Zhang Gu checked a lot of information.

The reason for the low cure rate of eradication is that cholangiocarcinoma can easily invade surrounding vascular structures and even metastasize to distant organs.

Then if you want to cut it, the scope is too large.

If you cut less, you can't completely eradicate and cure, and it will continue to spread.

If there are too many cuts, the patient will not be able to tolerate it and may die directly on the operating table.

Therefore, all major hospitals have always had no good way to treat bile duct cancer, so they can only reluctantly try their best to remove it, and let the patients bear the consequences for the rest.

"Think differently. ”

"Since the cure rate is low, let's simply start from the direction of relieving biliary obstruction and preventing cholangitis and liver failure. ”

In this way, although cholangiocarcinoma cannot be cured, it alleviates the patient's suffering, improves the quality of life, prolongs the patient's life, and solves the problem from the side. ”

Zhang Gu's eyes were finally focused on a surgical skill in his mind.

Consumed a skill blank card, redeemed the "Intrahepatic Bile Duct Anastomosis", and raised it to an advanced level.

A smile appeared at the corner of Zhang Gu's mouth.

"The idea of using an intrahepatic bile duct anastomosis to solve the symptoms of gallbladder cancer in a roundabout way is simply fantastic. ”

"If this project is successful, it should be enough to submit to local key journals. ”

On the computer, Zhang Gu began to crackle and write information.

......

Half a day later, Zhang Gu came to the Department of Hepatobiliary Surgery again.

As soon as Yao Yusen saw Zhang Gu coming, a thought flashed in his heart, it is estimated that Zhang Gu is here to tell him that he is going through the transfer procedures for the patient.

For this kind of patient, he Zhang Gu definitely has no good way.

But just speaking directly like this will hurt Zhang Gu's self-esteem, so Yao Yusen took the initiative to probe: "Doctor Zhang, bile duct cancer is too difficult to eradicate, right?"

Zhang Gu nodded: "It's really difficult to eradicate it, with the current level of our three hospitals, we can't do this step." ”

Yao Yusen smiled in his heart.

He further probed: "What about ...... Will I be transferred to the first hospital in the city, or will I be transferred directly to a large general hospital in the province?"

Zhang Gu: "No transfer." ”

"Not to transfer to the hospital?" Yao Yusen paused.

Isn't there no way to cure cholangiocarcinoma? If you don't transfer to the hospital, the patient will be smashed into your own hands?

"Dr. Zhang, you mean, we're going to treat ourselves?"

"Yes. ”

Yao Yusen was dumbfounded, there was no cure, how to cure it.

Zhang Gu said: "If you are transferred to the first hospital of the city, which doctor from the hepatobiliary surgery department will do the operation? Is it Bao Zhihui, the director of the department, or Shu Xinxian, the deputy director?"

Yao Yusen subconsciously said: "It's Director Bao Zhihui Bao." ”

Zhang Gu said with a smile: "Then call Bao Zhihui over and do eradication in our third hospital." ”

Zhang Gu is quite familiar with the two directors of the hepatobiliary surgery department of the first hospital.

When he was doing a master's project to preserve the spleen and cut the pancreas, both of them worked as deputies for him.

Yao Yusen relieved himself a little, since there is a doctor who does radical surgery, it is safer.

At the same time, he was also shocked by the wide range of Zhang Gu's network strength, and even the head of the hepatobiliary surgery department of the first hospital in the city could be on call.

"However, radical resection is not the main treatment. ”

Yao Yusen was shocked, is there any other treatment?

Zhang Gu sold a pass and said, "You go and arrange it first, and I will be responsible for contacting Director Bao Zhihui." ”

......

Zhang Gu first called Geng Bozhong, the surgeon of the first hospital, and after discussing it, he called Bao Zhihui himself.

After arranging this, Zhang Gu came to the inpatient ward of hepatobiliary surgery alone to check on the patient's condition.

The little nurses in the department were also familiar with Zhang Gu, and when they saw Zhang Gu coming, they greeted Zhang Gu with a smile on their faces.

When I came to the ward, I heard a 57-8-year-old female patient, lying on the hospital bed, her eyes closed, groaning in pain.

At the side of her hospital bed, a little girl of eight or nine years old fell asleep.

Next to the little girl, there is a small pink schoolbag and an open homework book.

Her little white hands clutched her grandmother's yellowed fingers like withered trees, and she murmured in her mouth: "Grandma, you will be fine, you will definitely be fine." ”

When Zhang Gu saw this scene, he immediately thought of his former self.

On the hospital bed, there is also a grandmother who is suffering from hepatobiliary disease.

The same cholangiocarcinoma disease.

At the bedside, I was also looking forward to my grandmother's condition getting better.

It's a pity that Zhang Gu didn't get his wish at that time, and in the end, grandma didn't survive that winter and left forever.

Zhang Gu sighed in his heart.

He always remembers the last words his grandmother said to him.

"Gu, do you want to be a doctor? Hello doctor, in the future, you can cure patients like grandma, okay?"

Zhang Gu muttered, "Don't worry, grandma." ”

At this time, the little girl and her grandmother woke up when they heard someone coming in. As soon as he saw that it was the doctor, he hurriedly struggled to sit up from the hospital bed.

The little girl also said politely: "Hello brother!"

Zhang Gu smiled and said, "Hello." ”

"How does your body feel?" Zhang Gu took out a pen and notebook to record the patient's condition.

......

In the afternoon, Bao Zhihui, the director of surgery of the first hospital, rushed over.

Yao Yusen also convened several backbones of hepatobiliary surgery to hold the first special consultation meeting with Zhang Gu.

Bao Zhihui asked curiously: "Doctor Zhang, did you call me over to do radical bile duct cancer surgery? If so, wouldn't it be better to transfer directly to the first hospital?"

Actually, this kind of thing, if it weren't for Zhang Gu's big face and someone else, Bao Zhihui would not have come over.

Yao Yusen was obviously a head shorter in front of Bao Zhihui. He couldn't even do radical bile duct cancer surgery, and he didn't know Zhang Gu's true plan, so he was a little weak-hearted, and he also looked at Zhang Gu at this time.

Zhang Gu said with a smile: "Director Bao, I have a new attempt. ”

As soon as Bao Zhihui heard this, he became energetic.

"Treating cholangiocarcinoma?"

"No, it can only be regarded as a side detour to help cholangiocarcinoma patients reduce pain, improve their quality of life, and increase the extension of life. ”

Bao Zhihui's eyes lit up violently: "There is such a good treatment plan? What is the solution?"

He still trusts Zhang Gu very much.

With the previous cooperation foundation of spleen preservation and pancreatic removal, Bao Zhihui also has a kind of blind confidence in Zhang Gu, thinking that Zhang Gu can develop a spleen-preserving Zhang Gu, and his brain is very flexible, and he is likely to be able to come up with some clever ways to treat cholangiocarcinoma.

Zhang Gu said: "My method cannot cure cholangiocarcinoma, but I will start from the perspective of anastomosis to relieve biliary obstruction, prevent cholangitis and liver failure, and reduce the patient's postoperative pain." ”

When Bao Zhihui heard this, he was even more impatient.

"Hurry up and tell us more about it!"

He said: "You know, for cholangiocarcinoma patients, it is very difficult to eradicate cancer, and the cure rate is very low!"

"So if there is a way to reduce the pain and prolong life, it will be a good result. ”

Bao Zhihui looked at Zhang Gu with blank eyes.

Yao Yusen also understood, and he was also full of expectations at the moment.