The surgeon opens a cheat

Chapter 57

Come out from the four courtyards.

Xiao Mao said sincerely: "Mr. Zhang, you really know a lot."

Zhang Gu smiled and said, "It's okay, Mr. Zhou Dongfeng knows more."

It wasn't that he was deliberately being modest.

He seems to be very popular recently, as if he has stolen Zhou Dongfeng's limelight. In fact, he is more specialized in anastomosis.

Really count it down.

There are not even five surgeries that Zhang Gu can perform independently.

And Zhou Dongfeng will have at least ten or more.

Xiao Mao was greatly encouraged: "I will learn from you and Director Zhou!"

Zhang Gu said with emotion: "I also have to make a big improvement."

We have already started to teach students, our surgical skill pool is still so shallow, how can this work?

Anyway, I saved up a lot of cards and it's useless.

When we go back, we will expand our surgical scope and improve our clinical level!

Back to the three courtyards.

Shen Wenting looked at Zhang Gu anxiously: "Brother Zhang, tell the director that you will find him when you come back."

"What happened?"

Shen Wenting said flatly: "A difficult patient came. The director is studying the treatment plan. He said that you are needed for the anastomosis part. This may be the reason."

Zhang Gu felt happy, Director Xiang is really my guiding light!
I was just about to expand the scope of surgery, and Director Xiang presented me with the opportunity.

Shen Wenting was so envious: "You are going to join Director Xiang's team again, Brother Zhang, when can you take me with you again, I can do everything, dirty work, hard work!"

Zhang Gu comforted her: "Don't worry, there is a chance."

"Ok."

Shen Wenting also knew that Zhang Gu was able to get the treatment he has today, not because of anything else, but because of his ability.

She also has to improve her abilities.

She picked up a thick book and read it, as long as she has time, hurry up and improve her ability, and she can always improve.

……

When Zhang Gu brought Xiao Mao to the office of the Chief of Surgery.

Xiang Jianhua and his deputy, Yen Zimin, are studying the patient's condition.

"Xiao Zhang is here, sit down first!"

Xiang Jianhua glanced at Mao Junliang behind Zhang Gu, knowing that he was Zhang Gu's recent tutor, nodded slightly, and didn't pay much attention.

Xiao Mao felt a little trembling after being glanced at by Xiang Jianhua, the big surgical boss.

He had just joined the job for a few days, and he was very nervous when he came into contact with this famous leader!
Xiao Mao quietly glanced at Zhang Gu...

I saw Zhang Gu with a calm demeanor, and even leaned his head over, "Director Xiang, what's the condition of the patient?"

Xiang Jianhua said: "The patient is obese and has type [-] diabetes that is useless to take medicine."

"We considered gastric bypass surgery, or reduced gastrectomy for treatment."

"You may be required to be in charge of the anastomosis later on. You have to be mentally prepared. Let's study the operation plan first. You can rest for a while."

"Okay." Zhang Gu agreed wholeheartedly.

But he didn't leave. Instead, he stood at the corner of the table and looked through the patient's medical records.

Xiang Jianhua glanced at Zhang Gu, ignored him, and discussed the plan with Donnie Yen.

Donnie Yen said: "Director Xiang, I think sleeve gastrectomy should be used. By removing the greater curvature of the stomach, the stomach capacity will be reduced, the appetite will be reduced, and food intake will be reduced. In this way, obesity can be reduced, and type [-] diabetes should also be cured. Get some relief."

Xiang Jianhua was a little hesitant: "Just remission is not enough. The patient's type [-] diabetes is not effective after taking medicine, so surgery must be used to completely cure it."

"From the perspective of the radical cure of type [-] diabetes, gastric bypass surgery to rearrange the small intestine is more appropriate."

The two discussed it for a while, but couldn't make up their minds.

At this time, Zhang Gu also read the patient's medical records.

Listen to the two talking for a while.

The key point that makes the two of them hesitate and struggle is——

Both gastrectomy and gastric bypass can only solve part of the patient's problem.

Either it mainly cures obesity, but has little effect on type [-] diabetes.

Either mainly inhibit the secretion of insulin resistance factors to treat type [-] diabetes, but the side effects of surgery are large, the function of gastric pylorus is sacrificed, and the effect of weight loss is average.

The two types of surgery have their own advantages and disadvantages, so Director Xiang, who pursues perfection, hesitated for a while.

After discussing with his deputy Donnie Yen for so long, they still haven't settled on a surgical plan.

Xiao Mao stood beside him, not daring to say a word, for fear that making a little noise would affect the thinking of the two big brothers.

At this moment, Zhang Gu spoke suddenly, which startled Xiao Mao.

"Director Xiang, Dr. Zhen, why don't we try combining the advantages of the two surgeries?"

Xiang Jianhua thought for a while, then shook his head slightly.

"I thought about it too, but it's not easy to synthesize."

"Look, these two operations either remove part of the stomach, or divert the stomach, turning the stomach into upper and lower parts. How do you learn from each other?"

Yen Zimin also looked at the medical record, frowning and puzzled.

In Zhang Gu's mind, he consumed a blank skill card and designated it to be exchanged for "Sleeve Gastric Bypass Surgery".

Spend another three primary cards to upgrade to the intermediate level, the level of the city itself.

Zhang Gu stepped forward, holding the medical record.

"Director Xiang, do you think this is okay?"

Zhang Gudao: "Sleeve gastrectomy will be performed first to shrink the stomach and reduce food intake. But the stump of the pylorus will be kept."

"In this way, the function of the pylorus can be preserved, and dumping syndrome is not easy to occur."

Xiang Jianhua was thoughtful, but also raised doubts: "Then how to deal with the pyloric stump?"

Zhang Gu said with a smile: "Have you forgotten that I am best at matching?"

"I plan to divide the jejunum into proximal and distal jejunum with a limit of 150 cm. The proximal and distal ends are respectively transected and anastomosed side by side. End-to-side anastomosis of the distal jejunum."

"In this way, the speed of gastric emptying is slowed down, the small intestine is shortened, the absorption is reduced, and the secretion of insulin resistance factors is inhibited, so as to achieve the purpose of treating type [-] diabetes."

Yen Zimin's mouth opened wide when he heard this.

Doesn't this mean that the sleeve gastrectomy and gastric bypass surgery are combined into one by means of anastomosis?

How did Dr. Gu's brain grow?

He actually let him combine the advantages of the two surgeries in an anastomotic way!That's awesome!

After Xiang Jianhua thought and analyzed for a while, his brows gradually relaxed.

In the end, the whole person was refreshed!

"You boy, you really did an anastomosis to perfection! You actually thought of using anastomosis to solve gastric bypass surgery!"

At this moment, Xiang Jianhua looked at Zhang Gu with a bit of admiration in his eyes.

He has seen many doctors who can specialize in a surgical technique.

However, the anastomosis can be cleverly used in the gastric bypass operation, and the two operations can be combined into one, taking the essence and discarding the dross...

This is enough to show that Zhang Gu has practiced anastomosis to the extreme, and he is able to establish a school!

Zhang Gu smiled and said, "Director Xiang, is this method okay?"

(End of this chapter)