As I think deeper.

The plan of the two big moves gradually took shape in Zhang Gu's mind.

"Let's do it, this time I will lead Shen Wenting and Xiaomao to vigorously expand the scope of surgery and get an excellent team for progress!"

Zhang Gu could think that after Shen Wenting and Xiaomao knew the news, they would definitely fly happily.

Thinking of this, Zhang Gu first took over the task of "excellent progress team".

As for the other "cross-field marginal discipline" task, which requires three cross-field surgeries, Zhang Gu's current ideas are still relatively vague and need to be improved.

Just while pondering, I also waited for another taskbar to be free.

On the way back to General Surgery, the team's office.

In Zhang Gu's mind, he consumed a skill conversion card and converted the extra "Hernia Repair Card" into another operation.

You can also consume Proficiency Beginner and Intermediate Cards to raise them to an advanced level.

Look at the name of this operation.

Zhang Gu showed a hint of a smile.

This operation not only expanded the scope of surgery for his small team, but also needed to be completed together with Yao Na's team.

This kind of cooperation between the two teams is unprecedented in general surgery.

That's his first ultimate.

Zhang Gu returned to the small team and called Shen Wenting and Xiao Mao over.

Shen Wenting and the others also looked at Zhang Gu curiously.

I don't know what meeting Zhang Gu is going to hold for everyone.

Zhang Gu was about to make an announcement.

Just then, Corey's emergency landline phone rang.

Everyone looked at the phone, could it be that an emergency patient was sent to the emergency department?

......

Ten minutes ago, the first courtyard of the city.

In the modern operating room of the Department of Digestive Surgery, a bundled pancreatic anastomosis is being performed.

"How does this fit? The stump of the pancreas in this patient is pointed, and the pancreas is thin and delicate, so it is not easy to do a bundled pancreatic anastomosis!"

When the chief surgeon opened his abdomen, everyone saw the delicate and thin pancreas, and everyone was a little troubled.

In this case, the pancreas is much smaller than normal, but the rest of the pancreas is normal. The size of the two sides does not match, which brings great difficulties to the anastomosis work.

I heard that the Second Municipal Hospital just performed a pancreatic anastomosis a few days ago, and it seems that a new anastomosis method was used. ”

"Is that anastomosis appropriate for our patient?"

"I heard that the Second Municipal Hospital also invited Dr. Zhang Gu from the Third Hospital to do the anastomosis, so we might as well invite Dr. Zhang Gu directly to come over and see if he has a good anastomosis method. ”

After the surgeon confirms that the anastomosis doctor cannot take it, he immediately reports it.

Soon, Luo Changsheng, the director of the first branch of digestive surgery, rushed over.

After studying the patient's condition on the spot, he immediately characterized it as a major difficult patient and reported it to Geng Bozhong.

Geng Bozhong immediately asked for help from the Third Hospital, and urgently invited Zhang Gu to come over to participate in the consultation.

At the same time, we are also ready to contact the provincial hospitals.

If Zhang Gu can't solve the problem, then he has to use an ambulance to send him to the corresponding hospital in the province as soon as possible.

......

Department of General Surgery, Third Hospital.

"Brother Zhang, the emergency phone is ringing. Shen Wenting said.

Zhang Gu picked up the emergency landline.

After answering, Zhang Gu said: "You two hurry up and clean up, let's go to the first courtyard of the city." ”

"By the way, call Huo Fang too. ”

This kind of surgery to support other hospitals is also an opportunity to hone the team.

It can also be regarded as a certain help to complete excellent team tasks.

It's just a foreshadowing and warm-up.

Zhang Gu and the four of them came to the first hospital of the city and were familiar with the digestive surgery.

Last time, I went to the second division of digestive surgery and visited and observed the fundoplication of Lu Tao, the director of the second department.

This time, it was Luo Changsheng, the head of the first branch, who received Zhang Gu and his party.

Luo Changsheng quickly explained the patient's situation to Zhang Gu.

When Zhang Gu heard that it was a thin and delicate pancreas, he had a bottom in his heart.

Zhang Gu's team came to the operating room.

As soon as you enter the hospital, this modern, spacious, and modern precision instrument is neatly arranged in the operating room.

Huo Fang and the others were still a little uncomfortable.

This comparison with the three courts came out at once.

The operating rooms of the three hospitals are cramped and crowded.

"Doctor Zhang Gu, this way. Luo Changsheng took Zhang Gu to the operating table.

"If you look at the patient's pancreatic stump, it's delicate and pointy. Our anastomosis team has considered your pancreatic and intestinal binding anastomosis, but there are many practical problems in dealing with this particular patient. ”

Several anastomosis doctors immediately told Zhang Gu about their previous operations and ideas.

Zhang Gu nodded and exclaimed, "Your matching ideas are actually generally correct. ”

"To deal with this delicate and thin stump of the pancreas, pancreatic-intestinal binding anastomosis is the most suitable anastomosis method. ”

"The only thing you don't think about is a little bit of flexibility. ”

The anastomotic doctors of these first hospitals all showed a look of thought in their eyes, but after thinking about it, they were still confused.

What kind of workarounds can make the bundled pancreatic anastomosis suitable for this patient?

They can't even think of it if they want to.

Zhang Gu said as he took over the position of the main knife.

"Xiaomao, come over here and help me free the stump of my pancreas. ”

Zhang Gu, with the assistance of Xiao Mao, wandered away and said to everyone:

"To treat this small pointed stump, be patient and free and stop bleeding with intermittent sutures. ”

"Huo Fang, you help me hold the silicone tube and dispose of it in the main pancreatic duct. ”

"Shen Wenting, you will take the drainage tube from 10 cm distal to the pancreatic-intestinal anastomosis and poke a hole into the mesangial border intestinal wall. ”

Before he knew it, Zhang Gu's team had fully taken over the operation.

The surgical team of the first hospital in the city was forced to leave the operating table because they could not help at all.

He commanded his own people, and he was also helping several people to cooperate skillfully, and by the way, he regarded this operation as a way for everyone to improve.

Under the gaze of Luo Changsheng and many other doctors in the hospital.

Zhang Gu used 4-0 sutures to make a U-shaped suture on both sides of the pancreatic duct, and threaded the head and tail of the thread through the jejunal wall.

Everyone saw something different at this time.

"It seems that in the bundled pancreatic anastomosis, there is no such step. ”

"This kind of U-shaped suture on both sides seems to have a special effect...... My preliminary inference is that it can at least reduce the eye of the needle during surgery, which is simply too friendly to such a small tip stump!"

Zhang Gu said: "This kind of double U-shaped suture is what I call flexibility. ”

"Its principle is to ensure the depth of the jejunum through double U suture to ensure the depth of the jejunum, which can avoid the cutting effect, not easy to fall off, and ensure that the binding is tightened to reduce the effect of needle-eye pancreatic fistula. ”

At this moment, Geng Bozhong also rushed over.

He asked the idle doctor at the door of the operating room, "How is the situation now?" Is there a way for Dr. Zhang Gu? Does the patient need to be sent to the province?"

The doctor at the door saw that the big guy was coming, and hurriedly replied: "Doctor Zhang Gu seems to have a solution, and he is doing the anastomosis part now." ”

Geng Bozhong listened, and his heart relaxed slightly.

took a closer look and found that Zhang Gu had put all the bundled pancreatic stumps into the jejunum.

"And this kind of operation?" Geng Bozhong raised his eyebrows.