Chapter 137: It's Too Great (Ask for Subscription)
At the rehearsal meeting, after Xiang Jianhua got the disposable round stapler, he studied it carefully.
Suddenly the heart is certain!
According to his experience assessment, this stapler should be able to achieve the advantages that Zhang Gu said!
He has full confidence in the first plan of this surgery!
After discussing the rehearsal meeting, the plan was also finalized.
Surgery begins.
Xiang Jianhua and Donnie Yen began to open their chests and go under the knife.
With Zhang Gu's powerful anastomosis as a foundation, Xiang Jianhua also dared to go under the knife with confidence, and he didn't have to think about it for a long time every time he went under the knife like before.
Even the cardia and long esophagus dared to be removed directly.
Xiao Baofang looked at the big brother on the operating table, felt a little nervous, and swallowed his saliva with difficulty.
I hope all the best!
Xiang Jianhua fully dissociated the esophagus and stomach, and the distal end of the esophagus was removed at the cardia. The proximal end of the esophagus is 4 cm away from the tumor, and it is cut off with heart-ear forceps, and then sutured with No. 7 silk suture and left in place.
This is the part that is left for Zhang Gu to deal with later.
With the assistance of Donnie Yen, 3 mucosal forceps were used to clamp the full thickness of the broken end of the Ding to remove the atrial appendage forceps.
The whole process passed 2 hours and 10 minutes unconsciously.
This is still the case of Xiang Jianhua and Donnie Yen's tacit cooperation and mature surgical technology. If it were done by another team, I am afraid it would have taken longer.
The main thing is that care must be taken not to damage the surrounding blood vessels and tissues when fully dissociating and distancing the esophagus and stomach, which takes a lot of time.
In the next anastomosis part, Chang Gu and Xiaomao went to the operating table.
Xiao Baofang's throat couldn't help but roll.
There is not much time left for Zhang Gu and the two to operate.
According to the original plan, the operation time should be controlled within 3 hours and 15 minutes. Now more than two hours have passed, and the remaining time is enough for Zhang Gu to finish the anastomosis?
Everyone knows that the tighter the time, the easier it is to make mistakes.
Especially in the face of complex and difficult patients' internal conditions, any step that is not handled well may cause accidents and waste more time.
If the mentality is not stabilized, the operation time will be delayed again and again, and the harm to the patient will be greater and greater.
Can Zhang Gu withstand the pressure in such a short period of time and complete the anastomosis smoothly?
"Xiao Mao, against the nail seat. ”
Xiao Mao hurriedly handed over the disassembled stapler part.
Zhang Gu put the nail seat into the esophagus and tightened the purse thread that Xiang Jianhua had just done.
"Xiaomao, you tie the knot and pull, and I will continue to tie and tighten the broken end. ”
The two have already had a preliminary tacit cooperation.
Zhang Gu ligated the stomach with a single 7-wire line, lifted the stomach to the chest, inserted the subject part of the stapler from the severed end of the cardia, and threaded the central rod out from the high point of the fundus, and aligned with the previously inserted nail seat.
Next, the focus of the operation.
It can be said that whether the matching work can be successful or not depends on this.
Zhang Gu pinched the stapler and carefully checked whether the anastomotic tissue was exposed to ensure that the core of the clamp was not embedded behind other tissues......
With a "click", the anastomosis operation is complete.
Everyone craned their necks and looked at Shuno.
What will the anastomosis effect of this small medical device be? Can it compare to Zhang Gu's artificial anastomosis effect?
Wait for the stapler to gradually move away from the anastomosis.
A tightly nailed, clamped completely, and neatly incised anastomosis appeared in front of everyone.
Donnie Yen and others, their eyes are straight!
This fit is too good-looking, too beautiful!
It's like the masterpiece of a master.
And after using a disposable round stapler, this anastomosis speed is too fast!
Everyone looked at the time, from the very beginning when Zhang Gu and Xiaomao went to the operating table, began to arrange the staplers, and then integrated the incisions, so that in the end, the time only passed forty minutes!
Compared with manual anastomosis, it saves almost half the time!
This is simply too important for a patient, especially a patient with severe age, to reduce the time of surgical exposure!
Everyone looked at the disposable stapler, no longer just looking at a small tool, but also as if they saw a weapon that greatly improved the efficiency of surgery!
Thinking of this, everyone glanced at Zhang Gu more.
As long as you have this small medical device, many anastomosis doctors can become anastomosis masters, isn't this robbing the job of an excellent anastomosis doctor like Zhang Gu?
Zhang Gu is sacrificing his own interests, just to fulfill patients and promote the progress of modern medicine!
This young figure is so majestic!
Xiang Jianhua's mind was also active, and he saw more and farther.
If disposable staplers can be popularized, the originally difficult esophageal cancer cardia cancer surgery will be much less difficult in the three hospitals, and even reach the level of daily implementation.
And if it can be exported to other hospitals through the matching training base. That would allow the three courts to exchange more benefits and development space.
Of course, these are all things that the hospital top brass about.
"This Zhang Gu has given me a big gift again!" Xiang Jianhua wondered in his heart, should Zhang Gu's position as an honorary lecturer be mentioned?
However, further up is the vice principal of the training base, Zhang Gu has not even reached the title of attending physician, so it is really not easy to get on. I can only think about it in the promotion system of the scientific research center.
The success of the anastomosis also indicates that the operation has come to an end.
Zhang Gu slowly adjusted the knob and withdrew the stapler to ensure that during the withdrawal process, no secondary damage would be caused to the surrounding wounds.
After exiting the stapler, Zhang Gu performed horizontal mattress sutures around the anastomosis and covered it with a mediastinal pleura, all of which were performed to protect the anastomotic wound.
Finally, a gastric tube is inserted, the cardia is sutured, and the stomach wall is inserted into the gastric tube bed.
Eventually, the chest was closed and sutured, and the operation was over.
Zhang Gu glanced at the time, a full 3 hours.
When they saw this, everyone also had a look of surprise on their faces.
It was even 15 minutes shorter than the estimated time! This was still a slight exceedance of the time taken by Xiang Jianhua and the two before.
This surgery is fantastic!
Xiao Baofang put his heart in his stomach.
Such a successful operation is definitely the best result for the big brother in his township.
Yang Jie was on the periphery, and she was also excited to see it! Is this the staplizer she is going to teach next?
It's just amazing, with the data of this operation released, I'm afraid that all the matching doctors in the surrounding hospitals in the original city will rush to come and listen to the class!
The training and teaching base should soon be booming again!
Get out of the operating room.
The patient's family, the thirty-year-old simple man, hurriedly stepped forward, and with him, there was also a white-haired old woman with blue clothes, both of whom looked at Xiao Baofang with concern.
Xiao Baofang saw the elders in the township, and hurriedly stepped forward and said, "Grandma, rest assured, my eldest brother's operation was very successful, thanks to these chief surgeons in our hospital." ”
The man and the grandmother thanked Jianhua and Zhang Gu vigorously.
Xiao Baofang also nodded gratefully to Zhang Gu. He knew very well that in this operation, Zhang Gu's role was even greater than Xiang Jianhua's to some extent!
......
Yang Jie followed Zhang Gu to the office of the Department of General Surgery and Zhang Gu's team.
She still has some questions and needs to ask Zhang Gu.
"Team Leader Zhang, does the teaching of this stapler need to have a special operating room teaching doctor?"
Zhang Gu said: "No, this disposable circular stapler is relatively simple to use. ”
"You go to the operating room, ask for the video of the operation just now, go back and play it in class, and just assist in teaching. ”
Yang Jie nodded, and she also counted it in her heart.
After asking a few more specific questions, she went back with a new stapler to study and ponder.
At this time, Shen Wenting smiled strangely and said, "Brother Zhang, someone has come to see you!"
Zhang Gu was a little puzzled, who would come to see me?
Come to the door.
A girl, wearing a white dress with broken flowers and carrying a food box, showed a sweet smile when she saw Zhang Gu: "Doctor Zhang, I'm here to bring you delicious food again!"
It's the high school student who was rescued from the last mall fire, but this time she came alone, and her little sisters didn't come.
Zhang Gu smiled euphemistically: "You're still in high school, right? ”
The girl nodded, and said helplessly: "I'm about to go to the third year of promotion, and I'm going to stay, and then I don't think I will have time to make soup for you, this time may be the last time this year." ”
Well, Zhang Gu accepted this last lunch, comforted the girl for a while, and let her study hard.
The girl said that she also wanted to apply for medical universities and be colleagues with Zhang Gu in the future.
Wait for the girl to leave.
Shen Wenting and Xiao Mao came over.
Shen Wenting sniffed: "Hmm, why is it so sweet, the air is full of sweet and soft smell!"
Zhang Gu glanced at her: "It's a pity, this sweetness is for me, not for you." Come on, Xiao Mao, we have fresh soup to drink again! Huo Fang, Li Yun, you all come and taste a little!"
Huo Fang came over with a smile, and the new member Li Yunlai also came over.
The two have become more and more integrated into this team, the atmosphere is very harmonious, and they feel better than their original team, very happy, and at the same time have upward vitality.
I have to say that the girl's cooking skills are very good, and this chicken soup is endlessly memorable.
Even Shen Wenting, who was shouting to lose weight, drank with a round belly.
......
The three hospitals developed a disposable circular stapler to cure a case of esophageal cancer and cardia cancer.
Many people are rumoring that this stapler from the Third Hospital is very good, and it simply solves the problem of difficult anastomosis in esophageal cancer surgery at one time.
Many hospital anastomosis doctors are itchy to hear it and want to see this new type of stapler.
It didn't take long for the training base of the three hospitals to launch a new course to teach the use of this disposable circular stapler.
As expected, the number of course applicants at the training base was hot again, and there was a grand occasion of queuing for appointments.
Meanwhile.
Zhang Gu also did something very important to him.