The surgeon opens a cheat

Chapter 39 Multi-step resection of polyps with high-frequency electrocoagulation
Liu Quan pulled Zhang Gu aside.

"Mr. Zhang, can you do this operation?"

Zhang Gu: "Didn't you just do it?"

Liu Quanwei wondered: "Isn't the patient asking you to be the chief surgeon?"

"The main reason is that this patient is special. You also know that Wenxin Medical Devices Co., Ltd. and our third hospital are in partnership. Just now, the chief of the medical department called us specifically to ask us to try our best to meet the reasonable demands of the patients."

"The point is, her polyp is lobulated. I...cough cough, I'm a little unsure."

Zhang Gu is speechless, your last sentence is the key, right?
"What about gastroscope filming? Bring it to me to have a look."

Liu Quan hurriedly brought it: "This kind of phyllodes polyp is very difficult to cut. What Chief Lu of the medical department said, if you are not sure, we will invite experts from the first hospital."

This time, the third hospital had to directly invite experts from the first hospital for consultation.

It was Liu Quan who took the initiative to apply, saying that he would let Zhang Gu take a look at it first.

The last time he cooperated with Zhang Gu on a gastroscope project, he felt that Zhang Gu's gastroscope skills are very deep, which led him to trust Zhang Gu.

"Look, Mr. Zhang, this is a polyp with a diameter of 2.1 cm. The base is wide and thick, and the top is lobulated. I have thought about several surgical options, but it is not easy to perform surgery."

Zhang Gu also looked carefully.

At this moment, several people at the door walked in, talking loudly.

The leader was a tall, hard-lined man in a suit and leather shoes, who looked like a winner in life.

The person who was talking to him was Liu Wenshuan, the vice president in charge of administration of the third hospital, and Lu Wei, the chief of medical affairs, was following behind Liu Wenshuan.

As soon as a few people came in, Yuan Xiaotong beside Fang Qiong went over happily and called, "Dad!"

Fang Qiong also called out a little restrainedly: "Yuan Dong, you are here."

Yuan Lang nodded to the others, and finally his eyes fell on Zhang Gu and Liu Quan, the two white coats.

The main thing is to look at Liu Quan. The 50-year-old Liu Quan looks like the backbone of this place.

Vice President Liu Wenshuan said: "Director Yuan, the medical level of our third hospital has also been increasing in the past few years. We have just completed a project in the field of gastroscopy that even several large hospitals in the province can't handle! A few days ago You’ve heard about the fact that every provincial hospital in the world comes to negotiate, right? So it’s definitely right to choose to come to the Third Hospital for treatment!”

Zhang Gu blushed at these words.

Yuan Lang nodded: "I've heard about it too."

Liu Wenshuan chuckled, turned his head to look at Liu Quan and Zhang Gu, showing a questioning expression.

"How about it, can the operation be done?"

Liu Quan was a little embarrassed.

Say no, the deputy dean's cowhide has been blown out.Say yes, but he is not fully sure, if he can't do it well, then the matter will become bigger.

Zhang Gu sighed in his heart, let me help you make up the cowhide.

Moreover, this Yuan Lang is also the chairman of Wenxin Medical Devices. He is much more powerful than Fang Qiong, and he is also a member of the upper class in Yuancheng, and he can be regarded as a big network.

Zhang Gu said: "It can be done, just in our gastroscopy room, after the operation, it will be observed for six hours. Do you have time today?"

In Zhang Gu's mind, Zhang Gu consumed a conversion card to transform the repeated foreign body removal under gastroscope into "polypectomy with high-frequency electrocoagulation under gastroscope".

Another 3 junior cards were consumed, and he was promoted to the intermediate city senior level.

Removal of common polyps, primary is enough.But this is a lobulated polyp with a wide base that Liu Quan is not sure about, and it needs to be upgraded to an intermediate level.

When Liu Wenshuan heard Zhang Gu's words, he immediately gained confidence.

Yuan Lang saw Zhang Gu speaking, and Liu Quan seemed to be focusing on him, which was a little strange.

Fang Qiong leaned over to him and said a few words, Yuan Lang immediately understood, and looked at Zhang Gu with a softer gaze, a little more appreciative.

Yuan Lang said: "Let's do it today, don't worry if you cut it early, don't turn it into cancer in the future."

Zhang Gu nodded, and instructed Lu Dongdong next to him: "Prepare the oxygen saturation meter, infusion kit, 8% lidocaine, propofol, oxygen, and [-]ml of [-]:[-] norepinephrine."

Lu Dongdong cooperated with Zhang Gu skillfully.

It is obviously a habit formed during the course period.

Unrelated personnel waited outside, and medical staff and patients entered the operating room.

Zhang Gu glanced at Yuan Xiaotong: "Xiaotong, your clothes are too tight, please loosen them up so that you can have a gastroscopy."

Yuan Xiaotong blinked his big eyes, his face was a little pink: "Do you still have to unbutton it?"

"Need not."

Zhang Gu glanced at her waist: "Just untie the ribbon on your skirt outside."

At the age of 15, I knew how to dress myself up pretty, with a thin waist.

"Bend your knees."

"Take a deep breath and prepare to go off the camera."

"Xiaotong makes swallowing movements, imagining swallowing the gastroscope."

"It's normal to feel nauseous, don't swallow your saliva, just let it flow out."

While under the mirror, Zhang Gu instructed the patient.

Liu Quan beside him said quietly: "Mr. Zhang, have you thought about the operation plan yet?"

Zhang Gu glanced at him: "It's really not easy to cut with the knife in one step, so use the multi-step cutting method."

Liu Quan nodded and acted as Zhang Gu's assistant, looking forward to watching Zhang Gu's performance.

"The gastroscope has passed through the throat, Xiao Tong, retracting your tongue can relieve some nausea. If you want to vomit, just spit it out, don't be a ninja, don't swallow it."

Yuan Xiaotong was quite cooperative and obedient.

Zhang Gu manipulated the adjustment knob of the gastroscope, checked and searched bit by bit.

After probing again, it was confirmed that there was only one polyp in the gastric antrum.

"Director Liu, come to help the environment." Liu Quan hurried forward.

Lu Dongdong didn't even have the qualifications to be a deputy to help the environment. At this moment, he only had the opportunity to observe and learn.

Zhang Gu operated the snare, encircled the top of the lesion around a polyp with a diameter of about 1 cm, and removed the polyp with high-frequency mixed current.

Liu Quan has been observing with a gastroscope, and now he is relieved: "There is no bleeding."

Zhang Gu changed the foreign body forceps again, and picked out the excised polyps bit by bit.

"Doctor Lu, send him for a pathological examination."

This step is to rule out cancerous conditions. If it has become cancerous, it is not as simple as a polypectomy with a gastroscope.

"The first step is over, the second step is to separate the polyp base."

Zhang Gu's operation speed gradually accelerated.

Because he found that Yuan Xiaotong was so disgusted by the stimulation of the gastroscope that his saliva was uncontrollable and kept flowing out, dripping down his chin.

Yuan Xiaotong felt pained and wronged at the moment.

Girls in the blooming season love beauty, and it is also the time when their self-esteem is very strong.

This picture of saliva dripping down was too detrimental to her image. She had no face to look at Zhang Gu and the others. She closed her eyes and hoped that the operation would be finished soon.

Liu Quan's heart ached when he looked at the thick polyp base.

Then comes the hardest part of the whole operation.

It was also what made Liu Quan feel uncertain.

"Mr. Zhang, this foundation is not easy to deal with, it's too lenient."

"Even if it can be separated, the operable space is squeezed very narrow, and the instrument can easily touch the stomach wall. What should I do?"

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(End of this chapter)