The surgeon opens a cheat
Chapter 159 Pediatric Biliary Reconstruction
Chapter 159 Pediatric Biliary Reconstruction
Lu Guangming walked inside when he heard the sound of lectures.
The people from Wang Ping and the Third Hospital were frightened: "Could it be that you want to attack the lectures first, and start to criticize from the lectures?"
Everyone cheered and poured into the classroom.
Seeing that Zhang Gu was lecturing on it, Wang Ping and his colleagues gave Zhang Gu crazy winks.
I don't know if Zhang Gu understands it.
On the podium, Zhang Gu was talking about portojejunostomy.
This sudden influx of so many people made Zhang Gu take another look, and he didn't interrupt the lecture, continuing to talk about his experience of liver-door matching.
Yang Jie, who was next to the podium, was taken aback by the group of people who came in suddenly.
In particular, it was accompanied by the vice president Wang Ping himself, which shows that the status of this group of people is also very high.
Here comes the great leader!
Seeing Vice President Wang Ping's madly suggestive eyes, Yang Jie couldn't help feeling nervous.
She walked out of the front door of the classroom calmly, went around to the back door, and quietly came behind Lu Wei, the chief of the medical department.
She asked in a low voice: "Chief Lu, what's the matter?"
Lu Wei turned his head slightly, and said in a voice that only the two of them could hear: "The audit team is here to audit the training base, and it seems a bit strict. You guys will perform better later, and don't let you find faults."
Yang Jie nodded, feeling the pressure coming at once.
Whether the performance is good or not this time will determine whether it will be possible to change the brand name and upgrade the training base.
If someone made a mistake and the review failed, then the sinners of the Third Court would be fulfilled.
On the side of the Third Academy, except for Zhang Gu who was giving a lecture on the stage, everyone else began to get nervous.
Only Zhang Gu didn't notice it, and still taught the class unhurriedly.
After listening for a minute, Lu Guangming and others in the review team understood that this was talking about the new portojejunostomy, which is the part that needs this review.
Several review team members listened carefully.Some even simply took out a small notebook and wrote the evaluation records.
This made Lu Wei, Yang Jie and others even more nervous.
At this time, Zhang Gu on the stage talked about the key points of hepatic portal anastomosis.
"It is worth noting that the key to the hilar anastomosis is the technical issue of suturing and ligation. If the knot is too tight, it will inevitably cause damage to the fragile liver tissue. If the knot is too loose, the anastomosis will not be tight."
"The same is true for suturing and inserting needles. Too deep will cause ligation of the intrahepatic bile duct, and too shallow will break the fragile liver tissue. This degree needs to be grasped. My suggestion is to insert the needle into the liver parenchyma about one centimeter. The specific situation needs to be specific." treat."
"This requires a lot of practical exercises for everyone. Every operation must sum up experience and lessons, and continue to learn, reflect and comprehend."
While Zhang Gu was explaining, he also played the previous operation in the form of surgical field video clips and picture PPT, combined with the actual situation to explain his consideration and decision in the specific situation at that time.
Everyone in the audience, listening to the dry goods, was mesmerized.Especially the doctors in the hepatobiliary surgery department, their eyes glowed as they listened, and they kept making new records in their notebooks.
Lu Guangming of the review team kept writing something in his hands with a blank expression on his face.
Finally, a class is over.
Lu Wei, Yang Jie, and Wang Ping seemed to be more nervous than Zhang Gu, and several of them were sweating all over.Now that the class is over, the few of them can finally breathe a sigh of relief.
On the contrary, Zhang Gu was very calm. After dismissing the students, he came over with a smile and greeted the review team and the vice president Wang Ping.
"Director Lu, Dean Wang."
Lu Guangming nodded and said, "I think your response to this class is not bad, and your method of explaining the actual medical records is also very good."
When Wang Pingping heard this, he thought to himself, this is still a human saying, much better than what he said when he first came to the hospital.
However, a few people did not dare to take it lightly. The power of review is in the hands of the other party, so they have to be careful all the time.
With a smile on his face, Wang Ping said, "Director Lu, shall we go to the office to read the materials?"
Lu Guangming smiled lightly: "Okay, let's go and have a look then."
Everyone came to the office.
The review team is divided.
Some check the personnel composition of the training base and the implementation of policies; some check the use of funds and every detail of the project implementation process; some check the feedback records of each previous class after class...
Lu Guangming personally picked up the most critical information about the two new matching materials related to the field of liver and gallbladder.
Only if the new anastomosis is passed, can the base change the card and pick the words to pass.
As an honorary lecturer, Zhang Gu also had to accompany him, and he needed to answer Lu Guangming's questions when he checked the information at any time.
Lu Guangming would ask questions from time to time, and he found that Zhang Gu could answer them easily.
For some difficult questions, Zhang Gu could blurt out the answer without even thinking about it.
Lu Guangming nodded slightly, which shows that Zhang Gu's professional quality has reached a very good level.
The whole morning passed quickly.
At two o'clock in the afternoon, Zhang Gu was about to continue to deal with the review team.
Yao Yusen called: "Dr. Zhang Gu, please come and take a look at this patient. It's a bit special."
Zhang Gu agreed to come down, and called the colleagues in the review team to ask them to hold on first.
Zhang Gu came to hepatobiliary surgery.
It was discovered that in addition to Yao Yusen, An Ruiying, a female pediatrician, was also there.
Seeing Zhang Gu, Yao Yusen quickly waved and said, "Dr. Zhang Gu is here, it's all over now!"
An Ruiying, who was just in her early thirties, also smiled and nodded to Zhang Gu.
Zhang Gu subconsciously said, "Sister An is here? Is the patient a child?"
"Yes, the little boy who just turned 3 years old has congenital choledochal cyst."
"The child was diagnosed with this disease when he was 8 months old, but because he was too young, he was not suitable for it. He has been going on until now, and the condition is so serious that it is time to do it."
Zhang Gu's heart sank, he could imagine how much mental pressure the parents had endured from the time the boy was 8 months old to now 3 years old.It is estimated that the past two years have not been good.
Discussed the medical records with the two for a while.
Zhang Gu also understood why Yao Yusen and An Ruiying called him here.
I want him to use the "input loop ligation biliary-enteric anastomosis" to be responsible for the anastomosis part of this operation.
However, after Zhang Gu saw the specific situation of this child, a new idea flashed in his mind.
……
The review team here.
Lu Guangming started the review work in the afternoon.
"Huh? Where's Zhang Gu, your honorary lecturer?"
Zhou Dongfeng, Yao Na, Feng Xuebin, Yang Jie and others from the training base, as well as a deputy chief physician of hepatobiliary surgery, are here to deal with the assessment team.
Yang Jie was not far from Lu Guangming, and she hurried over to respond, "He has something to do this afternoon, and he is seeing a patient."
Lu Guangming nodded slightly, and said, "I have two questions about inputting loop ligation and anastomosis data. Can any of you answer them?"
Everyone looks at me and I look at you, but they don't have much confidence.
(End of this chapter)
Lu Guangming walked inside when he heard the sound of lectures.
The people from Wang Ping and the Third Hospital were frightened: "Could it be that you want to attack the lectures first, and start to criticize from the lectures?"
Everyone cheered and poured into the classroom.
Seeing that Zhang Gu was lecturing on it, Wang Ping and his colleagues gave Zhang Gu crazy winks.
I don't know if Zhang Gu understands it.
On the podium, Zhang Gu was talking about portojejunostomy.
This sudden influx of so many people made Zhang Gu take another look, and he didn't interrupt the lecture, continuing to talk about his experience of liver-door matching.
Yang Jie, who was next to the podium, was taken aback by the group of people who came in suddenly.
In particular, it was accompanied by the vice president Wang Ping himself, which shows that the status of this group of people is also very high.
Here comes the great leader!
Seeing Vice President Wang Ping's madly suggestive eyes, Yang Jie couldn't help feeling nervous.
She walked out of the front door of the classroom calmly, went around to the back door, and quietly came behind Lu Wei, the chief of the medical department.
She asked in a low voice: "Chief Lu, what's the matter?"
Lu Wei turned his head slightly, and said in a voice that only the two of them could hear: "The audit team is here to audit the training base, and it seems a bit strict. You guys will perform better later, and don't let you find faults."
Yang Jie nodded, feeling the pressure coming at once.
Whether the performance is good or not this time will determine whether it will be possible to change the brand name and upgrade the training base.
If someone made a mistake and the review failed, then the sinners of the Third Court would be fulfilled.
On the side of the Third Academy, except for Zhang Gu who was giving a lecture on the stage, everyone else began to get nervous.
Only Zhang Gu didn't notice it, and still taught the class unhurriedly.
After listening for a minute, Lu Guangming and others in the review team understood that this was talking about the new portojejunostomy, which is the part that needs this review.
Several review team members listened carefully.Some even simply took out a small notebook and wrote the evaluation records.
This made Lu Wei, Yang Jie and others even more nervous.
At this time, Zhang Gu on the stage talked about the key points of hepatic portal anastomosis.
"It is worth noting that the key to the hilar anastomosis is the technical issue of suturing and ligation. If the knot is too tight, it will inevitably cause damage to the fragile liver tissue. If the knot is too loose, the anastomosis will not be tight."
"The same is true for suturing and inserting needles. Too deep will cause ligation of the intrahepatic bile duct, and too shallow will break the fragile liver tissue. This degree needs to be grasped. My suggestion is to insert the needle into the liver parenchyma about one centimeter. The specific situation needs to be specific." treat."
"This requires a lot of practical exercises for everyone. Every operation must sum up experience and lessons, and continue to learn, reflect and comprehend."
While Zhang Gu was explaining, he also played the previous operation in the form of surgical field video clips and picture PPT, combined with the actual situation to explain his consideration and decision in the specific situation at that time.
Everyone in the audience, listening to the dry goods, was mesmerized.Especially the doctors in the hepatobiliary surgery department, their eyes glowed as they listened, and they kept making new records in their notebooks.
Lu Guangming of the review team kept writing something in his hands with a blank expression on his face.
Finally, a class is over.
Lu Wei, Yang Jie, and Wang Ping seemed to be more nervous than Zhang Gu, and several of them were sweating all over.Now that the class is over, the few of them can finally breathe a sigh of relief.
On the contrary, Zhang Gu was very calm. After dismissing the students, he came over with a smile and greeted the review team and the vice president Wang Ping.
"Director Lu, Dean Wang."
Lu Guangming nodded and said, "I think your response to this class is not bad, and your method of explaining the actual medical records is also very good."
When Wang Pingping heard this, he thought to himself, this is still a human saying, much better than what he said when he first came to the hospital.
However, a few people did not dare to take it lightly. The power of review is in the hands of the other party, so they have to be careful all the time.
With a smile on his face, Wang Ping said, "Director Lu, shall we go to the office to read the materials?"
Lu Guangming smiled lightly: "Okay, let's go and have a look then."
Everyone came to the office.
The review team is divided.
Some check the personnel composition of the training base and the implementation of policies; some check the use of funds and every detail of the project implementation process; some check the feedback records of each previous class after class...
Lu Guangming personally picked up the most critical information about the two new matching materials related to the field of liver and gallbladder.
Only if the new anastomosis is passed, can the base change the card and pick the words to pass.
As an honorary lecturer, Zhang Gu also had to accompany him, and he needed to answer Lu Guangming's questions when he checked the information at any time.
Lu Guangming would ask questions from time to time, and he found that Zhang Gu could answer them easily.
For some difficult questions, Zhang Gu could blurt out the answer without even thinking about it.
Lu Guangming nodded slightly, which shows that Zhang Gu's professional quality has reached a very good level.
The whole morning passed quickly.
At two o'clock in the afternoon, Zhang Gu was about to continue to deal with the review team.
Yao Yusen called: "Dr. Zhang Gu, please come and take a look at this patient. It's a bit special."
Zhang Gu agreed to come down, and called the colleagues in the review team to ask them to hold on first.
Zhang Gu came to hepatobiliary surgery.
It was discovered that in addition to Yao Yusen, An Ruiying, a female pediatrician, was also there.
Seeing Zhang Gu, Yao Yusen quickly waved and said, "Dr. Zhang Gu is here, it's all over now!"
An Ruiying, who was just in her early thirties, also smiled and nodded to Zhang Gu.
Zhang Gu subconsciously said, "Sister An is here? Is the patient a child?"
"Yes, the little boy who just turned 3 years old has congenital choledochal cyst."
"The child was diagnosed with this disease when he was 8 months old, but because he was too young, he was not suitable for it. He has been going on until now, and the condition is so serious that it is time to do it."
Zhang Gu's heart sank, he could imagine how much mental pressure the parents had endured from the time the boy was 8 months old to now 3 years old.It is estimated that the past two years have not been good.
Discussed the medical records with the two for a while.
Zhang Gu also understood why Yao Yusen and An Ruiying called him here.
I want him to use the "input loop ligation biliary-enteric anastomosis" to be responsible for the anastomosis part of this operation.
However, after Zhang Gu saw the specific situation of this child, a new idea flashed in his mind.
……
The review team here.
Lu Guangming started the review work in the afternoon.
"Huh? Where's Zhang Gu, your honorary lecturer?"
Zhou Dongfeng, Yao Na, Feng Xuebin, Yang Jie and others from the training base, as well as a deputy chief physician of hepatobiliary surgery, are here to deal with the assessment team.
Yang Jie was not far from Lu Guangming, and she hurried over to respond, "He has something to do this afternoon, and he is seeing a patient."
Lu Guangming nodded slightly, and said, "I have two questions about inputting loop ligation and anastomosis data. Can any of you answer them?"
Everyone looks at me and I look at you, but they don't have much confidence.
(End of this chapter)
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