Chen Qi was going to give Qi Quanlin a colonoscopy in person.

This examination was originally a very simple matter, but the complication lies in the fact that lateral developmental tumors of the large intestine are a rare disease that is rare in clinical practice, and even Professor Tong has not seen a few cases.

It is now possible to use "new technology" endoscopic surgery to treat this rare disease, which is the rarity of the rare.

If the endoscope is successful, it will be the world's first endoscopic surgery for lateral developmental tumors of the large intestine, which is of great significance.

When you encounter this kind of world's first, as a professional doctor, who is not itchy about this incurable disease? Who wouldn't want to get involved, even if it's to see it for themselves.

The doctors here in Yuezhong were embarrassed to speak, but the doctors from Xijing couldn't help it one by one, so they all surrounded Qi Quanlin in the ward.

Liang Wenwen and Zhou Qiqi were carrying canned fruit and malt cream, and the two put things on the coffee table with a flattering face.

"Lao Qi, come on, come on, we can be regarded as meeting our old friends in another country, this is a peer and a fellow countryman, and an old friend for many years, this is also an official visit."

"That's it, Lao Qi, I said that you are not interesting enough, a person across half of China to this coastal area, in case there is a good guy who doesn't even have a relative around, just when we came, you can rest assured."

Zhou Qiqi and Liang Wenwen sang and joined together, and Qi Quanlin shook his head again and again:

"I know the purpose of the two of you coming here, whether you want me to contribute myself as a model, as a general teacher, for your gastroenterology department to study, right?"

"Hey, hey, hey, it's not that your tumor is relatively rare, and it's rare for us to come across one."

"That's it, don't worry, Lao Qi, we will never spread this matter, let alone go back to Xi'an, and we won't make you lose face."

Qi Quanlin continued to shake his head:

"Lao Liang, we are all in our 50s, what kind of fire do you think is still wrapped in paper in this world? I came to Yuezhong, on the one hand, I hoped that Dean Chen Qi could help me with a special treatment, and on the other hand, I really didn't want outsiders to know that I might be a waste person with no rectum and anus and a dung bag in the future. ”

Seeing that Qi Quanlin still refused to disclose his operation, Zhou Qiqi became even more anxious:

"Listen to me, I don't care about others, I'll just talk about our gastrointestinal surgery, you are also a surgeon, you should know that lateral developmental tumors of the large intestine are the business of our surgery, you said that you go to the internal medicine department to see a doctor, this is not a slap in the face of our surgery."

Chen Qi admitted all the patients of endoscopic surgery to the Department of Gastroenterology, so the outside world regarded endoscopy as the scope of internal medicine.

Qi Quanlin was a little embarrassed:

"This, I can't help it, our surgery is a knife, my rectum and anus will definitely not be saved, you said that I can't control my stool in the future, how can I go to work? Standing on the operating table, while making surgery, can you imagine that picture? ”

Zhou Qiqi is obviously a little upset:

"Old man, Comrade Qi Quanlin, you haven't understood what I said, I mean, if in the future, our gastrointestinal surgery can be treated by their physicians through endoscopic surgery, then what is the use of our surgery? Can we be laid off? ”

Liang Wenwen is an internist, and he was happy when he heard it:

"Oh, in the future, our internal medicine will dominate the rivers and lakes, and you will all go to clean the toilet and do logistics one by one, and ensure that you will not be idle, hahaha."

Zhou Qiqi rolled his eyes, pointed his finger at Liang and scolded:

"Look at how much this guy is, you can stand these internists running to our surgeons to and pee?"

There are few surgeons with good tempers, and they are all rough old men.

Qi Quan Lin knew that Zhou Qiqi was provoking him, but he also understood that the opportunity for this incurable disease was rare, and no one wanted to miss this opportunity.

There are many doctors who receive treatment, and the doctors in Xijing Hospital are all top-notch, will there be more people and more ideas, maybe it will be good for his surgery?

Thinking of this, Qi Quanlin sighed lightly:

"Okay, since you want to participate in my rare disease, then you can participate, I have been a doctor all my life, and I can't imagine that I will have to be a general teacher when I am old."

Hearing that Qi Quanlin agreed, Liang Wenwen and Zhou Qiqi were very happy:

"Okay, good, good teacher!"

"Lao Qi, you're right, let's not let the fertilizer and water flow into the fields of outsiders, can't we let the Vietnamese doctor get it if there is a benefit, what if we still do it ourselves?"

Zhou Qiqi was still bragging at this time, and when he did a colonoscopy at noon, he couldn't blow it anymore.

Endoscopy room.

Chen Qi personally operated the colonoscope, starting from the rectum and slowly extending into the colon.

The display screen shows all dense, large and small, similar in color to raw egg yolk, and some tumors like lettuce flowers.

If there is a person with a phobia of intensity, he simply can't stand it.

In the diagnosis and treatment room, Professor Tong, Guo Yuanhang, Zhu Huoyan, Zhang Weizhong, Liang Wenwen, Zhou Qiqi and other internal and surgical doctors were all speechless and frowned.

In the multimedia classroom outside the examination room, the doctors of Xijing Hospital, the doctors of Viethornagh Hospital, and the 15 students of the master's class all stared at the big screen, and they all gasped when they saw the intestinal scene displayed by the endoscope.

"The intestines are full of tumors, how can this be?"

"The tumor is already all over the rectum and colon, what else can I do but remove the whole intestine?"

"Lateral development tumors still want endoscopic surgery, which is too difficult for President Chen."

Everyone was talking about it, and there was only one central idea, either no cure, or surgery was the only way, and this view was obviously agreed by all the surgeons.

In the diagnosis room, everyone thought that Chen Qi was just doing a colonoscopy.

In fact, they didn't know that Chen Qi had quietly taken out an endoscopic ultrasound and started further examinations.

Endoscopic ultrasound is a digestive tract examination technique that combines endoscopy and ultrasound.

During the examination, a miniature high-frequency ultrasound probe is placed at the tip of the endoscope, and when the endoscope is inserted into the body cavity, the gastrointestinal mucosal lesions are directly observed in the endoscope.

At the same time, real-time scanning can also be performed by endoscopic ultrasound to obtain the histological features of the hierarchical structure of the gastrointestinal tract and the ultrasound images of the surrounding adjacent organs.

This thing is a proper black technology from later generations, Chen Qi also bullied people at this time who didn't know the endoscopic ultrasound, so he boldly took it out and used it, and those who didn't know thought it was an ordinary colonoscope.

There is no way, if Chen Qi wants to treat Qi Quanlin's disease, he must be sure of his heart.

First of all, it is necessary to determine whether the lateral developmental tumor has become malignant. If it has become malignant, how much has it infiltrated? This is very, very important, and the follow-up surgery will depend on this.

Only the black technology of endoscopy in later generations can do it, and in 1989, other instruments were useless at all.

For example, the intestinal wall is divided into 5 layers under endoscopic ultrasound, of which the third layer of echo is a clear sign of the mucosal base.

If it has been malignant, the range is at the first and first layers, indicating that it is confined to the mucosal layer, and endoscopic surgery can be done at this time.

Once the cancer cells have broken through the third layer, indicating that there is a violation of the submucosa, then the endoscope is meaningless, and only surgical total resection can be taken.

(So, to develop science and technology, science and technology promote human progress, real estate is only fattening a very small number of people.) ）

Comrade Guo watched Chen Qi check for a long time, took the "colonoscope" and took photos over and over again, and couldn't help but ask:

"Chen Qi, how is the situation? It's all like this, and it's still suitable for endoscopic surgery? ”

Lao Guo has been a doctor all his life, his thinking has been fixed, and when he saw so many tumors in the intestine in the display screen, he had already made a judgment in his heart: there is only one way to do traditional surgery.

Chen Qi replied while continuing the ultrasound examination:

"Early cancer has occurred."

As soon as these words fell, Qi Quanlin on the diagnosis and treatment bed closed his eyes.

In the examination room and multimedia classroom, many people let out bursts of exclamations, especially the doctors of Xijing Hospital, who always hoped that their fellow countryman and colleague would have a good result.

Cancer is something that neither doctors nor patients are willing to face calmly.

Zhu Huoyan is also a surgeon, and he is also biased towards traditional surgery, so he asked puzzledly:

"Chen Qi, you haven't done a pathology section yet, how can you be sure that it has become cancerous?"

Chen Qi thought to himself, I can't tell you that I have done a comprehensive scan with black technology, and I even know how many layers of cancer cells have infiltrated.

"Teacher Zhu, you see, the biopsy forceps bite and lift, there are lifting signs after submucosal injection, endoscopic hollow deformation test, and the lesion has signs of deformation and lifting during suction, all of which have been cancerous on the surface, but fortunately, the cancer is early, and we will confirm the diagnosis by biopsy in a while."

In fact, Chen Qi was talking nonsense, and the others didn't seem to understand it when they heard it, so they didn't ask questions.

At this time, Qi Quanlin on the hospital bed couldn't help but ask a question that everyone was concerned about:

"Dean Chen, according to your judgment, can my condition be treated endoscopically?"

Everyone's eyes looked at Chen Qi, anyway, whether it was an internist or a surgeon, everyone thought that Qi Quanlin's condition was only suitable for surgical resection.

Everyone wants to see if this Dean Chen has any earth-shattering dissenting opinions?

Chen Qi obviously saw everyone's thoughts, so he smiled slightly, straightened his chest, and replied very forcefully:

"Director Qi, you have great courage, and your last hope came to me in Yuezhong, how could you be disappointed? This surgery can be treated endoscopically, and your direct and anal can be saved. ”

Qi Quanlin's eyes suddenly widened: "Is this true?" ”

There was another exclamation inside and outside the clinic: "That's it, can you still operate?" ”

If it weren't for Chen Qi being the dean, many people would definitely be disrespectful, thinking that Chen Qi was bragging to the northwest.

Professor Tong couldn't help but question:

"Xiao Chen, this is not a joke, if this joke spreads, you will make a big joke in the national health system."

Lao Guo was also a little anxious: "Yes, Chen Qi, I just took a rough look, there are at least 80 tumors of all sizes, and there are different types of tumors, how do you do endoscopic surgery?" ”

Chen Qi coughed lightly a few times, and said a little worriedly:

"It can definitely be done, but this operation will be very complicated, and it will not be able to be taken down for more than 10 hours, and it will not be more than 15 hours, which is a major test for the physical strength of the surgeon and the anesthesia technique."

After more than 10 hours of surgery, Chen Qizhen was a little lacking in self-confidence.

Endoscopic surgery is different from other traditional surgeries, when Chen Qi can't bear it, whether it is Lao Guo or Lao Zhu, everyone can take turns to replace his chief surgeon position.

Endoscopic surgery is currently available to only one and a half doctors at the Vietnamese Central People's Hospital.

Chen Qi counts one, and Zhang Weizhong, the former Fudan professor and director of the endoscopy department of Zhongshan Hospital, counts half.

This also means that Qi Quanlin's operation lasted more than 10 hours, and only Chen Qi was able to take care of it.

For more than 10 hours, Chen Qi couldn't pee or eat, and he had to hold the endoscope rod throughout the whole process.

It's a very, very big test of physical strength and perseverance.

On the contrary, Chen Qi is not worried about the surgical skills at all, and this operation can be done with only three new surgical methods.

One is endoscopic mucosal resection by EMR and the other is endoscopic mucosal dissection by ESD, which takes different procedures according to the different forms of lateral developmental tumor growth.

If the lesion has already involved the submucosa, it can also be treated by tunneling with POEM peroral endoscopic myotomy.

So why does the surgery take more than 10 hours?

Nonsense, there are dozens of tumors in this intestine, large and small, or even hundreds of tumors, which are removed one by one like demining, how long does it take, this is completely a water mill.

The health system is like a big sieve, what can be kept secret?

Chen Qi of the Vietnamese Central Hospital was going to perform endoscopic surgery for Qi Quanlin, a surgeon at the First Affiliated Hospital of Xi'an Jiaotong University, and the gossip news about the treatment of lateral developmental tumors immediately spread.

Chen Qi is a famous person, and Qi Quanlin is not an unknown person, which instantly detonated the entire medical circle.

In particular, the surgeons heard that Chen Qi was going to use the "internal medicine method" of endoscopy to treat laterally developing tumors, but they all expressed disbelief.

Even the internists didn't believe it, so everyone was eager to try it and see with their own eyes how Chen Qi did endoscopic surgery.

Because the operation was scheduled for 2 days later, the doctors who were far away were looking forward to sighing.

The doctors in Haidong Province, Jiangsu Province, and Huhai City were close to each other because of their geographical proximity, so they were close to the water and ran to Yuezhong at the fastest speed.

On the morning of the operation, Chen Qi watched his family prepare a large table of breakfast, which he wanted to eat but didn't dare to eat.

The stupid eldest sister was also strange: "Second child, eat, didn't you say that you would have to have a one-day operation today, and only when you are full will you have the strength to operate." ”

The twins were eating happily next to them: "Daddy, eat it, it's delicious." ”

Chen Qi touched his stomach, just stuffed two meat buns into his mouth and stopped eating:

"Eldest sister, don't dare to eat, you have to go to the toilet if you eat too much, so you prepare more food tonight, I guess I will faint from hunger when I get off the operating table."

This is where the surgeon's grief lies, as the entire procedure must be sterile.

It's like a surgeon standing there, his hands always hanging in front of his chest, never touching anything.

If two doctors want to switch places, they also need to turn back to back at the same time, because the area above the waist, below the shoulders, the hands and arms, and the area in front of the midaxillary line on both sides is a sterile area and cannot be touched.

With these standards, doctors are not allowed to go to the toilet, eat, or even wipe sweat during surgery.

Many people see the chief surgeon sweating on TV, and the gentle little nurse next to him helps wipe it, and many people feel that this behavior is very ambiguous.

In fact, it is not as dirty as a few people think, it is purely that the surgeon himself cannot wipe his sweat, so he has to let others do it for him, and that's it.

Everything is ready, Chen Qi is ready to take the stage.

(End of chapter)