Yao Yusen, the head of the department, frowned deeply.

"Dr. Zhang, we still don't understand. ”

"A few of us have been doing bile and intestinal anastomosis for so many years, and we have a little experience. But if this input loop is ligated, will it really help the operation?"

Several other doctors also had the same puzzled looks.

Zhang Gu affirmed: "Yes, your biggest doubt lies in the realization of the function of the input loop after ligation, right?"

Everyone nodded.

Zhang Gu said with a smile: "As long as we use a new biliary reconstruction method, we can easily solve this problem." ”

In the office, Zhang Gu guided several people step by step, and slowly guided their thoughts from the traditional bile and intestine anastomosis.

Gradually, everyone's frowning brows stretched a little.

With Zhang Gu's explanation, they gradually accepted this new anastomosis technique.

Zhang Gu said with a smile: "This new operation also has the advantage of not having to cut the jejunum and not having to spend time carefully identifying the mesojejunal blood vessels during the operation, which reduces the technical requirements of the operation and shortens the operation time, which is helpful to reduce the risk of infection, improve the patient's tolerance, and speed up the postoperative recovery." ”

At this moment, Yao Yusen and the others were turning their brains quickly, and the light in their eyes was getting brighter and brighter.

At first glance, this technique may sound a little incredible.

But as long as they understand the principle and solve the problems in their minds, they will feel that this technique is very advanced!

The more I listened, the more I felt, it was feasible!

Yao Yusen's mind was already completely excited: "Doctor Zhang Gu, if this kind of operation can really be as you said, it will not only simplify the operation but also shorten the operation time, then the impact will be great!"

"The most intuitive will be easy to promote clinically!"

Zhang Gu smiled: "Yes, even hospitals with grassroots and excellent doctors such as the Fourth Hospital and the Second Hospital can also be taken down." ”

"In the future, if this technique is popularized in the whole original city, everyone will be a hero. ”

Yao Yusen waved his hand again and again: "No, no, no, this credit belongs to Dr. Zhang Gu, we are just the first batch of beneficiaries!"

Zhang Gu said with a smile: "Those who dare to be the first to eat crabs are also heroes! Even if everyone is not the most credited, at least they have all contributed to it." ”

Everyone had joy on their faces, and they smiled one after another blooming flowers.

......

For this operation, because of the addition of Zhang Gu, the rehearsal plan was greatly changed.

It's completely different from before.

Everyone held a meeting to negotiate, and Yao Yusen and others were responsible for completing the second gallstone removal and pancreatic head mass removal in the first half of the operation.

Zhang Gu is responsible for the reconstruction of the biliary tract anastomosis in the second half.

It's the day of surgery.

Zhang Gu took Xiaomao to the operating room.

Yao Yusen has led the team and started gallstone removal. Seeing Zhang Gu coming in, he nodded at Zhang Gu.

Zhang Gu and Xiao Mao watched them from the side, probed the biliary tract, took out the stones, cut off the mass of the pancreatic head, and sent them for biopsy.

Soon, the biopsy results came out, it was just chronic inflammation, and it was not cancerous.

Everyone breathed a sigh of relief, but then they became solemn again.

The next key is biliary reconstruction.

Although Zhang Gu said that the head is the Tao, they also recognized this new biliary-intestinal anastomosis.

But after all, this is a technique that has never been proven, and everyone is still a little worried.

Yao Yusen: "I hope that the new technique can really achieve the desired effect." ”

The deputy chief physician next to him seemed to be comforting Yao Yusen, and he also seemed to be comforting himself: "Don't worry, we have deduced several times, and it should be no problem." ”

Although the two said this, the clenched fingers and the intently stared eyes showed that the two were a little nervous.

The young doctor next to him secretly said in his heart: "I hope that Dr. Zhang Gu will make this new operation successful, so that I can also follow the light, and do biliary-intestinal anastomosis in the future, and I will have a better and easier choice of biliary-intestinal anastomosis." ”

Zhang Gu and Xiaomao stood on the operating table and took over the operation.

Under the worried gaze of the crowd.

Zhang Gu seemed unhurried.

"Xiao Mao, 50 centimeters away from the ligament of Qu, lifted the jejunum and helped me prepare for the common bile duct anastomosis. ”

Xiao Mao's current deputy ability is already good, and Zhang Gu feels comfortable using it.

Zhang Gu began to do biliary reconstruction, he did a lateral anastomosis between the anterior colon and the common bile duct, and then did a lateral anastomosis 20 cm and 35 cm from the biliary anastomosis input loop. The biliary-intestinal anastomosis was entered into the loop jejunum, and the 7-gauge silk suture was ligated.

Next to him, Yao Yusen and the others stared at Zhang Gu's hands.

"So this is what Dr. Zhang Gu said about biliary reconstruction?"

There are several brains that turn fast, and after seeing Zhang Gu's operation, they suddenly realized!

"Originally, this was used in this way to achieve the original function of the input loop! Unfortunately, we are still worried that the ligation of the input loop will affect the patient!"

Dr. Zhang Gu added this step of lateral anastomosis to ensure the normal operation of the patient's intestinal biliary tract. ”

"It's a stroke of genius!"

Several people, their brains turned around.

Several places that I couldn't figure out were solved when I saw Zhang Gu's operation with my own eyes.

Yao Yusen was still a little nervous and worried.

But the more I look at Zhang Gu's operation process, the more confidence in this new technique increases!

In addition to admiring Zhang Gu's operating ideas.

Zhang Gu's solid anastomosis and hard power also convinced this group of doctors in hepatobiliary surgery.

Every step of the delicate operation is extremely focused.

It's like carving a beautiful work of art.

The hands were sometimes nimble, quickly switching between surgical tools, and quickly inserting a suture into it.

Sometimes calm, steady clamping blood vessels, there is no possibility of accidents.

"Dr. Zhang Gu did the anastomosis, and it was perfect. ”

"Is this the ability to match the honorary lecturer of the training base?"

"Damn, why didn't I go to the training base to listen to the class before! Although I talked about anastomosis in the gastrointestinal field, I just looked at Dr. Zhang Gu's basic operation, and I felt pleasing to the eye!"

Another doctor also said: "Indeed, the basic skills of anastomosis and suture are all the same, even if you just look at the basic skills and learn the details of the operation, it is good." ”

After watching this surgery.

Several people decided that they must go to listen to a few Zhang Gu's live matching classes in the future.

Not to mention what knowledge has been learned, just looking at this beautiful basic suture anastomosis operation is a pleasure!

In particular, the blood vessels that are blurred and messed up are stitched together like exquisite works of art......

In the eyes of the doctors, this is a wonderful thing in itself!

It is a sign of the patient's recovery, and this feeling gives them peace of mind.

The surgery was done to the end.

Zhang Gu withdrew the vascular clamp to completely close the intestinal lumen and maintain blood circulation to the intestinal wall, and then used the parachute suture method to suture and embed the serous muscle layers on both sides.

Everyone watched the parachute sewing method again on the spot, which was equivalent to another class and training.

Today, it's really profitable!

......

After surgery.

Zhang Gu looked at the taskbar in his mind.

[Complete three cross-field surgeries, task completion progress (1/3)].

"After completing an input loop ligation biliary-intestinal anastomosis operation, the final score was 3.2 points according to the comprehensive evaluation of the difficulty coefficient, performance, and operation time of this operation. ”

"Rewards: 2 intermediate cards, 1 random card. ”

Zhang Gu casually clicked on the random card, thinking to himself, most likely it was another proficiency card.

"Huh, it's not a beginner card?"

With a flash of light, there seems to be something unusual about this card.

Take a closer look, "Proficiency Conversion Card (Very Low Probability of Opening): You can convert a high-level proficiency card into a low-level proficiency card proportionally." ”

Zhang Gu muttered: "This card seems to be quite useful." ”

Zhang Gu had tried it before, and low-level cards could be used to skip levels. It's just that the consumption is very high, and it is very cost-effective.

However, high-level cards cannot be downgraded. Now with this card, it's time to convert it once.

Right now, he's the most lacking in intermediate cards.

Zhang Gu gave it a try. If you convert a card with proficiency and convert an advanced card to an intermediate card, one can be converted into twelve.

"This is in line with the ratio I calculated before, no loss or no gain. ”

Zhang Gu pondered, although it is not a loss or a gain, but this card is still very good!

For example, he now has 10 advanced cards, but the intermediate cards are extremely lacking, and he is almost out of ammunition.

"Let's keep it for now, and the next time you need an intermediate card urgently, you can change it urgently. ”

Zhang Gu has two skipping cards, which can jump directly from the advanced level to the master level. Then for him, the advanced card is a card that is temporarily useless, take out one, and use it to convert it into an intermediate card, this deal can be done completely!

Out of the operating room.

Yao Yusen looked at Zhang Gu's back, and a thought quickly emerged in his heart.

"It would be nice if Dr. Zhang Gu could perform this kind of input loop ligation anastomosis and also give us training in hepatobiliary surgery. ”

I just watched a surgical operation, and even he who has the best learning ability feels that he is not addicted, and others must feel even more like this.

Everyone wants to watch it a few more times, and it is best to let Zhang Gu explain the training principle in detail, as well as the precautions for each detailed step operation.

Yao Yusen felt that he was too greedy.

Zhang Gu, a general surgeon, came to help him with hepatobiliary surgery three times and twice, and also gave advice to difficult patients, and even went to the operating table himself to be responsible for the second half of the operation, which is already benevolent and righteous.

still asks for so much, Yao Yusen really can't open his mouth.

At this time, an older figure came to the hepatobiliary surgery.

When Yao Yusen saw it, he hurriedly went up to say hello: "Director Ning!"

Zhang Gu also saw the 60-year-old director of the Teaching Office of the Third Academy.

Ning Hongru has old qualifications and high seniority. As the director of the Teaching Office, he is also one of the de facto top positions in the three colleges.

Zhang Gu also dealt with Ning Hongru because of the previous training base, and he can be regarded as able to speak. also went up to say hello: "Director Ning, why are you here?"