The surgeon opens a cheat

Chapter 169 What is this?

Zhang Gu held an hour-long meeting for Bao Zhihui and Yao Yusen.

Tell the general idea to the two of them.

After Bao Zhihui left the third hospital, he went straight back to the first hospital.

Came to the office of Geng Bozhong, Director of the Department of Surgery.

Geng Bozhong put down the pen in his hand, and leaned on the back of the chair: "Tell me, what did Zhang Gu ask you to do? It can't be just to do a bile duct cancer operation?"

Bao Zhihui: "Not really, he has a new view on cholangiocarcinoma."

Geng Bozhong rubbed his temples: "What do you think? He also has opinions on bile duct cancer?"

Looking back now, Bao Zhihui is still a little unbelievable: "He said that he wanted to use the method of intrahepatic bile duct anastomosis to relieve the biliary obstruction and prevent cholangitis and liver failure to solve the pain of patients with cholangiocarcinoma and improve the quality of life of patients. , to prolong the patient's life."

"Oh?"

Geng Bozhong subconsciously sat up straight: "Biliary-intestinal anastomosis can do this?"

This is something that even the eradication of cholangiocarcinoma cannot do!
Bao Zhihui also said: "I also feel that it is quite novel, but unfortunately, Dr. Zhang Gu only explained the idea in general, and did not elaborate on it in detail. I don't understand the specific principle too much."

After Geng Bozhong thought about it, he was also puzzled.

He still has a few hands in the field of anastomosis.But if he is allowed to do this project, he can solve the pain problem of cholangiocarcinoma patients only by relying on the anastomosis technique...

He really can't solve it.

"This little Zhang really has a fantastic idea." Geng Bozhong smiled.

He ordered: "Xiao Bao, you should do your best to cooperate with Zhang Gu. In addition, help me pay attention to the effect of this operation, and see if it can really be as good as Zhang Gu said."

"clear."

……

Third Hospital, Chief of Surgery, Xiang Jianhua's office.

He saw Yao Yusen's report on the surgery record.

"Hepatobiliary surgery for cholangiocarcinoma?"

Xiang Jianhua's first reaction was that it was impossible.

The Third Hospital has been established for so long, and the Department of Hepatobiliary Surgery has never performed a single operation on cholangiocarcinoma. Why is the confidence so high all of a sudden?
Xiang Jianhua opened the record and murmured, "What is Yao Yusen doing? Even if Ning Hongru returned to the Department of Hepatobiliary Surgery in person, he wouldn't dare to say that he can safely get the eradication of cholangiocarcinoma, right?"

When he saw the list of surgeons, he was taken aback.

Zhang Gu, Bao Zhihui, Yao Yusen.

"Director Bao from the Department of Hepatobiliary Surgery of the No. [-] Hospital has also been invited here? And Zhang Gu is also involved?"

For some reason, when Xiang Jianhua saw the word Zhang Gu, he felt a sense of security in his heart.This is so far the only doctor in the Third Hospital with a 100% success rate of surgery.

But Xiang Jianhua was still worried, so he called Yao Yusen to ask.

After listening to Yao Yusen's explanation for a while.

Xiang Jianhua shook his head and smiled: "This kid Zhang Gu is also whimsical. Not to mention the anastomosis, he even wants to use anastomosis to solve the main problem."

He thought for a while, and finally said softly: "Give it to him."

Big deal, when the time comes, I will go there myself and check on the spot.

……

Next, Zhang Gu made some preparations with Bao Zhihui and Yao Yusen.

After everything is ready.

The patient is pushed into the operating room.

Bao Zhihui and Yao Yusen were in charge of the first half of the cholangiocarcinoma eradication.

This part of the operation is very difficult.

Due to the particularity of cholangiocarcinoma, the cancerous site has spread quite severely, and the surrounding vascular structures, hepatic artery, portal vein, and local lymph nodes have all been spread.

It is almost impossible to remove them all.

However, Bao Zhihui and Yao Yusen did not feel much pressure in their hearts.

Anyway, as Zhang Gu said, what can be resected is counted, and there is no need to completely eradicate it. The main key of this operation is still in the anastomosis of the second half.

Among the three, Yao Yusen was the happiest.

Originally, he couldn't even carry out surgery for bile duct cancer.Today, he was able to observe and learn on the spot, and even acted as a deputy. Let Bao Zhihui personally carry out a cholangiocarcinoma eradication operation, which can be regarded as learning technology.

After 110 minutes, Bao Zhihui wiped the fine beads of sweat on his forehead.

"Dr. Zhang Gu, I can only do this step. The main part of the cancer has been removed, and there is no way to remove the rest, otherwise the patient will not tolerate it, and the loss outweighs the gain."

"It's up to you next."

Zhang Gu: "Okay, thank you for your hard work."

He and Xiao Mao went to the operating table.

As soon as he stood at the C position, Zhang Gu entered a state of concentration.

"Clamp, retractor."

"Xiao Mao, draw the round liver meridian to the lower right, and expose the umbilical meridian between the third and fourth liver."

Xiao Mao didn't dare to neglect, and hurriedly followed Zhang Gu's movements.

Bao Zhihui got off the operating table, but his eyes never left the operating table.

"Is it really possible to solve these problems with biliary-enteric anastomosis?"

He stared at the wound in the surgical field, Zhang Gu's nimble hands, once upon a time, those hands had left a deep impression on him during the spleen-preserving and pancreasectomy operation.

Those are a pair of hands full of infinite possibilities, and they are also a pair of tireless hands. Once in the city's first hospital, they set an iron man record on the operating table that no one can surpass so far.Perhaps, there can be a miracle, born from under those hands.

Bao Zhihui thought to himself, "Let's wait and see."

At this time, at the door of the operating room, an elderly figure came in.

It is the director of the teaching department and the previous director of the Department of Hepatobiliary Surgery, Ning Hongru.

He also got the news that hepatobiliary surgery is going to do a cholangiocarcinoma operation.

Upon hearing this, Ning Hongru couldn't sit still, and hurried over to check.

Ning Hongru frowned: "It seems a bit late, I have already missed the part of the cholangiocarcinoma eradication."

"But it's okay. The focus of this operation is originally on the second half."

"I hope Zhang Guzhen can use bile-enteric anastomosis to bring some hope to the treatment of cholangiocarcinoma!"

With fiery eyes, he looked at the position of the chief surgeon on the operating table.

Perhaps, Zhang Gu, this kid, can use another way to fulfill his unfulfilled wish back then?
At this time, another figure appeared beside Ning Hongru, Xiang Jianhua.

Seeing Xiang Jianhua, Ning Hongru smiled immediately: "Why are you here?"

Xiang Jianhua said helplessly, "I'm not afraid of accidents, so I'm here to check and find out. What's going on now?"

Ning Hongru gestured to the inside: "The eradication operation is done, and the excision is not clean. This is the only way to do it. I have to say that Xiaobao's cholangiocarcinoma eradication is still very good."

"Next, the focus will be on Zhang Gu's anastomosis."

Xiang Jianhua fixed his eyes on the operating table.

At this moment, Zhang Gu is freeing the liver parenchyma around the hepatic duct, forming a dish-shaped depression around it.

With this step, Xiang Jianhua's eyes lit up.

"This dish-shaped depression is very interesting. With just one simple operation, the tension of the biliary-enteric anastomosis can be relieved, which is much simpler than the previous method!"

"How do you feel, this kid's understanding of anastomotic surgery has improved a lot?"

"This speed of progress is a bit abnormal..."

(End of this chapter)