Chapter 18: Little Expert
As a young man who has just joined the compilation, he actually wants to go in and give lectures to twelve seniors.
Zhang Gu was still a little flustered.
Xiang Jianhua encouraged him and said: "Don't look at it, there are three veteran doctors and nine nurses over five years old, but they are far worse than you in terms of anastomosis level." ”
"Your main task today is to explain your ideas to them deeply and thoroughly, so that they know how to cooperate with you on the operating table, and the ultimate goal is to do the operation well together!"
Zhang Gu nodded.
Director Xiang is right, there is a specialization in the art industry, and the comprehensive strength of these seniors is strong, but in terms of anastomosis technique, Zhang Gu can indeed be a teacher for them.
Seeing that Zhang Gu was ready, he pushed the door to Jianhua and entered.
Everyone inside was a little stunned when they saw that Xiang Jianhua was followed by a young man.
New to the group?
I've never heard of it before.
Looking at such a young appearance, most of them are young juniors who have been brought in by the director to learn and increase their knowledge and qualifications.
After all, it was brought in by Xiang Jianhua personally, and everyone was still quite polite, and Zhang Gu smiled and nodded.
Zhang Gu also responded one by one.
Some of these people are Xiang Jianhua's deputy who has been with him for a long time, Dr. Donnie Yen. Some are gastroenterologists, some are in the endoscopy room, and the rest are nurses in the operating room. That is, Xiang Jianhua's energy, so that it is easy to form such a team.
"Let me introduce you to you. ”
Xiang Jianhua cleared his throat and said, "This is Dr. Zhang Gu, a little expert I invited to do the anastomosis part of our operation. ”
Little Expert......
When Zhang Gu heard this, his face turned red.
But my heart is a little dark.
This old comrade Xiang is quite discerning!
Zhang Gu secretly gave Xiang Jianhua a thumbs up.
Everyone was a little surprised in their hearts, so young, is it really an expert?
Liu Quanset, the deputy director of the endoscopy room, almost said: "It's a little familiar, is it an expert from the first hospital of the city?"
Xiang Jianhua smiled: "Lao Liu, it's time for your glasses to change the degree! This is Xiao Zhang, who has just been compiled in our Third Hospital!"
"Our three hospitals?" Liu Quan slapped his forehead.
Many people suddenly have a heart in their hearts, a few days ago I heard that there are two regular places, is it him?
Xiang Jianhua said with a smile: "Don't look at Dr. Xiao Zhang's youth, he has a lot of ideas about anastomosis. ”
"What is the most difficult part of our operation?"
Liu Quandao: "Isn't it just that I am worried about food reflux after surgery, and the incidence of anastomotic leakage is too high?"
The others nodded their heads as well.
They had been discussing the surgical plan for two days, and it was at this point that they got stuck.
Xiang Jianhua said with a smile: "Doctor Xiao Zhang is here to help us solve this big trouble! Let Xiao Zhang tell you about his thinking!"
Everyone's eyes shifted to Zhang Gu's body.
Then look at how many dry goods this young man has in his stomach!
In everyone's eyes, there is scrutiny, curiosity, doubt, and expectation.
Zhang Gu plugged the USB flash drive into the computer connected to the projector.
This is the PPT he made by sorting out the information overnight last night.
After clicking on the first slide, Zhang Gu said: "Last night, I compared the ten radical gastrectomy surgeries that Director Xiang had done before and summarized them. ”
"First of all, I think that the main cause of food regurgitation and anastomotic leakage is the direct anastomosis of the esophagus and stomach stump after resection. ”
Everyone stared at Zhang Gu intently, listening to what he had to say.
When Zhang Gu first started to lecture these people, he was still a little nervous.
Slowly, I also let go, and I spoke much more fluently.
"Because the resection destroys the sphincter of the lower esophagus, it is equivalent to destroying the anti-reflux barrier of the digestive tract. ”
"If the esophageal and gastric stump are anastomosed directly, a new fundus cannot be formed, and the vagus nerve is often destroyed by surgery, resulting in postoperative pylorus spasm, and the food in the residual stomach cannot be emptied to the small intestine in time. ”
"So most patients are prone to food reflux after surgery. ”
Everyone nodded slightly.
They can roughly understand the reason, but they just haven't discussed a solution.
At this moment, many people have recognized Zhang Gu, at least in terms of exploring the causes of food reflux, Zhang Gu has worked hard. And listen to him logically and clearly, and you can understand the meaning at once.
Xiang Jianhua was beside him, also looking at it with a smile on his face.
When he listened to Zhang Gu dictate this new anastomosis idea yesterday, he was like this at first, and then he was shocked. Is there such a whimsical way of matching?
Let these people wait, and you will be shocked later.
Zhang Gu said: "So I think that rebuilding the digestive tract is the fundamental solution to food reflux. ”
"My idea is to anastomosis the stump of the stomach and the side of the esophagus, so that a curved angle can be formed, and a gastric fundus can be artificially made, plus the method of pyloroplasty is adopted to relieve the spasm of the pylorus after surgery, so that the food can be emptied to the small intestine, so that the problem of food reflux can be completely solved. ”
Many people listened with a flash of inspiration.
Does it anastomosm with the lateral end of the esophagus?
It's an idea to try.
But how, exactly?
Zhang Gu said without hesitation: "When doing artificial gastric fundus, I think there are three principles that need to be followed. The first is to form a sufficient food storage storehouse, so that the food in the residual stomach can be emptied to the small intestine in a gradient. The second is to reduce the likelihood of food regurgitating into the esophagus. The third is to ensure that the residual stomach has sufficient digestive function. ”
At this moment, everyone was completely fascinated by what they were listening to.
Originally, there were still some people with scrutiny and doubts on their faces, but they have completely disappeared at this moment. Instead, there is a thirst for new methods and new knowledge.
Xiang Jianhua smiled secretly in his heart, when he first heard this new anastomosis technique yesterday, why wasn't it like this?
This line of thinking...... The feasibility should be very high!"
"As long as the side anastomosis, it can directly form an artificial gastric fundus! Why didn't I think of it before?"
"Dr. Zhang is really skilled, and with a new anastomosis method, he has solved the big trouble of our surgery!"
"Now, the surgical plan can be completely perfected!"
There were expressions of surprise and praise on everyone's faces, and they were even more happy that the surgical problem had finally been solved.
Xiang Jianhua listened to Zhang Gu again today, and he had a deeper understanding of this new anastomosis.
"This Xiao Zhang definitely has an excellent talent in anastomosis, no wonder Director Geng Bozhong of the First Municipal Hospital is so optimistic about him. ”
Xiang Jianhua thought that if he encountered a problem with anastomosis in the future, he would come directly to Zhang Gu.
Zhang Gu spent a total of three hours in this class.
The main purpose of the front is to lay down the advantages and principles of this new anastomosis for everyone.
It took less than an hour to arrange the work in the back and arrange the cooperation of the deputy, the instrument nurse and the itinerant nurse.
"Okay, that's all I'm talking about. I hope that tomorrow on the operating table, happy cooperation. ”
Xiang Jianhua took the lead in applauding, and everyone couldn't help but stand up and applaud.
Not long after Zhang Gu left the conference room, he saw a figure.