"Of the three main quests, you can only pick up two. ”

Zhang Gu is very greedy for these rewards. Especially gold-encrusted and colour-coloured cards.

But he was still sane.

Both of those tasks are long-term tasks that will take three to five years. And this task list is refreshed every half a month.

It is not cost-effective to take on such a long-term task.

A more rational approach is to choose tasks that can be completed in a short period of time, step by step, and constantly improve.

One day, it will only take half a month to become the president of a provincial tertiary hospital and get those eye-catching rewards.

Zhang Gu took on the third task. He'd rather leave an empty taskbar and wait for half a month to see what will come out.

"Publish an article in a professional medical journal?"

If you want to publish an article, you have to come up with real materials.

Zhang Gu put his eyes on a blank skill card given to him, and he could specify to learn a surgical skill.

"I'm going to watch duodenectomy tomorrow, so let's choose this one. ”

Zhang Gu's heart moved, and he only felt that the icon of "pancreaticoduodenectomy" in his mind was lit up.

......

Following.

Early in the morning, Zhang Gu came to the operating room and waited.

The chief surgeon of this operation is the old director of the department, Xiang Jianhua. It is very famous, and it is one of the two major signboards of the Third Hospital of the City, and there are many patients who come to the Third Hospital of the City specifically for him.

There were several young doctors who observed, all of whom came early, and the genius scholar Feng Xuebin was also among them.

Everyone changed into surgical gowns.

Xiang Jianhua put on a mask, and after exchanging a few words with a deputy chief knife, he glanced at the time.

Then he said to a few young people: "The deputy who helped me can't catch up, which of you will help the mirror?"

Give Director Xiang a mirror?

The minds of several young people are all active at once!

It is a rare opportunity to help such an experienced veteran and learn a lot.

But the risk is also large, in case of a big mistake in front of the big boss of the department, the loss of personnel is small, and the future may also be affected.

Several young people were excited and hesitant.

Xueba Feng Xuebin looked left and right, among these young people, he was the best and most suitable to stand out. Although he hasn't learned the skills of helping the realm, he is better than the others, right?

In his heart, he cheered himself on: "Feng Xuebin, you can do it! Don't be afraid of mistakes, this is a rare opportunity to perform, and strive to leave a good impression on Director Xiang." ”

At this time, Zhang Gu stood up: "Director Xiang, I'll come." Teacher Zhou Dongfeng and I have learned a little bit of the skills of helping the environment. ”

Xiang Jianhua said "um", "You come here." ”

Zhang Gu came to the laparoscope and skillfully adjusted the instrument. Seeing this scene, Director Xiang bowed slightly.

Feng Xuebin took half a step, retracted again, and secretly sighed why he didn't go out just now, and at the same time breathed a sigh of relief in his heart, let's see how this newcomer from Corey is doing.

Under the shadowless lamp.

The deputy chief surgeon will put the patient under general anesthesia in the lithotomy position to establish artificial pneumoperitoneum.

Then, he switched to Jianhua and stood on the operating table.

Including Zhang Gu, everyone stared at Xiang Jianhua's hands with burning eyes.

I saw that he had a 10 mm puncture inserted at the lower edge of the umbilicus, 10 cm below the left costal margin of the midclavicle, and 10 cm below the right costal margin and a 5 mm puncture at the front of the axillary line.

Several young people carefully studied the opening selection position and puncture skills of the director.

In microscopic surgery, these two are important foundations.

"Follow me, probe my abdomen, see what is happening. ”

Zhang Gu nodded, grabbed the adjustment fiber with both hands, and went deeper layer by layer.

Xiang Jianhua originally wanted to mention a few words, but as the environment deepened, he was a little surprised.

This young man, his skills in helping the realm are not weak.

Even a few young people who were staring at the display screen of the cavity also felt that the advance and retreat of this vision were very good.

Zhang Gu asked the observation target on the display screen to always occupy only one-quarter to one-fifth of the area of the display, maintaining the best observation distance.

The adjustment and advance and retreat of the focal length are also appropriately grasped.

When Xiang Jianhua wanted to change the target of observation, often before he could speak, Zhang Gu began to manipulate the cavity realm to advance and retreat.

As soon as Xiang Jianhua made a move, Zhang Gu cooperated to follow up.

This support for the environment makes Xiang Jianhua very comfortable!

"The space here is cramped, the tissue is edematous. Xiang Jianhua was about to ask Zhang Gu to retreat a little so that he could easily observe.

Before he could finish his sentence, he saw that the camera had zoomed out.

"Not bad. ”

Xiang Jianhua glanced at the young man more, and praised it on the operating table.

This young man has definitely studied this duodenectomy in depth, and has also specialized in learning the skills of helping the realm.

It seems to be called Zhang Gu?

Xiang Jianhua wrote down this name in his heart.

Several instrument nurses and itinerant nurses also looked at Zhang Gu a few more times. The circle in the operating room is so big, they rarely listen to the director praise others on the operating table.

"I saw the tumor. ”

When there was a mess of bloody neoplasia on the monitor, everyone was chuckled!

The area of the tumor is too large, and there is too much adhesion to the surrounding blood vessels, so it is very difficult to resect.

Xiang Jianhua's eyes were solemn and said, "Cheer up, I'm afraid this is a protracted battle." ”

This operation is estimated to take at least nine hours to come down.

Xiang Jianhua is a senior veteran, and he has no problem.

But can Zhang Gu, a novice who helped him, hold on for so long, and his hand can still be so stable?

It's a test of physical strength, patience, and longevity.

"It's okay. ”

After admonishing Jianhua, he began to free and cut off the duodenum, the upper jejunum, and then the antrum.

Zhang Gu's support is also quite good.

When the submesenteric vessels are free, the cavity controlled by Zhang Gu is always maintained at the level of the abdominal aorta.

When the right colon is free, the luminal realm remains on the mesentery, perpendicular to the vein. He also performs a 30-degree rotation adjustment to facilitate all-round observation of the bare blood vessels.

Maximize the convenience of Xiang Jianhua's operation.

Xiang Jianhua couldn't help but sigh in his heart, "It's comfortable!"

This foundation can keep pace with his perennial partner's deputy.

Four hours later, Xiang Jianhua used ultrasonic electrosurgical knife to cut off the pancreatic neck and pancreatic body.

Within seven hours, all the tumor was removed, and the tumor site was carefully cleaned and scraped clean.

In nine hours, microscopic anastomosis was performed to reconstruct the pancreatic, gastrointestinal, and biliary tracts.

The operation is finally coming to an end.

During the whole process, Zhang Gu's hand was always very steady, without the slightest trembling, and he showed appreciative eyes to Jianhua several times.

Several young people also admired it very much, and their eyes were full of envy. Zhang Gu must have entered Director Xiang's eyes this time.

Feng Xuebin also sighed in his heart: "He lasts longer than me." ”

Xiang Jianhua straightened his waist, glanced at Zhang Gu, and said with a smile: "It's hard work." ”

Zhang Gu hurriedly said: "Director Xiang is working hard, I am just helping the realm, you are nine hours of non-stop high-focused operation, the most exhausting." ”

Xiang Jianhua looked at him: "How is it, do you still have the strength?"

Zhang Gu's heart moved, and he said, "Yes!"

"Okay, you rinse and suture the incision. ”

Xiang Jianhua originally planned to give this opportunity to Feng Xuebin, but at this moment, as soon as his mind changed, he gave it to Zhang Gu, who made him extremely comfortable.