Gong Shuangjiang was secretly speechless.

When they were in four hospitals, they couldn't even get a radical gastric cancer surgery. The group of people in the three hospitals actually played with radical gastric cancer surgery!

It's incomparable!

Municipal First Hospital.

Geng Bozhong and Xu Jincai also heard about the joint surgery of the three hospitals.

"The progress of the three hospitals in the past few years is really fast! ”

Xu Jincai said: "I have inquired, and it is a new project that Zhang Gu is taking the lead and doing. ”

Geng Bozhong nodded contemplatively: "In the past, any new projects and new topics in the three institutes were all won by Jianhua. Now, the ethos has shifted a bit. The last few new projects have been led by Zhang Gu. ”

"This Zhang Gu is amazing, the master's project is excellent, the anastomosis field is excellent, and now it is going to be combined with gastric cancer radical surgery to treat excessive obesity and diabetes, which is simply more flowering. ”

Xu Jincai said: "In short, either dig Zhang Gu over, or, in the future, you have to pay attention to the three courtyards, there are frequent new moves, and the people and the above have begun to be optimistic about the three courtyards." ”

"This time, let's see what their combined surgery will do. ”

"If we succeed again, then we have to think of some way to deal with it. ”

……

Municipal Medical Association, Office of the Vice President.

Xiao Yang said: "Sister Xie Lu, I heard that there are many people in the unit who quietly praise you for being tall, elegant, and temperamental!"

Xie Lu smiled casually.

"Xiao Yang, I'm going to bring the exhibition brochure to the province in a few days, and I've already started collecting materials, right?"

Xiao Yang: "It's already started. ”

Xie Lu said: "The spleen-preserving surgery developed by Dr. Zhang Gu of the Third Hospital has also been added to a page. ”

"But if there's only one, it's a little thin. ”

"I heard that the three hospitals are doing a combined operation for radical gastrectomy, and the results will come out in the next two days, and if it is successful, I will consider adding this surgery to it. ”

In this way, Dr. Zhang Gu's medical achievements will be fuller, and the layout will be larger, and it will be easier to attract the attention of provincial leaders and various sister cities at the exhibition. ”

Xiao Yang nodded hurriedly and took the notes in the workbook.

……

Zhang Gu's team and Yao Na's team met again.

The meeting was held intensively, and the surgical plan was discussed, analyzed, and rehearsed.

There were two teams in total, with eight doctors seated.

Everyone's eyes were scorching, and they gathered on Zhang Gu in the first seat.

Everyone was waiting for Zhang Gu to speak.

Begin this surgery that is important to everyone. Not only will the patients be treated by this surgery, but everyone in the room will also be improved by this surgery.

In particular, several young people are already gearing up to prove themselves with this operation.

Zhang Gu first looked at Feng Xuebin and Hao Xuran from Yao Na's team: "Are the patient's preoperative examination results in line with the indications for surgery?"

Feng Xuebin and the others are in charge of this work.

Feng Xuebin hurriedly stood up and said: "Before the operation, the patient had cardiac color ultrasound, ambulatory electrocardiogram, pulmonary function, cervical vascular color ultrasound and other examinations, all of which met the indications for surgery. In addition, Hao Xuran and I are responsible for controlling the patient's preoperative blood sugar, which is also kept within the normal range and will not affect the operation. ”

Zhang Gu nodded, and his eyes looked at Shen Wenting again.

"Shen Wenting, Xiaomao, your two gastric diversion surgery has changed the most for this operation, and you need to make adjustments in every detail to cooperate with the radical gastrectomy, how do you grasp it?"

Shen Wenting hurriedly stood up and said, "I have mastered everything, this is the process and data record of several gastric diversion surgeries that Xiao Mao and I have done recently." ”

She looked up at Zhang Gu with glowing eyes.

Although she didn't know why Zhang Gu pushed her out this time and let her be the main knife.

But Shen Wenting was very grateful to Zhang Gu in her heart.

Zhang Gu glanced at it and knew it in his heart.

"Okay, let's do the last surgical deduction and arrange for someone to sign the informed consent form for surgery. ”

……

In the ward, when the head nurse brings the informed consent form for surgery.

Cui Bin's mother took it and hurriedly asked, "Can this operation really cure my son's stomach cancer, obesity, and diabetes?"

"Surgery is the most important treatment, but after surgery, patients and their families need to fully cooperate with our postoperative rehabilitation. I can only explain the risks of surgery to you now, and I can't guarantee anything. ”

Cui Bin's mother hesitated, the risks of the surgery written on the informed consent form sounded terrible.

At this time, Cui Bin in the back said: "Mom, sign it, now, I only want to believe the doctor." ”

Cui Bin's mother nodded, and signed her name with trembling hands.

……

It's time for surgery.

An eight-person surgical team, fully armed.

Of course, there are only five people on the operating table, Hao Xuran, Li Yunlai and Huo Fang, and there is only the function of recording data below.

Xiang Jianhua was relieved, and he and a deputy chief physician of major surgery rushed to observe the operation.

On the operating table, Yao Na took a deep breath and began to perform radical gastrectomy on patients after general anesthesia.

She has done forty or more radical gastric cancer surgeries, and her level and proficiency are already quite outstanding.

Feng Xuebin was her deputy, and after observing the size and shape of the cancerous tissue of the gastric tumor, the two decided to make an incision from the middle omentum, treat it along the edge of the pancreas, cut it from the root of the blood vessel, and remove the subpyloric lymph nodes and the whole stomach.

Xiang Jianhua nodded slightly.

In the first half of this operation, he was not very worried about the radical resection of gastric cancer, and with Yao Na's level, it was not a big problem to do a good resection.

The focus and difficulty of this surgery is also in the gastric diversion surgery, which is responsible for the reconstruction of the digestive tract in the second half.

Xiang Jianhua is worried about whether the changes made in the details will cause unexpected risks on the operating table.

It is difficult to solve the problem of treating excessive obesity by using gastric diversion to treat excessive obesity without more incisions, more anastomosis, and no additional intraoperative bleeding.

It's up to Zhang Gu.

Finally, Yao Na and Feng Xuebin's task was completed.

Zhang Gu was left with a duodenal stump with temporary sutures, as well as a resected fundus and corpus stump.

Chang Zhang Gu, Shen Wenting and Xiao Mao went to the operating table.

In the observation room, Xiang Jianhua and the deputy chief physician both stood up straight and stretched their necks.

Carefully stare in the direction of the operating table.

Xiang Jianhua muttered: "This kid, shouldn't you really let Shen Wenting be the main knife?"

The deputy chief physician next to him was surprised: "Isn't Zhang Gu the chief surgeon?"

Xiang Jianhua: "Well, he seems to be insisting on winning an excellent team recently, so he is focusing on cultivating his team members. ”

The deputy chief physician frowned: "I don't worry about Zhang Gu's anastomosis and reconstruction of the digestive tract, but Shen Wenting, is it still a little bit away?

Xiang Jianhua raised his chin, and his eyes gestured to Zhang Gu's position on the operating table: "It's the same if he does the bottom next to him, with him, there won't be any big mistakes in the anastomosis part." ”

As long as it is in the field, Xiang Jianhua has full trust in Zhang Gu, which is brought about by Zhang Gu's previous 100% success rate of surgery.

"I also want to see how Zhang Gu has cultivated the team during this time. ”

Since Zhang Gu wants to apply for an excellent team, Xiang Jianhua, as a member of the review, also happened to inspect the team's quality today.

……

on the operating table.

Shen Wenting was a little nervous to be watched by so many people.

But this is exactly the scene she dreamed of, and she must not miss this opportunity.

This is the opportunity for Brother Zhang to perform under pressure, and she can't lose Zhang Gu's face.

"The heart is calm, and the operation plan comes. ”

Shen Wenting glanced at Zhang Gu next to her, "Anyway, there is Brother Zhang next to him, Shen Wenting, don't be afraid!"

She put her eyes on the field, and after clearing her thoughts, she began to operate.

First, use a closure device to perform transverse closure two centimeters distal to the junction of the fundus and gastric body to maintain the residual gastric capacity at about 300 ml, and then cut the jejunum at 70 cm from the ligament of the Qusch ligament, ready to do the lateral end anastomosis of the jejunum.

Shen Wenting is cutting off the space of the operation.

Quietly raised his eyes and glanced at Zhang Gu next to him.

I saw Zhang Gu's eyes with a hint of encouragement and a faint smile.

That kind of calmness and encouragement warmed Shen Wenting's heart.

Seeing these eyes, Shen Wenting seemed to have a little more confidence in her heart!

In the next operation, Shen Wenting became more focused, and slowly, she also began to be handy, and according to the improvement details that she had trained for several days, she did a good job of this modified gastric transfer.

Yao Na, Feng Xuebin and the others next to them were all staring at the hands in the field.

Seeing Shen Wenting's series of operations, Yao Na made up her mind:

"Shen Wenting has grown up so fast, how long has it been, and what a lot of progress!"

She glanced at Feng Xuebin next to her.

The two of them did the excision and radical resection just now, although Feng Xuebin's cooperation was not bad, but compared with Shen Wenting, it was still a little worse. Yao Na couldn't tell where this subtle gap was.

"It's obviously the same group of young people who came in, is my teaching ability weaker than Zhang Gu?" Yao Na fell into self-doubt.

Xiang Jianhua and the others, who were watching from the side, also had a little smile on their faces.

"Xiao Shen's performance is okay. ”

The deputy chief physician also said: "It's remarkable, there are a few operations, which are quite eye-catching, a bit of Zhang Gu's meaning." ”

The two glanced at each other, and they both saw joy in each other's eyes.

This kind of inheritance is what the two are most happy to see.

Even if one day in the future, Zhang Gu left the Third Academy because he was too good and went to a bigger stage.

At the very least, he also left the seeds of inheritance to the three hospitals, so that this kind of consistent thinking can take root and sprout in the three hospitals, so that many doctors in the three hospitals can pay attention to and learn.

At this time, Shen Wenting had already begun to rebuild her digestive tract.

She anastomosed the distal jejunum and the anterior wall of the proximal residual stomach, and performed the end-to-side anastomosis of the proximal jejunum and the distal jejunum, completing the most critical part of gastric transfer.

After the anastomosis reconstruction was performed, the surgery was also coming to an end.

Xiao Mao and Huo Fang were examined and sutured.

Zhang Gu got off the operating table.

He glanced at the prompt in his head, and his heart was happy.