The surgeon opens a cheat

Chapter 23
Zhang Gu could feel that Peng Da was a little panicked.

He said: "Doctor Peng, do the repair first. We'll talk about it later."

Peng Da took a deep breath and quickly calmed down.

"That's right, don't mess up now!"

Peng Da looked at Zhang Gu with shame, he was a five-year veteran, but he was not as calm as a young doctor.

Shame.

It's all because of the vicious cancer that made me nervous!

Peng Da, who had re-entered the state, displayed his due level of duodenal repair.

Zhang Gu was right next to him, helping Jing and secretly learning Peng Da's surgical techniques.

It can be seen that Peng Da used the most standard three-hole puncture. In addition to the initial puncture and exploration hole 0.5 cm below the navel, Peng Da also made 3 cm above the navel on the left mid-clavicular line and 3 cm on the right mid-clavian line. Holes are punched on the top respectively, and the second hole is the main operation hole.

Zhang Gu's laparoscope enters through the first hole, and looks directly at the left and right costal margins under the microscope.

"It's no wonder that even Director Xiang praised Dr. Zhang's environment-supporting technique, which really makes people feel comfortable!"

Peng Da couldn't help sighing in his heart.

With the cooperation of his assistant and the vision of the laparoscope, Peng Da's operation was much faster. He sucked up the residue and exudate caused by the perforation, and after finding out the location, size, scope and degree of edema of the perforation, he chose to deal with the edge first, and then Suture patch.

It took Peng Da 10 minutes to forceps the marginal tissues one by one, and then quickly sutured and perforated the hole with No. 4 silk thread, covered the repaired site with omentum, and finally washed the wound.

Because the perforation is not large and the location is convenient for suturing, the repair was completed quickly.

Although the repair was successfully completed, Peng Da was even more anxious in his heart.

"The next resection, what should I do?"

"Director Xiang, Director Feng, they haven't come back yet?"

The itinerant nurse next to him said: "I just got in touch, and I'm afraid it will take a while to get back."

Peng Da was flustered in his heart, but he tried his best not to show it on his face.

He is now the backbone of this temporary surgery team. If even he panics, the whole team will be in chaos.

At this time, Zhang Gu who was next to him said, "Doctor Peng, how is your level of support?"

Peng Da was taken aback, and subconsciously replied: "It's okay, when Director Ma in our emergency department was performing operations, I was the one who helped him."

"That's good."

Zhang Gu handed the laparoscope to Peng Da.

"The next task of helping the environment will be left to you."

Peng Dameng came to his senses: "Are you going to do this resection?"

There were three words rolling in Peng Da's throat, but he didn't say them out.

can you?
Zhang Gudao: "I have learned duodenectomy with Teacher Zhou Dongfeng and Director Xiang Jianhua, and it's not bad."

Peng Da's eyes lit up, but he didn't pay attention to the authenticity of Zhang Gu's words.In this desperate time, Zhang Gu's words are simply a life-saving straw.

Even if Zhang Gu's level is mediocre, he is better than him who has never had a duodenectomy, right?
When Peng Da just came back to his senses.

Zhang Gu is already separating the gallbladder triangle and the serosa.

Although Zhang Gu has never been the chief surgeon for this operation, it is his first operation with intermediate-level skills, and he is very confident in performing it.

"Surgical scissors, titanium clamps."

As soon as Zhang Gu stretched out his hand, the equipment nurse froze for a moment, then hurriedly handed over the surgical equipment.

Zhang Gu glanced at her expressionlessly, panicked at the sight of the equipment nurse, and quickly calmed down, secretly thinking that he must concentrate and not be distracted!

However, why is this young doctor in general surgery so dignified on the operating table?That look just now is a bit like Director Feng of their emergency department!

"Electrocoagulation knife."

This time, as soon as Zhang Gu opened his mouth, the equipment nurse hurriedly handed it over.The itinerant nurses did not dare to neglect, and were ready to go up and wipe their sweat at any time.

Everyone realized that at this moment, Peng Da was no longer in charge of the operating room.

but……

Can this young doctor from the general surgery department successfully complete this difficult duodenectomy?This is a surgery that even Director Feng dare not take lightly.

Under the watchful eyes of everyone, Zhang Gu cut off the cystic duct one by one, dissected the cystic artery, and used electrocoagulation to stop the bleeding.

Peng Da also hurriedly operated the laparoscope to cooperate.

Seeing Zhang Gu's breaking operation, Peng Da was also a little relieved.

Every step of Zhang Gu's separation and free operation is very proficient. It seems that Dr. Zhang Gu is not bragging, he is very stable!

For the first time, Peng Da had some confidence in this operation!
"Separation forceps, ultrasonic knife."

As time went on, Zhang Gu's instructions were responded to faster and faster.

The cooperation between him, the equipment nurse and his deputy Peng Da gradually became tacit.

Finally, the common bile duct and the hepatic artery were separated one by one, the right greater omentum was incised, the gastric antrum was cut off, and the gastroepiploic artery and vein were cut off. The malignant cancerous part of the pancreatic body was gradually cleaned and scraped out.

"call!"

Peng Da blinked his dry eyes, and heaved a long sigh of relief in his heart!
He had been staring at the monitor just now, his heart was beating wildly, and he didn't dare to blink his eyes!
Finally!

The culprit who made him nervous was finally cut out!

"Next, perform a side-to-side jejunum-ileum anastomosis. Dr. Peng, help me stretch it."

At this point, it was Zhang Gu, and his tense nerves relaxed a little.

Anastomosis, especially the side-to-side anastomosis of the jejunum and ileum, is what he is best at. He has done it several times before and is relatively familiar with it.

Peng Da also heaved a sigh of relief in his heart, staring at Zhang Gu's hands, his eyes glowed.

Coincidentally, I have heard about it before, but I have never seen Zhang Gu's improved anastomosis technique with my own eyes. This time I can finally observe it live.

The hearts of those young doctors who couldn't help were also on a roller coaster, and they finally calmed down at this moment.

"Today is really the right time! I saw Dr. Peng's prosthetic surgery, and also saw Dr. Zhang's resection and new anastomosis. I made a lot of money!"

"When I heard that Dr. Zhang Gu snatched the regular quota, I was a little jealous of him. Now it seems that he really has this ability!"

Several other people nodded one after another: "Doctor Zhang Gu is really powerful."

"Look more, think more, learn more! What you learn is your own. One day, we can be as good as Dr. Peng Da and Dr. Zhang Gu."

At this moment.

There was a lot of noise outside the operating room.

Several figures came in through the door of the emergency room.

"How's the surgery going?"

"Is the patient's condition stable? Has the malignant transformation been confirmed?"

This is Xiang Jianhua, Yao Na, Director Feng from the emergency department and others who received the news, and hurried back.

Knowing that the situation was urgent, everyone quickly changed into surgical gowns, fully armed, and entered the operating room.

When I came in, I was a little dazed.

Why are you doing an anastomosis?

Is the resection already done?Or has it failed?
(End of this chapter)