The meeting ended.

Yao Na, Shen Wenting, Liu Quan and others all happily took the work and left.

Obviously, they received the division of labor, but they were all happy as if they had received a reward.

After arranging the team, Zhang Gu set his sights on the patient.

Patients with gastric stromal tumors are also easy to find, and there are no special requirements.

Any patient with gastric stromal tumor who requires open surgery can be referred to endoscopic minimally invasive surgery with a lower risk.

There are such patients in the three hospitals, and you can choose any case.

You're all set.

……

The news that the three hospitals were going to undergo endoscopic gastric stromal tumor surgery spread far and wide.

In particular, a joint surgery has just been completed, and this time the joint surgery of three teams will be carried out, which has attracted the attention of many hospitals.

The city's fourth hospital, second hospital and other hospitals, after hearing the news, can only envy.

"Is the minimally invasive endoscopic technology of the three hospitals so high?

"These three hospitals, it seems that there has been an outbreak this year! A new news will break out every few days!"

"However, we don't have much pressure, but the most pressure is the first hospital in the city. ”

"Yes, this operation fills the gap in our original city, and it is an operation that can't even be taken down by a hospital. ”

"It's up to the first hospital to respond. ”

Municipal First Hospital.

When Geng Bozhong, director of the Department of General Surgery, and the director of the endoscopy room heard the news, they all looked cautious.

"The three hospitals have been working hard one after another, and they have to arouse our vigilance. ”

"In particular, this operation is of great significance, if the three hospitals can be successful, then in the future, patients with gastric stromal tumors will go to the three hospitals for treatment. ”

"Originally, the anastomosis of the three hospitals became famous, so they shared some of our patients. If you give us this knife again, will our hospital be able to bear it?"

"The scientific research project capacity of our first institute must also be improved as soon as possible. The project of endoscopic minimally invasive solution to major diseases such as gastric stromal tumor must also be carried out as soon as possible. ”

……

Three Hospitals.

The three teams studied and ran in for a few days.

Every day is very hard. In particular, Yao Na, Shen Wenting and Liu Quan often simulate late into the night in order to study a method of endoscopic excision and forceps.

Finally, with the joint efforts of everyone, all the problems of simulated surgery were solved.

The day of surgery is coming.

Xiang Jianhua attaches great importance to this operation, and visited the operating room in person that day, and another deputy director of major surgery also came to the operating room.

In the operating room, Zhang Gu, Shen Wenting, Xiao Mao, Yao Na, Feng Xuebin, Liu Quan, Lu Dongdong. A total of seven doctors.

The remaining Huo Fang and a few others could only stand on the periphery, for fear of affecting a few people on the operating table.

Liu Quan and Yao Na cooperated with the two teams to start the first stage of surgery.

Under general anesthesia, the patient was intubated tracheally, and Yao Na used a needle-shaped incision knife to mark the edge of the lesion, injected epinephrine, cut the mucosa around the tumor, and exposed the tumor......

When the tumor passes through the endoscopic display and is exposed to the public.

Seeing the obviously somewhat abnormal tumor, everyone's heart tightened.

The condition of the tumor is not optimistic!

The tumor is tightly adhered to the serous membrane, and it may be very difficult to peel it off.

This meant that they were unlucky, and in the first case of this operation, they encountered a rather difficult patient.

In the operating room, several people swallowed their saliva.

Just thinking about the difficulty of peeling off later, I felt beads of sweat start to ooze from my forehead.

Next, it's time to really put everyone's skills to the test!

Liu Quanquan's head was sweating, and he glanced at Zhang Gu next to him.

saw Zhang Gu's calm expression and gave Liu Quan a positive look. Liu Quan nodded, thinking of the various coping rehearsal plans that Zhang Gu made for him, and his heart was a little settled.

Glass observation room.

Xiang Jianhua and the deputy director next to him also sweated for everyone on the operating table.

"This gastric stromal tumor is not easy to cut! It is already hidden deep in the muscularis propria, and it is closely adhered to the serous membrane, which tests the operator's skills very much. ”

The deputy director had a bad feeling: "It's a bit bad to open the door." ”

"I'm worried now that these three teams have just run in, and many of the people in them are novices, and the first case to encounter such a difficult tumor to remove is too much pressure on them, don't give a fork. ”

……

Yao Na and Zhang Gu looked at each other.

Zhang Gu said in a calm tone: "Use the HOOK knife to take the initiative to pierce." ”

Yao Na nodded, she also thought so. Since Zhang Gu's thinking is confirmed with her, it must be right!

Although this is a minimally invasive surgery in an endoscopic environment, Yao Na can barely cope with it by relying on her rich experience in open surgery to remove gastric stromal tumors.

She uses a HOOK knife to cut through the serous membrane along the perimeter of the tumor and suck up the fluid in the stomach cavity.

Little by little, slowly peel the tumor away from the serous membrane.

At this time, as more tumors are gradually revealed, another problem also emerges.

Everyone found that as the tumor became more and more exposed, the entire tumor protruded out of the stomach cavity.

At this time, only Yao Na's active perforation method can no longer ensure that the tumor can be completely removed.

There must be other methods, forcible intervention.

Liu Quan's heart moved, remembered a plan to deal with the rehearsal, and looked at Zhang Gu: "Change the gastroscope?"

Zhang Gu nodded at him and said, "Yes, at this time, you should change to a double forceps gastroscope." ”

Liu Quan immediately worked with Lu Dongdong to change the gastroscope.

……

Xiang Jianhua saw Zhang Gu's calm response, and he always looked confident.

And so far, Zhang Gu has a way to deal with the unexpected problems encountered.

I feel a lot more relieved.

The deputy director couldn't help but nod and said: "Zhang Gu's ability to lead the team is okay! This project has only been launched for a few days, and the team members can find a way to deal with the problem at the first time." ”

"It is enough to show that the team has done a lot of rehearsal plans and is very well prepared. ”

Xiang Jianhua sighed: "It is not easy to do this, and it requires the team leader to have a very in-depth thinking and deduction of this operation, and to know the types and characteristics of gastric stromal tumors." ”

As he said this, his eyes looked at Zhang Gu with a smile on his face.

This young man is really reliable.

Liu Quan switched to the foreign body forceps of the double forceps gastroscope, grabbed and dragged the tumor, used a snare device, and snared the tumor body, and at the same time relied on the force of the drag to avoid the tumor falling into the abdominal cavity, and carefully grabbed it out little by little.

After the protrusion of the tumor was removed, Yao Na was replaced, and the base of the tumor was removed by active perforation.

This is a delicate job, which requires a high degree of patience and concentration, and her hands can't shake at all, Yao Na kept sweating, and the itinerant nurse next to her kept wiping her sweat.

Finally, when the last bit of tumor was removed, the whole operating room was slightly relieved!

The first half of the operation was finally completed.

However, due to full-thickness resection, the internal wound is much larger than that of traditional laparoscopic surgery, and the difficulty of suturing the anastomosis part is naturally higher.