The surgeon opens a cheat

Chapter 44 What method did he use

When Xiang Jianhua came to Zhang Gu's group.

Yao Na, Peng Da, and Yang Jie are in full swing, studying the field video with great energy.

Almost dissecting the video frame by frame.

Once there are operations or details that the two of them can't understand, they can discuss it with Yao Na, a veteran.

If Yao Na is not sure about matching the details, then go to Zhang Gu, the original creator.

Xiang Jianhua could figure it out after only listening to a few sentences of the discussion.

The questions these people asked were professional and detailed enough, which showed that they really worked hard.

Could it be that Yao Na, a veteran of the subject, drove such a high enthusiasm for work?
Or is it Zhang Gu's own method?

Xiang Jianhua observed through the glass for a while, but the three people inside did not notice him, and they have been studying and researching seriously.

"It's really focused! Among the impetuous young people, I haven't seen such a focused and serious researcher for a long time."

These few people reminded Xiang Jianhua of the simple past.

This group is really good!

Xiang Jianhua also found out that even Yao Na herself was very interested and seemed full of motivation.

That is to say, it should be Zhang Gu, the team leader, who mobilized the team members to work enthusiastically.

What method did this kid use?
Xiang Jianhua found Zhang Gu, "How is it? Did you encounter any difficulties? It's your first time as a team leader, is it difficult to lead the team members?"

Zhang Gu said: "It's easy to take care of, everyone is very enthusiastic about work."

Xiang Jianhua's heart moved: "How did you mobilize the team's enthusiasm for work?"

Zhang Gu laughed and said, "I didn't expect that everyone would be so motivated."

"I just showed you the goal of the project, and the result is obvious. Everyone has a high awareness and is willing to work hard for the goal."

Xiang Jianhua nodded slightly, but thought in his heart, it must not be that simple.

Otherwise, other subject groups would not occasionally be lazy.

Anyway, good job!
Xiang Jianhua took another look at Zhang Gu. This young man not only has outstanding professional skills, but also seems to have good management skills.

Maybe it's worth cultivating on it.

……

After having a special patient, Zhang Gu formulated a detailed surgical plan for this patient.

After a day of surgical rehearsal with the team.

Start the actual operation.

This operation is divided into two stages of duodenectomy and bundled pancreatic fistula anastomosis.

Yao Na is mainly responsible for recording and analyzing various data of the operation.

Peng Da is the deputy in the first stage.

Yang Jie is the deputy in the second stage.

An anesthesiologist recruited from the Department of Anesthesiology will administer general anesthesia to the patient.

As the deputy of the duodenectomy, Peng Da began to do basic work such as tracheal intubation and incision around the umbilical cord in the middle of the abdomen.

Change Zhanggu Station to the C position, and start to explore the pelvic cavity and abdominal viscera in sequence to confirm whether there is tumor metastasis, peritoneum, mesenteric root, and para-aortic lymph node metastasis.

This is Zhang Gu's second time performing this duodenectomy, and he is a little more familiar with it than when he was in the emergency department last time.

The head of pancreas, gastric pylorus, duodenum and lower part of common bile duct were dissociated and cut off in sequence...

Yang Jie was watching Zhang Gu's operation, and she was secretly comparing herself with Feng Rong, the head of their department.

She couldn't say anything that was too deep, but she always felt that Zhang Gu's movement rhythm was faster, and his hands were more stable and more durable.

For example, the action of holding a scalpel or other instruments for a long time.

Feng Rong occasionally needs to take a short break for a few seconds, otherwise the knife will easily go wrong, but Zhang Gu never has such a moment to relax. The whole operation is running continuously and efficiently.

The most direct benefit is that it can shorten the exposure time of patients' wounds, reduce exposure risks, and speed up postoperative healing and recovery time.

"The team leader's physique is really good." Yang Jie said subconsciously.

Yao Na, who was taking notes next to her, didn't hear clearly: "Huh? What?"

Yang Jie quickly said: "I mean the team leader's hands are really steady! He didn't say anything."

Yao Na agreed: "It's really stable, he's an iron man on the operating table!"

"Doctor Yang."

At this time, Zhang Gu suddenly made a sound, which startled Yang Jie.

At this stage, she should have no job responsibilities. Why did Zhang Gu suddenly ask her to do it?
Zhang Gu reminded her: "Look carefully, when I perform resection now, I will pave the way for the anastomosis later. When cutting off the pancreas, I will first identify the pancreatic duct and insert a silicone catheter into the pancreatic duct."

"In addition, three side holes were cut out at the insertion end of the catheter, and U-shaped sutures were performed with No. 1 silk suture. The seromuscular layer of the posterior gastric wall was also pre-prepared with purse-string sutures."

"These are the preparations for the second stage of surgery."

Yang Jie nodded quickly: "I've made a note."

She felt guilty for a while. She was distracted just now, so she wasn't noticed by the team leader, right?
The resection was finally successfully completed.

But everyone knows that the next pancreaticogastric anastomosis will start the focus of what they are going to do today.

All the details about the research must also be extracted from the content of the second stage of surgery.

Replace Yang Jie on the operating table as a deputy.

Yang Jie was also very nervous, especially because her anastomosis technique was still in the practice stage, and she didn't know if she could catch the eyes of Zhang Gu, an anastomosis teacher.

In Yang Jie's mind, she desperately recalled yesterday's surgery rehearsal and the content of the surgery plan, took a few deep breaths, and forced herself to enter the state.

"As long as everything is well coordinated with Dr. Zhang, the task will be considered a successful completion." Yang Jie cheered herself up.

Begin the pancreaticogastric anastomosis phase.

Everyone became extremely serious.

Zhang Gu also intentionally reminded everyone, and deliberately moved slowly so that everyone could see clearly.When doing some operations, also explain the principle.

Especially since he planned to return a wave of blood from Yang Jie to teach a student.He even mentioned Yang Jie intentionally or unintentionally.

After disinfecting the gastric cavity with iodine solution, Zhang Gu said to Yang Jie, "Use a vascular forceps to pass through the incision on the distal end of the stomach and the incision on the back wall of the stomach, clamp the tail of the stump of the pancreas, and help me pull the stump of the pancreas into the stomach."

This is an important step to offset the disadvantage of the pancreatic stump with the acidity and blood supply of the stomach.

Yang Jie had already rehearsed this operation countless times in her mind.

At this moment, the operation is also very smooth, and there is no error.

Seeing that the posterior wall of the stomach was close to the pancreatic stomach, Zhang Gu immediately ligated the seromuscular layer with the purse-string suture to complete the binding of the seromuscular layer. Perform ligation.

A series of bundling operations were carried out in a smooth manner, aiming to deal with the stump as quickly as possible to prevent the pancreatic juice from flowing out.

"The group leader's operation is so smooth! It really doesn't look like it's the first time to perform pancreaticogastric anastomosis."

"It's no wonder that no one else dares to approach the subject of anastomosis. Only he can persuade the director to open this subject."

While lamenting Zhang Gu's operation, several people were also seriously absorbing and pondering the core ideas and details of this anastomosis.

Yao Na has already begun to conceive in her mind how to use a set of equipment to realize these details.

But she found that it was really difficult to take care of so many points!
Can we really achieve the grand goal that Zhang Gu said with only one set of staplers?
(End of this chapter)