Zhang Gu had already seen the difficult part behind. ”

The more Xiang Jianhua turned back, the more frightened he became.

Zhang Gu's color notes, each page is densely packed.

Who can believe that this was written intensively in just two days?

What a hard work!

If such a diligent child does not improve, who will improve?

In particular, Xiang Jianhua found that even in the later difficult part, Zhang Gu's understanding of these materials is still very deep.

I can often stretch my mind out.

Some points were written, and even Xiang Jianhua was amazed.

With this note, Xiang Jianhua came to the operating room.

......

In the operating room.

Zhang Gu and Donnie Yen's surgery has done a key part.

Donnie Yen didn't know the bottom in his heart, so he couldn't help reminding: "Doctor Zhang, you slow down." ”

"Hmm. ”

Zhang Gu casually agreed, operating a spiral tractor in his hand, pulling the fundus of the stomach and turning it one hundred and eighty degrees upwards to the lower end of the esophagus.

Then, use the traction needle part on the retractor to pull down the gastroesophageal junction tissue near the dentate line of the esophagus, and use a rotating technique to pull down three centimeters until the reinforcement and fixation.

The purpose of this step is to increase the length of the esophageal lumen and narrow the hiatal hernia.

Donnie Yen looked nervous and sweating profusely.

He tried his best to operate the gastroscope and tried his best to create a good microscopic surgical environment for Zhang Gu.

"It's the first time Dr. Zhang Gu has done this surgery, and he doesn't look very nervous. ”

"How do you look like ...... Am I more nervous than he is?"

Donnie Yen found that the itinerant nurse kept wiping his sweat.

On the other hand, Zhang Gu's forehead was bare, and he didn't sweat at all.

His expression was also quite calm, and there was no nervousness or panic in his eyes when he had done this surgery for the first time.

"No wonder I told the director that Zhang Gu has an extraordinary talent for surgery. Just doing such a high-precision operation for the first time can be mentally undisturbed and unstable, which very few people can do!"

Zhang Gu's composure gradually affected Donnie Yen.

Gradually, Donnie Yen also entered the state.

Give full play to his rich experience as a deputy and fully cooperate with Zhang Gu's operation.

At the moment, he didn't care about anything else.

Fully cooperating with Zhang Gu has already consumed all his energy.

Xiao Mao next to him was also looking at the palm of his hand sweating, he wanted to imprint today's operation deeply in his mind.

One day in the future, he will definitely be able to replace Donnie Yen and become the deputy next to Mr. Zhang.

At this moment, Lu Tao, director of the Second Department of Gastroenterology of the First Hospital, who came in a hurry, finally arrived.

As soon as I came in, I eagerly asked the nurses, "How was the operation?"

After verifying Lu Tao's identity, the people in the operating room said anxiously and happily: "Director Lu, you can count it!"

"Dr. Zhang Gu and Dr. Donnie Yen are performing surgery inside. ”

"Arrange for Director Jianhua to do the pre-operative preparation work first, first get the gastroscope and traction device and other equipment, and wait for you to do the core surgery part later. ”

Lu Tao nodded, and with the help of the nurse, he quickly put on the surgical gown and put on medical gloves.

Enter the operating room.

Lu Tao saw at a glance that Zhang Gu and Donnie Yen were still busy.

"Hmm, haven't these two gotten the gastroscope and the tractor off yet?"

The efficiency is a bit slow!

Lu Tao was a little dissatisfied in his heart, it took him more than half an hour to rush over, right?

He glanced at the esophageal monitoring pressure index, which was already below the norm!

Lu Tao was also happy in his heart.

Fortunately, the call was made in time, otherwise when the esophageal motility decreased, then the only way to do thoracotomy would have been, which would have been too costly for the patient.

One thing to say, in terms of timeliness, Lu Tao still has to praise Zhang Gu in his heart.

When he came to the operating table, Lu Tao was about to hand over to the two.

found that Zhang Gu and Donnie Yen were so busy that they didn't even have room to raise their heads, and they were concentrating on the operation.

Lu Tao looked up at the gastroscope display, and his eyes widened.

Have you already started core surgery?

He chuckled in his heart, these two people should not be reckless to start core surgery, it will not help you!

You know, the opportunity to artificially make a regurgitation valve is extremely precious! If you fail the first time and the fundus is damaged, then there is no way to pull out a good regurgitation valve.

There are only one or two opportunities, and when Lu Tao performs the operation by himself, he has to think twice.

This Zhang Gu and Donnie Yen are really reckless!

With the multi-angle pull of Donnie Yen's gastroscopic field of view, a prototype of an artificial regurgitation valve gradually appeared in the monitor.

Lu Tao's pupils shrank suddenly.

At a glance, he could see that Zhang Gu had turned the fundus of his stomach upside down, and was using a traction needle, pulling the tissue, and rotating at an angle of 200 to 310 degrees at the same time to form a regurgitant flap with multiple folds.

This is actually an artificial regurgitation valve!

Lu Tao didn't dare to step forward.

didn't even dare to make a sound, he also raised his index finger to Mao Junliang next to him, signaling him not to make a sound.

Lu Tao knew that at this critical moment, the main knife must not be disturbed.

Pulling the regurgitant flap and making the folds artificially is an extremely challenging step to operate.

If the folds are done more and better, the esophageal sphincter pressure can be increased, so that the reconstructed regurgitant valve has a better anti-regurgitation effect.

But if this operation is interrupted and interrupted, the pleats that are being pulled are likely to be lost, and there is no way to make them.

At this time, Xiang Jianhua also came in.

"What's going on now?"

Before Xiang Jianhua finished speaking, he saw Lu Tao raise his index finger and signal him to be quiet.

Xiang Jianhua hurriedly lowered his voice.

"Director Lu, why isn't it your chief knife?

Lu Tao was a little confused and said, "I don't know, you Doctor Zhang Gu seems to be quite proficient in this fundoplication." ”

Xiang Jianhua said: "Yes, he has just started learning, and I still gave him the information." ”

Lu Tao said: "You see his understanding and operation of the operation. ”

"The details of his stomach pulling and doing the folds show that he has a very deep understanding of this operation. The operation is also very skillful, and the hand is very steady. ”

Lu Tao has individual moments, and even has an illusion.

Zhang Gu seems to have a deeper understanding of this operation than he does.

Xiang Jianhua nodded and said: "This point of hand stability is Zhang Gu's characteristic, when he does any surgery, his hand is very stable." ”

"As for you saying that he has a deep understanding of the details...... Probably should be this. ”

Xiang Jianhua handed the pile of notes to Lu Tao.

Lu Tao subconsciously took it.

But I don't care about it.

Lu Tao's eyes have been staring at the gastroscope monitor, staring at every movement of Zhang Gu's operation of the tractor.

I don't know if he is afraid that Zhang Gu will do something wrong, so he can go up and remedy it in time.

Or he wanted to see how far Zhang Gu could go in this surgical technique.