The surgeon opens a cheat

Chapter 18

As a young man who has just joined the program, he actually wants to go in and give lectures to twelve seniors.

Zhang Gu was still a little flustered.

Xiang Jianhua encouraged him: "Don't look at the fact that there are three experienced doctors and nine nurses with more than five years of experience, but they are far behind you in terms of anastomosis."

"Your main task today is to explain your thinking to them deeply and thoroughly, so that they know how to cooperate with you on the operating table. The ultimate goal is to complete the operation together!"

Zhang Gu nodded.

Director Xiang is right, there are specialists in surgery, and these seniors have strong comprehensive strength, but in terms of anastomosis, Zhang Gu can indeed be a teacher for them.

Seeing that Zhang Gu was ready, Xiang Jianhua pushed the door and entered.

Everyone inside was a little dazed when they saw a young man following behind Xiang Jianhua.

New to the group?
Never heard of it before.

Looking at such a young appearance, he is probably a young junior who was brought in by the director to learn and increase his knowledge and qualifications.

After all, Xiang Jianhua personally brought them in, and everyone was quite polite, smiling and nodding with Zhang Gu.

Zhang Gu also responded one by one.

Some of these people were Dr. Yen Zimin, Xiang Jianhua's deputy who had been with him for a long time.Some are in the gastroenterology department, some are in the endoscopy room, and the rest are nurses in the operating room.It is Xiang Jianhua's energy that can easily form such a tough team.

"Let me introduce to you."

Xiang Jianhua cleared his throat, and said, "This is Dr. Zhang Gu, a little expert I invited here to do the anastomotic part of our operation."

little expert...

Zhang Gu's face turned red when he heard this.

But my heart is a little dark.

Comrade Xiang has a good eye!
Zhang Gu secretly gave Xiang Jianhua a thumbs up.

Everyone was a little surprised, so young?Really an expert?

Liu Quantao, the deputy director of the endoscopy room, approached, "I'm a little familiar, is he an expert from the Municipal First Hospital?"

Xiang Jianhua smiled: "Old Liu, it's time for your glasses to be changed! This is Xiao Zhang, who has just been enrolled in our Third Hospital!"

"Our third hospital?" Liu Quan patted his forehead.

Many people were stunned. A few days ago, they heard that there were two regular positions. Could it be him?
Xiang Jianhua smiled and said, "Don't look at Dr. Zhang as young, he is very thoughtful about anastomosis."

"What is the most difficult part of our operation?"

Liu Quandao: "Isn't it because of postoperative food reflux and the high incidence of anastomotic leakage?"

The others also nodded.

They have been discussing the surgical plan for two days, and they got stuck at this point.

Xiang Jianhua smiled and said, "Dr. Xiao Zhang is here to help us solve this big trouble! Let Xiao Zhang tell everyone about his thinking!"

Everyone's eyes shifted to Zhang Gu's body.

Then look at how much dry food this young man has in his belly!
In everyone's eyes, there are scrutiny, curiosity, suspicion, and expectation.

Zhang Gu inserted the USB flash drive into the computer connected to the projector.

This is the PPT that he compiled the information overnight last night.

After clicking on the first slide, Zhang Gu said: "Last night, I compared the ten radical gastrectomy operations performed by Director Xiang before, and made a summary."

"Let's talk about the conclusion first. I think the main reason for food reflux and anastomotic leakage is the direct anastomosis of the esophagus and gastric stump after resection."

Everyone stared wide-eyed and looked at Zhang Gu intently, listening to his explanation.

When Zhang Gu first started giving lectures to these people, he was still a little nervous.

Gradually, he let go, and he spoke much more fluently.

"Because the resection destroys the sphincter in the lower esophagus, it equals to destroying the anti-reflux barrier of the digestive tract."

"If the esophagus and gastric stump are anastomosed directly, a new gastric fundus cannot be formed. In addition, the operation will often destroy the vagus nerve, resulting in postoperative pyloric spasm, and the food in the residual stomach cannot be emptied to the small intestine in time."

"So most patients are prone to food reflux problems after surgery."

Everyone nodded slightly.

They can also roughly understand the reason, but they just haven't discussed the solution.

At this moment, many people have already recognized Zhang Gu, at least in terms of exploring the cause of food regurgitation, Zhang Gu has worked hard.And listen to his logical order, clear thinking, you can understand the meaning at once.

Xiang Jianhua was beside him, also watching with a smile on his face.

When he listened to Zhang Gu dictate this new idea of ​​anastomosis yesterday, it was the same at the beginning, and he was shocked very much later.There is such a wonderful matching method?

Let these people wait, you will be shocked later.

Zhang Gudao: "So I think that rebuilding the digestive tract is the fundamental solution to food reflux."

"My idea is to anastomose the gastric stump with the side of the esophagus, so that a bend can be formed, and a gastric fundus can be artificially produced. In addition, the method of forming the pylorus can be used to relieve the postoperative spasm of the pylorus and allow food to flow to the esophagus. The small intestine is emptied, and in this way, the problem of food reflux can be completely solved."

Many people had a flash of inspiration when they heard it.

Does it match the side of the esophagus?

It's an idea to try.

But how?
Zhang Gu said calmly: "When making an artificial gastric fundus, I think there are three principles that need to be followed. One is to form sufficient food storage, so that the food in the remnant stomach can be emptied into the small intestine in a gradient. The second is to reduce the possibility of food reflux into the esophagus. The third is to ensure sufficient digestive function of the remnant stomach."

At this moment, everyone was completely fascinated by what they heard.

There were still some people with scrutiny and doubt on their faces, but they disappeared completely at this moment.Instead, they are all expressions of eagerness for new methods and exploration of new knowledge.

Xiang Jianhua laughed secretly in his heart, when he just heard about this new anastomosis technique yesterday, why didn't he feel like this?

"This kind of thinking... the feasibility should be very high!"

"As long as the sides are anastomosed, an artificial gastric fundus can be formed directly! Why didn't I think of it before?"

"Dr. Zhang is really capable. Using a new anastomosis method, he solved the big trouble of our operation!"

"Now, the operation plan can be completely perfected!"

Everyone's faces were full of surprise and praise, and they were even more happy that the surgical problem was finally solved.

Xiang Jianhua listened to Zhang Gu again today, and has a deeper understanding of this new anastomosis.

"This Xiao Zhang definitely has an excellent talent in matching. No wonder Director Geng Bozhong of the Municipal First Hospital is so optimistic about him."

Xiang Jianhua thought that if he encounters any difficulty in matching in the future, he will come to Zhang Gu directly.

This class, Zhang Gu spent a total of three hours.

The above is mainly to lay the groundwork for the advantages and principles of this new anastomosis technique.

It took less than an hour to arrange the work and arrange the cooperation of the deputy, the equipment nurse and the itinerant nurse.

"Okay, that's all I'm talking about. I hope you will have a pleasant cooperation on the operating table tomorrow."

Xiang Jianhua took the lead in applauding, and everyone couldn't help standing up and applauding.

Not long after Zhang Gu left the conference room, he saw a figure.

　it's a little late tonight

　　
　
(End of this chapter)