case in a state of desperation.

"This patient is not just as simple as a second operation for hepatic and bile duct stones!"

"The key point is that he also has a mass in the head of the pancreas. I am worried that this mass may be cancerous."

"Once the pancreatic mass needs to be resected, the difficulty comes. When the biliary tract is reconstructed, the jejunum and jejunal mesenteric vessels must be cut."

"The most important thing is that we have to find a way to see how to not cut off the jejunum and jejunum mesenteric vessels during biliary reconstruction."

Everyone discussed for a while, and the difficulty was revealed, but there was no solution.

How can it be possible to do biliary tract reconstruction without cutting off the jejunum and mesenteric vessels?

All of them were frowning.

At this time, the head nurse came in and whispered something in the ear of the department director, Yao Yusen.

Yao Yusen said to several people: "Let's discuss it again and think of a way. I'll go out for a few minutes."

After a while.

Yao Yusen stretched his frown, changed his smile, and came to see Zhang Gu.

"Dr. Zhang, your last training has greatly benefited our whole hepatobiliary surgery department."

"Since the comprehensive promotion of your parachute suture method, the efficiency of each of our operations has improved, and the feedback from patients after surgery is very good."

Zhang Gu also nodded with a smile: "That's good."

He was about to open his mouth and look through the medical records.

But it was keenly discovered that Yao Yusen frowned. Although he tried his best to show a smile, there were still traces of frowning.

Zhang Gu asked curiously: "Director Yao, what's wrong with you, at work?"

Yao Yusen smiled wryly and said, "I met a patient who was a bit troublesome in terms of biliary tract reconstruction."

Zhang Gu's heart moved, and he said with a smile: "Why don't you let me serve as a staff officer?"

After hearing this, Yao Yusen's heart became alive.

The person in front of me is an expert in the field of gastrointestinal anastomosis. Although biliary tract reconstruction does not belong to the field of gastrointestinal anastomosis, many anastomoses are already figured out.

Maybe Zhang Gu can come up with some novel ideas?
Just like the "improved parachute anastomosis suture" proposed by Zhang Gu before.

Yao Yusen hurriedly said: "That's a good relationship! You are welcome to attend our meeting and give your opinions! By the way, this won't delay your work, will it?"

Yao Yusen knew that Zhang Gu was a busy person now. Although he hadn't been promoted yet, he was a busy person with a name in the academy committee and Director Xiang.

Zhang Gu smiled and said: "It's all right, don't delay!"

He added in his heart, the focus of my work now is to come to you.

When Yao Yusen led Zhang Gu into the office.

Several hepatobiliary surgeons were taken aback for a moment, then smiled at Zhang Gu, showing kindness.

Zhang Gu is still very popular here, several people greeted Zhang Gu, "Mr. Zhang", "Mr. Zhang".

Zhang Gu also responded one by one.

Yao Yusen clapped his hands twice to draw everyone's attention back, and said, "Let's continue discussing the case and see if there is any solution."

Everyone was still frowning and talked for a while.

Zhang Gu also understood.

There are three main problems facing everyone.

One is the need to complete biliary reconstruction without cutting off the jejunum and mesenteric vessels.

The second reason is that the patient is weak and suffers from long-term malnutrition due to illness. It is necessary to improve the operation tolerance, reduce the operation trauma, and reduce the operation time.

Third, the new method of biliary tract reconstruction must avoid intra-abdominal infection, be safe and reliable, and not affect blood supply.

These three questions were like three sharp swords hanging over everyone's heads.

Everyone still can't think of a solution that can satisfy these three conditions at the same time.

One of the deputy directors thought about it for a long time, and said: "Y-type biliary-intestinal drainage anastomosis is the most widely adaptable anastomosis method. Many scholars in medical forums and various medical journal papers have discussed this operation method." Improved."

"Unfortunately, I read it again, and most of them are to deal with the special circumstances of individual cases. Basically, the more they are improved, the more complicated and cumbersome they are."

"It's not suitable for our patient!"

Everyone even frowns.

Zhang Gu deduced it in his mind.

He has the surgical skills of "bilioenterostomy" and is still at an advanced level.

To deal with this kind of problem, it is actually quite easy for him.

With this deduction, Zhang Gu found a suitable biliary-enteric anastomosis.

Finding a space for everyone to talk, Zhang Gu said:

"Director Yao, everyone, I think everyone can try the cholangioenterostomy with input loop ligation."

The worried people who were discussing all turned to Zhang Gu when they heard this.

Yao Yusen murmured, "Ligation of the input loop? What kind of anastomosis is this?"

Everyone thought about it carefully, and shook their heads slightly, expressing that they had never heard of it.

Everyone was curious.

The most common ones they use are duodenal anastomosis, bile duct and jejunum loop anastomosis, and new Y drainage anastomosis.

Never heard of this input loop ligation type anastomosis.

Looking at the bewildered crowd, Zhang Gu patiently explained:
"To put it simply, this is based on the loop jejunobiliary anastomosis, and the input loop is ligated and closed to block food from entering the biliary tract through the input loop and eliminate reflux."

The deputy director asked subconsciously: "Ligate the input loop? Wouldn't that affect the function of the input loop?"

Zhang Gu: "No, the original function of the input loop can be solved by intestinal anastomosis.

"In biliary tract reconstruction, ligation of the afferent loop can play a good role in preventing reflux. Compared with the Y-shaped drainage anastomosis of the biliary tract, the afferent loop can be regularly stretched and contracted, and the bile can be effectively emptied. It is conducive to drainage and achieves the effect of avoiding cholestasis and reflux."

Everyone was in a fog.

Just ligate an input loop, can it really be as good as Zhang Gu said?
Some people also questioned what Zhang Gu said.

The old deputy director of hepatobiliary surgery present here has been doing biliary-enteric anastomosis for so many years, not to mention an expert, at least he can be regarded as a senior veteran, and he must have his own understanding of the characteristics of the input loop for many years.

Could it be that he doesn't know as much as Zhang Gu?
(End of this chapter)