Chapter 10: Here comes the opportunity to perform
Feng Xuebin didn't dare to delay for a second, and hurriedly ran to call someone.
Yao Na began to concentrate on a large gastrectomy.
Zhang Gu couldn't intervene, so he could only stand next to him and study seriously.
I saw Yao Na skillfully cut the peritoneum on the surface of the hepatoduodenal ligament to remove fat and lymphoid tissue. After identifying the common bile duct and hepatic artery, the right gastric artery and vein are cut by ligation, and the gastrocolic ligament is severed with an electric knife against the liver margin.
After a series of operations, Zhang Gu was dazzled.
"It is worthy of being studied in Tongji Hospital, and Director Yao Na's attainments in gastrectomy are indeed very high. ”
The courtyard is willing to pay attention to Yao Na, not without purpose.
There is a very good side to this woman that is worth learning from.
Zhang Gu watched hungrily, trying to learn Yao Na's handling of each part.
Under the shadowless light, Yao Na focused and careful, she quickly cut the gastrocolic ligament with an electric knife along the avascular area, peeled off the anterior lobe of the transverse mesocolon, and cleared the anterior capsule of the pancreas.
A pair of hands are delicate and quick, without dragging the mud and water.
Zhang Gu was looking at it attentively.
Feng Xuebin suddenly went and returned.
He looked anxious, wanted to say something, and saw that Yao Na was concentrating on the operation, for fear of disturbing her and causing an irreparable mistake.
It was the first time for Zhang Gu to see Feng Xuebin's panicked look, and he hurriedly asked, "What's wrong?"
Feng Xuebin said hurriedly: "Director Xiang is also doing surgery upstairs, it is a radical colon cancer surgery, I am afraid I will not be able to get off the operating table all day today! ”
Zhang Gu also chuckled in his heart!
"What about Director Geng Bozhong of the First Academy?"
Feng Xuebin's face was ugly and said, "I have reported the situation on our side to Vice President Wang, and he is in contact with the First Hospital." ”
"But when I left the vice president's office, I heard a phone call saying that Director Geng Bozhong went to Xincheng yesterday to attend the surgical exchange meeting, and he will only be back tonight. I'm afraid it'...... I can't count on it. ”
Zhang Gu secretly said in his heart that it was bad, he glanced at Yao Na, only to see that Yao Na's body was also trembling.
Obviously, I also heard what Feng Xuebin said just now.
This operation, which has now removed part of the duodenum, is no longer possible.
If no one comes to do jejunal dissociation and anastomosis today, the patient may die on the operating table at the end of the operation.
Then it's really big!
Yao Na took a deep breath and said, "I believe that the leaders of the academy, Vice President Wang, will definitely come up with a way." ”
"Our first task now is to complete the gastrectomy first, and it is estimated that by then, the gastrointestinal anastomosis experts will be in place. ”
Feng Xuebin and Zhang Gu nodded a little apprehensively.
Now I can only choose to trust the leaders of the hospital.
Yao Na threw herself into a tense large gastrectomy again.
Feng Xuebin also stood on the operating table and acted as a deputy.
He has been following Yao Na for a while, and he still has some experience in dealing with this operation, and in this regard, he is still better than Zhang Gu.
……
At this moment, Vice Dean Wang Ping's office.
Several senior leaders are urgently discussing solutions.
Wang Ping sighed: "It is really unfortunate that Director Geng Bozhong of the First Institute of the Listed Company is on a business trip!"
Another Vice Dean Liu frowned and asked, "Have you contacted Director Geng?"
Wang Ping couldn't sit still, got up and kept pacing, and said: "After Lao Geng found out, he immediately ended the exchange meeting in advance and rushed back, but Xincheng is at least a six-hour drive away from us, and I'm afraid it's too late." ”
"What about the director?"
Vice President Liu came up with an idea: "Can Director Xiang's side be handed over to the deputy temporarily, and after the anastomosis is completed, I will go back to the main surgery, and the two operations will be taken care of at the same time." ”
Lu Wei, the chief of the medical department, said with a wry smile: "I'm afraid not, Director Xiang's radical colon cancer surgery, only he can do it in our three hospitals, and no one dares to go under the knife without him!"
Vice President Liu sighed: "There are still too few pillar-type talents in our three hospitals! ”
"Why don't you contact the province and ask the province for help?"
Wang Ping shook his head and vetoed: "The province is to send experts immediately, I am afraid that it will not be too late to coordinate the scheduling in time, at most, it can be connected to a remote video and technical guidance." ”
"However, the jejunum with severe free adhesion is the most testing of the doctor's skills, and remote guidance will not work. ”
"Now, the most reliable is still Geng Bozhong's side, I will urge him again to see if he can speed up the drive and come back to save the scene as soon as possible. ”
……
Operating room.
Yao Na's forehead was dripping with sweat, and the itinerant nurse kept wiping her sweat.
Gastrectomy is also a major and very draining operation.
Fortunately, it was finally done.
Yao Na looked up and looked outside.
"What did the leaders of the hospital say, have they coordinated to match the experts?"
Feng Xuebin shook his head with an ugly face.
Director Xiang couldn't get out, Director Geng Bozhong heard that he was already rushing back, and Dean Wang was on the phone to coordinate with the Medical Association to see if there was any other solution. ”
Something else?
The only people in the city who can free and anastomosis this degree of adhesion jejunum are Xiang Jianhua and Geng Bozhong. Others, it's useless to coordinate.
Yao Na glanced at the old patient on the operating table.
The patient's physique is already weak, and the gastric removal operation is very destructive, if it drags on any longer, I don't know if this old man can hold on.
At this time, someone has to stand up and immediately anastomose the jejunum.
Yao Na gritted her teeth, she couldn't wait for an expert, so she could only harden herself.
Although she is not as good as Xiang Jianhua in terms of free intestinal adhesions and anastomosis, the situation is urgent and she can only do her best.
At this time, Zhang Gu said, "Director Yao, do you want me to try?"
Yao Na paused: "You?"
Feng Xuebin's face was also full of astonishment, what did Zhang Gu say just now?
Am I having auditory hallucinations?
Zhang Gu said solemnly: "Director Yao, I have learned a new technique that can anastomosis the duodenal stump and stomach without cutting off and dissociating the empty ileum. ”
"And this anastomosis has low blood supply requirements, as long as it does not destroy the mesangial blood vessels, it can ensure sufficient blood supply. ”
"What you said is true?" Yao Na was surprised, and this kind of anastomosis technique that took a different path?
Zhang Gu quickly explained his thoughts to Yao Na.
"It seems to work. ”
Yao Na's eyes lit up when she heard this, if this technique could really work, then there would be no need to take a huge risk of dissociating the jejunum with serious adhesions.
The more Yao Na thought about it, the more she felt that Zhang Gu's technique was feasible.
Not only does it not need to cut off the jejunum, it can avoid the occurrence of adhesion position and reverse peristalsis, but also reduces the damage to the mesangial blood vessels, and blocks the input of the jejunum, which has many advantages!
"Okay, you do the anastomosis work. I'll be your deputy!" Yao Na knew that without further ado, she had to be decisive.
Zhang Gu snorted and immediately consumed a conversion card, converting the previous duodenectomy card into a modified gastrojejunostomy card.
A new icon lit up in Zhang Gu's mind.
"I'm going to do this anastomosis. ”
This operation is not only a matter of life and death for the patient, but also the first time Zhang Gu has been the main surgeon, and it is also an excellent opportunity for him to perform.