Chapter 168: What is this doing?

Zhang Gu held an hour-long meeting with Bao Zhihui and Yao Yusen.

I told the two of them about the general idea.

After Bao Zhihui left the Third Hospital, he went straight back to the First Hospital.

Came to the office of Geng Bozhong, director of the Department of General Surgery.

Geng Bozhong put down the pen in his hand and lay back in the chair: "Let's talk about it, what did Zhang Gu tell you to do? It can't be just to have a bile duct cancer operation, right?"

Bao Zhihui: "It's really not, he has a new view on bile duct cancer. ”

Geng Bozhong rubbed his temples: "What do you think? He also has opinions on bile duct cancer?"

Bao Zhihui still thinks back now, and it is still a little incredible: "He said that he wanted to use the method of intrahepatic bile duct anastomosis to solve the pain of bile duct cancer patients by relieving biliary obstruction and preventing cholangitis and liver failure, so as to improve the quality of life of patients and prolong their lives." ”

"Oh?"

Geng Bozhong subconsciously sat up straight: "Can biliary anastomosis do this?"

This is something that can't even be done with bile duct cancer eradication!

Bao Zhihui also said: "I also feel quite novel, but unfortunately, Dr. Zhang Gu only roughly elaborated on the idea, and did not elaborate on it in detail, and I didn't understand the specific principle too much." ”

After Geng Bozhong thought about it, he was also puzzled.

He has a few hands in the field of anastomosis. However, if he is asked to do this task, he can solve the problem of cholangiocarcinoma patients with only the anastomosis technique......

He really can't solve it.

"This Xiao Zhang is really a whimsical idea. Geng Bozhong smiled.

He instructed: "Xiao Bao, you try your best to cooperate with Zhang Gu, and in addition, help me pay attention to the effect of this operation, and see if it can really achieve what Zhang Gu said." ”

"Understood. ”

......

Third Hospital, Director of General Surgery, Xiang Jianhua's Office.

He saw what Yao Yusen reported, and the operation was recorded.

"Hepatobiliary surgery for bile duct cancer?"

Xiang Jianhua's first reaction was impossible.

The Third Hospital has been established for so long, and the Department of Hepatobiliary Surgery has never performed a single operation for bile duct cancer, so why is it suddenly bursting with self-confidence?

Xiang Jianhua opened the record, and muttered: "What is Yao Yusen doing? Even if Ning Hongru returned to the hepatobiliary surgery department in person, he didn't dare to say that he could safely win the bile duct cancer eradication surgery, right?"

When he saw the column of the list of surgeons, he was stunned.

Zhang Gu, Bao Zhihui, Yao Yusen.

"Did you invite Director Bao of the Hepatobiliary Surgery Department of the First Hospital?

For some reason, when Xiang Jianhua saw the word Zhang Gu, he felt a sense of steadiness in his heart. So far, he is the only doctor in all three hospitals who has a 100% success rate of surgery.

But Xiang Jianhua was still not at ease, so he called Yao Yusen to ask.

After listening to Yao Yusen's explanation for a while.

Xiang Jianhua shook his head and smiled: "Zhang Gu, this kid, is also whimsical, not to mention all the anastomosis play, he even wants to use the anastomosis to solve the main problem." ”

He thought about it for a while, and finally said softly: "Give him approval." ”

It's a big deal, when the time comes, I will go there in person, and I will check the scene on the spot.

......

Next, Zhang Gu made some preparations with Bao Zhihui and Yao Yusen.

When everything is ready.

The patient is pushed into the operating room.

Bao Zhihui and Yao Yusen were responsible for the first half of the bile duct cancer eradication.

This part of the surgery is very difficult.

Due to the particularity of bile duct cancer, the cancerous site has spread quite severely, and the surrounding vascular structures, such as hepatic artery, portal vein, and regional lymph nodes, have all spread to.

If you want to remove it all, it is basically impossible.

However, Bao Zhihui and Yao Yusen don't have much pressure in their hearts.

Anyway, Zhang Gu said that as much as can be removed, there is no need to completely eradicate it, and the main key to this operation is the anastomosis in the second half.

Among the three, Yao Yusen is the happiest.

Originally, he couldn't even carry out bile duct cancer surgery. Today, he can observe and learn on the spot, and even act as a deputy, so that Bao Zhihui can personally take a bile duct cancer eradication surgery, which can be regarded as learning technology.

After 110 minutes, Bao Zhihui wiped a handful of fine beads of sweat from his forehead.

"Doctor Zhang Gu, I can only do this step, the main part of the cancer has been removed, and the rest can no longer be removed, otherwise the patient will not tolerate it, and the gains outweigh the losses. ”

"It's up to you. ”

Zhang Gu: "Okay, hard work. ”

He and Xiao Mao went to the operating table.

As soon as he stood in the C position, Zhang Gu entered a state of concentration.

"Clamps, retractors. ”

"Xiao Mao, pull the liver circle meridian down to the right, exposing the umbilical meridian between the third and fourth liver breaks. ”

Xiao Mao didn't dare to slack off, and hurriedly followed Zhang Gu's movements.

Bao Zhihui got off the operating table, but his eyes never left the operating table.

"Can we really solve these problems with biliary-intestinal anastomosis?"

He stared at the wound of the field, Zhang Gu's flexible hands, once upon a time, those hands had left a deep impression on him in the operation to protect the spleen and remove the pancreas.

It is a pair of hands full of infinite possibilities, but also a pair of tireless hands, once in the first hospital of the city, set a record of the iron man of the operating table that no one can surpass so far. Perhaps, there can really be a miracle born from under those hands.

Bao Zhihui said secretly in his heart: "Let's wait and see." ”

At this time, at the door of the operating room, an old figure came in.

He is the director of the teaching office and the previous department director of the Department of Hepatobiliary Surgery, Ning Hongru.

He also got the news that the hepatobiliary surgery department was going to do a cholangiocarcinoma operation.

As soon as he heard this, Ning Hongru couldn't sit still, and hurriedly rushed over to check.

Ning Hongru frowned: "It seems to be a little late, and I have already missed the part of the bile duct cancer eradication operation." ”

"But it's okay, the focus of this operation is originally in the second half. ”

"I hope Zhang Gu can really use biliary anastomosis to bring some hope to the treatment of bile duct cancer!"

With a burning gaze, he looked at the position of the chief surgeon on the operating table.

Perhaps, Zhang Gu, this kid, can use another way to fulfill his unfulfilled wish back then?

At this time, another figure appeared beside Ning Hongru, Xiang Jianhua.

As soon as he saw Xiang Jianhua, Ning Hongru suddenly smiled: "Why are you here too?"

Xiang Jianhua said helplessly: "I'm not afraid of accidents, so I'm here to check and go all the way." How's it going?"

Ning Hongru gestured inside: "The eradication operation is done, it has not been removed, so it can only be done, I have to say that Xiao Bao's bile duct cancer eradication surgery is still very good." ”

Next, the focus is on Zhang Gu's anastomosis part. ”

Xiang Jianhua stared at the operating table.

At this moment, Zhang Gu is dissociating the liver parenchyma around the hepatic duct, forming a saucer-shaped depression around it.

This step of operation made Xiang Jianhua's eyes light up.

"It's a very interesting disc. With just one simple operation, the tension of the biliary anastomosis can be reduced, which is much simpler than the previous method!"

"How do you feel that this kid's opinion on anastomosis surgery has improved a lot?"

"This rate of progress is a bit perverted......"