Zhang Gu now, there are two main quests, one long and one short.

The long-term task is to attack the bigwigs of the scientific research center and get the qualification of the Seventh Standing Committee.

The short-term task is to complete three cross-disciplinary marginal disciplines, which can be started.

Zhang Gu pondered: "Cross-domain surgery still has to make a fuss about biliary and intestinal anastomosis. ”

He'd already paved the way before, and now it's much easier.

Zhang Gu came to the Department of Hepatobiliary Surgery again, intending to look through the inpatient medical records.

Let's see if we can find a breakthrough.

When he came to the hepatobiliary surgery, Zhang Gu walked around, but he didn't find a doctor.

Only a group of little nurses were busy, and when they saw Zhang Gulai, the head nurse greeted them with a smile.

"Dr. Zhang is here. ”

Zhang Gu also greeted with a smile.

He is in the Department of Hepatobiliary Surgery and has been listed as a popular person.

After the last training and lecture, Zhang Gu is already familiar with everyone in this small hepatobiliary surgery.

"Director Yao Yusen, what about them? Why didn't a single doctor see it? ”

The head nurse hurriedly said, "They all happen to be in a meeting right now. ”

"Then I'll wait. ”

The owner was not there, and it was not easy for Zhang Gu to go into someone else's office to look through the cases. He was in the inpatient ward, waiting and observing the patient.

At the moment, the doctor's office of the hepatobiliary surgeon.

Except for the two doctors who were absent on rotation, the remaining four doctors were all present.

A case is being discussed in a hurry.

"This patient is not only a second operation for hepatobiliary stones!"

"The key is that he also has a mass in the head of the pancreas, which I am worried is at risk of becoming cancerous. ”

"Once the pancreatic mass needs to be removed, the problem arises, and the jejunum and mesojejunal vessels have to be cut for biliary reconstruction. ”

"The most important thing is that we have to figure out how we can rebuild the biliary tract without cutting the jejunum and mesojejunal vessels. ”

Everyone discussed for a long time, and the difficulties were laid out, but there was no solution.

How is it possible to do biliary reconstruction without cutting the jejunum and mesojejunal blood vessels?

One by one, they frowned.

At this time, the head nurse came in and whispered a few words in the ear of Yao Yusen, the head of the department.

Yao Yusen said to a few people: "Let's discuss and discuss again and think of a way." I'm out for a few minutes. ”

A moment later.

Yao Yusen stretched his frowns, changed his smiling face, and came to see Zhang Gu.

"Dr. Zhang, your last training has benefited us a lot from the entire Department of Hepatobiliary Surgery. ”

"Since the full rollout of your parachute sutures, we have seen an increase in the efficiency of each of our surgeries and the feedback from patients has been very good. ”

Zhang Gu also smiled and nodded: "That's good." ”

He was about to open his mouth to look through the medical records.

But it was keenly noticed that Yao Yusen frowned, although he tried to show a smile, there were still traces of sadness.

Zhang Gu said curiously: "Director Yao, what difficulties have you encountered, at work?"

Yao Yusen smiled bitterly: "When I met a patient, it was a bit troublesome in terms of biliary reconstruction. ”

Zhang Gu's heart moved, and he smiled: "Why don't you let me serve as a staff officer?"

When Yao Yusen heard this, his heart also became alive.

The person in front of me is an expert in the field of gastrointestinal anastomosis, and although biliary reconstruction does not belong to the gastrointestinal field, many anastomoses are originally figured out.

Perhaps, Zhang Gu can have any novel ideas?

Just like the "improved parachute anastomosis suture" proposed by Zhang Gu before.

Yao Yusen hurriedly said: "That's a good feeling! You are welcome to come to our meeting to observe and put forward your opinions! By the way, this will not delay your work, right?"

Yao Yusen knew that Zhang Gu was a busy man now, although he had not yet risen in his position, but he was a busy man who was well-known in the hospital committee and Director Xiang.

Zhang Gu smiled and said, "It's okay, don't delay!"

He added in his heart, "My focus now is to come to you."

When Yao Yusen led Zhang Gu into the office.

Several hepatobiliary surgeons were stunned for a moment, then smiled at Zhang Gu and showed kindness.

Zhang Gu is still quite popular here, and several people greet Zhang Gu, "Teacher Zhang", "Teacher Xiao Zhang".

Zhang Gu also responded one by one.

Yao Yusen clapped his hands twice, drew everyone's attention back, and said, "Let's continue to discuss the situation of the case and see if there are any solutions to it." ”

Everyone was still frowning and talked for a while.

Zhang Gu also understood.

There are three main problems that people face.

First, biliary reconstruction needs to be completed without cutting the jejunum and mesojejunal blood vessels.

Second, because the patient is weak and malnourished for a long time due to illness, it is necessary to improve the surgical tolerance, reduce the surgical trauma, and reduce the operation time.

Third, the new biliary reconstruction method must also avoid abdominal infection, which needs to be safe and reliable enough to not affect blood vascularity.

These three questions are like three sharp swords hanging over everyone's heads.

People have never been able to think of a solution that can meet these three conditions at the same time.

One of the deputy directors thought for a long time and said: "Biliary-intestinal Y-type drainage anastomosis is the most widely adapted anastomosis operation, and many studies have improved this method in medical forums and various medical journal papers. ”

"It's a pity that I've read it once, and most of them are to deal with the special circumstances of individual cases, and they are basically more complex and cumbersome as they are improved. ”

"It's not suitable for our patients!"

The crowd frowned.

Zhang Gu deduced it in his mind.

He has the surgical skills of "biliary-intestinal anastomosis" and is also at an advanced level.

Dealing with this kind of problem is actually quite easy for him.

With this deduction, Zhang Gu found a suitable biliary-intestinal anastomosis.

After finding a time for everyone to talk, Zhang Gu said:

"Director Yao, everyone, I think you can try the biliary-intestinal anastomosis with input loop ligation. ”

The worried people who were discussing turned their eyes to Zhang Gu when they heard this.

Yao Yusen muttered, "What kind of anastomosis is this?"

Everyone thought about it carefully, and they all shook their heads slightly, indicating that they had never heard of it at all.

Everyone looked curious.

The most commonly used anastomosis is duodenal anastomosis, biliary duct-jejunal loop anastomosis, and new anastomosis with Y drainage.

This type of input loop ligation anastomosis has never been heard of.

Looking at the confused crowd, Zhang Gu patiently explained:

"To put it simply, this is a procedure that ligates and closes the input loop on the basis of loop jejunobiliary anastomosis, so as to block the entry of food into the biliary tract through the input loop and eliminate reflux. ”

The deputy director subconsciously asked, "Ligate the input loops, and won't that affect the function of the input loops?"

Zhang Gu: "No, the original function of the input loop can be solved by intestinal anastomosis.

Compared with the biliary and intestinal Y-type drainage anastomosis, the input loop can be regularly stretched and peristaltic, effectively emptying bile and conducive to drainage, so as to avoid bile stasis and reflux. ”

The crowd listened in a fog.

Just tie an input loop, can it really be as good as Zhang Gu said?

Some people also questioned what Zhang Gu said.

There is an old deputy director of the Department of Hepatobiliary Surgery, who has been doing biliary and intestinal anastomosis for so many years, not to say that he is an expert, at least he is a senior veteran, and he must have his own understanding of the characteristics of the input loop for many years.

Could it be that he doesn't know as much as Zhang Gu?