The surgeon opens a cheat

Chapter 2 Duodenectomy

"Three mainline missions, only two can be accepted."

Zhang Gu was very greedy for these rewards.Especially gold and colored cards.

But he is still sane.

Those two missions are long-term missions that will take ten years.And this task list is refreshed every half a month.

It's not cost-effective to take on such a long-term task.

A more sensible approach is to choose tasks that can be completed in the short term, proceed step by step, and continuously improve.

One day, it will only take half a month to become the president of a provincial tertiary hospital and get those eye-catching rewards.

Zhang Gu accepted the third mission.He would rather leave an empty taskbar and wait for half a month to see what will come out.

"Publish an article in a professional medical journal?"

If you want to publish an article, you must come up with real materials.

Zhang Gu turned his attention to a blank skill card that he gave as a gift, he could specify to learn a surgical skill.

"I just want to watch a duodenectomy operation tomorrow, so I'll choose this one."

Zhang Gu's heart skipped a beat, and he felt the icon of "pancreaticoduodenectomy" light up in his mind.

……

The next day.

Early in the morning, Zhang Gu came outside the operating room and waited.

The chief surgeon of this operation is the old director of the department, Xiang Jianhua.He is very famous and is one of the two major signs of the Third City Hospital. Many patients come to the Third City Hospital specifically for him.

There are several young doctors who came to observe, and they came very early, including Feng Xuebin, a genius student.

Everyone changed into surgical gowns.

Xiang Jianhua put on a mask, exchanged a few words with a deputy chief surgeon, and checked the time.

Then he said to several young people: "The deputy who helped me to support the environment can't keep up, who of you can support the mirror?"

Hold the mirror for Director Xiang?

The minds of several young people became active all at once!

It is a rare opportunity to help such an experienced senior veteran, and he can learn a lot.

But the risk is also great, if a big mistake is made in front of the big boss of the department, the embarrassment is small, and the future may also be affected.

Several young people were both excited and hesitant.

Xueba Feng Xuebin looked around. Among these young people, he was the best and the most suitable to stand out.Although he didn't specifically learn the skills of helping the environment, but he was better than the others, right?
In his heart, he cheered himself up: "Feng Xuebin, you can do it! Don't be afraid of making mistakes. This is a rare opportunity to perform. Try to make a good impression on Director Xiang."

At this time, Zhang Gu stood up: "Director Xiang, let me come. I have learned some skills of helping the environment with Mr. Zhou Dongfeng."

Xiang Jianhua said "hmm", "Come here."

Zhang Gu came to the laparoscope and adjusted the instrument skillfully.Seeing this scene, he nodded slightly to the director.

Feng Xuebin took half a step forward, then retracted, sighing secretly why he didn't go out just now, and at the same time he was relieved, let's see how this newcomer in the department is doing.

Under the shadowless lamp.

The deputy surgeon placed the patient in the lithotomy position after general anesthesia, and established artificial pneumoperitoneum.

Then, Chang Jianhua stood on the operating table.

Including Zhang Gu, everyone stared at Xiang Jianhua's hands with burning eyes.

I saw that he placed a [-]mm trocar at the position of the lower umbilicus and [-]cm below the left costal margin at the midclavicular line, and a [-]mm trocar at the position of [-]cm below the right costal margin at the midclavicular line and anterior axillary line.

Several young people carefully learned the director's hole selection and puncture skills.

In endoscopic surgery, these two items are important foundations.

"Follow me, let me check the abdomen, and check the tumor."

Zhang Gu nodded, grasping the adjustment optical fiber with both hands, and went deeper layer by layer.

Xiang Jianhua originally wanted to mention a few words, but as the atmosphere deepened, he became a little surprised.

This young man's foundation in helping the environment is not weak.

Even the few young people who stared at the ambient display screen felt that the advancement and retreat of the field of vision were well controlled.

Zhang Gu keeps the observation target on the display only occupying a quarter to a fifth of the area of ​​the display, keeping the best observation distance.

The adjustment and advance and retreat of the focal length are also properly grasped.

When Xiang Jianhua wanted to change the target of observation, often before he even opened his mouth, Zhang Gu began to manipulate the environment to advance and retreat.

As soon as Xiang Jianhua made a move in his hands, Zhang Gu cooperated and followed up.

Xiang Jianhua was very comfortable with this supportive environment!
"The space here is narrow, and the tissues are edematous." Xiang Jianhua was about to ask Zhang Gu to move the cavity back a little to facilitate observation.

Before he finished speaking, he saw that the camera had zoomed out.

"good."

Xiang Jianhua took a look at the young man, and praised him on the operating table in a rare way.

This young man has definitely studied this duodenectomy in depth, and has also learned the technique of helping the environment.

It seems to be called Zhang Gu?

Xiang Jianhua wrote down the name in his heart.

A few equipment nurses and itinerant nurses also looked at Zhang Gu a few more times.The operating room circle is so big, they rarely listen to the director praise others on the operating table.

"I saw the tumor site."

When the messy, bloody tumor tissue appeared on the monitor, everyone's heart skipped a beat!
The size of the tumor is too large, and there is too much adhesion with the surrounding blood vessels, so it is very difficult to remove.

Xiang Jianhua looked solemnly, and said: "Everyone cheer up, this is probably a protracted battle."

This operation is estimated to take at least nine hours to complete.

Xiang Jianhua is a seasoned veteran, so he is fine.

But Zhang Gu, the novice who helped him, can he hold on for such a long time and hold his hand so steadily?
This is a test of physical strength, patience, and persistence.

"It's done."

After exhorting Jianhua, he began to free and cut off the duodenum and the upper part of the jejunum, and then cut off the gastric antrum.

Zhang Gu's support of the environment is also very good.

When freeing the inferior mesenteric vessels, the lumen controlled by Zhang Gu remained at the level of the abdominal aorta.

When mobilizing the right colon, the lumen remains on the mesentery, perpendicular to the vein.It also has a 30-degree rotation adjustment, which is convenient for all-round observation of vascular nudity.

Maximum convenience to Jianhua's operation.

Xiang Jianhua couldn't help sighing in his heart, "It's comfortable!"

With this foundation in supporting the environment, he can keep pace with his long-term partner's deputy.

Four hours later, Xiang Jianhua cut off the neck and body of the pancreas with an ultrasonic electrosurgical knife.

Seven hours later, all the tumors were removed, and the tumors were carefully cleaned and scraped off.

Nine hours later, a microscopic anastomosis was performed to reconstruct the channels of the pancreas, gastrointestinal tract, and biliary tract.

The surgery is finally coming to an end.

During the whole process, Zhang Gu's hand was always steady, without shaking at all, and he gave Jianhua several times admiring eyes.

Several young people also looked in admiration, and their eyes were full of envy.Xin Dao Zhang Gu must have caught Director Xiang's eyes this time.

Feng Xuebin also sighed in his heart: "He lasts longer than me."

Xiang Jianhua straightened his waist, glanced at Zhang Gu, and said with a smile, "Thanks for your hard work."

Zhang Gu hastily said: "Director Xiang is working hard, I'm just helping the environment, but you are the most energy-intensive operation for nine hours of non-stop high-focus operation."

Xiang Jianhua looked at him: "How is it, do you still have strength?"

Zhang Gu's heart moved, and he said: "Yes!"

"Okay, you rinse and sew up the incision."

Xiang Jianhua originally planned to give this opportunity to Feng Xuebin, but when he changed his mind at this moment, he conveniently gave it to Zhang Gu, who made him extremely comfortable.

(End of this chapter)