Chapter 158: Pediatric Biliary Tract Reconstruction
Lu Guangming heard the sound of a lecture and walked inside.
The people from Wang Ping's Third Academy were terrified: "Could it be that you want to start with the lecture first, and start with the lecture?"
Everyone cheered into the classroom.
Wang Ping and others saw that it was Zhang Gu who was lecturing on it, and hurriedly gave Zhang Gu a crazy look.
I don't know if Zhang Gu understands it.
On the podium, Zhang Gu was lecturing on hepatic portal jejunostomy.
With so many people pouring in at once, Zhang Gu took a look at it more, and did not interrupt the lecture, and continued to talk about his experience of liver door matching.
Yang Jie, who was next to the podium, was startled by the group of people who suddenly came in.
In particular, this is accompanied by Vice President Wang Ping personally, which shows that the status of this group of people is also very high.
This is a big leader!
Seeing Vice Dean Wang Ping's crazy suggestive eyes again, Yang Jie couldn't help but get nervous in her heart.
She quietly walked out of the front door of the classroom, went around the outside to the back door, and quietly came behind Lu Wei, the chief of the medical department.
She asked in a low voice, "Section Chief Lu, what's going on?"
Lu Wei turned his head slightly, and said in a voice that only the two of them could hear: "The audit team has come to audit the training base, it seems to be a bit strict, you will behave better later, don't let you find faults." ”
Yang Jie nodded, feeling the pressure coming.
Whether the performance is good or not this time determines whether the change of cards and the upgrading of the training base can be done.
If someone makes a mistake and fails the review, it will be a sinner in the three courts.
On the side of the Third Academy, except for Zhang Gu, who was lecturing on the stage, everyone else began to get nervous.
Only Zhang Gu was unaware of it, still unhurriedly lecturing the lecture.
After listening to it for a minute, Lu Guangming and others from the audit team understood that this was talking about a new hepatohilojejunal anastomosis, which was the part that needed to be audited this time.
Several members of the review team listened carefully. Some even simply took out a small notebook and wrote the evaluation record.
This made Lu Wei, Yang Jie and others even more nervous.
At this time, Zhang Gu on the stage talked about the key points of liver door anastomosis suture.
"It is important to note that the key to the hepatic hilar anastomosis is the technical issue of suture ligation. If the knot is tied too tightly, it will inevitably cause the destruction of fragile liver tissue. If the knot is too loose, it will cause the anastomosis to be tight. ”
"The same is true for suturing and inserting the needle, too deep will cause intrahepatic bile duct ligation, too shallow will break the fragile liver tissue, we need to grasp this degree, my suggestion is to enter the needle into the liver parenchyma about one centimeter, and the specific situation should be treated specifically. ”
"This requires a lot of practical practice, and each operation must summarize the lessons and lessons learned, and continue to learn and reflect on the feelings. ”
While explaining, Zhang Gu also played the previous operation in the form of video clips and picture PPT in the surgical field, and explained his mental considerations and decisions when he encountered the specific situation in combination with the actual situation.
Everyone in the audience listened to the dry goods and was fascinated. In particular, several doctors in the hepatobiliary surgery department listened with glowing eyes and kept making new notes in their notebooks.
Lu Guangming of the audit team was expressionless, and he kept writing something in his hand.
Finally, the class was over.
Lu Wei, Yang Jie, Wang Ping and others seemed to be more nervous than Zhang Gu, and several of them were sweating. At this moment, after the class, several of them were finally able to breathe a sigh of relief.
Zhang Gu was very calm, and after dismissing the students, he came over with a smile and greeted the audit team and Vice President Wang Ping.
"Director Lu, Dean Wang. ”
Lu Guangming nodded and said, "I see that your response to this class is quite good, and your method of explaining it in combination with actual medical records is also very good." ”
Wang Ping next to him listened to it, and secretly said in his heart, this is still a human saying, much better than what he said when he first came to the hospital.
However, a few people did not dare to take it lightly, the power of auditing was in the hands of the other party, and they always had to be careful.
Wang Ping accompanied the smiling face and said, "Director Lu, let's go to the office to read the information next?"
Lu Guangming smiled lightly: "Okay, then let's go and have a look." ”
The crowd came to the office.
The review team is divided into parts.
Some inspect the composition of the training base and the implementation of policies, some inspect the use of funds and every detail of the project implementation process, and some inspect the after-class feedback records of each class before and after......
Lu Guangming personally picked up the most critical information about the two new anastomoses related to the field of hepatobiliary and gallbladder.
Only if the new anastomosis is passed, the base can be replaced.
As an honorary lecturer, Zhang Gu also had to accompany him, and he needed to answer the questions that arose when Lu Guangming was reviewing the materials at any time.
Lu Guanghui asked questions from time to time, and he found that Zhang Gu could easily answer them.
Some difficult questions, even Zhang Gu didn't even think about it, he could blurt out the answers.
Lu Guangming nodded slightly, which shows that Zhang Gu's business quality has reached a very good level.
A morning passed quickly.
At two o'clock in the afternoon, Zhang Gu was about to continue to deal with the audit team.
Yao Yusen made a phone call: "Doctor Zhang Gu, please come and take a look at this patient, it's a bit special." ”
Zhang Gu agreed, and called his colleagues who dealt with the audit team, asking them to hold on first.
Zhang Gu came to the Department of Hepatobiliary Surgery.
found that in addition to Yao Yusen, the female doctor of pediatrics, An Ruiying, was also there.
When Yao Yusen saw Zhang Gu, he hurriedly beckoned and said, "Doctor Zhang Gu is here, it's okay now!"
An Ruiying, who was just in her early thirties, also nodded to Zhang Gu with a smile.
Zhang Gu subconsciously said: "Sister An is also there, is the patient a child?"
"Yes, the little boy who just turned 3 years old has a congenital choledochal cyst. ”
"The patient was found to have this disease when he was 8 months old, but because he was too young to do it, he has persisted until now, and his condition has become serious enough to have to do it. ”
Zhang Gu's heart sank, and he could imagine how much mental pressure the parents had been under from the 8-month-old boy to the 3-year-old now. It is estimated that life has not been good in the past two years.
I discussed the medical records with the two for a while.
Zhang Gu also understood why Yao Yusen and An Ruiying called him.
I want him to use the "input loop ligation biliary anastomosis" to be in charge of the anastomosis part of this operation.
However, after Zhang Gu saw the specific situation of this child, new ideas flashed through his mind.
......
On the side of the audit team.
Lu Guangming began the afternoon review work.
"Huh, where is your honorary lecturer Zhang Gu?"
Zhou Dongfeng, Yao Na, Feng Xuebin, Yang Jie and others from the training base, as well as a deputy chief physician of the Department of Hepatobiliary Surgery, are here to cope with the assessment team.
Yang Jie was not far from Lu Guangming, and she hurriedly came over and responded: "He has something to do in the afternoon and is seeing a patient." ”
Lu Guangming nodded slightly, and said, "Regarding the input of loop ligation anastomosis data, I have two questions, which of you can answer?"
Everyone, you look at me, I look at you, but they don't have much faith.