Zhang Gu came to the inpatient ward again to check on the patient's condition.

The purpose is twofold, one is to prepare the patient for surgery, and the other is to improve the method of "intrahepatic bile duct anastomosis for gallstones".

When Zhang Gu passed by the ward, the little girl inside Duoduo heard the footsteps, secretly showed her head, and looked outside.

As soon as he saw that it was Zhang Gu, he immediately gave Zhang Gu a big little face, and a pair of big eyes flickered.

Zhang Gu smiled at her and beckoned.

Receiving Zhang Gu's response, Xiao Duoduo happily retracted her head.

Zhang Gu turned around and entered the gallstone patient's room.

He first checked the patient's various indicators and whether they met the indications for surgery.

"The operation you did this time is a little different from the operation you did in the first hospital of the city and the water conservancy hospital, I plan to fully expose your left hepatic duct in the bile duct, and strive to remove the clean lithotripsy at one time. ”

"So, you have to be mentally prepared. ”

The patient didn't know if he understood it or not, but he just said, "Okay, okay, you can do it quickly, as long as it can stop me from pain." ”

It can be seen that he can't let the pain already suffer.

Zhang Gu finally checked the actual situation of the patient, as well as the high-level biliary-intestinal anastomosis in his mind, and synthesized it to form a set of surgical treatment plans.

......

Small meeting room.

Zhang Gu and the doctors of the hepatobiliary surgery department had a final meeting to agree on the surgical plan.

said that it was agreed, but in fact, Zhang Gu explained his treatment ideas, arranged work tasks for Yao Yusen and others, and asked them to cooperate with themselves during the operation and do the operation well.

Ning Hongru also came to the staff officer, and he asked suspiciously: "Doctor Zhang, since bile duct stones occur at the confluence of the left and right liver ducts, why did you choose to expose the left liver duct instead of the right liver duct?"

Zhang Gu said with a smile: "Director Ning must know that the position of the left liver canal is stable, the dissection is convenient, the surface is shallow, and the main diameter is thick, right?"

Ning Hongru bowed slightly, and Yao Yusen and other hepatobiliary surgeons next to him also nodded.

This is basic common sense for them, but the right hepatic duct also has its irreplaceable advantages, and exposing the right hepatic duct can also correct and expand the intrahepatic bile duct, which also has its merits.

Zhang Gu said: "If you choose to cut the left hepatic canal, you only need to pull the intrahepatic ligament downward, which is not easy to accidentally injure the large blood vessels." The right hepatic canal is vertically deep, difficult to expose, and has a short trunk. ”

"If the right hepatic duct needs to be incised during the operation, then the right hepatic duct can also be incised at the confluence of the left and right hepatic ducts after the incision of the left and right hepatic ducts, and a wide and tension-free anastomosis can be obtained. This is less risky and easier to perform than a direct incision of the right hepatic canal. ”

Zhang Gu finally concluded: "For the goal of removing lithotripsy from this patient, this incision sequence could not be more appropriate. ”

Ning Hongru listened and couldn't help but ponder.

He had a delusion, how could Zhang Gu, a general surgeon, have a deeper grasp of professional hepatobiliary knowledge than those who were born in hepatobiliary surgery?

But these basic knowledge, obviously every hepatobiliary surgeon knows it.

However, when encountering specific problems, no one can compare to Zhang Gu who can needle specific patients, make specific analyses, and be present.

Ning Hongru sighed in his heart: "If only Zhang Gu were my hepatobiliary surgeon." How could Lao Xiang be so lucky to get such a treasure?"

The more Ning Hongru listened to Zhang Gu's exposition of ideas, the more he understood......

Zhang Gu is not only strong in professional knowledge.

In the use of professional knowledge, it is even more perfect, and the attainments are profound.

We can analyze the specific situation of each different patient and formulate a surgical plan that is specifically suitable for this patient.

......

Once the plan is agreed, enter the operating room.

Zhang Gu is the chief surgeon, Yao Yusen and Xiao Mao are Zhang Gu's deputies in the "liver duct exposure" stage and the "biliary-intestinal anastomosis" part respectively.

Ning Hongru looked at the operating table with complicated eyes, focusing on the few people who were doing the operation.

His eyes rolled slightly, not knowing what he was thinking.

On the operating table, Zhang Gu made an oblique incision on the left side of the xiphoid process into the abdomen.

This is to avoid scar adhesion caused by the patient's history of multiple biliary surgeries.

This operation is not difficult for Zhang Gu.

Especially with the experience of the last treatment of bile duct cancer, Zhang Gu is even more familiar with the road.

Even Yao Yusen, who was his deputy, began to have some experience, and cooperated with Zhang Gu to expose the intrahepatic bile duct, and became more proficient.

The left hepatic ligament was severed, stretched, and the fusion site was exposed, the left hepatic duct was separated and exposed, and the small arteries and veins across the left hepatic duct were separated and ligated......

After doing so many operations, Zhang Gu also glanced at Yao Yusen with satisfaction.

"This old Comrade Yao is cooperating quite well!"

Being able to stand out from many doctors and become the head of the Department of Hepatobiliary Surgery is enough to show that Yao Yusen is still relatively good.

At the very least, this ability to learn and analyze problems is quite good, and the vision is also relatively vicious.

As he was doing, a thought came to Zhang Gu's mind.

Why don't you teach Yao Yusen the technique of "intrahepatic bile duct anastomosis"?

This not only facilitates him to carry out marginal disciplines in hepatobiliary surgery, but also brushes up on his goodwill, and can also complete a task of "teaching students" to return some blood from Lao Yao.

Thinking of this, Zhang Gu ended the phased operation in his hand and gave up the position of the main knife.

"Come, Director Yao, you try the main knife. ”

Yao Yusen paused, but didn't react: "I'm coming?"

Zhang Gu said with a smile: "Yes, the operation of exposing the liver tube, I have done almost it, and the rest of the operation is relatively simple, you can try it, it can be regarded as practicing hands." ”

Yao Yusen took a deep breath, and his heart was also eager to try.

He had long wanted to learn these techniques from Zhang Gu.

As the head of the Department of Hepatobiliary Surgery, Yao Yusen can't always ask Zhang Gu every time he encounters such a patient, right?

"Okay, then I'll try, if something is wrong, Dr. Zhang, you must correct me in time. ”

Unconsciously, Yao Yusen even used an honorific title.

Zhang Gu smiled: "Don't worry, there is me." ”

Yao Yusen's next operation was completely in accordance with Zhang Gu's ideas, coupled with Zhang Gu's guidance from the side, basically nothing went wrong.

Zhang Gu nodded secretly in his heart, as the director of the department, Yao Yusen's practical ability to operate is also okay, probably similar to Shu Xinxian, the female deputy director of the Department of Hepatobiliary Surgery of the First Hospital.

Finally, this operation also came to a successful conclusion.

Zhang Gu was quite satisfied, and his article was finally kicked in the door, and it was also available.

After you go back and improve it, you can submit it directly.

Zhang Gu thought about the article in his heart, and after saying hello to Yao Yusen and Ning Hongru, he walked out of the operating room.

Ning Hongru called Yao Yusen over: "Go to your office and say something." ”

Yao Yusen hurriedly followed.