The surgeon opens a cheat

Chapter 160

Seeing everyone's reaction, Lu Guangming immediately understood.

It seems that the outside rumors are correct, this training matches the base, and the pillar of the supporting platform is Zhang Gu himself.

Without Zhang Gu, this training base is likely to face the embarrassing situation of not being able to function.

Lu Guangming said: "I'll write the question on a note, and you guys will circulate it, and if there is anything that can be answered, please help me answer it."

Everyone quickly stretched their necks and looked at the two questions written by Lu Guangming on the assessment form.
Zhou Dongfeng took a deep breath: "The medical association is well prepared. The content involved in these two questions is very professional!"

Yao Na also shook her head secretly.

"This is a subject that involves interdisciplinary subjects. Not only must you be proficient in the anastomosis in the gastrointestinal field, but you must also be proficient in the anastomosis in the liver and gallbladder field. The few of us must be unable to do it. Only Zhang Gu can answer it."

Yang Jie is also a little anxious, what should I do if I can't answer this question?

Lu Guangming seemed to see the predicament of everyone.

He suddenly said: "You just said, what patient did Dr. Zhang Gu go to see?"

Yang Jie replied respectfully: "He went to the Department of Hepatobiliary Surgery and said there was a case of a child with congenital choledochal cyst."

Lu Guangming stood up with a smile: "It seems that Dr. Zhang Gu is going to perform gallbladder-enteric anastomosis on the spot. Just in time, I will go to see him too."

Everyone didn't dare to neglect, and quickly sent Yang Jie and Zhou Dongfeng to accompany Lu Guangming to the hepatobiliary surgery.

The rest will continue to deal with other audit team members.

……

At this moment, in the small conference room of the hepatobiliary surgery department.

Zhang Gu, Yao Yusen, An Ruiying, and two hepatobiliary surgeons were seated.

Yao Yusen said in surprise: "Dr. Zhang Gu, what do you mean, you don't need the input loop ligation cholangioenterostomy?"

An Ruiying also looked at Zhang Gu curiously.

Isn't this the best gallbladder anastomosis in the third hospital?Why is Zhang Gu not used?
Zhang Gu explained: "This cholangioenterostomy has many advantages, but when used on a 3-year-old child, it will have several disadvantages."

"For example, ligation of the input loop will weaken the peristalsis of the input loop. This is nothing for adults, but it has a great impact on children who are at the beginning of development."

"In addition, this kind of anastomosis is relatively traumatic for children, which is not conducive to recovery."

Yao Yusen frowned, what should I do?
An Ruiying flashed a pair of small eyes with single eyelids, and also stared at Zhang Gu curiously.

If this anastomosis is not used, is there a more suitable way of biliary reconstruction for children?

In Zhang Gu's mind, he consumed a blank skill card and learned "Improved Anastomotic Side and Ligated Intestinal Tube Anastomosis for Children".

Consume 3 primary cards to upgrade to intermediate.

I am planning to consume 4 more mid-level cards to upgrade to high-level...

At first glance, there are only 2 intermediate cards left.

"Intermediate cards are too lacking, use proficiency to convert cards."

Zhang Gu consumed the only one proficiency conversion card, and at the same time consumed one high-level card, immediately there were 1 more intermediate-level cards.

After raising the surgical skills to an advanced level, Zhang Gu immediately had a lot of experience, knowledge and cases in his mind.

At this moment, someone knocked on the door of the meeting room.

A young hepatobiliary surgeon came to answer the door.

Zhou Dongfeng's figure appeared at the door.

"Zhang Gu, Director Lu is coming to the site for an audit and to observe your surgical plan formulation."

While talking, Zhou Dongfeng was winking at Zhang Gu.

It means to prepare him to deal with the review team.

Zhang Gu nodded at him, stood up with a smile, and said to Lu Guangming who was behind Zhou Dongfeng: "Welcome Director Lu, we are now talking about the key part."

Lu Guangming, Zhou Dongfeng, and Yang Jie entered the conference room.

Yao Yusen and An Ruiying also became a little nervous when they saw the situation.Although the training base does not involve the two of them, this is the biggest matter of the Third Academy recently, so don't make any mistakes because of their problems.

Not long after the three of them entered, Wang Ping, the vice president, and Lu Wei, the chief of the medical department, also heard about the situation and hurried over.

It was originally a small conference room, but with so many people popping up suddenly, it seemed a bit crowded.

After everyone was seated, Zhang Gu said to Yao Yusen, "Let's continue."

Yao Yusen swallowed.

Look around quietly, nervous!
The leaders of the courtyard and the review team were all present. If they made a mistake, it would be more than a shame.

Seeing that Yao Yusen was speechless, Zhang Gu took the initiative to stir up the topic.

"As I said just now, although the input loop ligation and anastomosis has many advantages, it also has the disadvantages of large trauma and weak peristalsis. It is not suitable for this 3-year-old child with congenital choledochal cyst."

Zhang Gu made a summary of the previous situation.

It not only eases the thinking, but also makes the thinking in the minds of Yao Yusen and An Ruiying clearer.

It was also for the newcomers Lu Guangming and Wang Pingping.Since it belonged to the audit team, Zhang Gu had to let Lu Guangming know what he was listening to.

After talking about the background, Zhang Gu further expanded:

"So, I plan to improve the details on this basis."

"One is to lift the anastomotic side earlier, and the other is to ligate the bowel."

"In this way, better peristalsis of the input loop can be ensured, the content of the input loop can be prevented from accumulating, the pressure of the intestinal loop can be increased, and bacterial colonization in the input loop can be avoided."

"Of course, in terms of specific improvement details, changes need to be made in many places. Next, I will talk about it in detail from five aspects."

Listening to Zhang Gu's eloquent talk, everyone gradually pondered over it...

Does this mean that Zhang Gu has improved a new anastomosis technique?

Although this time it is only a detailed improvement on the previous cholangioenterostomy.But it can be expanded from adapting to adults to adapting to children. In the medical field, it can be defined by a new anastomosis!

As long as the scope of application can be expanded a little, it is not a small progress, and articles can be published in professional journals.

Thinking of this, Lu Guangming's eyes lit up.

I didn't expect to come to the assessment this time, and there were unexpected gains!
"If the biliary tract reconstruction method suitable for children mentioned by Zhang Gu can be achieved, then there will be three new types of hepatobiliary anastomosis in this anastomosis training base."

Zhou Dongfeng looked at Zhang Gu who was eloquently explaining the new anastomosis technique, and he was quite moved.

As a student, I have already been able to stand on my own, and I can stand up in front of the leaders of the school and the city's auditing leaders!
So proud wow!

Yang Jie, Chief Medical Officer Lu Wei and others were still a little nervous and worried.

But after seeing Zhang Gu's performance and the gradually changing look in Lu Guangming's eyes, my heart gradually calmed down. It seems that Zhang Gu's performance made the leader of the review team very satisfied!

After Zhang Gu finished all the details, he concluded:
"The improved biliary-enteric anastomosis is generally more suitable for biliary reconstruction in children, with less trauma to the body and less chance of retrograde biliary infection. It is a good option for the treatment of congenital choledochal cyst."

"Experts, what do you think?" Zhang Gu looked around.

(End of this chapter)