Zhang Gu could feel that Peng Da was a little flustered.

He spoke up, "Doctor Peng, do the repair first." More on that later. ”

Peng Da took a deep breath and quickly gathered his mind.

"That's right, you can't mess around now!"

Peng Da glanced at Zhang Gu ashamedly, his five-year old qualification was not as calm as a young doctor.

Shame on you.

It's all to blame for the malignant cancer that made me nervous!

Pengda, who re-entered the state, played his due level of duodenal repair.

Zhang Gu was next to him, helping the realm while stealing Peng Da's surgical techniques.

In addition to the initial puncture exploration hole of 0.5 cm below the umbilicus, Peng Da punched 3 cm on the flat umbilicus of the left midclavicle and 3 cm on the right midline of the clavicle, of which the second hole was the main operation hole.

Zhang Gu's laparoscope enters through the first hole, and the left and right costal margins are directly looked at under the microscope.

"No wonder even Director Xiang praised Dr. Zhang's technique of supporting the environment, which is really comfortable!"

Peng Da couldn't help but sigh in his heart.

With the cooperation of the deputy and the vision of the laparoscope, Peng Da's operation was much faster, he sucked up the residue and exudate caused by the perforation, and after finding out the location, size, scope and edema of the perforation, he chose to treat the edge first, and then suture and repair.

It took Penda 10 minutes to forcep the marginal tissues one by one, then quickly perform the routine suture perforation with No. 4 silk suture, then cover the repair site with omentum, and finally irrigate the wound.

Because the piercing is not large and the position is convenient for suturing, the repair is completed quickly.

Although the repair was successfully completed, Peng Da was even more anxious.

"What about the next excision?"

"Director Xiang and Director Feng, haven't they come back yet?"

The roving nurse next to him said: "I just got in touch, I'm afraid it will take a while to come back." ”

Peng Da panicked, but tried his best not to show it on his face.

He is now the backbone of this temporary surgical team, and if even he panics, the whole team will be in chaos.

At this time, Zhang Gu next to him said, "Doctor Peng, how is your level of support?"

Peng Da was stunned for a moment, and subconsciously replied: "It's okay, when Director Ma of our emergency department did the operation, I helped him." ”

"That's good. ”

Zhang Gu handed the laparoscope to Peng Da.

"The rest of the work of supporting the realm will be handed over to you. ”

Peng Dameng reacted: "You want to do this excision?"

There were three words, rolling in Penda's throat, but not spoken.

Can you?

Zhang Gu said: "I learned duodenectomy with Mr. Zhou Dongfeng and Director Xiang Jianhua, and it is okay. ”

Peng Da's eyes lit up, and he didn't study the authenticity of Zhang Gu's words. At this desperate time, Zhang Gu's words are simply a lifesaver.

Even if Zhang Gu's level is average, it is better than him who has never had a duodenectomy, right?

When Peng Da first came to his senses.

Zhang Gu is already separating the gallbladder triangle and the serous membrane.

Although Zhang Gu has never done the main surgery himself, this operation is his first surgical skill to be lit to the intermediate level, and he is very confident in doing it.

"Surgical scissors, titanium clamps. ”

As soon as Zhang Gu stretched out his hand, the instrument nurse hurriedly handed over the surgical instruments after a while.

Zhang Gu glanced at her expressionlessly, panicked when he saw the instrument nurse, and hurriedly gathered his mind, secretly saying that he must concentrate and not be distracted!

However, how could this young doctor of general surgery be so majestic on the operating table? That look just now was a bit like Director Feng of their emergency department!

"Electrocoagulation knife. ”

This time, as soon as Zhang Gu opened his mouth, the instrument nurse hurriedly handed it over as soon as possible. The itinerant nurse did not dare to slack off, and was ready to go up and wipe her sweat at any time.

Everyone realized that at this moment, the controller of the operating room was no longer Peng Da.

But......

Can this young doctor from the Department of General Surgery really successfully complete this very difficult duodenectomy? This is an operation that even Director Feng dare not despise.

Under the gaze of everyone, Zhang Gu cut the cystic duct in turn, dissected the gallbladder artery, and stopped bleeding with electrocoagulation.

Peng Da also hurriedly operated the laparoscope to cooperate.

After seeing Zhang Gu's disconnection operation, Peng Da was also a little relieved.

Zhang Gu is very skilled in every step of the disconnection and free operation, it seems that Dr. Zhang Gu is not bragging, very steady!

For the first time, Peng Da had some confidence in this operation!

"Separation forceps, ultrasound knife. ”

As time went on, Zhang Gu's instructions were responded to faster and faster.

The cooperation between him and Peng Da, the instrument nurse and deputy, gradually has a tacit understanding.

Finally, the common bile duct and hepatic artery were separated one by one, the right omentum was cut open, the gastric antrum was severed, and the gastroomental artery and vein were cut off.

"Whew!"

Peng Da blinked his dry eyes, and breathed a long sigh of relief in his heart!

Just now he kept staring at the monitor, his heart was pounding, and his eyes didn't dare to blink!

Finally!

The culprit who made him nervous was finally cut out!

Next, a lateral jejunileal anastomosis is performed. Dr. Peng, you help me pull. ”

At this point, it was Zhang Gu, and the tense nerves relaxed a little.

Anastomosis, especially lateral jejunoileal anastomosis, is what he is best at, and he has done it a few times before, so he is more familiar with it.

Peng Da also secretly breathed a sigh of relief in his heart, staring at Zhang Gu's hands, his eyes glowing.

It just so happened that I had heard of it before, but I had never seen Zhang Gu's improved anastomosis with my own eyes, so I was finally able to observe it on the spot this time.

The young doctors next to him who couldn't help, their hearts were also on a roller coaster, and they finally calmed down at this moment.

"Today is really the right time! I saw Dr. Peng's repair, Dr. Zhang's resection and new anastomosis, and I made a lot of money!"

"When I heard that Dr. Zhang Gu had snatched the regular spot, I was a little jealous of him. Now it seems that people do have the ability to do this!"

Several other people nodded one after another: "Doctor Zhang Gu is indeed amazing." ”

"See more, think more, learn more! What you learn is your own, and strive for one day, a few of us can be as good as Dr. Peng Da and Dr. Zhang Gu." ”

At this time.

There was a lot of noise outside the operating room.

Several figures entered through the door of the emergency room.

"How's the surgery going inside?"

"Is the patient still in stable condition, and has the malignant cancer been confirmed?"

This is Xiang Jianhua, Yao Na, Director Feng of the emergency department and others who received the news, and hurried back.

Knowing that the situation was urgent, everyone hurriedly changed into surgical gowns, fully armed, and entered the operating room.

This time I came in, and I was a little confused.

Why are you doing an anastomosis?

Has the excision been done? or has it failed?