Xiang Jianhua praised: "It should be feasible!"

"However, we still have to sum it up and deduce it, and it shouldn't be a big problem overall!"

With years of experience, Xiang Jianhua has been able to judge that Zhang Gu's method is mostly feasible.

But out of medical prudence, we need to think more to see if there are unexpected risk factors in it.

Xiao Mao was beside him, looking at Zhang Gu, who was chatting with Xiang Jianhua, and admired the five-body throw to the ground.

Teacher Zhang is so amazing!

It seems that Mr. Zhang even persuaded Director Xiang and participated in the revision and formulation of the surgical plan.

It's a blessing for me to follow such a teacher!

......

Xiang Jianhua and Donnie Yen discussed for an afternoon.

also called Zhou Dongfeng and referred to his opinion.

In the end, it was determined that Zhang Gu's method was completely feasible!

Not only are the risk factors small, but even Xiang Jianhua and Zhou Dongfeng agreed that this anastomosis gastric bypass surgery is safer than the previous gastric diversion surgery.

When Zhou Dongfeng came out of the office of the chief of major surgery.

Looking at Zhang Gu's gaze, it was a little strange.

"You kid can do it! The anastomosis has all played tricks, and it can be used in gastric diversion surgery!" Zhou Dongfeng smiled with a smile on his face.

When discussing in the office just now, Xiang Jianhua kept praising Zhang Gu's anastomosis technique and exaggerating Gu's brain.

also praised Zhou Dongfeng's teaching work by the way, which is doing a good job.

gave Zhou Dongfeng a beautiful face.

Zhang Gu came over with a sycophant: "Thanks to Teacher Zhou's good teaching." ”

Zhou Dongfeng laughed: "I still have self-knowledge, in the field of anastomosis, it is all your own observation and summary, which has nothing to do with me." ”

He patted Zhang Gu on the shoulder: "Keep up the good work!"

Then he blinked his eyes and lowered his voice and said, "In the future, the more things like this kind of long face, the better." ”

"Alright!"

Zhang Gu was also full of smiles.

Not far away, Yao Na was passing by with Feng Xuebin.

Yao Na glanced at Feng Xuebin.

Feng Xuebin's face flushed.

The two walked away a little awkwardly.

......

The surgical plan was finally determined.

Based on Zhang Gu's ideas, some Xiang Jianhua's ideas were added, and the operation was personalized to this obese patient.

Finally, it was the day of surgery.

Xiang Jianhua said: "Xiao Zhang, I'll do the sleeve gastrectomy part, and you will do the jejunal anastomosis and pyloric stump anastomosis, no problem, right?"

Zhang Gu said: "Then I have to ask Dr. Zhen to be my deputy." ”

Donnie Yen smiled: "No problem, last time I gave you a deputy cooperative gastrojejunostomy, and we cooperated well." ”

Zhang Gu nodded, Donnie Yen's deputy ability was indeed the best he had ever seen.

It is estimated that a lot of effort has been put into cultivating such a royal deputy to Jianhua.

"Xiao Mao, you can take a good look at Dr. Zhen later and learn more from him. ”

Zhang Gu wants to train Xiaomao in the direction of Donnie Yen.

Xiao Mao nodded hurriedly, staring at Donnie Yen without blinking.

Surgery begins.

Xiang Jianhua and Donnie Yen, the old partners, are already very proficient in sleeve gastrectomy.

In about an hour, the excision was completed, leaving Zhang Gu with a pyloric stump.

Xiang Jianhua gave up the C position and said, "Do it well." ”

Zhang Gu nodded and stood on the operating table.

Donnie Yen is holding the cavity.

Zhang Gu measured the upper jejunum 25 cm distally, transected the jejunum, and then measured 150 cm distal from the distal jejunum, and temporarily fixed it with silk sutures.

Then, using his skillful anastomosis technique, he made all the incisions at the mesangial margin of each of the two intestinal segments, and then performed the jejunal lateral anastomosis.

"Is this Mr. Zhang's anastomosis technique?"

Since he came back from the Fourth Hospital, Xiao Mao has worked hard, and from the mouths of Zhou Cheng, Shen Wenting and others, the seniors of the department, he has found out how awesome his teacher Xiao Zhang is!

"Your teacher is simply not human, he is the latest temporary worker in the department, and now he is the most awesome among the young generation of general surgery!"

"Hint more at your teacher, let him take me, and you will benefit from turning back, huh...... How about giving you a year's rent waiver?"

In short, Xiao Mao found that his teacher Zhang Gu was very powerful, especially the anastomosis, which was well-known in the entire three hospitals, and was even rated as an iron man on the operating table.

Xiao Mao came back to his senses and found that Zhang Gu had begun to anastomosis the stump of the pylorus.

Donnie Yen, under the command of Zhang Gu, made a small incision at the base of the mesangium under the colon.

Zhang Gu passed the sleeve stomach under the colon, and used silk threads to measure the distal end of the jejunum and the subpyloric end of the end of the severance to fix the end-to-side anastomosis.

Xiang Jianhua looked at Zhang Gu's anastomosis technique, and couldn't help but admire it in his heart.

"Compared with the first time, Xiao Zhang's anastomosis technique has improved a lot. ”

Xiang Jianhua saw Zhang Gu's anastomosis technology with his own eyes and grew up step by step.

The rate of progress is simply frightening.

Xiang Jianhua looked at Zhang Gu's fast and precise hands, and an idea gradually appeared in his heart.

"Before, this kid only specialized in anastomosis, and I didn't have the idea of it. ”

Now that he has come up with the idea of sleeve gastric bypass, he can start thinking about it. ”

"When the surgery is over, talk to him and see if he has any ideas. ”

......

Finally, the sleeve gastrectomy bypass surgery was successfully completed.

Zhang Gu instructed the nurse next to him: "After the operation, the patient's blood sugar should be observed, and the blood sugar will drop significantly within a day, and there is no need for additional insulin injections and oral hypoglycemic drugs." ”

"Two days after the operation, the patient can try to walk on the ground. In about a week after surgery, the patient's blood sugar should be able to return to normal levels. If there is a big discrepancy in timing, alert your doctor as soon as possible. ”

The little nurses made a timely note of these time nodes.

Zhang Gu pulled Xiao Mao again: "How about it, Doctor Zhen's deputy is strong, right?"

Xiao Mao couldn't help nodding, a little unconfident, and said: "Very strong! I feel that the gap between me and you is too big." ”

Zhang Gu smiled: "It's okay, take your time, I will arrange more opportunities for you to study." ”

"You have to watch more, learn more, think hard, summarize more, watch the video recordings of the field repeatedly when you have nothing to do, and try it in your own mind. ”

Zhang Gu didn't even notice how similar his current tone was to Zhou Dongfeng's tone when he spoke to him at that time.

This is the same lineage.

Get out of the operating room.

"Xiao Zhang, you can come alone. ”

Xiang Jianhua called Zhang Gu to his office.

The door was closed.

Zhang Gu blinked, what is Comrade Xiang suddenly going to do?

I'm not mentally prepared at all.

The doctors and nurses outside saw Director Xiang close the door again.

Immediately showed a tacit smile.

If nothing else, when the two of them come out later, they will definitely be full of red light and happy.