The surgeon opens a cheat
Chapter 233 On the Internet
Chapter 233 On the Internet
When everyone entered the ward.
Xiao Mao and Tian Sha have already placed the patient's new examination results today on the table for people to read.
Zhang Gu asked directly: "Tian Sha, how is the situation?"
Tian Sha couldn't help smiling: "It is indeed as you predicted, the test results two hours ago showed that the liver volume has successfully increased to 582ml."
She added: "Compared to the first time after the operation, it has doubled, accounting for 42% of the standard liver volume, and 0.89% of the body weight. It has reached the safe range for the second surgical resection you stipulated."
Zhang Gu nodded slightly.
He was still doing well, and the people behind him all let out a long breath and smiled.
Several people looked at each other.
There is a high probability that this topic is done!
After checking all the indications of the patient, Zhang Gu said, "The patient is in good condition, and the second operation will be arranged this morning."
In this operation, everyone is more confident.
Still enter the abdomen from the original incision.
The turbid intraperitoneal fluid, about 1500ml, was extracted first, the plastic bag covering the right hemi-liver was opened, and the fluid in it was sucked out.
This amount of effusion is completely within the expected range.
At this time, a brand new liver appeared in front of everyone.
Everyone stretched their necks to look, and saw that the left outer lobe of the liver had increased significantly, the left and right diameter increased from 10 cm to 12 cm, and the left lobe of the liver was also significantly thicker.
At this time, Xiaomaohui reported: "There is no blood flow in the right front and back of the portal vein, and there is no space-occupying lesion in the left lobe of the remaining liver."
Zhang Gu, wearing a mask, nodded: "The space-occupying lesion has not spread, so the goal of this second operation is to remove the space-occupying cancer in the right lobe of the childbearing liver."
Next to him, three old doctors also secretly praised him.
"Zhang Gu's thinking is very clear and clear."
"Well, his logic has always been very rigorous, and this is the key to ensuring that he does not make mistakes in his surgery."
At the beginning of the second operation, Zhang Gu cut off the right anterior and posterior branches of the portal vein along the original ligature.
This step is to change the original centralized blood supply back.
After resecting the space-occupying cancerous lesions here, open the stump of the right hepatic duct, and inject white 20% fat emulsion. This step is to check whether there is a fistula in the hepatic duct of the liver.
……
The second operation was finally completed after the blood vessels were sutured and the abdomen was closed.
This time the liver volume decreased again, but not much. Even with a normal blood supply, it can support the spontaneous growth of the liver back to its original level.
So far, the two-step liver cutting method has been completed.
The rest is just postoperative rehabilitation treatment for the patient and monitoring the recovery data of the patient.
Everyone in the whole team was smiling and beaming.
The success of this first patient has completely changed their mentality from the previous lack of confidence to the current down-to-earth.
The next step is to carry out multiple operations to consolidate the results of the project.
……
Tian Sha is responsible for uploading the real-time progress of the project to the Provincial Data Information Center.
When the news of the first successful case spread to the province.
The leaders concerned in the province are quite gratified and pleasantly surprised!
After so many years, the second succession issue finally appeared in Shan Province, and it was such a big achievement in the treatment of huge liver cancer!
Although the subject data was kept confidential, the news spread quickly in the province like wings.
A number of key large hospitals in the province have learned the news today.
Many hospitals, the first subconscious reaction is Yuancheng Zhanggu is good!They actually managed to complete a huge liver cancer treatment project!
Zhang Gu, Yuancheng, is not easy!It seems that in the field of liver and gallbladder, we should pay more attention to the news of Yuancheng in the future.
Provincial Bethune Hospital.
After hearing the news, Professor Cheng Jinhua was very excited and kept pacing up and down, unable to stop at all.
"As far as I know, Zhang Gu's second inheritance project was done with the portal vein ligation and isolation technique."
"As for this technique, Zhang Gu has already taught me this technique in one of the inherited tasks of the spleen preservation technique."
"Doesn't this mean...that I, who possess the core technology, can also complete this huge liver cancer operation?"
The more Cheng Jinhua thought about it, the more excited he became!
He has long wanted to participate in the huge liver cancer project, but unfortunately, the province has never given him the chance to fight for it.
Now that the project is successful in Yuancheng, the knowledge is obviously in Yuancheng, but Cheng Jinhua can't touch it.
This feeling is very uncomfortable!
"No, I have to figure it out! Maybe, on my own, I can figure out a treatment for the huge liver cancer."
Yuancheng Zhanggu can do it, why can't I?I also master the core technology!
Cheng Jinhua knew that even if he figured it out, it would be impossible for him to sign this project, and he didn't do it for it.He is simply obsessed with medical knowledge, wishing to know all the principles of treatment.
……
Yuancheng Sanyuan.
Zhang Gu's subject is advancing in an orderly manner.
Not only Zhang Gu is calm, but now the entire team, including several senior doctors in the advisory group, has also calmed down, doing things seriously, without so many worries and scruples.
The second case, the third case... More and more patients have received treatment for huge liver cancer.
The project data recording paper is getting thicker and thicker.
When the last patient also had surgery.
In this case, only the monitoring data and sorting of data in the later stage are left, which are completed by Tian Sha, Wu Yan, and Xiao Mao.
Zhang Gu's personal mission has been declared complete.
When he was free, Zhang Gu took out his mobile phone.
Only then did I realize that there were more than a dozen missed calls, and there were hundreds of text messages bombarded.
Zhang Gu opened it, his cheeks twitched slightly.
"Almost half of the text messages are from Shen Wenting. What's wrong with her?"
One by one, the text messages were opened.
"Brother Zhang! There are so many people talking about your project on Weibo, and many people even suspect that you can't finish it. I spat with them, and I felt comfortable!"
"Brother Zhang! Haven't you surfed the Internet yet? Recently, there have been more and more voices discussing your topic on Weibo and the medical association forum!"
Zhang Gu looked down one by one, and couldn't help laughing.
"My topic became popular on the Internet?"
Zhang Gu clicked on Weibo and saw that it was true.
On Weibo, the popularity of the super topic has not diminished, and many certified veteran doctors from all over the country, in the field of hepatobiliary surgery, have participated in it.
After thinking about it, Zhang Gu also registered a Weibo account.
Then @ the official Weibo of Yuancheng Third Hospital, and asked for help to repost and verify it.
"There are quite a lot of people following this platform. If I have any surgical experience and procedures that I need to share, I can post them directly here."
Zhang Gu went to the forum of the Medical Association again, and there were more professional speeches here, and many people were really helping out ideas and ideas, hoping to contribute to this topic.
Although these ideas are useless, Zhang Gu still feels warm in his heart.
After thinking about it, Zhang Gu got on his own account and posted a post on the forum.
(End of this chapter)
When everyone entered the ward.
Xiao Mao and Tian Sha have already placed the patient's new examination results today on the table for people to read.
Zhang Gu asked directly: "Tian Sha, how is the situation?"
Tian Sha couldn't help smiling: "It is indeed as you predicted, the test results two hours ago showed that the liver volume has successfully increased to 582ml."
She added: "Compared to the first time after the operation, it has doubled, accounting for 42% of the standard liver volume, and 0.89% of the body weight. It has reached the safe range for the second surgical resection you stipulated."
Zhang Gu nodded slightly.
He was still doing well, and the people behind him all let out a long breath and smiled.
Several people looked at each other.
There is a high probability that this topic is done!
After checking all the indications of the patient, Zhang Gu said, "The patient is in good condition, and the second operation will be arranged this morning."
In this operation, everyone is more confident.
Still enter the abdomen from the original incision.
The turbid intraperitoneal fluid, about 1500ml, was extracted first, the plastic bag covering the right hemi-liver was opened, and the fluid in it was sucked out.
This amount of effusion is completely within the expected range.
At this time, a brand new liver appeared in front of everyone.
Everyone stretched their necks to look, and saw that the left outer lobe of the liver had increased significantly, the left and right diameter increased from 10 cm to 12 cm, and the left lobe of the liver was also significantly thicker.
At this time, Xiaomaohui reported: "There is no blood flow in the right front and back of the portal vein, and there is no space-occupying lesion in the left lobe of the remaining liver."
Zhang Gu, wearing a mask, nodded: "The space-occupying lesion has not spread, so the goal of this second operation is to remove the space-occupying cancer in the right lobe of the childbearing liver."
Next to him, three old doctors also secretly praised him.
"Zhang Gu's thinking is very clear and clear."
"Well, his logic has always been very rigorous, and this is the key to ensuring that he does not make mistakes in his surgery."
At the beginning of the second operation, Zhang Gu cut off the right anterior and posterior branches of the portal vein along the original ligature.
This step is to change the original centralized blood supply back.
After resecting the space-occupying cancerous lesions here, open the stump of the right hepatic duct, and inject white 20% fat emulsion. This step is to check whether there is a fistula in the hepatic duct of the liver.
……
The second operation was finally completed after the blood vessels were sutured and the abdomen was closed.
This time the liver volume decreased again, but not much. Even with a normal blood supply, it can support the spontaneous growth of the liver back to its original level.
So far, the two-step liver cutting method has been completed.
The rest is just postoperative rehabilitation treatment for the patient and monitoring the recovery data of the patient.
Everyone in the whole team was smiling and beaming.
The success of this first patient has completely changed their mentality from the previous lack of confidence to the current down-to-earth.
The next step is to carry out multiple operations to consolidate the results of the project.
……
Tian Sha is responsible for uploading the real-time progress of the project to the Provincial Data Information Center.
When the news of the first successful case spread to the province.
The leaders concerned in the province are quite gratified and pleasantly surprised!
After so many years, the second succession issue finally appeared in Shan Province, and it was such a big achievement in the treatment of huge liver cancer!
Although the subject data was kept confidential, the news spread quickly in the province like wings.
A number of key large hospitals in the province have learned the news today.
Many hospitals, the first subconscious reaction is Yuancheng Zhanggu is good!They actually managed to complete a huge liver cancer treatment project!
Zhang Gu, Yuancheng, is not easy!It seems that in the field of liver and gallbladder, we should pay more attention to the news of Yuancheng in the future.
Provincial Bethune Hospital.
After hearing the news, Professor Cheng Jinhua was very excited and kept pacing up and down, unable to stop at all.
"As far as I know, Zhang Gu's second inheritance project was done with the portal vein ligation and isolation technique."
"As for this technique, Zhang Gu has already taught me this technique in one of the inherited tasks of the spleen preservation technique."
"Doesn't this mean...that I, who possess the core technology, can also complete this huge liver cancer operation?"
The more Cheng Jinhua thought about it, the more excited he became!
He has long wanted to participate in the huge liver cancer project, but unfortunately, the province has never given him the chance to fight for it.
Now that the project is successful in Yuancheng, the knowledge is obviously in Yuancheng, but Cheng Jinhua can't touch it.
This feeling is very uncomfortable!
"No, I have to figure it out! Maybe, on my own, I can figure out a treatment for the huge liver cancer."
Yuancheng Zhanggu can do it, why can't I?I also master the core technology!
Cheng Jinhua knew that even if he figured it out, it would be impossible for him to sign this project, and he didn't do it for it.He is simply obsessed with medical knowledge, wishing to know all the principles of treatment.
……
Yuancheng Sanyuan.
Zhang Gu's subject is advancing in an orderly manner.
Not only Zhang Gu is calm, but now the entire team, including several senior doctors in the advisory group, has also calmed down, doing things seriously, without so many worries and scruples.
The second case, the third case... More and more patients have received treatment for huge liver cancer.
The project data recording paper is getting thicker and thicker.
When the last patient also had surgery.
In this case, only the monitoring data and sorting of data in the later stage are left, which are completed by Tian Sha, Wu Yan, and Xiao Mao.
Zhang Gu's personal mission has been declared complete.
When he was free, Zhang Gu took out his mobile phone.
Only then did I realize that there were more than a dozen missed calls, and there were hundreds of text messages bombarded.
Zhang Gu opened it, his cheeks twitched slightly.
"Almost half of the text messages are from Shen Wenting. What's wrong with her?"
One by one, the text messages were opened.
"Brother Zhang! There are so many people talking about your project on Weibo, and many people even suspect that you can't finish it. I spat with them, and I felt comfortable!"
"Brother Zhang! Haven't you surfed the Internet yet? Recently, there have been more and more voices discussing your topic on Weibo and the medical association forum!"
Zhang Gu looked down one by one, and couldn't help laughing.
"My topic became popular on the Internet?"
Zhang Gu clicked on Weibo and saw that it was true.
On Weibo, the popularity of the super topic has not diminished, and many certified veteran doctors from all over the country, in the field of hepatobiliary surgery, have participated in it.
After thinking about it, Zhang Gu also registered a Weibo account.
Then @ the official Weibo of Yuancheng Third Hospital, and asked for help to repost and verify it.
"There are quite a lot of people following this platform. If I have any surgical experience and procedures that I need to share, I can post them directly here."
Zhang Gu went to the forum of the Medical Association again, and there were more professional speeches here, and many people were really helping out ideas and ideas, hoping to contribute to this topic.
Although these ideas are useless, Zhang Gu still feels warm in his heart.
After thinking about it, Zhang Gu got on his own account and posted a post on the forum.
(End of this chapter)
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