The surgeon opens a cheat

Chapter 173

Zhang Gu came to the inpatient ward again to check the condition of this patient.

There are two purposes, one is to prepare the patient before surgery, and the other is to perfect the method of "intrahepatic bile duct anastomosis for gallstones" in mind.

When Zhang Gu passed by the ward, Dodo, a little girl inside, heard footsteps, peeked out her head, and looked outside.

Seeing that it was Zhang Gu, he immediately gave Zhang Gu a big face, with big eyes flickering.

Zhang Gu smiled at her and waved.

After receiving Zhang Gu's response, Xiao Duoduo happily retracted her head.

Zhang Gu turned around and entered the gallstone patient's room.

He first checked the patient's various indicators to see if they met the indications for surgery.

"The surgery I performed on you this time is a bit different from the ones you performed at the City No. [-] Hospital and the Water Conservancy Hospital. I plan to fully expose your left hepatic bile duct and try to remove the gravel in one go."

"So, you have to be mentally prepared."

The patient didn't know if he understood, but he kept saying: "Okay, okay, do it quickly! As long as it can make me stop hurting."

It could be seen that he was already tormented by the illness.

Zhang Gu finally checked the actual condition of the patient, as well as the advanced level of biliary-enteric anastomosis in his mind, and after a comprehensive analysis, formed a surgical treatment plan.

……

Small meeting room.

Zhang Gu and the hepatobiliary surgeons met for the last time to agree on the operation plan.

It was said that it was agreed, but in fact it was Zhang Gu explaining his treatment ideas, arranging work tasks for Yao Yusen and others, and asking them to cooperate with him during the operation to complete the operation well.

Ning Hongru also came to consult. He asked doubtfully: "Dr. Zhang, since bile duct stones occur at the confluence of the left and right hepatic ducts, why did you choose to expose the left hepatic duct instead of the right hepatic duct?"

Zhang Gu smiled and said: "Director Ning must know that the left hepatic duct is in a stable position, easy to dissect, superficial, and has a thick main diameter, right?"

Ning Hongru nodded slightly, and Yao Yusen and other hepatobiliary surgeons beside him also nodded.

This is basic common sense for them, but the right hepatic duct also has its irreplaceable advantages. Exposure of the right hepatic duct can also correct and dilate the intrahepatic bile duct, which also has its merits.

Zhang Gudao: "If you choose to cut the left hepatic duct, you only need to pull the intrahepatic ligament down, and it is not easy to accidentally injure the large blood vessels. The right hepatic duct is vertically placed deep, difficult to expose, and the trunk is short."

"If the right hepatic duct needs to be incised during the operation, then the left hepatic duct can be incised first, and then the right hepatic duct can be incised at the confluence of the left and right hepatic ducts to obtain a wide and tension-free anastomosis. This is comparable to Cutting the right hepatic duct directly is less risky and easier to operate.”

Zhang Gu finally concluded: "For the goal of removing the gravel in this patient, this sequence of incisions couldn't be more appropriate."

After hearing this, Ning Hongru couldn't help thinking.

He had an illusion, how could Zhang Gu, a general surgeon, have a deeper knowledge of liver and gallbladder than those of them who were born in hepatobiliary surgery?

But these basic knowledge, obviously every hepatobiliary surgeon knows them.

But when encountering a specific problem, no one present can compare to Zhang Gu who can make a specific analysis for a specific patient.

Ning Hongru sighed in his heart: "It would be great if Zhang Gu was my hepatobiliary surgeon. How come Lao Xiang is so lucky to get such a treasure?"

The more Ning Hongru listened to Zhang Gu's thoughts, the more he understood...

Zhang Gu is not only strong in professional knowledge.

In the application of professional knowledge, he is even more proficient in playing and has profound attainments.

Able to analyze the specific situation of each different patient and formulate a surgical plan specially suitable for this patient.

……

After agreeing on a plan, enter the operating room.

Zhang Gu was the chief surgeon, and Yao Yusen and Xiao Mao were Zhang Gu's assistants in the stage of "hepatic duct exposure" and the part of "biliary-intestinal anastomosis".

Ning Hongru looked at the operating table with complicated eyes, focusing on the few people who were doing the operation.

His eyeballs rolled slightly, not knowing what he was thinking.

On the operating table, Zhang Gu worked steadily, making an oblique incision on the left side of the xiphoid process into the abdomen.

This is to avoid the scar adhesion caused by the patient's history of multiple biliary tract operations.

This operation is not difficult for Zhang Gu.

Especially with the previous experience in treating cholangiocarcinoma, Zhang Gu is even more familiar with it.

Even Yao Yusen, who was his deputy, began to gain some experience, and became more proficient in cooperating with Zhang Gu to expose the intrahepatic bile duct.

Cut off the left semi-hepatic ligament, pull it, expose the fusion site, separate and expose the left hepatic duct, separate and ligate the small arteries and veins across the left hepatic duct...

After doing so many operations, Zhang Gu also took a satisfied look at Yao Yusen.

"This old Comrade Yao, he cooperated quite well!"

Being able to stand out from many doctors and become the director of the Department of Hepatobiliary Surgery is enough to show that Yao Yusen is still relatively good.

At least the ability to learn and analyze problems is quite good, and the vision is also quite vicious.

As he was doing it, an idea popped up in Zhang Gu's mind.

How about teaching Yao Yusen the "intrahepatic bile duct anastomosis" technique?
This will not only make it easier for him to develop marginal subjects in hepatobiliary surgery, but also gain a good impression of him, and he can also complete a task of "teaching students" to get some blood from Lao Yao.

Thinking of this, Zhang Gu ended the staged operation in his hands and gave up the position of the chief surgeon.

"Come on, Director Yao, try the main knife."

Yao Yusen froze for a moment, but didn't react: "I'm coming?"

Zhang Gu said with a smile: "Yes, I have almost done the operation of exposing the liver duct, and the rest of the operation is relatively simple, you can try it, it can be regarded as practice."

Yao Yusen took a deep breath, and his heart was eager to try.

He has long wanted to learn these techniques from Zhang Gu.

As the director of the Department of Hepatobiliary Surgery, Yao Yusen couldn't invite Zhang Gu every time he encountered this kind of patient, right?You have to master some surgical skills yourself.

"Okay, then I'll try. If there's anything wrong, Doctor Zhang, please correct me in time."

Before he knew it, Yao Yusen even used the honorific title.

Zhang Gu smiled and said, "Don't worry, I'm here."

Yao Yusen's next operation was completely in accordance with Zhang Gu's thinking, and with Zhang Gu's guidance from the side, basically nothing went wrong.

Zhang Gu nodded secretly in his heart. As the director of the department, Yao Yusen's practical ability in surgery is also acceptable, probably about the same as that of Shu Xinxian, the female deputy director of the Department of Hepatobiliary Surgery.

Finally, this operation came to a successful conclusion.

Zhang Gu was quite satisfied, and his article finally came to fruition, and it was published.

After going back and perfecting it, you can submit it directly.

Zhang Gu was thinking about the article, and after greeting Yao Yusen and Ning Hongru, he left the operating room.

Ning Hongru called Yao Yusen over: "Go to your office and talk about something."

Yao Yusen hurriedly followed.

(End of this chapter)