Zhang Gu glanced at the patient's condition.

I suddenly knew what to expect.

For this kind of patient with a coarse pancreatic stump, it is not suitable to use a bundled pancreatic and intestinal kiss.

It's a pity that there were so many people at the scene, and none of them could be seen.

Zhang Gu looked around.

Next to the operating table, there is a seven-person surgical team, several of which have been to his training and teaching base, and the anastomosis is a bit level.

At the entrance of the outer ring, there are the director of the general surgery, the chief of the medical department, the vice president and others.

So many people, in terms of anastomosis, there is no accurate vision.

Yang Guang and Ke Sheng, seeing that Zhang Gu didn't say a word, thought it was too tricky.

The two of them were also a little anxious.

Ke Sheng blamed himself: "It's all my fault, I have to be the best match, and I wasted the opportunity." ”

Yang Guang was also worried: "Dr. Zhang, why don't you see if there is a secondary anastomosis position? Even if the anastomosis effect is a little worse, now we can only try to ensure the quality of life of the patient after surgery." ”

The group of people in the Second Courtyard have lowered their psychological expectations and only hope that they can retreat to the next best.

Outside, the chief of the medical department, the director of the general surgery, the vice president and others all looked at this place with solemn eyes.

Zhang Gu said: "Don't worry. ”

He checked the bleeding point of the hemorrhage just now, sutured and ligated.

It's not bad for stitching, and the basic skills are okay.

If you have no worries, you can do anastomosis with peace of mind.

Zhang Gu said: "You have worked hard, let my people take over the anastomosis part." ”

Yang Guang and Ke Sheng both nodded, and Ke Sheng still felt a sense of relief.

If he is allowed to continue to do it head-on, with his mentality of suffering from gains and losses, I am afraid that he will not be able to do well for the patient.

Zhang Gu said: "Xiao Mao is my deputy, and Shen Wenting is helping us on the periphery." ”

The two nodded and hurriedly took action.

Under the watchful eyes of the crowd, Zhang Gu's hands fell on the patient's wound and began to do traction and anastomosis sutures.

When he did this, Yang Guang, Ke Sheng and the others below were a little strange.

Why didn't I choose the best place to match the next choice?

Even, it's a bit like a pancreatic-intestinal binding anastomosis.

Is it a new anastomosis?

Isn't pancreatic-intestinal bundle anastomosis the most suitable anastomosis for pancreaticoduodenectomy?

At the same time as a hundred thousand whys popped up in everyone's minds.

Zhang Gu has sutured the pancreatic tissue on the dorsal side of the severed end of the pancreas with the jejunal serous muscle layer, and sutured the pancreatic tissue on the posterior wall of the main pancreatic duct and the entire layer of the posterior jejunum.

Although everyone in the second courtyard was still puzzled, they were still impressed by Zhang Gu's solid basic skills.

"This stitching operation is simply beautiful. ”

Ke Sheng also sighed: "If I had such a stable hand and such a beautiful suture anastomosis technique as Dr. Zhang Gu, I wouldn't have carelessly broken the best suture position just now." ”

"But what kind of anastomosis is Dr. Zhang? Why haven't I seen it before?"

"I haven't seen it either, how can I directly suture the pancreatic stump and jejunal mucosal serous muscle?"

At this time, the movements in Zhang Gu's hands gradually slowed down.

The hardest part, the part that requires the most concentration, has been done.

The rest, for Zhang Gu, who has a high-level anastomosis, can already be used for two purposes.

He planned to simply take this opportunity to give these anastomosis doctors in the second hospital an on-site teaching of different anastomosis techniques.

"This anastomosis is called pancreatic duct-jejunal mucosal anastomosis. ”

In addition to suturing the entire layer of the anterior wall of the pancreatic duct and the posterior wall of the jejunum, the end of the pancreas and the seromyometry of the jejun, it is also necessary to suture the ventral pancreatic tissue and the jejunal serous muscle layer of the broken pancreas. ”

It suddenly dawned on everyone that this was a different method from the bundled pancreatic anastomosis.

Zhang Gu continued: "Its advantage is not only that it eliminates the difficulty of breaking the jejunum and finding the best anastomosis position. It is also suitable for patients with large pancreatic duct, and has a good effect on the permeability and continuity of the pancreatic duct and jejunal mucosa. ”

Ke Sheng and the other doctors listened to it with glowing eyes.

This anastomosis sounds perfect!

Many people are even wondering why Zhang Gu didn't explain this anastomosis technique on the training and teaching base.

Is it to hide a hand?

I only listened to Zhang Gudao: "But this anastomosis has a big disadvantage, that is, it is not suitable for people with too thin pancreatic ducts and thin walls. And this kind of patient is the most common in clinical practice. ”

Ultimately.

This anastomosis is just very suitable for this patient with a large pancreatic duct and thick walls, which is why it looks so perfect. For most patients, pancreatic and intestinal bundles are the most suitable.

Zhang Gu said while doing the final sutures: "Therefore, there is no best anastomosis method, only the most suitable anastomosis for specific cases. ”

On the operating table, the vision is precise, and different anastomoses are selected according to the specific situation of the patient.

This is what Zhang Gu wants to convey today to the thoughts of these doctors in the Second Hospital.

The Second Courtyard has declined to the bottom, and now it is a time to start over, and it is a very good idea to root this idea in the Second Courtyard to start anew.

Finally, the work in Zhang Gu's hands is over.

Xiao Mao and Shen Wenting began to do the finishing work.

After listening to Zhang Gu's words, many people in the Second Courtyard showed a thoughtful look in their eyes.

Especially front-line doctors such as Yang Guang, Ke Sheng, and the chief surgeon felt it the most, and their views on Zhang Gu also improved.

"This Dr. Zhang Gu, in the field of anastomosis, is no longer limited to a certain type of anastomosis, he has been elevated to the stage of making the most suitable anastomosis for specific cases. ”

This is the other anastomosis doctors, far behind.

You can start a sect.

Postoperatively.

The vice president of the Second Academy warmly received and thanked Zhang Gu.

Zhang Gu and several leaders sat for a while.

He found that this current leadership has a very strong desire to re-emerge the Second Academy.

Several leaders were also able to put down their bodies and carefully think about Zhang Gu, a young man, for advice.

Zhang Gu felt that in the hands of these leaders, the Second Academy had a little more hope of re-emergence.

......

On the way back to the Third Hospital.

Zhang Gu also did not hesitate to praise Shen Wenting and Xiaomao.

Especially Xiao Mao, after this period of practical and diligent study, he has made great progress in his ability to deputy.

Although there is still a big gap compared with Xiang Jianhua's royal deputy, Dr. Donnie Yen. But with his spirit of being willing to work hard to study, as long as Zhang Gu is willing to take him more and give him more opportunities to exercise as a deputy, he should be able to grow up quickly.

As soon as he returned to the Third Hospital, Zhang Gu ushered in a good news!