The surgeon opens a cheat

Chapter 42 Bound pancreaticogastric anastomosis
Shen Wenting was a little timid, and said aggrievedly: "Brother Zhang, is there not me in this project?"

She is like a girl who was abandoned in love.

Zhang Gu said: "Without you, but, isn't this also without Zhou Cheng?"

Shen Wenting nodded, feeling much more balanced in her heart: "That's true."

Zhang Gu said with a smile: "This time we have Director Yao sitting in charge, one is better than two. You are good at recording data and analyzing data. I will find you next time for the project."

"Okay!" Shen Wenting giggled and stuck her head back.

Zhang Gu and Yao Na came to the door of the doctor's office to welcome the two new team members.

Where is the pretty female doctor?

Zhang Gu raised his eyes and looked around.

At this time, a very gorgeous female doctor with exquisite makeup appeared, even in a loose white coat, her slender figure was loomingly revealed.

"It's really beautiful, especially the figure. No wonder even Shen Wenting is sore. It compares to a flower in our general surgery department."

Next to the beautiful female doctor is Peng Da, a single dog in the emergency department.

"Doctor Zhang!" Peng Da warmly greeted Zhang Gu: "I want to cooperate with you this time! I didn't enjoy the last time!"

"Let me introduce, this is Yang Jie, our emergency doctor."

The two sides gave a brief introduction.

Yang Jie is Feng Rong, the leader of the emergency department. The anastomosis talent he plans to train in the emergency department is very young, only two years older than Zhang Gu.

Yang Jie stared at Zhang Gu, as if she only had Zhang Gu in her eyes, and said, "Doctor Zhang, this time I was ordered to learn anastomosis with you. I hope you will take care of me in the next subjects."

Zhang Gu said: "You're welcome, let's learn from each other and improve together."

So far, all four doctors in the research team have arrived.

In addition, two surgical nurses from the general surgery department and the emergency department each participated in the project.

It can also be regarded as training nurses who can master the coordination of anastomosis for the two departments.

……

Research Building.

Zhang Gu said to Peng Da and Yang Jie: "Let Team Leader Yao take you to learn anastomosis today."

"There are two learning objectives."

"One is the basis of proficient side-to-side jejunum-ileum anastomosis and gastroesophageal anastomosis. This part will be explained by Director Yao, and watch my previous video recording of the operation field."

Both Peng Da and Yang Jie had glowing eyes.

Especially Yang Jie, her main focus in the future is anastomosis. Even if she can't reach Zhang Gu's level, she must at least be able to support the needs of the emergency department.

Although both of them had read the anastomosis discussion article published by Zhang Gu before, and had studied it in depth, this was the first time they had watched the surgical video.When Peng Da and Zhang Gu worked together, they only saw side-to-side jejunum anastomosis, but also did not see gastroesophageal anastomosis.

"This afternoon or tomorrow morning, I will tell you about my new idea of ​​pancreaticogastric anastomosis."

This time, even Yao Na looked at Zhang Gu eagerly.

She knew that Zhang Gu was persuaded to start a project with Jianhua because of his new idea of ​​pancreas-stomach matching.

So she is also very curious about this new matching idea.

……

After arranging everyone.

Zhang Gu approached Xiang Jianhua and asked for a special case patient.

"Director Xiang, please help me find a suitable patient. The first is to undergo duodenectomy, and the second is to highlight my anastomotic thinking and the advantages of effectively avoiding pancreatic fistula."

"If our third hospital doesn't have it, you can help me check it out in every hospital in the city."

Xiang Jianhua has a great reputation and has contacts in every hospital in the city. He handles this matter and can solve it as quickly as possible.

Xiang Jianhua heard Zhang Gu's thinking yesterday, and naturally understood Zhang Gu's purpose.

"Okay, in order to highlight the advantages of your thinking and apply for the research project, let's simply find a patient with a high probability of pancreatic fistula."

"Leave this to me." Xiang Jianhua agreed.

……

The multimedia room of the scientific research building.

Peng Da and Yang Jie, who had watched the video of Shuye and had made up lessons, were quite moved.

He also works in the Third Hospital, so why doesn't he have such a brain?

"If these two kinds of anastomosis are popularized on a large scale, how many patients will be benefited." Yang Jie sighed.

Yao Na and Peng Da couldn't help nodding when they heard this.Every advance in medicine can make patients suffer less pain and increase the chance of success.

Zhang Gu's improvements to the anastomosis benefit every patient on the operating table.

"Group Leader Yao, are you all there?"

At this time, Zhang Gu came in, greeted everyone with a smile and said, "How is the training going?"

Yao Na: "It's almost there. We'll wait for your team leader Zhang to explain the new idea of ​​pancreaticogastric anastomosis to us."

Peng Da and Yang Jie were also anxious, full of anticipation.

The more they learned about anastomosis, the more curious they were about what novel anastomosis ideas Zhang Gu would come up with.

"Okay, let's start now."

Zhang Gu came to the podium, plugged in the USB flash drive, and clicked on the PPT.

"The current pancreaticogastric anastomosis is known to Team Leader Yao and Dr. Peng. Most of them use full-thickness plus seromuscular anastomosis, or pancreaticogastric mucosal anastomosis."

Yao Na and Peng Da nodded.

"These two anastomosis operations are more complicated and cumbersome. For example, the pancreas needs to be pulled repeatedly, which is likely to cause swelling of the pancreas. Once the pancreas is infected or progressively necrotic after surgery, it will cause pancreatic leakage."

"In addition, the pancreatic duct is also prone to damage to the pancreas during the suturing and compression process. The flow of pancreatic juice is not smooth, and the pressure in the pancreatic duct increases, which eventually leads to rupture, which is also a major cause of pancreatic fistula."

Yao Na and Peng Da were deeply moved, what they said was so right.

Every sentence hits the nail on the head.

They often encounter these problems when they anastomose the pancreas and stomach.Because of the complicated operability, not to mention sweating during the operation, it is often half the result with half the effort.

This is a relatively common phenomenon in general surgery and emergency department surgery.

The two suffered a lot, but they never thought of an effective way to improve it.

Zhang Gudao: "My idea of ​​improving the pancreas and stomach, in simple terms, is to wrap the stump of the pancreas with a wide gastric cavity when reconstructing the stump of the pancreas, and use the thick gastric wall with rich blood supply to promote the healing of the anastomosis, which can effectively reduce the pancreas. Gastric anastomotic pressure, thereby reducing the incidence of pancreatic fistula."

Yao Na and Peng Da were all thoughtful.

Yang Jie murmured: "Using the advantage of the blood supply and acidity of the stomach to resolve the disadvantage of pancreatic fistula recovery?"

Zhang Gu praised: "Yes."

No wonder the boss Feng Rong appointed Yang Jie as the leading anastomotic surgeon in the emergency department in the future. She is indeed talented in the field of anastomosis, and she knows everything.

Peng Da excitedly said: "Team Leader Zhang, is this the core idea of ​​our project?"

Zhang Gu shook his head and said: "No, this idea can only be regarded as laying the foundation, and it is also a small trick to ensure that we can get the project funds as soon as possible."

Peng Da opened his mouth wide: "So, there is another big move?"

"Yes, there is another big move." Zhang Gu smiled.

Everyone's eyes widened. Is this just a trick?
What's the big move behind that?
How many good things do Team Leader Zhang still have in his mind?

(End of this chapter)