After the operation, Lao Jiang was admitted to the ICU ward of the community hospital. Because he is Zhou Qiao's patient, he needs to come to the ward every day in the morning and evening.

Fortunately, the clinic is very close to the community hospital, and he can come in time for anything.

If something happens to a patient and the doctor cannot be found, it is the doctor's irresponsibility. For Zhou Qiao, there is no such situation. Before Lao Jiang's condition is completely stabilized, he will not go out.

The other thing is that he is very confident in his level.

Sure enough, two days later, Lao Jiang was transferred to the general ward of cardiothoracic surgery, and Zhou Qiao still had a ward round in the morning and evening, and in addition, he sent Park Xiuzhu and Kim Jizhen over to take turns to carry out nursing work.

When Zhou Qiao was on his rounds, he asked Lao Jiang if he needed psychological counseling services from a psychiatrist, and Dr. Stephanie from his clinic was very good at this.

Lao Jiang's wife immediately stopped it, because she knew that this kind of thing would have to be charged extra, and Lao Jiang's character had always been resolute, so she didn't need it!

Of course, there is another real reason in her heart, that is, she thinks Stephanie is too charming, like a vixen, but it is inconvenient to reveal it to others.

Lao Jiang is recovering day by day, but because of the esophageal removal, he needs to inject nutrient solution into the small hole in the belly (stoma opening) every day.

Stephanie also followed Zhou Qiao to check the room several times to understand the patient's subsequent recovery and participate in the whole process, which greatly improved her.

She is also a medical seed, and when she participated in this operation, her related medical skills were immediately upgraded to the specialized level.

Because she has benefited a lot, the shock and admiration in her heart are also like a surging river.

This is a cardiothoracic surgery, and she used to be in the cardiothoracic surgery department at Johns Hopkins Hospital, and due to the short time she has been in, she has not participated in such a difficult operation.

However, after sorting out the relevant course information, she knows that even in a top hospital like Johns Hopkins Hospital, the quality of surgery is better than this.

System: "Stephanie Opinion +3, Stephanie Current Opinion: 95." ”

……

A week later, Lao Jiang's infection was completely controlled, his condition stabilized, and Zhou Qiao gave him a second stage of surgery after consulting his family.

Gastric esophageal surgery, to be honest, is usually used for esophageal cancer patients, like Lao Jiang, because a fishbone is stuck, resulting in the need for this surgery, which is really a bit unjust.

If he had been a little alert at the time and immediately went to the hospital for treatment, since the fishbone had just been pierced and taken out in time, he would not have delayed the need for this kind of surgery at all!

But things have already happened, and it's useless to say more. Zhou Qiao can only do his best to help him do the best quality surgery!

Now that the secret medicine has been marketed, his original point maximum expenditure item can be saved. In the past few days, after hard work and accumulation, his account balance can be described as abundant. And you can use the same skills as before, any surgery can be perfected.

Anyway, after this skill is put on the body, it will be used for a lifetime. Moreover, it is in place in one step, and it is relatively more saving points than "upgrading" in the later stage.

The operating room of the community hospital is still the same as the previous surgical six-person group.

Zhou Qiao is the main surgeon, Murphy is the first assistant, Stephanie is the second assistant, Ava is the itinerant nurse, and Elena is the instrument nurse. The anesthesiologist is a senior Nancy.

Replacing the esophagus with the stomach is the most common surgical procedure for patients with esophageal deficiency, and it is usually divided into two types, one is tubular gastric esophageal reconstruction, and the other is full gastric esophageal reconstruction.

Whole gastric esophagus to reconstruct the digestive tract is a more traditional and classic treatment method in clinical practice, which benefits from the sufficient length of the stomach and the abundant blood supply, which is very convenient to use.

However, this method can cause serious disturbances to the patient's physiological structure and seriously affect the patient's quality of life. Therefore, there was a tube gastric esophagus to reconstruct the digestive tract.

After the anesthesia is completed, the multi-person check (time out) is completed.

Zhou Qiao began surgery, and Ava began to play.

The first song at the beginning is still a Chinese song, this is because Zhou Qiao is the boss! Although he didn't ask for it, Ava would choose some Chinese songs every time, which more or less meant it.

I have to say that these girls are very caring.

"Look at the early spring, the noisy branches, the petal color is good, and the sister is even more shy......"

Zhou Qiao thought it sounded good, but he didn't know the name of the song, so he concentrated on making tubular stomachs:

Cut off the short gastric vessels, the left gastric vessel, and the left gastroomentum vessel, while preserving the left gastroomental arch, the right gastric vascular, and the right gastroomental vascular arch, then separate the lesser omentum and the greater omentum to the pylorus, remove the part of the gastric wall of the lesser gastric curvature about 6 cm upward from the side of the greater curvature, and lift the highest point of the bottom of the stomach to the lower edge of the fourth branch of the left gastric artery, and finally suture the edge and embed the serous muscle layer.

……

Watching Zhou Qiao's operation, Stephanie suddenly thought of a question and asked: "If some patients have missing esophagus, and most of the stomach is removed, and there is not enough stomach to replace the esophagus, what should I do?" ”

Zhou Qiao said lightly: "You can use the colon instead of the esophagus." ”

This is another type of surgery, and the specific process is about to intercept a section of the intestine and move it to the chest cavity as a tube, and connect the two ends of the intestine with the cervical esophagus and small intestine to replace the esophagus to complete the reconstruction of the whole digestive tract.

Stephanie and Murphy are both medical seeds, and Zhou Qiao is basically a little transparent, but both of them feel a little disgusting when they think about it.

The colon is in the middle and lower abdomen of the human body, divided into four parts: ascending colon, descending colon, transverse colon, and sigmoid colon.

The colon is "carried" to the front of the stomach and used to act as the esophagus, which is ...... Ordinary people really can't accept it.

However, there is no way to do it.

Zhou Qiao looked at these two beautiful girls, knew their thoughts, and immediately explained to them: "Using intestinal tube instead of esophagus, nausea is a trivial matter, this operation is actually quite complicated, and there are many anastomosis, generally 4-5, easy to contaminate, and there are many postoperative complications, including transplantation colon necrosis, anastomotic leakage, anastomotic stenosis, etc., the incidence is still relatively high, so this operation is also known as the 'Mount Everest' in esophageal surgery." ”

Stephanie: "......"

Murphy: "......"

The operation is successfully completed, and the effect is naturally good.

After the operation, Lao Jiang did not have any major complications. It is estimated that after a period of hospitalization and recuperation, you can be discharged smoothly.

For this, Lao Jiang's family is quite grateful.

It is worth mentioning that during the re-examination, Lao Jiang's son was not at ease, so he took Lao Jiang to the University of California, San Francisco Medical Center, made an appointment with a specialist, and conducted a re-examination.

The conclusion given by the experts is that the quality of Zhou Qiao's surgery is very good, and the recovery is very good, so they can rest assured!

Afterwards, the expert called Zhou Qiao and told him about it.

Fortunately, Zhou Qiao is a very generous person, and he will not consume his energy for such a trivial matter at all, and he will pass it with a smile.

Later, Lao Jiang once came to the iris clinic to see a doctor, Ava couldn't help it, so she told her about it, and Lao Jiang was very embarrassed, saying that his son had to pull him there, and there was no way.

After Xiao Jiang found out, he couldn't help muttering, didn't he say to protect the patient's privacy? Why did you turn around and sell him?

(End of chapter)