When Xiang Jianhua came to Zhang Gu's group.

Yao Na, Peng Da, and Yang Jie are in full swing, and they are full of energy to study the video of the field.

Almost frame-by-frame profiling video.

Once there is an operation or detail that the two of them can't understand, discuss it with Yao Na, an old qualification.

If it's a match that Yao Na can't figure out, go to Zhang Gu, the original creator.

Xiang Jianhua only listened to a few words of discussion and could judge it.

The questions asked by these people are professional and detailed enough, which shows that they have really worked hard.

Is such a high passion for work driven by Yao Na, a veteran of the subject?

Or is it Zhang Gu's own way?

Xiang Jianhua observed through the glass for a while, but the three people inside didn't notice him, and they had been studying and researching seriously.

"It's a long time since I've seen such a dedicated researcher among the impetuous young people. ”

These people reminded Xiang Jianhua of the time of the simple era in the past.

This group is really good!

Xiang Jianhua also discovered one thing, even Yao Na herself was very interested, and she looked full of motivation.

In this way, the work enthusiasm of the mobilization team members should be done by Zhang Gu, the team leader.

What did this kid do?

Xiang Jianhua found Zhang Gu, "How is it? Have you encountered any difficulties? You are the first time to be a team leader, is it difficult to bring the group members?"

Zhang Gu said: "It's very easy to bring, everyone's enthusiasm for work is very high." ”

Xiang Jianhua's heart moved: "How did you mobilize the enthusiasm for group work?"

Zhang Gu smiled: "I didn't expect that everyone's motivation would be so high. ”

"I just showed you the goal of the project, and the results are obvious, everyone is very conscious, and they are willing to work hard for the goal. ”

Xiang Jianhua nodded slightly, but thought in his heart that it must not be so simple.

Otherwise, there will be no occasional laziness in other research groups.

Anyway, a good thing!

Xiang Jianhua looked at Zhang Gu again, this young man not only has an outstanding business level, but also seems to have management ability.

Maybe it's worth cultivating at the top.

......

After having a special patient, Zhang Gu formulated a detailed surgical plan for this patient.

After a day of rehearsals with the team.

Formal surgery begins.

This surgery is divided into two stages: duodenectomy and bundled pancreatic fistula anastomosis.

Yao Na is mainly responsible for recording and analyzing the data of the operation.

Peng Da is the deputy in the first stage.

Yang Jie is the deputy of the second stage.

An anesthesiologist recruited from the anesthesiology department administers general anesthesia to the patient.

As the deputy of the duodenectomy part, Penda began to do the basic work of endotracheal intubation and incision around the umbilicus in the middle of the abdomen.

Change Zhang Gu to stand in the C position, and begin to explore the pelvic and abdominal organs in turn to confirm whether there is tumor metastasis, peritoneum, mesenteric root, and para-aortic lymph nodes.

This is Zhang Gu's second duodenectomy, and he is a little more familiar than the last time he was in the emergency department.

The head of the pancreas, the gastric pylorus, the duodenum, and the lower common bile duct are dissociated sequentially and severed......

Yang Jie watched Zhang Gu perform surgery on the side, and secretly compared with Feng Rong, the boss of their department.

She couldn't say anything that was too deep, but she always felt that Zhang Gu's movements were faster, and his hands were more stable and durable.

For example, the action of holding a scalpel or other instrument for a long time.

Feng Rong occasionally needs to rest for a few seconds, otherwise it is easy to deviate when he goes under the knife, but Zhang Gu has never had this moment of relaxation, and the whole operation is running continuously and efficiently.

The most direct benefit of this is that it can shorten the exposure time of the patient's wound, reduce the risk of exposure, and speed up the recovery time after surgery.

"The team leader's physique is really good. Yang Jie said subconsciously.

Yao Na, who was taking notes next to her, didn't hear clearly: "Huh, what?"

Yang Jie hurriedly said: "I mean the team leader's hand is really steady! ”

Yao Na agreed: "It's really stable, he's an iron man on the operating table!"

"Dr. Yang. ”

At this time, Zhang Gu suddenly spoke up, startling Yang Jie.

At this stage, she should have no job responsibilities, did Zhang Gu suddenly tell her to do it?

Zhang Gu reminded her: "You pay attention, when I do the excision now, I will pave the way for the anastomosis later." When the pancreas is cut, I first identify the pancreatic duct and insert a silicone catheter into the pancreatic duct. ”

In addition, at the catheter insertion end, three side holes were cut out and a U-shaped fixed suture was performed with No. 1 silk suture. The posterior plasmosmal muscularity of the stomach is also pre-positively sutured. ”

"These are all preparations for the second stage of surgery. ”

Yang Jie nodded hurriedly: "I wrote it down." ”

She was weak for a while, she was distracted just now, and she wasn't discovered by the team leader, right?

The excision was finally completed.

But everyone knows that the next pancreatic and gastric anastomosis is the beginning of what they want to focus on today.

All the details of the study must also be extracted from the content of the second stage of surgery.

Replace Yang Jie on the operating table as a deputy.

Yang Jie was also very nervous, especially since her anastomosis technique was still in the practice stage, and she didn't know if she could get into the eyes of Zhang Gu, the anastomosis teacher.

In Yang Jie's mind, she desperately recalled yesterday's surgical rehearsal and the content of the surgical plan, took a few deep breaths, and forced herself to enter the state.

"As long as everything cooperates with Dr. Zhang, the task will be successfully completed. Yang Jie cheered herself up in her heart.

The pancreatogastric anastomosis phase begins.

Everyone became extremely serious.

Zhang Gu also deliberately reminded everyone, and deliberately did it slower so that everyone could see it clearly. When doing some operations, the principle is also explained.

Especially when he also plans to bring back a wave of blood from Yang Jie and teach a student. It was even more intentional or unintentional to mention Yang Jie.

After Zhang Gu disinfected the stomach cavity with iodine solution, he said to Yang Jie: "You use vascular forceps to pass through the distal incision of the stomach and the incision of the posterior wall of the stomach, clamp the line and tail of the pancreatic stump, and help me pull the pancreatic stump into the stomach." ”

This is an important step in counteracting the disadvantage of pancreatic stumps with the acidity and blood vascularity of the stomach.

Yang Jie had already rehearsed this operation countless times in her mind.

At the moment, the operation is also smooth and there are no mistakes.

Zhang Gu saw that the posterior wall of the stomach was close to the pancreas and stomach, so he immediately ligated the serous muscular layer purse line to complete the serous muscle layer binding, then tied the mucosal layer of the posterior gastric wall at the pancreatic stump, and finally ligated the purse suture end of the gastric mucosal layer.

A series of bundling operations are designed to treat the stump as quickly as possible and prevent pancreatic juice from flowing out.

"Team leader, this operation is so slippery! It really doesn't look like the first time to perform a pancreatic gastric anastomosis. ”

"No wonder no one else dares to take on the anastomosis subject, only he can convince Director Xiang to open this subject. ”

While sighing about Zhang Gu's operation, several people are also seriously absorbing and pondering the core ideas and details of this anastomosis.

Yao Na had already begun to think about how she could achieve these details with a set of equipment.

But she found that it was really difficult to take care of so many points!

With only one set of staplers, can we really achieve the grand goal that Zhang Gu said?