Dean Chen wanted to perform an endoscopic "gastric incision" operation in front of all the doctors in the hospital, which immediately caused a sensation in the hospital.

If a layman hears that he wants to "cut his stomach", he cares about who and who has this disease? Or care about who is too pitiful.

But for a professional doctor, it is quite incredible to have to complete a major operation with only one gastroscope tube.

So that night, there was a lot of discussion in various departments, and even Lan Lijuan was quite surprised and puzzled.

Before going to bed, Lan Lijuan asked a little uneasily:

"Chen Qi, is tomorrow's endoscopic surgery really okay? You also know the gastroscopy in our hospital, I really can't think of the possibility of gastric incision. ”

"Who said I was going to cut my stomach?"

Chen Qi asked rhetorically while flipping through the anatomy book and reviewing the structure of the digestive system.

"If you don't cut your stomach, how can you treat it? It's not stomach bleeding, you can solve it with electrocautery. ”

Chen Qi closed the book, pulled the light cable, and turned off the light in the room:

"Okay, you'll know tomorrow, I'll sell it first, you sleep first, I'll go to WC to get a tuba."

"Lazy people have a lot of and pee, good night."

In fact, Chen Qi didn't really want to be on the tuba, but took the opportunity to flash into the space operating room, rummaging for the tools he wanted to use in the pile of "medical device garbage" collected by the Mayo Clinic.

In fact, there are many ways to treat "refractory gastroesophageal reflux disease" in later generations, and conservative treatment in internal medicine is one thing.

As for surgery, there are also a variety of treatment options.

For example, radiofrequency ablation therapy (RFA), Medigus ultrasound surgical endoluminal stapler (MUSE), endoscopic full-thickness plication (EFTP), anti-reflux mucosal resection (ARMS), etc.

However, these treatments not only require doctors to have a high clinical level, but also a full set of surgical instruments, and a tacit understanding and high-level team cooperation.

But this is 1988, and many instruments have not yet been invented, and even if Chen Qi has this ability, he lacks the tools to take advantage of it, so he can only give up.

There is also a procedure called "Transoral Incisionless Fundoplication (TIF)".

Fundoplication can actually be divided into two types, one is a traditional surgery, which is to cut open the abdomen and operate directly on the stomach.

The other is endoscopic surgery, which has relatively low requirements for instruments, and it is also the method that Chen Qi wants to teach the operation publicly tomorrow.

But this surgery also has one of the biggest drawbacks and one of the biggest points of controversy.

After gastric plication surgery, the fold is often too tight around the esophagus, which can easily block the passage of food.

This can lead to symptoms such as bloating, difficulty swallowing, and epigastric discomfort.

In addition, the stimulation of the gastric fundus and esophagus by surgery can also cause congestion and edema of the gastric fundus and esophagus, causing dysphagia, which is very painful for the patient.

It turns out that the cardia that connects the upper part of the stomach to the esophagus is too loose, which causes the stomach contents to reflux.

The principle of the operation is to find a way to tighten this loose cardia and tighten the pockets so that the contents of the pockets do not fall out.

But this degree is difficult to grasp, this pocket is too loose is not good, too tight is also not good, the things below you can't regurgitate, but the things above you are also difficult to go down.

Or you have flatulence in your gastrointestinal tract, and indigestion causes gas in your gastrointestinal tract, which could have been solved by farting or burping.

Now, because the pockets are tied too tightly, it is difficult for the gas in your stomach to be discharged, and the stomach will be distended very much, which will also cause pain and distress to the patient.

Now Chen Qi has limited tools at his disposal, so he has to use "fundoplication", but what he wants to do is the "Rossetti modified fundoplication" invented by British surgeon Rossetti decades later.

No way, Chen Qi studied very hard in his previous life, with 5 years of bachelor's degree, 3 years of master's degree, and 2 years of doctoral study, and he has a full 10 years of medical education foundation.

In the past 10 years, he has either worked in the hospital, read books in the library, and read a large number of medical journals.

This is also one of the important reasons why he has not married after the age of 30 in his previous life, he is too busy, and he really persuades people to study medicine, and the sky is thundering.

However, the countless loneliness and loneliness in the previous life studied hard day and night, and finally blossomed and bore fruit in this life.

Chen Qi, who has mastered countless advanced techniques and advanced techniques, in the eighties, just by virtue of "Wen Copying Gong", he can also copy a great doctor.

Chen Qi was looking for medical equipment at his fingertips.

The staff of the logistics department of the People's Hospital were also busy overnight, borrowing a set of state-of-the-art closed-circuit television from the Fourth Hospital, preparing to broadcast Chen Qi's operation live the next day.

There are hundreds of doctors in the People's Hospital, and it is impossible for all of these doctors to go to the operating room to watch.

Then it was necessary to gather them together and watch them together in the auditorium, and in order to stimulate and shock them, Chen Qi asked for a live broadcast.

It was a quiet night, except that the emergency department was still busy like a wet market.

The next day at noon.

As soon as the doctors got off work, they rushed to the cafeteria early to eat, and after eating, they hurried to the auditorium to grab a seat, trying to sit in the front seat.

In the operating room, in addition to Lao Guo, several old directors of internal medicine and surgery came in.

Because there were so many people, even the deputy director could only go to the auditorium to watch the live TV, but the operating room was too small to squeeze in.

When Wu Agou was pushed into the operating room, he saw Chen Qi, and tears fell out of his eyes:

"Dean Chen, I know that there must be little hope for my disease, it should be stomach cancer, in fact, I don't want to treat it at all, I have gone to so many places, taken so many medicines, spent so much money, and the whole family will be tormented by me.

But I know that my wife really hopes that I can be cured, and my two sons are also filial and take me everywhere to see a doctor, so I can't bear to refuse them, I don't want to disappoint them, and I want to leave them a glimmer of hope.

But Dean Chen, I feel bitter in my heart, I used to be poor and couldn't eat, so I started a business day and night, and now the conditions at home are finally good, but I have this terminal illness, why do you say I am so unlucky? ”

Chen Qi was wearing a surgical gown, and he also held Wu Agou's hand heavily, and comforted him with a smile:

"Lao Wu, you are a good person, even if you are the boss, you are also a boss with a conscience, the so-called good people have good rewards, you believe me, believe me, you can rest assured, you don't have stomach cancer, I am sure enough to help you cure."

People are always afraid of death, although Wu Agou said that he was desperate, but as soon as he heard Chen Qi say that there was still treatment, he suddenly came to his senses.

"Really? Dean Chen, you didn't lie to me? I'm not going to die? ”

"Death, always going to die......"

"Huh?! You don't mean ......"

"Who doesn't die? At most, you will live another forty or fifty years, and your conscience can't be too fierce, it's almost, you always have to die. ”

Wu Agou was stunned for a moment, and then laughed: "Thank you for your auspicious words, thank you for your auspicious words, if only I could live for forty or fifty years." ”

Comforted by Chen Qiyi, Wu Agou's mood was obviously much better, and he was still a little excited when he was pushed into the operating room by the nurse, and kept muttering:

"I don't have to die, I won't die......"

Lao Guo and Zhu Huoyan also walked into the operating room in surgical gowns at this time, and when they saw Chen Qi, Lao Guo asked in a loud voice:

"Chen Qi, I don't know what kind of endoscopic surgery is this today, I will be your assistant with Lao Zhu, and you can do whatever you want."

Chen Qi was moved by this, after all, there were several key surgeries before, and these two elders personally helped him do the assistants, giving him considerable support and help.

Today, Lao Guo and Zhu Huoyan are obviously ready to stand up for Chen Qi at the first time.

"Uncle Guo, Mr. Zhu, don't worry, I have confidence in this operation, and endoscopic surgery is different from traditional surgery, and you don't need too many assistants, so I understand your kindness, today you can rest assured to boldly see how I play endoscopic surgery, and surprise everyone's eyes."

"Okay, it's good if you have confidence, I'm afraid you're blowing up, and I'm trembling with fear, hahaha."

Lao Guo laughed heartily, but Zhu Huoyan was still a little uneasy, so he proposed:

"Let's prepare with both hands, you go to the stage for endoscopic surgery first. If it succeeds, it's best, if it doesn't work, the whole hospital is watching today, and there may be comrades from the brother hospital, and we can't let people see the jokes.

At that time, Guo Shuji and I will immediately take over the operation, I already know the principle of fundoplication you mentioned, you can try to do it with traditional surgical methods, no matter what, today's operation can only be successful, and failure is not allowed. ”

Chen Qi nodded heavily: "Okay, listen to Mr. Zhu, I will trouble you two godfathers to help me escort me then." ”

At 12 noon, this time period is the doctor's rest time, and there will be no delay in work.

The auditorium of the People's Hospital was already crowded with doctors, including doctors from the main hospital, doctors from the second and fourth hospitals, and even in the corner, there were several doctors from the provincial capital.

It can only be said that the gossip spread really fast enough, and it was only overnight, and it was almost known to the whole province.

Hundreds of doctors gathered together to discuss with each other, and the topic of discussion was, of course, today's endoscopic surgery.

"Lao Wang, how did you say that Dean Chen did this stomach surgery through endoscopy today?"

"yes, I can't figure it out, I was holding a stick last night, and I was thinking about how I can do the cutting and suturing and other surgical steps with the stick? I can't think of it, I really can't think of it. ”

"That's not necessarily, Dean Chen used a gastroscope to treat gastric bleeding before, didn't you also say that it was impossible, and they did it."

"Yes, our dean is really magical, maybe he can really create miracles."

Because there were so many people, the support staff had to add a few more TVs and put them in all corners of the venue.

No way, there is no LED screen in these years, and there is no projector, even the color TV is only 14 inches.

It's obviously impossible for everyone to see such a small screen,Then you can only use the number to make up for this defect,No,Almost all the color TVs in the whole hospital have been moved。

It's also a loss to the people's hospital, if you change to another hospital, it is estimated that you won't be able to get a color TV.

Just when everyone was talking, a voice suddenly came out of the big speaker at the scene:

"Hey, hey, can you hear me? Can you hear me? ”

"Oh, I heard you, okay, comrades, I'm Zuo Liwei from the medical department, Dean Chen's surgery is about to begin, before starting, let's reveal the mystery, Dean Chen's surgery is through the mouth without incision fundoplication."

As soon as Section Chief Zuo's words fell, the surgeons were whispering.

Fundoplication is not a new thing in foreign countries, but it is not a mainstream procedure because it has certain side effects and is controversial in the medical community.

Specifically in China, surgeons in top hospitals know about fundoplication, but grassroots surgeons don't.

So when Section Chief Zuo said the name of the operation, everyone was full of question marks.

At this time, Zuo Liwei's voice came out of the speaker again:

"I don't know how to do this fundoplication to be honest, so I won't talk much, now Dean Chen has completed the preoperative preparations, everyone looks at the TV screen with their eyes and listens to the sound on the radio, this is a rare teaching operation, I hope you will cherish this opportunity."

In the operating room, Zuo Liwei personally held the microphone and stood next to him with a respectful attitude.

On the other side, the camera is already in place, aiming at the gastroscope display and preparing for the live broadcast.

There is no way, the conditions are limited, and there is no way to connect the gastroscope tube lens directly to the TV, so this stupid method can only be used.

The patient was anesthetized and lying flat on the hospital bed, Chen Qi adjusted the gastroscope and prepared to get the tube, and Lan Lijuan personally served as an assistant.

Around is the old directors of the clinical departments headed by Lao Guo, all of whom dare not come out, wanting to see what is called an incredible operation.

Chen Qi then said into the microphone:

"Comrades, the operation is now officially started, before I start, I will introduce you to the surgical instruments, this is the gastroscope, this is the fundoplication device. The gastroscope is brand new, and it is this fundophora folding device that belongs to second-hand goods, which was given by Mayo.

Okay, now I'm starting to get the tube down, see? There are mouth sores everywhere, and the same is true for the throat, and if you look at these esophageal walls, the damage area is more than 70%, so we can conclude that these lesions are caused by reflux.

This also explains that the patient has symptoms such as dysphagia and stomatitis, and it is reflux disease that causes stomach contents to enter the trachea and lungs causing long-term chronic cough, and even if I have a rhinoscopy, there must be some damage to the nasal mucosa. ”

The previous medical records have been discussed in the whole hospital, and everyone already knows about it, but there are many people who question this diagnosis.

After all, there are not many studies on esophageal reflux disease in China, and you must know that in this era, stomach diseases are difficult to cure, let alone reflux disease.

Now that the images presented by the gastroscopy are in front of everyone, many doctors suddenly realize that this is the case.

So one by one, their eyes widened, and they watched the operation process more carefully around the TV.