The surgeon opens a cheat

Chapter 153 New card with extremely low probability

Director Yao Yusen frowned deeply.

"Doctor Zhang, sorry we still don't understand."

"We have been doing biliary-enteric anastomosis for so many years, and we have some experience. But if the input loop is ligated, will it really help the operation?"

Several other doctors also had the same doubts.

Zhang Gu said affirmatively: "Yes! Your biggest doubt is the realization of the function after the input loop is ligated, right?"

Everyone nodded.

Zhang Gu said with a smile: "We only need to use a new method of biliary tract reconstruction to solve this problem very easily."

In the office, Zhang Gu guided the few people step by step, slowly guiding their thinking from the traditional anastomosis of gallbladder and intestines.

Gradually, everyone's frowning brows relaxed a little.

Following Zhang Gu's explanation, they gradually accepted this new anastomosis technique.

Zhang Gu said with a smile: "This new surgical method has another advantage. Because there is no need to cut the jejunum, it does not take time to carefully identify the jejunal mesenteric vessels during the operation, which reduces the technical requirements of the operation and shortens the operation time. risk, improving patient tolerance, and speeding up postoperative recovery all help."

At this moment, Yao Yusen and the others were thinking quickly, and the light in their eyes became brighter and brighter.

At first glance, this kind of technique seems a bit unbelievable.

But as long as they understand the principles and solve the problems in their minds, they will feel that this technique is very advanced!

The more I listen, the more I feel that it is feasible!

Yao Yusen's mind was completely excited: "Dr. Zhang Gu, if this operation is really as you said, it not only facilitates the operation, but also shortens the operation time, it will have a great impact!"

"The most intuitive one will be easy to promote clinically!"

Zhang Gu smiled: "Yes, even the fourth hospital and the second hospital, which have a lack of excellent doctors at the grassroots level, can also be taken down."

"In the future, if this kind of technique is popularized in Quanyuan City, everyone will be a hero."

Yao Yusen waved his hands again and again: "No, no, this credit belongs to you, Dr. Zhang Gu, and we are just the first batch of beneficiaries!"

Zhang Gu smiled and said: "The one who dares to be the first to eat crabs is also a hero! Even if everyone is not the most credited, at least they all contributed."

Everyone had joy on their faces, and they laughed like blooming flowers.

……

For this operation, because of Zhang Gu's participation, the rehearsal plan has been greatly changed.

It's completely different from before.

Everyone met and negotiated, and Yao Yusen and others were responsible for completing the second gallstone removal operation and the resection of the pancreatic head mass in the first half of the operation.

Zhang Gu is responsible for the second half of the biliary reconstruction and anastomosis.

It's surgery day.

Zhang Gu brought Xiao Mao to the operating room.

Yao Yusen has led the team and started gallstone extraction.Seeing Zhang Gu coming in, he nodded to Zhang Gu.

Zhang Gu and Xiao Mao watched them from the sidelines, explored the bile duct, took out the stones, cut off the mass in the head of the pancreas, and sent it for biopsy.

Soon, the biopsy results came out, only chronic inflammation, and no cancer.

Everyone breathed a sigh of relief, but soon became serious again.

The next key is biliary reconstruction.

Although what Zhang Gu said was straightforward, they all approved of this new biliary-enteric anastomosis.

But after all, this is a technique that has never been proven, and everyone is still a little worried.

Yao Yusen: "I hope the new technique can really achieve the desired effect."

The deputy chief physician next to him seemed to be comforting Yao Yusen, and he also seemed to be comforting himself: "Don't worry, we have deduced it several times, and it should be fine."

Even though the two said so, their fingers tightly clenched and their eyes fixed on each other showed that they were somewhat nervous.

The young doctor next to him thought to himself: "I hope that Dr. Zhang Gu will work hard to make this new operation successful, so that I can follow suit, and I will have a better and simpler method for gallbladder-enteric anastomosis in the future." Choice of biliary-enteric anastomosis."

Zhang Gu and Xiao Mao stood on the operating table and took over the operation.

Under the worried gaze of the crowd.

On the contrary, Zhang Gu seemed unhurried.

"Xiao Mao, 50 cm away from Qu's ligament, lift the jejunum and help me prepare for the common bile duct anastomosis."

Xiao Mao's current secondary ability is already pretty good, and Zhang Gu feels comfortable using it.

Zhang Gu began to perform biliary tract reconstruction. He performed a side-to-side anastomosis of the front of the colon and the common bile duct, and then performed side-to-side anastomosis at 20 cm and 35 cm from the input loop of the biliary-enteric anastomosis.The biliary-enteric anastomosis was entered into the loop of jejunum, and ligated with No. 7 silk thread.

Next to him, Yao Yusen and others were staring at Zhang Gu's hands.

"So this is what Dr. Zhang Gu said about biliary tract reconstruction?"

There were several quick brains, and after seeing Zhang Gu's operation, they suddenly realized it!

"It turns out that this method is used to achieve the original function of the input loop! Fortunately, we are still worried that the ligation of the input loop will affect the patient!"

"Dr. Zhang Gu added this side-to-side anastomosis to ensure the normal operation of the patient's intestinal biliary tract."

"It's a stroke of genius!"

Several people turned their heads.

Several places that I couldn't figure out at first, after seeing Zhang Gu's operation with my own eyes, they were all solved.

Yao Yusen was still a little nervous and worried.

But the more I look at Zhang Gu's operation process, the more confidence I have in this new technique!
In addition to admiring Zhang Gu's operational thinking.

Zhang Gu's solid anastomosis operation and hard power also convinced this group of hepatobiliary surgeons.

Every step of the fine operation is extremely focused.

It's like carving a fine work of art.

Those hands are flexible from time to time, quickly switching surgical tools, and quickly inserting a suture.

From time to time, he was calm and clamped the blood vessels steadily, without the slightest possibility of accidents happening.

"Dr. Zhang Gu's anastomosis is simply perfect."

"Is this the ability to match the honorary lecturers of the training base?"

"Damn it, why didn't I go to the training base to listen to the class before! Although the lecture is about anastomosis in the gastrointestinal field, it's enjoyable to see Dr. Zhang Gu's basic operation!"

Another doctor also said: "Indeed, the basic skills of anastomosis and suture are the same. Even if you just look at the basic skills and learn the detailed operations, it is good."

After seeing this surgery.

Several people decided that they must attend several live anastomosis classes given by Zhang Gu in the future.

Not to mention what knowledge I have learned, just looking at this beautiful basic suture and anastomosis operation is a kind of enjoyment!
Especially the bloody, messy blood vessels, stitched together like exquisite works of art...

In the eyes of doctors, this in itself is a kind of beauty!
That is a sign of recovery for patients, and this feeling makes them feel at ease.

Surgery is the last.

Zhang Gu withdrew the vascular clamp to completely close the intestinal lumen and maintain the blood supply on the intestinal wall, and then used parachute suture to suture and embed the seromuscular layers on both sides.

Everyone watched the parachute stitching method again on the spot, which was equivalent to taking another class and receiving another training.

Today, I really made a lot of money!

……

After surgery.

Zhang Gu looked at the taskbar in his mind.

[Complete three interdisciplinary surgeries, task completion progress (1/3)].

"Complete an input loop ligation cholangioenterostomy operation. According to the comprehensive evaluation of the operation's difficulty factor, performance, and operation time, the final score is 3.2 points."

"Distribute rewards: 2 intermediate cards, 1 random card."

Zhang Gu casually clicked on the random card, thinking to himself, it is probably another primary proficiency card.

"Huh? It's not a primary card?"

With a flash of light, this card seemed a bit unusual.

Take a closer look, "Proficiency conversion card (very low probability of being issued): A high-level proficiency card can be converted into a low-level proficiency card in proportion."

Zhang Gu murmured: "This card seems to be quite useful."

Zhang Gu has tried it before, low-level cards can be used by leapfrogging.It's just that it consumes a lot of money and is very uneconomical.

However, high-level cards cannot be downgraded.Now that you have this card, you can switch it once.

Right now, he lacks mid-level cards the most.

Zhang Gu tried it.If you use proficiency to convert cards, you can convert high-level cards into intermediate cards, and one can be converted into twelve.

"This is consistent with the ratio I calculated before, no loss, no profit."

Zhang Gu pondered for a while, although it is not a loss or profit, but this card is still very good!
For example, he now has 10 high-level cards, but the mid-level cards are extremely lacking, and he is almost out of ammunition.

"Let's keep it for now, and when we urgently need an intermediate card next time, we can switch it in an emergency."

Zhang Gu has two level jump cards, which can directly jump from high level to master level.To him, a high-level card is just a temporarily useless card. If he takes out one and converts it into a mid-level card, this deal can be done!
Out of the operating room.

Yao Yusen looked at Zhang Gu's back, and a thought quickly emerged in his mind.

"It would be great if Dr. Zhang Gu could provide us with training in hepatobiliary surgery for this input loop ligation anastomosis."

I saw a surgical operation just now, and even he, who is the best learner, didn't feel satisfied, and the feeling of others must be even worse.

Everyone really wanted to watch it a few more times. It would be best if Zhang Gu could explain the training principles in detail, as well as the points for attention in each detailed step.

Yao Yusen felt that he was too greedy.

Zhang Gu, a general surgeon, came to help him with liver and gallbladder surgery again and again, and also advised difficult patients, and even went to the operating table to take charge of the second half of the operation.

With so many demands, Yao Yusen really couldn't open his mouth.

At this time, an elderly figure came to the Department of Hepatobiliary Surgery.

Yao Yusen saw him and hurried up to say hello: "Director Ning!"

Zhang Gu also saw the 60-year-old director of the teaching department of the Third Academy.
Ning Hongru is old and senior.As the director of the teaching department, he is actually one of the highest in the three academies.

Zhang Gu also dealt with Ning Hongru because of the previous training base, so he was able to talk.He also went up to say hello: "Director Ning, why are you here?"

(End of this chapter)