Chapter 136: Always Bringing Surprises (Update Announcement)
Xiang Jianhua and Zhang Gu were seen discussing the surgical plan.
Xiao Baofang was a little nervous.
The outcome of the discussion between these two men will determine whether his big brother can have surgery or not.
Xiang Jianhua said: "I think so about this patient. ”
"Considering that the esophageal cancer in this patient has spread to the cardia, I plan to cut the tumor four centimeters above the cardia and esophagus through an incision on the left lateral thoracic incision. ”
"But doing so makes it more difficult to anastomosis the cardia and esophagus. Is there a way you can fix it?"
Xiang Jianhua stared at Zhang Gu.
What he just said is the best way to remove it. If the cardia can be cut off completely, it will be a good thing for the patient once and for all.
In this plan, Xiang Jianhua's excision part will be simple, and it will be good for the patient, but correspondingly, Zhang Gu's anastomosis part will become complicated.
It is equivalent to kicking the ball of the problem to Zhang Gu, who is responsible for the second half of the anastomosis work.
If Zhang Gu can't take it, then Xiang Jianhua will choose the second plan, which will be divided into two stages of surgery, although it is impossible to completely remove the cancerous lesions of the tumor at one time, but at least the anastomosis can be guaranteed.
Of course, because the second plan is divided into two stages, there will be many variables in the middle, and the removal of unclean lesions will also cause hidden dangers in the future, not only that, but for older patients who can no longer afford more tossing, repeated surgery will also do more harm than good.
In short, the danger and risk are much greater than the first option.
Which plan to choose depends on the matching part of Zhang Gu.
Xiao Baofang also looked at Zhang Gu, and his heart went up and down.
Under the gaze of the two, Zhang Gu thought for a moment.
"Director Xiang, this is a problem, a bit of a challenge. ”
Xiang Jianhua heard Zhang Gu's slightly relaxed tone, his heart moved, and there was a smile on his face: "You just say it's okay!"
Zhang Gu also smiled: "Okay, yes, but you have to give me another day or two." ”
He looked at Xiao Baohua next to him: "How is the patient's condition, is it too late to hold on for two more days for surgery?"
Xiao Baohua hurriedly said: "No problem, in the past week, the cancer has not spread quickly, and it is completely too late in two days." ”
"That's good. ”
Zhang Gu said to Jianhua: "Recently, Wenxin Medical Company and I are jointly developing a circular stapler. It is just right for patients with esophageal cancer and cardia cancer. ”
Zhang Gu explained the general structure and principle of the stapler to Xiang Jianhua.
"The biggest advantage of the circular stapler is that it can effectively shorten the operation time by 30-40 minutes. Director Xiang, Dr. Xiao, you know very well what this means for this patient. ”
The two of them were shocked and looked at each other.
This elderly patient was in poor physical condition.
The longer the time of surgery is exposed, the more detrimental it is to the patient.
Not to mention that it can reduce 30 or 40 minutes, it can effectively shorten the operation time by 10 minutes, which is great news for patients!
Zhang Gu continued: "The second advantage is that the anastomosis at the cardia is difficult, which can easily cause excessive embedding around the anastomosis, which will eventually lead to anastomosis stenosis. ”
"The circular stapler can choose the best suitable caliber, avoid repeated stretching and overlapping, have fewer sutures, and light tissue response, which is conducive to rapid healing of the anastomosis. ”
"The third advantage, which is also very important, is that I designed this disposable stapler with the characteristics of the esophagus in mind, and the tight staple seat is very effective in reducing the amount of blood from the anastomosis. ”
In the end, Zhang Gu smiled: "So, give me another day or two, if I use a disposable circular stapler, I will be more confident to take the anastomosis." ”
Xiang Jianhua nodded frequently when he listened.
According to the principle of the stapler mentioned by Zhang Gu, Xiang Jianhua is very clear that the advantages of the stapler mentioned by Zhang Gu can be achieved nine times out of ten.
And the significance of this disposable stapler is not limited to this patient.
In the future, even if you change to other anastomosis doctors with less medical skills than Zhang Gu, you can use this disposable stapler to win the anastomosis part of this esophageal cancer cardia cancer surgery.
This is of great long-term significance to the development of the three hospitals.
Xiang Jianhua was a little excited in his heart, and patted Zhang Gu on the shoulder: "You kid, how can you always surprise me?
Zhang Gu casually made up an excuse: "It's that some time ago, when I was making the previous improved stapler, I had a new idea in my head." ”
He was right, the idea did come from his head.
Xiang Jianhua and Xiao Baofang were not only happy in their hearts, but also sighed a little.
People really can't be compared!
Zhang Gu's head, why is it so bright?
Xiao Baofang was even more steady! Big Brother's illness was saved! He looked at Zhang Gu's gaze and felt a little more grateful.
At this time, Xiang Jianhua remembered something and said, "By the way, there is something I forgot to tell you." ”
"You have won the title of youth progress, and when it comes to the half-year summary party, the city leaders will give you an award. ”
"When the time comes, wear a little more spirit and show the spirit of our three hospitals!"
Xiang Jianhua looked at Zhang Gu and was quite satisfied. He was very old when he started his career, and he did not receive such a commendation as the title of Progressive Youth. But in the end, the younger generation gave his strength and fulfilled his unfulfilled wish.
Coming out of Xiang Jianhua's office.
Zhang Gu called Li Yunlai, who was already ready, to return to his small team.
Shen Wenting, Xiao Mao and Huo Fang were all a little curious when they saw Zhang Gu coming over with Dr. Li from the Department of Neurosurgery.
Zhang Gu introduced to everyone: "From now on, Dr. Li Yunlai is also a member of our team, everyone is welcome!"
After Shen Wenting and the others were stunned for a moment, they all laughed and applauded!
"Welcome, welcome, our small team has grown again!"
Shen Wenting said happily: "Our team should be the team with the largest number of people in general surgery, right?"
Huo Fang thought about it, it's really true! The team is constantly growing, which shows that there is a future!
However, she also has a sense of crisis in her heart, this new Dr. Li should not be his successor, right?
Is she not doing her job well enough? Or is there something else that is planned for her?
At this moment, Huo Fang was also apprehensive in his heart.
Let everyone sit down, Zhang Gu said: "The division of work of our team will change a little. ”
Hearing Zhang Gu's words, everyone became nervous and serious, and sat upright.
This involves everyone's vital interests and the content of everyone's work responsibilities in the future.
Zhang Gu thought it was quite interesting. Just a few months ago, he was still a small role arranged by others, but now, he is also a middle-level in the department and can arrange others.
Zhang Gu said: "In the future, Xiaomao will mainly follow me and be my deputy." ”
Xiao Mao was overjoyed when he heard this! It seems that his deputy work has finally been recognized!
In the past few months, almost every day after work, he will go to Dr. Donnie Yen to ask about the ability of his deputy. These efforts and efforts have not been in vain!
Shen Wenting was a little anxious between her eyebrows, but she also knew that this was the time for the leader to speak and make arrangements, so she couldn't interject.
Her current situation is a bit embarrassing: follow Zhang Gu out, the ability of the deputy is not as good as Xiao Mao. Let's carry out daily operations in the department, she is a little stretched without Xiao Mao.
Zhang Gu's eyes looked at Shen Wenting: "Shen Wenting, I will arrange Dr. Huo Fang for you to be your deputy, and you two are responsible for the work of daily surgery, can you take it down?"
Shen Wenting thought about it, suddenly stopped worrying, and nodded hurriedly!
For her, it can be regarded as having a long-term stable deputy, which is better than Xiaomao often following Zhang Gu out and having an unstable deputy.
Huo Fang was even more excited, she had been a marginal person in other departments for so many years, but she was transferred to the Department of General Surgery, but she had a chance!
Now that she has joined the surgical team, her salary and respect will definitely be much better than the previous data records!
After Dr. Huo Fang, he studied and discussed the ability of his deputy with Dr. Xiaomao and Donnie Yen, and strived to get on the right track as soon as possible. ”
Huo Fang hurriedly said, "Okay!" She has often participated in Shen Wenting's surgery recently, and she has some foundation and foundation, so there is no pressure to become a deputy.
"Doctor Li Yunlai, you are responsible for taking over Huo Fang's previous work, is it no problem?"
Li Yunlai also nodded, although he was wooden, he was also sensible in his heart. Huo Fang's today is his tomorrow. In this promising team, you can always get ahead, and it is much stronger than the original department!
......
The expansion of Zhang Gu's team made Zhou Dongfeng, Yao Na and others envious.
Especially the younger generation of Zhou Cheng and Feng Xuebin, they are even more delicious.
They didn't realize that their mentality had changed from wanting to catch up with Zhang Gu at the beginning, to now regretting why they didn't join Zhang Gu's team.
Look at Shen Wenting, who is also a young man, and now he is already in charge of the knife, and he has his own long-term stable deputy!
Gap wow!
I knew that if I had joined Zhang Gu's team, I might have boiled it out now.
......
Liu Guoxiang of Wenxin Medical Company brought good news to Zhang Gu the next morning.
The disposable round stapler has finally been made!
Zhang Gu took Yang Jie to the site of the new R&D department and inspected the actual products.
The quality and specifications are good.
Liu Guoxiang is a bit old-fashioned and pedantic, and he strives for perfection in everything. Leaving things to this kind of person to do, Zhang Gu is still relieved.
Return to the Third Courtyard with a circular stapler.
Xiang Jianhua immediately gathered everyone and started the first rehearsal meeting of the surgical plan.
A total of seven people, five doctors, and two senior surgical nurses make up this special team.
Yang Jie also had to observe the whole process of the meeting and surgery to lay the foundation for the training and teaching of this stapler in the future.
At the meeting, everyone looked curiously at the disposable circular stapler that Zhang Gu took out, knowing that this stapler would be the focus of this operation.
Especially Donnie Yen and several others, they are completely unfamiliar with this stapler, and they are full of curiosity at the moment.
Can this little medical device really be so magical?
......
Update the announcement at the end of the chapter "Author's Words".