in the endoscopic operating room.

As soon as Chen Qi and Zhang Weizhong walked into the operating room after the detoxification, all 15 master's students led by Yang Yibing and Jin Meng stood up.

"Hello Teacher Chen, Hello Teacher Zhang~~~"

Chen Qi nodded, looking at his students and quite happy,

"I have taken a closer look today, I am going to use 3 endoscopic procedures on the same patient, what kind of tumor is suitable for what kind of surgery, which has very important reference significance for future clinical application, and you can't miss this good opportunity."

Qi Quanlin couldn't laugh when he heard it:

"Dean Chen, today I am looking at your face, and the happiness of the rest of my life depends on you."

In order to give Qi Quanlin confidence, Chen Qi deliberately pretended to be indifferent:

"Don't worry, I told you a long time ago, this operation is not complicated, but it is a little more cumbersome, do a general anesthesia in a while, and when you open your eyes again, I promise to cut the tumor cleanly, so that you can jump back to Xi'an."

Qi Quanlin was very moved when he heard this: "Okay, then trouble Dean Chen." ”

"Anesthesia, on!"

In today's operation of Qi Quanlin, the chief surgeon is Chen Qi, the assistants are Zhang Weizhong and Zhang Xing, the nurses are Chen Li and Yang Xiuxiu, and Yi Zewen serves as the "cameraman".

Because of this operation, in order to take care of the staff of the hospital and the colleagues of the major hospitals who came from other places, the People's Hospital adopted the whole live broadcast.

At this time, the auditorium of the People's Hospital was already crowded.

In order to facilitate Chen Qi's teaching, the People's Hospital specially rebuilt the auditorium and purchased a full set of live video equipment for large-screen playback.

This is also a farewell to the teaching operation, which requires the whole hospital to collect television sets, and then a large number of wires are spread all over the ground, which is neither safe nor convenient.

Now, as soon as the live broadcast equipment is in place, the big screen is turned on, the video and audio are transmitted synchronously, and the auditorium is exactly the same as the scene in the operating room.

"Attention of all units, endoscopic radical resection of lateral developing tumors of the large intestine has officially begun, please keep quiet."

There was a sound in the stereo, and suddenly the auditorium fell silent.

At this time, Chen Qi began to speak:

"First of all, we would like to thank Professor Qi Quanlin of the First Affiliated Hospital of Xi'an Jiaotong University, Professor Qi voluntarily took out his medical case for everyone's reference and study, and it is the spirit of medicine that can promote the development of China's medical cause.

Next, I will first use colonoscopy to show everyone what the patient's medial developmental tumor looks like, and then everyone thinks, if you are the chief surgeon, which treatment plan will you use? ”

After speaking, Chen Qi sent the colonoscope into the rectum, and the scene in the rectum immediately appeared on the big screen, and a gasp broke out in the auditorium in an instant.

"Oh my God, this is a lateral developmental tumor, huh?"

"I see that the chicken skin is coming, it's too numb, why are there so many?"

"I'm going to die, how to remove so many tumors, this is not cutting leeks, if you don't remove the pedicle (root) of the tumor, there is no point in surgery."

"Don't argue, don't argue, look at what Dean Chen Qi does, or how can someone be a director of WGO?"

Therefore, some people are waiting and seeing, but in the minds of the vast majority of doctors, they still think that traditional surgical total resection is the solution to treat both the symptoms and the root cause.

Of course, whether the patient's life is inconvenient after surgery has nothing to do with the doctor, who is only responsible for the disease you get now, regardless of your future life.

At this time, in the loudspeaker, Chen Qi's voice sounded again:

"Everyone knows the patient's intestinal situation, and today we will use a new endoscopic surgery, using ESD, EMR, and POEM three types of surgery, learning these three methods, basically more than half of the diseases of the gastrointestinal tract can be solved endoscopically, without traditional surgery."

As soon as these words came out, the surgeons in the auditorium were not convinced:

"Damn, this kid Chen Qi is so crazy?"

"He's a surgeon himself, and he's even taking his own life?"

"You don't need surgery, they will eat fart in internal medicine, and they will move their mouths!"

Compared with the anger of the surgeons, the internists are like drinking ice soda in the summer, which is particularly refreshing:

"Look at this group of rough old men, to put it bluntly, they are a group of carpenters and cement workers, doing manual work, what do you know."

"After this, the surgery will be internalized, what do you want them to do with this group of rice buckets?"

"The Department of Gastroenterology has a WGO director and a committee member, and they have only one Professor Wu Mengchao in surgery, which is far behind our Department of Internal Medicine."

Chen Qi didn't know what was going on in the auditorium, he just started the operation at his own pace.

"Okay, now we can perform the operation immediately, before the operation, I will inform everyone that my operation today will not be completed in 10 hours, so everyone will arrange their own food and accommodation, and don't live on the streets if there is no train home."

As soon as these words came out, the surgeons and surgeons all looked at each other, you look at me, I look at it, I think it's a little scary.

More than 10 hours of surgery, this is a 4A+ level difficult operation, and few doctors can afford to do it.

In fact, Chen Qi was not confident, he was afraid that he would faint from low blood sugar or physical exhaustion while doing the operation, and this operation would not only fail, but also make him lose face in front of the people of the whole country.

You must know that the video tape of this operation has been booked by major hospitals across the country, and even the ministry has called and asked for a few more copies.

Therefore, Chen Qi's surgery today is only allowed to succeed, not to fail.

Professor Tong from Xijing Hospital looked at the big screen with deep eyes and didn't know what he was thinking.

The operation began.

I saw that Chen Qi ligated the root of the first protruding tumor in the rectal opening, and then quickly dissociated it with an electric knife, and quickly removed the detached tumor with tissue forceps, which was the first one, and EMR was used.

The second tumor is slightly protruding, which is difficult to ligate at this time, so Chen Qi first hit the tumor with saline to make the tumor more protruding, and then began to dig the tumor with a special electric knife like jelly, which is ESD.

Chen Qi's hand speed was fast, after all, so many tumors can't be done in half an hour each operation like before, then these dozens or hundreds of tumors have to be dug up for days and nights.

Not to mention that the patient can't bear it, the doctor will be exhausted to death.

There is not much time left for Chen Qi, and he must seize all the time.

Most of the doctors in the auditorium had never seen endoscopic surgery, and all of them were holding their breath and staring at the big screen with their eyes motionless.

When the fifth tumor was operated on, it was found that the tumor had not yet "broken out of the shell", but the mucosa had obviously protruded, indicating that there was a laterally developing tumor in the mucosa.

At this time, Chen Qi changed his tactics again and began to use the tunnel method POEM to remove the tumor.

This series of operations stunned all the doctors in the operating room and the auditorium.

Zhang Weizhong looked at the wall clock on the wall, it took only 10 minutes to dig up a tumor, it was simply a fast gunner, and the fastest record also took 21 minutes.

The layman looks at the doorway, and the insider looks at the excitement, Zhang Weizhong knows that Chen Qi is extraordinarily good today, and he is fighting hard for this operation.

I just don't know if my physical strength can keep up.

When Chen Qi cut off 6 or 7 tumors in one hour, the doctors in the auditorium couldn't help but talk about it again.

"It seems that this endoscopic surgery is really effective for intestinal tumors, and there is no need to open the stomach, this operation is good."

"Yes, Dr. Chen did this operation very easily, but there are too many tumors, it seems that this is a water grinding effort."

"Don't look at Dean Chen's easy work, in fact, the risk is very high, if you are not careful, it will be a heavy bleeding, perforation, during the Chinese New Year, it is not that a foreigner wants to do endoscopic surgery, and the result is a big perforation."

"Lao Zhang, what should I do? Could it be that our surgeons will really be useless in the future? ”

"Good guy, the upper and lower gastrointestinal endoscopy can be operated, so what can we do in the future in gastrointestinal surgery? Did they all change careers to internal medicine? ”

After 2 hours of surgery, some doctors have begun to lose their ability to sit still, frequently run to the toilet, or smoke a cigarette.

Four hours into the operation, many doctors were so hungry that they ran out of the auditorium to find something to eat.

And Chen Qi had been standing for 5 hours, and his physical strength had reached the first limit at this time.

Chen Qi has not done a few hours, or even more than ten hours of surgery, but it is all about changing the table, and the doctor can rest for a while before the next patient comes in.

Like the provincial hospital in his previous life, there is also a small restaurant in the operating room, where doctors can go to eat something when they are hungry, and only go to the stage for surgery when they are full.

But he really hasn't experienced much of a continuous operation like today, or a non-moving operation.

Chen Qi really didn't dare to move, he was afraid that he would shake his feet and shake his hands, and then accidentally shake out a perforation, and then the operation would fail.

He has to cut hundreds of tumors today, and there are hundreds of possible perforations, so Chen Qi has to be careful and careful.

Jin Meng next to him couldn't stand it anymore, and hurriedly ran to the anesthesiologist.

"Teacher, can I borrow your stool for it?"

In the entire operating room, only the anesthesiologist had a stool, and everyone else had to stand.

"Why can't you stand at such a young age?"

Jin Meng was embarrassed: "It's not me who sits, I want to sit for Mr. Chen, I have to let him save his strength, this operation is not even more than halfway." ”

When the anesthesiologist heard that it was for the dean to sit, he was immediately embarrassed, and at the same time a little annoyed that he didn't take the initiative to give up the stool and pat the dean's ass, such a good opportunity was taken away by others.

When Chen Qi cut out a tumor again, Jin Meng appeared in time:

"Teacher Chen, why don't you sit and operate."

The reason why Chen Qi didn't sit was because the endoscopic monitor was placed relatively high on the shelf, and his eyes could be on the same plane as the screen when he was standing, and he didn't look tired.

But the eyes are not tired, the legs are tired.

"Oh, it's still Xiaomeng's intimate, okay, then I'll sit for a while, Mom, I have to sleep with him for three days and three nights after this operation today, by the way, find a stool for Teacher Zhang."

Zhang Weizhong, a former professor at Fudan, has been helping Chen Qi to play, and he is also observing Chen Qi's methods.

But after all, because of the lack of practice time, I dare not test it on patients for the time being, especially this kind of surgery that the national health system is concerned about.

"Jin Meng, I don't need a stool, one more stool and one more source of pollution, but you have to stand for more than ten hours if you have to work hard."

In order to train his master's students, Chen Qi deliberately let them perform surgery with Taiwan, and he had to stand there like the chief surgeon to let them feel the difficulty of surgery in advance.

It can be seen that these students are still quite hard-working, and they didn't complain a word during the whole process, even if they were tired, they would replace their feet and rest.

Teng Yuqin, another female student in the master's class, also slapped a few sycophants at the right time:

"Teacher Chen, if only we were already able to do endoscopic surgery, you don't have to work so hard, one operation can be done by one person."

Chen Qi continued to operate motionless with both hands, but he agreed quite in his heart:

"Xiaoqin got to the point, if this operation comes next year, everyone is estimated to be proficient in operating the endoscope, and then we will go on stage in half an hour, and this operation can be successfully completed, so you have to hurry up and study hard."

In addition, I will tell you one thing, at the beginning of the next semester, I decided to recruit two endoscopy advanced courses, one for domestic and one for foreign countries, and the number of places in each class is 20 people. However, the refresher course is clinical, and you have to learn both clinical and theoretical. ”

Chen Qi's opening of an endoscopy class is a predetermined plan, after all, there is a demand for this at home and abroad.

It was delayed due to lack of preparation, but now the new building is already under construction, and the multimedia classrooms and dormitories have been renovated, and the next step is to enroll students.

Of course, the requirements for domestic and foreign enrollment are different, for example, the tuition fee of the domestic endoscopy refresher course means.

But foreign doctors come to study endoscopy, cough cough, anyway, Chen Qi is going to be ruthless.

Chen Qi chatted casually, but in fact, it was to distract himself, because the fatigue of continuous work had become more and more intense.

In the seventh hour of the operation, he rested for 5 minutes and continued to go on stage.

When it came to the ninth hour, Chen Qi sat there and rested for 10 hours, and drank a bag of glucose solution to replenish energy.

By the 10th hour of the operation, it was already getting dark.

The people watching the surgery in the multimedia classroom were all staggering, except for a few who still insisted on watching the big screen, and most of the others were so tired that they fell asleep on the tables and chairs.

Professor Tong looked at his watch, and then at the picture on the big screen that was still "digging tumors" inside, and admired Chen Qi to the extreme.

He turned his head sideways to look at Director Zhou Qiqi, who was yawning beside him.

"Xiao Zhou, do you think that Qi Quanlin's surgical endoscope can't be done now?"

Zhou Qiqi shook his head again and again: "I can do it, I can be regarded as serving this Comrade Chen Qi." ”

Director Liang Wenwen next to him also sighed:

"No one can succeed casually, Comrade Chen Qi is not only creative, thoughtful, and capable, but more importantly, he has perseverance, and his persistence is worth learning from all of us."

(End of chapter)