The surgeon opens a cheat
Chapter 65 How Much Can You Do?
Chapter 65 How Much Can You Do?
"Zhang Gu has already seen the difficult part behind."
The more Xiang Jianhua turned back, the more frightened he became.
Zhang Gu's color notes are densely packed on every page.
Who can believe that this was written intensively in just two days?
Really hard work!
If such a diligent child does not make progress, who will make progress?
In particular, Xiang Jianhua found that Zhang Gu's understanding of these materials is still very deep even after reaching the difficult part later.
Can often extend ideas.
Some points were written, even Xiang Jianhua was amazed.
With this note, Xiang Jianhua came to the operating room.
……
operating room.
Zhang Gu and Yen Zimin's surgery has already completed the key part.
Donnie Yen didn't know what to do, so she couldn't help reminding: "Doctor Zhang, slow down."
"Ah."
Zhang Gu agreed casually, operating the spiral retractor in his hand, pulling the fundus of the stomach, turning it up 180 degrees, to the lower end of the esophagus.
Then, the gastroesophageal junction tissue near the dentate line of the esophagus was pulled down all the layers with the needle part of the retractor, and the method was rotated to pull down three centimeters all the way for reinforcement and fixation.
The purpose of this step is to increase the length of the esophageal lumen and reduce the hiatal hernia.
Donnie Yen looked nervous and sweated profusely.
He tried his best to operate the gastroscope, and tried his best to create a good environment for Zhang Gu's surgery under the microscope.
"It's also the first time for Dr. Zhang Gu to perform this operation. He doesn't look very nervous."
"Why does it seem... I'm more nervous than him?"
Yen Zimin found that the roving nurse just kept wiping his sweat away.
On the other hand, Zhang Gu's forehead was smooth and he didn't sweat at all.
His expression was quite calm, and there was no nervousness and panic in his eyes at all when he was undergoing this operation for the first time.
"No wonder I always told the director that Zhang Gu has an extraordinary talent for surgery. Just doing such a high-precision surgery for the first time can keep his mind calm and unstable, which is something very few people can do!"
Zhang Gu's composure gradually affected Yen Zimin.
Gradually, Donnie Yen also entered the state.
He used his rich assistant experience to fully cooperate with Zhang Gu's operation.
At this moment, he couldn't think about anything else.
Fully cooperating with Zhang Gu has exhausted all his energy.
Xiaomao next to him was also sweating from watching. He wanted to imprint today's operation deeply in his mind.
One day in the future, he will definitely be able to replace Yen Zimin and become Teacher Zhang's assistant.
At this moment, Lu Tao, the director of the second department of digestion in the first hospital, arrived in a hurry.
As soon as I came in, I eagerly asked the nurses, "How is the operation going?"
After the people in the operating room verified Lu Tao's identity, they said anxiously and joyfully, "Director Lu, you're here!"
"Dr. Zhang Gu and Dr. Yen Zimin are operating inside."
"Director Xiang Jianhua arranged for them to do the preparatory work for the operation first, first install the gastroscope and retractor and other equipment, and wait for you to do the core operation later."
Lu Tao nodded, and with the help of the nurse, quickly put on the surgical gown and medical gloves.
Enter the operating room.
Lu Tao saw at a glance that Zhang Gu and Yen Zimin were still busy.
"Huh? Haven't these two people put off the gastroscope and retractor yet?"
The efficiency is a bit slow!
Lu Tao felt a little dissatisfied. It took him more than half an hour to come here, right?Haven't prepared yet?
He glanced at the pressure index of the esophagus monitor, it was already lower than the standard value!
Lu Tao felt happy for a while.
Fortunately, the phone call was made in time, otherwise, when the esophageal motility drops, the only option would be a thoracotomy, which would be too costly for the patient.
One thing to say, in terms of timeliness, Lu Tao still wants to praise Zhang Gu in his heart.
When he came to the operating table, Lu Tao was about to hand over to the two of them.
But he found that Zhang Gu and Yen Zimin were so busy that they didn't even have time to look up, they were concentrating on the operation.
Lu Tao looked up at the display screen of the gastroscope, his eyes widened.
The core operation has already started?
He felt a little bit in his heart, these two people, don't start the core operation rashly, it's not helping you!
You know, the opportunity to artificially make a regurgitant valve is extremely precious!If it fails the first time and damages the fundus of the stomach, it will be impossible to pull out the regurgitant valve that works well.
There are only one or two chances. When Lu Tao performs the operation himself, he has to think twice.
Zhang Gu and Yen Zimin are really reckless!
With Donnie Yen's multi-angle view of the gastroscope, a prototype of an artificial regurgitation valve gradually appeared on the monitor.
Lu Tao's pupils shrank suddenly.
He saw at a glance that Zhang Gu had turned the fundus of the stomach upside down, was pulling the tissue with a traction needle, and was rotating at an angle of 200 to 310 degrees at the same time to form a regurgitant flap with multiple folds.
This turned out to be artificially making a regurgitant flap!
Lu Tao didn't dare to go forward.
He didn't even dare to make a sound, and he raised his index finger to Mao Junliang next to him, signaling him to keep quiet.
Lu Tao knew that at this critical moment, the chief surgeon must not be disturbed.
Pulling the regurgitant valve and artificially making folds is an extremely challenging operation.
If the folds are made more and well done, the pressure on the esophageal sphincter can be increased, so that the reconstructed regurgitant valve has a better anti-reflux effect.
But if this operation is disturbed and interrupted, the folds being stretched are likely to be wasted, and there is no way to make them again.
At this time, Xiang Jianhua also came in.
"What's the situation now?"
Before Xiang Jianhua finished speaking, he saw Lu Tao raised his index finger to signal him to be quiet.
Xiang Jianhua quickly lowered his voice.
"Director Lu, why aren't you the chief surgeon? Didn't you hand it over to you?"
Lu Tao was a little confused and said, "I don't know. You, Dr. Zhang Gu, seem to be quite proficient in this fundoplication."
Xiang Jianhua said: "Really? He has just started learning, and I gave him the materials."
Lu Tao said: "Look at his understanding and operation of surgery."
"He pulled the fundus of the stomach and did the details of the folds, which shows that he has a very deep understanding of this operation. The operation is also very skillful and his hands are very steady."
Lu Tao had some moments, and even had an illusion.
Zhang Gu's understanding of some aspects of this operation seems to be deeper than his.
Xiang Jianhua nodded and said: "It is Zhang Gu's characteristic that his hands are stable. When he performs any operation, his hands are very steady."
"As for your saying that he has a deep understanding of details... Maybe it's because of this."
Xiang Jianhua handed the stack of notes to Lu Tao.
Lu Tao took it subconsciously.
But don't bother to watch.
Lu Tao's eyes have been staring at the monitor of the gastroscope and every movement of Zhang Gu operating the retractor.
I don't know that he was afraid that Zhang Gu made a mistake, so he could go up to make up for it in time.
Or he wanted to see what Zhang Gu could do with this surgical technique.
(End of this chapter)
"Zhang Gu has already seen the difficult part behind."
The more Xiang Jianhua turned back, the more frightened he became.
Zhang Gu's color notes are densely packed on every page.
Who can believe that this was written intensively in just two days?
Really hard work!
If such a diligent child does not make progress, who will make progress?
In particular, Xiang Jianhua found that Zhang Gu's understanding of these materials is still very deep even after reaching the difficult part later.
Can often extend ideas.
Some points were written, even Xiang Jianhua was amazed.
With this note, Xiang Jianhua came to the operating room.
……
operating room.
Zhang Gu and Yen Zimin's surgery has already completed the key part.
Donnie Yen didn't know what to do, so she couldn't help reminding: "Doctor Zhang, slow down."
"Ah."
Zhang Gu agreed casually, operating the spiral retractor in his hand, pulling the fundus of the stomach, turning it up 180 degrees, to the lower end of the esophagus.
Then, the gastroesophageal junction tissue near the dentate line of the esophagus was pulled down all the layers with the needle part of the retractor, and the method was rotated to pull down three centimeters all the way for reinforcement and fixation.
The purpose of this step is to increase the length of the esophageal lumen and reduce the hiatal hernia.
Donnie Yen looked nervous and sweated profusely.
He tried his best to operate the gastroscope, and tried his best to create a good environment for Zhang Gu's surgery under the microscope.
"It's also the first time for Dr. Zhang Gu to perform this operation. He doesn't look very nervous."
"Why does it seem... I'm more nervous than him?"
Yen Zimin found that the roving nurse just kept wiping his sweat away.
On the other hand, Zhang Gu's forehead was smooth and he didn't sweat at all.
His expression was quite calm, and there was no nervousness and panic in his eyes at all when he was undergoing this operation for the first time.
"No wonder I always told the director that Zhang Gu has an extraordinary talent for surgery. Just doing such a high-precision surgery for the first time can keep his mind calm and unstable, which is something very few people can do!"
Zhang Gu's composure gradually affected Yen Zimin.
Gradually, Donnie Yen also entered the state.
He used his rich assistant experience to fully cooperate with Zhang Gu's operation.
At this moment, he couldn't think about anything else.
Fully cooperating with Zhang Gu has exhausted all his energy.
Xiaomao next to him was also sweating from watching. He wanted to imprint today's operation deeply in his mind.
One day in the future, he will definitely be able to replace Yen Zimin and become Teacher Zhang's assistant.
At this moment, Lu Tao, the director of the second department of digestion in the first hospital, arrived in a hurry.
As soon as I came in, I eagerly asked the nurses, "How is the operation going?"
After the people in the operating room verified Lu Tao's identity, they said anxiously and joyfully, "Director Lu, you're here!"
"Dr. Zhang Gu and Dr. Yen Zimin are operating inside."
"Director Xiang Jianhua arranged for them to do the preparatory work for the operation first, first install the gastroscope and retractor and other equipment, and wait for you to do the core operation later."
Lu Tao nodded, and with the help of the nurse, quickly put on the surgical gown and medical gloves.
Enter the operating room.
Lu Tao saw at a glance that Zhang Gu and Yen Zimin were still busy.
"Huh? Haven't these two people put off the gastroscope and retractor yet?"
The efficiency is a bit slow!
Lu Tao felt a little dissatisfied. It took him more than half an hour to come here, right?Haven't prepared yet?
He glanced at the pressure index of the esophagus monitor, it was already lower than the standard value!
Lu Tao felt happy for a while.
Fortunately, the phone call was made in time, otherwise, when the esophageal motility drops, the only option would be a thoracotomy, which would be too costly for the patient.
One thing to say, in terms of timeliness, Lu Tao still wants to praise Zhang Gu in his heart.
When he came to the operating table, Lu Tao was about to hand over to the two of them.
But he found that Zhang Gu and Yen Zimin were so busy that they didn't even have time to look up, they were concentrating on the operation.
Lu Tao looked up at the display screen of the gastroscope, his eyes widened.
The core operation has already started?
He felt a little bit in his heart, these two people, don't start the core operation rashly, it's not helping you!
You know, the opportunity to artificially make a regurgitant valve is extremely precious!If it fails the first time and damages the fundus of the stomach, it will be impossible to pull out the regurgitant valve that works well.
There are only one or two chances. When Lu Tao performs the operation himself, he has to think twice.
Zhang Gu and Yen Zimin are really reckless!
With Donnie Yen's multi-angle view of the gastroscope, a prototype of an artificial regurgitation valve gradually appeared on the monitor.
Lu Tao's pupils shrank suddenly.
He saw at a glance that Zhang Gu had turned the fundus of the stomach upside down, was pulling the tissue with a traction needle, and was rotating at an angle of 200 to 310 degrees at the same time to form a regurgitant flap with multiple folds.
This turned out to be artificially making a regurgitant flap!
Lu Tao didn't dare to go forward.
He didn't even dare to make a sound, and he raised his index finger to Mao Junliang next to him, signaling him to keep quiet.
Lu Tao knew that at this critical moment, the chief surgeon must not be disturbed.
Pulling the regurgitant valve and artificially making folds is an extremely challenging operation.
If the folds are made more and well done, the pressure on the esophageal sphincter can be increased, so that the reconstructed regurgitant valve has a better anti-reflux effect.
But if this operation is disturbed and interrupted, the folds being stretched are likely to be wasted, and there is no way to make them again.
At this time, Xiang Jianhua also came in.
"What's the situation now?"
Before Xiang Jianhua finished speaking, he saw Lu Tao raised his index finger to signal him to be quiet.
Xiang Jianhua quickly lowered his voice.
"Director Lu, why aren't you the chief surgeon? Didn't you hand it over to you?"
Lu Tao was a little confused and said, "I don't know. You, Dr. Zhang Gu, seem to be quite proficient in this fundoplication."
Xiang Jianhua said: "Really? He has just started learning, and I gave him the materials."
Lu Tao said: "Look at his understanding and operation of surgery."
"He pulled the fundus of the stomach and did the details of the folds, which shows that he has a very deep understanding of this operation. The operation is also very skillful and his hands are very steady."
Lu Tao had some moments, and even had an illusion.
Zhang Gu's understanding of some aspects of this operation seems to be deeper than his.
Xiang Jianhua nodded and said: "It is Zhang Gu's characteristic that his hands are stable. When he performs any operation, his hands are very steady."
"As for your saying that he has a deep understanding of details... Maybe it's because of this."
Xiang Jianhua handed the stack of notes to Lu Tao.
Lu Tao took it subconsciously.
But don't bother to watch.
Lu Tao's eyes have been staring at the monitor of the gastroscope and every movement of Zhang Gu operating the retractor.
I don't know that he was afraid that Zhang Gu made a mistake, so he could go up to make up for it in time.
Or he wanted to see what Zhang Gu could do with this surgical technique.
(End of this chapter)
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