The second surgery begins.

The second surgery is actually done by the same person, two different parts of the body at the same time.

Because this patient found a stromal tumor in the esophagus and a leiomyoma in the colon.

Two sites, two tumors of different nature and size, now all need to be removed at the same time.

It can only be said that there are too many patients in Texas Medical Center, with nearly 10,000 beds, and you can find the cases that doctors want by just looking around.

Facing the camera, Chen Qi asked with a smile on his face while wearing a mask:

"Everyone has seen the medical records, now think about it, if you are the attending doctor, how will you deal with two tumors of different natures?"

Chen Qi deliberately left blank space to leave time for everyone to think, and suddenly there was a lot of discussion in the venue.

For gastrointestinal specialists, stromal tumors and leiomyomas are relatively common tumors, but if you are a gastrointestinal physician, you can only spread your hands now, indicating that there is nothing you can do, and internal medicine PASS.

Gastrointestinal surgeons are more excited, and this is often the time for surgeons to play.

The operation is relatively simple, that is, the chest is cut open with a scalpel, the sternum and ribs are fractured with tools, and then the esophagus is dissected, the tumor is removed, and finally the bones are spliced and fixed, and the layers are closed and sutured.

The same is true for the lower part, first dissect the abdomen, cut the omentum, find and dissect the colon, remove the tumor, and continue to suture layer by layer

To put it simply, two surgeries are performed at the same time, which is relatively difficult and dangerous.

Chen Qi asked rhetorically:

"If there are two incisions in the chest and abdomen at the same time, or some doctors directly have a big incision, how much time does it take to perform two surgeries, and I don't know if there are any doctors who can help answer the patient's trauma, postoperative recovery, medical expenses, and accidents caused by too long anesthesia time."

In the venue, a gastrointestinal surgeon stood up and took the microphone:

"If I were to do it, it would take at least 5 hours to count the anesthesia time for the two surgeries, and about 3 and a half hours for pure surgery, and the incision would be relatively large, at least 40cm or more would be required in order to fully expose the incision.

After surgery, you need to place a drainage tube for gastrointestinal decompression, and it will take at least a week before you can be considered for discharge, but it will take at least 1 month to get out of bed and move, as for the medical expenses, I don't think this is a concern for our doctors, let the insurance company cry. ”

Hehehe·~~~

There was a chuckle in the room, and it was clear that everyone agreed with the doctor's statement.

When the members of the Chinese delegation heard this, they were very envious in their hearts, and look, the doctor does not have to think about the cost of medicine, as long as the surgery is safe, how happy it is.

Chen Qi was not in the main venue, but there were staff members who transmitted everything in the venue on the spot through their mobile phones.

Facing the camera, Chen Qi nodded lightly:

"Thank you for the professor's answer, we have three key points, one is that the traditional surgery takes about 4 or 5 hours, the second postoperative recovery takes more than 1 month, and the third surgical incision is as long as 40cm."

The experts and professors at the scene understood that these three points mean that the difficulty of the operation has reached level 4.

As long as there is uncertainty in the operation, surgical accidents and anesthesia accidents may kill the patient, and the higher the grade, the higher the mortality rate.

Chen Qi saw that the atmosphere was almost coaxed, and then continued:

"I also picked out this patient from hundreds of medical records last night, the preoperative preparation and plan are not so sufficient, everyone can also believe that I have no time and possibility to cheat, everyone can supervise.

So what I'm going to do next is that I will have the patient's esophageal stromal tumor resected and colonic smooth muscle resection done within 1 hour, and there will be no invasion, and I will be discharged from the hospital 3 days after the surgery. ”

As soon as Chen Qi blew this, there was an uproar in the main venue.

The gastrointestinal surgeon who just spoke, a well-known professor of surgery in England, already represents the top level of surgery.

He said that it would take 4 or 5 hours to do two combined surgeries, but now a Chinese doctor actually said that it could be completed within 1 hour, and there was no wound.

If it weren't for the fact that this was the scene of the WCOG conference, everyone would have thought that Chen Qi was a medical liar.

Even the old professors of Huaguo were a little exclaimed, impossible.

Professor Liang Chengwu from Union Hospital whispered to Professor Tong next to him:

"Xiao Chen's bull can be bragged, two surgeries can be completed within 1 hour, I really can't imagine, you must know that it takes a lot of time to find two tumors in two parts alone, in case of bad luck, it is common to do a 5 or 6 hour operation."

Professor Tong has inexplicable confidence:

"That's not necessarily, people dare to brag in front of so many people, there must be two shabu-shabu, let's wait and see."

Over there, Professor Kim Pu Ze from South Korea was also whispering to Professor Hendrika next to him:

"Mr. Xiangde, in your Three Kingdoms, how much time will it take for these two surgeries to be completed?"

Professor Ah San's black face was a little red: "This and this, it usually takes about 4 hours." ”

In fact, how much better is the medical level of the three countries better than that of China?

People are famous for generic drugs, and they are better at copying homework than Chen Qi, but if you really want to talk about the level of surgery, anyway, Ah San's rich people all go abroad for treatment.

Jin Puze pursed his lips, as a stick, he looked down on Ah Sanguo as much, and felt that this group of people was talking with a curry smell.

"If I had to do it, my limit would be 3 and a half hours!"

After speaking, Jin Puze puffed up his chest, but he didn't hear the expected compliment.

Doctor Ah San didn't hear what Doctor Bangzi said at all, because Chen Qi's operation had already begun at this time, and everyone's eyes were attracted.

I saw Chen Qi pick up the gastroscope and poke it into the esophagus first.

The camera at the front of the gastroscope quickly went down, and soon found the bulging mucosa on the esophagus, and the doctors from all over the world who were present knew that the tumor had been found.

If it is a traditional surgery, the tumor will be searched according to the image report, and it is also necessary to feel it by hand, which is not as clear as the gastroscope, which is also an advantage of endoscopy.

The tumor is found, and then the problem arises, the tumor is not on the surface of the mucosa, which can be easily removed, but in the mucosa, which is equivalent to the dissection.

If Chen Qi cuts the esophageal mucosa now, this actually violates the principle of non-invasive or minimally invasive endoscopic surgery, and the that has just been blown out will break immediately.

At this time, two-thirds of the doctors in the main venue were already watching, and everyone wanted to see what this Huaguo doctor would do?

Ready to pick up things in the air?

Professor Grace had already seen Chen Qi's surgery in its entirety, so he was not worried at all, and when he heard the various speculations of other colleagues, he still smiled and was in control.

On the big screen, everyone saw that after the gastroscope found the tumor, it retracted about 8cm, and then the electric knife head gently made a small incision on the mucosa.

In this way, the famous POEM "Tunneling Technology" appeared for the first time at an international academic conference.

Many doctors have their mouths wide open and their minds full of question marks.

Until I saw Chen Qi open the tunnel, directly remove the "tumor" between the mucosal layer and the muscle layer, and then take it out through a small incision on the mucosa, and then take out the experience through the mouth, many doctors' mouths still did not close.

At this time, the voice in the operating room came from the big screen:

"After measurement, the diameter of the stromal tumor reached 3.1 cm, and it took a total of 20 minutes."

Hoh·~~~

There was an exclamation in the conference hall, and before everyone could react, Chen Qi began to adjust the patient's position again and changed the colonoscopy.

The surgical method is the same, the same is to find the location of the tumor through colonoscopy, then dig a tunnel to dig out the tumor, and finally close the wound through a titanium clip.

Just when everyone was still experiencing this "tunnel technology", the sound of the operating room appeared in the stereo again.

"The leiomyoma is 2.5 cm directly, and it takes a total of 31 minutes."

There was silence in the main venue, and everyone thought of Dr. Chen's braggadocio before the operation: "I will complete two surgeries within 1 hour." ”

At this time, Professor Bradrick's excited voice appeared in the stereo again:

"The esophageal stromal tumor resection took 20 minutes, the colon smooth muscle removal took 31 minutes, the two surgeries took a total of 51 minutes, and there was no obvious wound, the patient's vital signs were stable, and I declare that the operation was successful!!

Inside the stereo, there was cheers from the operating room.

In the quiet main venue, every doctor's mouth was wide open and couldn't close for a long time, except for a very few doctors who had seen Chen Qi's operation, all of them were shocked.

South Korea's Kim Pu Ze and A's Mikun Mikun's Cindrika are all buzzing in their brains.

He kept muttering to himself: "How is this possible, how can there be such a top-notch doctor in Huaguo?" This must be like making a movie. ”

There were many people in the venue who had this kind of thought.

Professor Grace stood up, glanced back at the world's top gastroenterologists, and said slowly:

"Science and technology change the world, science and technology change the future, Professor Chen Qi's new endoscopic operation will change the diagnosis and treatment of our gastrointestinal system, and from then on, between the conservative treatment of internal medicine and traditional surgery, there is a third treatment, endoscopy!

All of you here are the world's top gastroenterologists, have you ever wondered if your young self also gave everything in pursuit of new technology and dedicated herself to the well-being of patients, so now that you have become famous, you have become a conservative? Instead, it has become a blocker of new technologies? ”

Shantouism and Xuevalism are definitely not domestic patents.

Relatively speaking, it is more obvious abroad, and even because the major pharmaceutical companies have intensified their consideration for their own interests.

Some doctors not only want to block the promotion of Chen Qi's endoscopic surgery, but also want to prevent Chen Qi from entering the WGO Council.

It's not just the WGO top positions, but also the pharmaceutical companies that are playing tricks behind it.

Similarly, Lan Lijuan's Helicobacter pylori theory has been confirmed all over the world, why has it not been recognized by the world's mainstream medical community after so many years?

This is also the case of interests and selfishness, and there are even ridiculous state discrimination, racial discrimination, and gender discrimination.

These experts, professors, presidents, and directors have become accomplices of conservatism and vested interest groups in disguise, and have become the biggest stumbling block to the development of new technologies.

They are afraid of losing old interests, afraid that they will not be able to keep up with the times, and afraid of being eliminated by new technology.

The best way to do that is to stifle the new technology, kill the new doctors, and let the WGO play within the rules of their game, which only they can play.

This is what Professor Grace is most unaccustomed to, and it is also the place where he, the president of WGO, needs to change the most, and it is also the reason why he temporarily wants to promote Chen Qi to the position.

He needs a catfish.

At this time, there were already more than 800 participating doctors in the venue, accounting for two-thirds, and all those who could come came, and those who could not come could not come back.

Now that I heard Professor Grace's solemn warning, a small number of people who had ghosts in their hearts were relatively weak and silent.

But most of the doctors still understand the righteousness, but they don't have the right to speak, and now when they hear the president accuse them in person, the doctors with a sense of justice applaud, and even many doctors whistle.

At the end, there was already applause in the main venue.

Director Peng was so excited that tears were about to flow out:

"Okay, well, Comrade Chen Qi has made a long face for us and won glory for our country, I must report to my superiors when I go back, and I must vigorously support Comrade Chen Qi."

The few old professors are you look at me, I look at you, and sigh, knowing that the old era that belongs to them has passed.

The applause in the main hall was inaudible to Chen Qi, who was now explaining the principles and advantages and disadvantages of endoscopic surgery to the doctors at Houston Methodist Hospital.

It's equivalent to opening a small stove.

After this battle, Chen Qi can almost become the first person in the world of endoscopy, because no one has done better than him.

The good news doesn't stop there.

At the WGO plenary meeting held on the second day, Lan Lijuan and Professor Sehgal from Karolinska University Hospital in Sweden gave speeches on the discovery, pathogenesis, and clinical treatment guidelines of Helicobacter pylori.

The papers published in this topic have been published in international medical journals many times, and almost everyone knows about it.

The biggest effect of this meeting is to officially write the "Helicobacter pylori theory" into the consensus of gastroenterology experts, and it will also be written into clinical guidelines in the future.

It is equivalent to writing into the "constitution" of gastroenterology, and the international community recognizes this doctrine, and then it is about to start revising the textbook.

The most excited were not Lan Lijuan and Professor Sehgal, but the executives of the Swedish pharmaceutical company Aslila.

At first, they didn't think that the Helicobacter pylori research group could play much of a role, but because of the introduction and assurance of the ICPF senior management and Professor Sehgal, they invested $2 million in Huaguo doctors.

$2 million is really not worth mentioning for a large company with a market value of billions of dollars and an annual advertising investment and project sponsorship of no less than $500 million.

As a result, it was this act of kindness that made them the final winners.

Then they felt that they should compensate Lan Lijuan more......

(End of chapter)