Chapter 42 Bundled pancreatic-gastric anastomosis
Shen Wenting was a little timid, and said aggrievedly: "Brother Zhang, is there no me for this project?"
She was like a girl who had been abandoned in love.
Zhang Gu said: "Without you, but, isn't there no Zhou Cheng either?"
Shen Wenting nodded, and her heart was much more balanced: "That's right." ”
Zhang Gu said with a smile: "This time, Director Yao is in charge, a top two." Recording data analysis data is a good hand, and I will look for you next time. ”
"Okay!" Shen Wenting grinned and stuck her head back.
Zhang Gu and Yao Na came to the door of the doctor's office to greet the two new team members.
What about the pretty female doctor?
Zhang Gu raised his eyes and looked around.
At this time, a very gorgeous female doctor with exquisite makeup appeared, even in a loose white coat, which loomed to show her slender figure.
"It's really beautiful, especially the figure, no wonder even Shen Wenting is sour. Compare every flower in our department of general surgery. ”
Next to the beautiful female doctor is Penda, a single dog in the emergency department.
"Doctor Zhang!" Peng Da greeted Zhang Gu warmly: "I want to cooperate with you this time!
"Let me introduce you, this is our emergency doctor Yang Jie. ”
A brief introduction between the two sides.
Yang Jie is Feng Rong, the boss of the emergency department, and the anastomosis talent he plans to train in the emergency department is very young, only two years older than Zhang Gu.
Yang Jie stared at Zhang Gu, with only Zhang Gu in her eyes, and said, "Doctor Zhang, this time I was ordered to learn anastomosis with you, and I hope you will take care of you in the next topics." ”
Zhang Gu said: "You're welcome, let's learn from each other and improve together." ”
So far, the four doctors of the research team have all arrived.
In addition, two surgical nurses from the Department of General Surgery and two from the Emergency Department each participated in the project.
It can also be regarded as training nurses who can be proficient in anastomosis for the two departments.
......
Research Building.
Zhang Gu said to Peng Da and Yang Jie: "Let Team Leader Yao take you to learn anastomosis today." ”
"There are two learning objectives. ”
"One is the basis for proficiency in lateral jejunal anastomosis, as well as gastroesophageal anastomosis. This part was explained by Director Yao, as well as watching my previous field recording video. ”
Peng Da and Yang Jie both had glowing eyes.
Especially Yang Jie, her next direction is anastomosis, even if it can't reach Zhang Gu's level, at least she has to support the needs of the emergency department.
Although both of them had seen the anastomosis discussion article published by Zhang Gu before, and had also studied it in depth, this was the first time they had seen the surgical video. When Peng Da and Zhang Gu cooperated, they had only seen the lateral jejunal anastomosis, and they had not seen the gastroesophageal anastomosis.
"This afternoon or tomorrow morning, I'll tell you about my new pancreatic and gastric anastomosis. ”
This time, even Yao Na looked at Zhang Gu with blank eyes.
She knew that Zhang Gu relied on the new pancreatic stomach anastomosis idea to persuade Jianhua to open a project.
So she was also very curious about this new line of thought.
......
After arranging the crowd.
Zhang Gu found Xiang Jianhua and asked for a special case.
"Director Xiang, you can help me find a suitable patient. The first is to do duodenectomy, and the second is to be able to highlight the advantages of my anastomosis and can effectively avoid pancreatic fistula. ”
"If we don't have one in the three hospitals, you can help me take a look at the hospitals in the city." ”
Xiang Jianhua is very famous, and he also has connections in various hospitals in the city, and he can solve this matter as quickly as possible.
Xiang Jianhua listened to Zhang Gu's train of thought yesterday and naturally understood Zhang Gu's purpose.
"Okay, in order to highlight the advantages of your thinking and apply for the project, let's simply find a patient with a high chance of developing pancreatic fistula. ”
"I'll take care of that. Xiang Jianhua agreed.
......
Multimedia room in the research building.
Peng Da and Yang Jie, who have watched the video of Shuye and made up for the class, are quite emotional in their hearts.
I also work in the Third Hospital, why don't I have this kind of brain?
"If these two anastomoses are widely popularized, how many patients will be benefited. Yang Jie sighed.
Yao Na and Peng Da couldn't help but nod when they heard this. Every advance in medicine can make patients suffer less pain and have more chance of success.
These improvements to anastomosis by Zhang Gu benefit every patient on the operating table.
"Team Leader Yao, where are everyone?"
At this time, Zhang Gu came in, greeted everyone and smiled: "How is the training?"
Yao Na: "Almost, just wait for your team leader Zhang to explain to us the new idea of pancreatic and gastric anastomosis." ”
Peng Da and Yang Jie are also dumbfounded, and their eyes are full of expectations.
The more they learned more about anastomosis, the more curious they became, and what novel anastomosis ideas Zhang Gu would come up with.
"Okay, let's get started. ”
Zhang Gu came to the podium, plugged in the USB flash drive, and clicked on the PPT.
"The current pancreatic-gastric anastomosis, as Team Leader Yao and Dr. Peng also know, mostly uses full-thickness double-layer anastomosis with serous muscle, or pancreatic duct-gastric mucosal anastomosis. ”
Yao Na and Penda nodded.
"These two types of anastomosis are more complicated and cumbersome to operate. For example, the pancreas needs to be stretched repeatedly, which is easy to cause pancreatic swelling, and once the pancreas is infected or progressive necrosis after surgery, it will cause pancreatic leakage. ”
"In addition, the pancreatic duct is also prone to pancreatic damage during suturing and compression, pancreatic juice flow is not smooth, and the pressure in the pancreatic duct increases, which eventually leads to rupture, which is also a major cause of pancreatic fistula. ”
Yao Na and Peng Da were deeply touched, and what they said was so right.
Every sentence is to the point.
They often encounter these problems when they anastomoses the pancreatic stomach. Because of the complex operation, not to mention sweating during the operation, it is often half the effort.
This is a common phenomenon in general surgery and emergency department surgery.
The two of them suffered greatly, but they never thought of an effective way to improve it.
Zhang Gu said: "My idea of pancreatic and gastric improvement, simply put, is to wrap the pancreatic stump with a wide stomach cavity when reconstructing the pancreatic stump, and use the thick gastric wall with abundant blood vessels to promote the healing of the anastomosis, which can effectively reduce the pressure of the pancreatic gastric anastomosis, thereby reducing the incidence of pancreatic fistula." ”
Yao Na and Peng Da are all thoughtful.
Yang Jie muttered: "Do you use the advantages of the stomach's blood vascularity and acidity to resolve the disadvantages of pancreatic fistula healing?"
Zhang Gu praised: "Yes. ”
No wonder the big guy Feng Rong appointed Yang Jie to pick the head of anastomosis in the emergency department in the future, she is indeed talented in the field of anastomosis, and she can understand it at all.
Peng Da said excitedly: "Team Leader Zhang, is this the core idea of our project?"
Zhang Gu shook his head and said: "No, this idea can only be regarded as laying a foundation, and it is also a small trick to ensure that we can get the project funds as soon as possible." ”
Peng Da opened his mouth wide: "So, there are still big moves?"
"Yes, there's the ultimate. Zhang Gu smiled.
Everyone's eyes widened, is this just a small trick?
What's the ultimate move behind that?
How many good things are still in Team Leader Zhang's mind?