When Lu Guangming saw everyone's reaction, his heart suddenly understood.

It seems that the rumors from the outside world are correct, this training is in line with the base, and the supporting pillar is Zhang Gu personally.

Without Zhang Gu, this training base is likely to face the embarrassing situation of not working.

Lu Guangming said: "I'll write the question on a slip of paper, you can circulate it, and if there is anything that can be answered, help me answer it." ”

Everyone hurriedly stretched their necks and looked at the two questions written by Lu Guangming on the assessment form.

Zhou Dongfeng gasped: "The medical association is well prepared, and the content involved in these two questions is very professional!"

Yao Na also shook her head secretly.

"This is a content involving interdisciplinary disciplines, and you must be proficient not only in the anastomosis in the gastrointestinal field, but also in the hepatobiliary field. A few of us will definitely not work, only Zhang Gu can answer. ”

Yang Jie is also a little anxious, what if this can't be answered?

Lu Guangming seemed to see everyone's predicament.

He suddenly said, "You just said, what patient did Dr. Zhang Gu go to see?"

Yang Jie replied respectfully: "He went to the hepatobiliary surgery department and said that there was a case of congenital common bile duct cyst in children. ”

Lu Guangming stood up with a smile: "It seems that Dr. Zhang Gu is going to do biliary-intestinal anastomosis surgery on the spot, just right, I will also go to him for a trip." ”

Everyone didn't dare to slack off, and hurriedly sent Yang Jie and Zhou Dongfeng to accompany Lu Guangming to hepatobiliary surgery.

The rest of the people continue to deal with the other members of the audit team.

……

At this moment, in the small conference room of hepatobiliary surgery.

Zhang Gu, Yao Yusen, An Ruiying, and two hepatobiliary surgeons were seated.

Yao Yusen was surprised: "Doctor Zhang Gu, you mean that you don't need the previous input loop ligation biliary-intestinal anastomosis?"

An Ruiying also looked at Zhang Gu curiously.

Isn't this the best biliary-intestinal anastomosis in the whole three hospitals? Why doesn't Zhang Gu use it?

Zhang Gu explained: "This kind of biliary-intestinal anastomosis has many advantages, but when used in 3-year-old children, it will have several disadvantages. ”

"For example, ligation of the input loop, which makes the input loop less peristalsis, is nothing for adults, but it has a great impact on children who are in the early stages of development. ”

"In addition, this anastomosis is more traumatic than that of children, which is not conducive to recovery. ”

Yao Yusen frowned, what should I do?

An Ruiying flashed a pair of small eyes with single eyelids, and also stared at Zhang Gu curiously.

If this anastomosis is not used, is there a more suitable biliary reconstruction method for children?

In his mind, Zhang Gu consumed a blank card of skills and learned the "Modified Anastomosis and Ligation Enteral Enteropathy for Children".

Consume 3 beginner cards to upgrade to intermediate.

I'm planning to consume 4 more Intermediate cards to upgrade to Advanced......

At first glance, there are only 2 intermediate cards left.

"Intermediate cards are too lacking, so let's convert them with proficiency. ”

Zhang Gu consumed the only proficiency conversion card, and at the same time consumed 1 advanced card, and the intermediate card immediately had 12 more.

Upgrading this surgical skill to an advanced level, Zhang Gu immediately had a lot of experience, knowledge and cases in his mind.

Just then, there was a knock on the door of the conference room.

A young hepatobiliary surgeon went over and opened the door.

Zhou Dongfeng's figure appeared at the door.

"Zhang Gu, Director Lu is going to come to the site to audit and observe the formulation of your surgical plan. ”

While speaking, Zhou Dongfeng was giving Zhang Gu a look.

It means that he is prepared to deal with the audit team.

Zhang Gu nodded at him, stood up with a smile, and said to Lu Guangming behind Zhou Dongfeng: "Welcome Director Lu, we are talking about the key part." ”

Lu Guangming, Zhou Dongfeng, and Yang Jie entered the conference room.

Yao Yusen and An Ruiying were also a little nervous when they saw this formation. Although the training base does not involve them, this is the biggest thing in the three hospitals recently, but don't let their problems go wrong.

Not long after the three of them entered the door, Vice President Wang Ping and Medical Chief Lu Wei also heard about the situation and hurried over.

It was originally a small conference room, but suddenly so many people appeared, and it suddenly seemed a little crowded.

After everyone was seated, Zhang Gu said to Yao Yusen: "Let's continue." ”

Yao Yusen swallowed.

Quietly look around, nervous!

The leaders of the hospital and the leaders of the audit team were all present, and if they were wrong, it would be more than a shame.

Seeing that Yao Yusen was speechless, Zhang Gu took the initiative to provoke the topic.

"As I said earlier, although there are many advantages of infusion loop ligation anastomosis, it also has the disadvantages of large trauma and weak peristalsis, which is not suitable for this 3-year-old child with congenital choledochal cyst. ”

Zhang Gu made a summary of the previous situation.

It is not only to guide the thoughts, but also to make the ideas in Yao Yusen and An Ruiying's minds clearer.

It was also said to the newcomer Lu Guangming and Wang Ping. Since it is from the audit team, Zhang Gu also wants Lu Guangming to know what to listen to.

After talking about the background, Zhang Gu further expanded:

"So, I'm going to build on that and make some more improvements. ”

"One is to lift the anastomosis earlier, and the other is to ligate the bowel. ”

In this way, it can ensure better peristalsis of the input loop, prevent the accumulation of the contents of the input loop, increase the pressure of the intestinal loop, and avoid bacterial colonization in the input loop. ”

"Of course, there are a number of changes that need to be made in the details of the improvements. Next, I will elaborate on five aspects. ”

Listening to Zhang Gu's eloquent conversation, everyone gradually pondered the taste......

Does this mean that Zhang Gu has actually improved a new anastomosis technique?

This time, however, it is only a refinement of the details of the previous biliary-intestinal anastomosis. But it can be expanded from adapting to adults to adapting to children, which can be defined by a new anastomosis in the medical field!

As long as the scope of application can be expanded a little, it is a big progress, and articles can be published in professional journals.

Thinking of this, Lu Guangming's eyes lit up.

I didn't expect that there would be an unexpected gain in this assessment!

"If the biliary reconstruction method suitable for children mentioned by Zhang Gu can be achieved, then there are three new hepatobiliary anastomoses in this anastomosis training base. ”

Zhou Dongfeng looked at Zhang Gu, who was gushing endlessly and expounding on the new anastomosis, and sighed in his heart.

As a student, he can already take charge of himself and hold up the scene in front of the leaders of the institute and the city audit leaders!

What a pride!

Yang Jie, medical chief Lu Wei and others were still a little nervous and worried.

can see Zhang Gu's performance, and then see the gradually changing look in Lu Guangming's eyes, his heart is slowly steady, it seems that Zhang Gu's performance makes the leaders of the audit team very satisfied!

After Zhang Gu finished talking about all the details, he concluded:

"The improved biliary-intestinal anastomosis is generally more suitable for biliary reconstruction in children, with less body trauma and a lower chance of retrograde biliary infection. It is a good option for the treatment of congenital choledochal cysts. ”

"Experts, what do you see?" Zhang Gu looked around.