It was already 12 o'clock in the evening, and the auditorium of the Viet Chung People's Hospital was still brightly lit.

It's hard to imagine that a large auditorium that can accommodate 1,000 people is still overcrowded at this time, and few doctors leave halfway.

Originally, Chen Qi was going to leave directly from the operating room, and find a ward where no one was there, and sleep with him for three days and three nights.

But then he heard that his peers still wanted him to talk about the operation experience, so he had to drag heavy steps to the auditorium.

As soon as he entered, the audience burst into applause.

Chen Qi also folded his hands and bowed to everyone again and again to thank him.

Comrade Guo took the microphone and personally presided over the "meeting".

"Comrade Chen Qi is really amazing, a full 14 hours and 45 minutes, this difficult operation was gnawed down, not only to save the patient's rectum and anus, but also to provide a new idea for the treatment of lateral developmental tumors, which is to benefit thousands of patients, I suggest that let us once again give warm applause to today's great hero Dr. Chen Qi!"

Boom~~~~

The applause rang out again enthusiastically.

"Okay, it's already 12 o'clock, and Comrade Chen Qi is already very tired, so I won't delay everyone's communication, let's ask Dr. Chen Qi to say a few words."

Everyone's eyes were shining and sparkling as they looked at Chen Qi.

Chen Qi was a little embarrassed, so he scratched his head: "Guo Shuji, can you give me a chair for me to sit and say?" ”

He Jia from the hospital office took a chair and rushed to the stage as quickly as possible, and many people thought in their hearts that this little girl has eyes and a future.

"Thank you, Comrade Xiaojia, I'm sorry everyone, I really can't bear it, I have to sit and talk. I know that before I had this surgery today, most people were not optimistic and thought that endoscopy was no substitute for traditional surgery.

But today's surgery has proved to everyone that endoscopy has its own advantages, such as simplicity, speed, efficiency, safety, less damage to the patient, fewer complications, low mortality and low total cost, and this patient can be discharged after three days.

But if we use traditional surgery, what happens do you think? Rectal and anal resection is easy to say, but it causes great trouble to the patient's prognosis and future life. ”

After Chen Qi finished speaking, he added lips.

This time it was Jin Meng's turn to run onto the stage and hand over a bottle of Coke.

"Teacher Chen, give."

Chen Qi was quite surprised to see Coke, and joked with a smile:

"It seems that my students still remember that I love to drink Coke, and it just so happens that my blood sugar should be the lowest now, just enough to replenish the sugar."

Many staff members of the People's Hospital pouted, thinking that there were a lot of sycophants today.

In the audience, a doctor from Huhai took the opportunity to ask:

"Dean Chen, you once said that after learning the three new surgical methods in today's endoscopic surgery, half of the diseases in the Department of Gastroenterology no longer require surgical surgery, does this mean that surgery will not work in the future?"

This is a matter of great concern to all the surgeons and surgeons in the field.

"Yes, I've said that, I'll give you a few examples.

For example, ESD is suitable for huge flat polyps in the digestive tract, wide-basal polyps and sessile polyps in the gastrointestinal tract with a diameter greater than 2cm, early cancer of the gastrointestinal tract, submucosal tumors of the digestive tract, and submucosal tumors of the digestive tract, such as leiomyomas, stromal tumors, lipomas, neurogenic tumors, etc.

The surgical indications for EMR are mainly gastrointestinal lesions, including polypeccal lesions of the upper and lower gastrointestinal tracts, early cancer of <2cm and other benign lesions, and even ectopic pancreas.

There is also a POEM procedure for indications including achalasia, other esophageal motility disorders, esophagogastric outflow tract obstruction, and more.

You can count the wrench index yourself, I just gave examples of so many diseases, is it already more than half of the diseases in gastrointestinal surgery? The key results are also better than traditional surgery, such as this POEM procedure for achalasia, which is far better than surgery.

So I said, not to mention other disciplines, as far as our gastroenterology or gastroenterology is concerned, endoscopic surgery will definitely become a mainstream treatment in the future, of course, I want to state that endoscopic surgery is not the patent of internal medicine, and surgeons can also learn it. ”

At this time, another doctor raised his hand and asked:

"Dean Chen, what I want to ask is, in addition to gastrointestinal surgery, is there any other surgery that is also easy to replace?"

Chen Qi drank a few sips of Coke, and after listening to other people's questions, he quickly put down and answered:

"It can't be said to be a replacement, traditional surgery cannot be completely replaced, but in the future, the business of surgery will get worse and worse, this is true, it is not limited to gastrointestinal surgery, I see many surgeons are a little scared, and it is useless to be afraid.

Just like a few days ago, we just treated a patient with a myocardial infarction in the Vietnamese Central People's Hospital, and the thrombolysis effect was not good, and our Vietnamese Central Chinese Hospital did not have a cardiac surgery and had no way to perform bypass surgery, so we adopted a new interventional surgery. ”

Wow, there was a lot of discussion in the audience.

The people who came here today are all leaders from major hospitals, either directors or professors, and they obviously have some understanding of interventional surgery.

But Huaguo did not carry out cardiac interventional surgery in 1989, and even in European and American countries, only a few top hospitals carried out it.

Good guy, such a complicated operation, a small municipal hospital in Vietnam and China actually carried out?

Many people began to have all kinds of doubts and disbelief in their hearts.

"In the past, severe coronary stenosis could only be operated by cardiac surgery, and a new blood vessel was used to connect the two ends of the unobstructed artery, commonly known as bypass surgery, but this operation is more restrictive, there are not many doctors who can do it, and the hospital level is also very high.

And even if bypass surgery is done, the high medical costs are not affordable for ordinary patients, but there are so many patients with coronary heart disease in society, are they all waiting to die? Therefore, the latest foreign invention of cardiac interventional surgery.

It is to take a catheter, and then through the radial artery or femoral artery, the catheter is sent to the heart position, which blood vessel is occluded, then I will use a balloon to expand at the occlusion, or more advanced, just install a stent.

This interventional procedure is very simple, it can be completed by two doctors in half an hour, and the cost is not high, at least not as high as traditional heart bypass, and the effect is very good.

In addition to the coronary heart disease myocardial infarction I just exemplified, other congenital heart diseases, such as atrial septal defect, radiofrequency ablation of tachyarrhythmia, arrhythmia-type diseases, chronic bradycardia or paroxysmal supraventricular tachycardia, etc., can be done through interventional surgery.

Think about it, if cardiac interventional surgery can complete so many common diseases, then cardiac surgery will lose most of the business? By the way, in foreign countries, this kind of surgery is done by the cardiology department, and the doctors of cardiac surgery are not shaking to death? ”

Chen Qi's joke made the doctors in the audience unable to laugh.

Good guys, in the blink of an eye, cardiac surgery is going to be broken again? Can you still make friends happily?

In the audience, Lao Guo and Zhu Huoyan also frowned, and the two surgeons were obviously frightened by Chen Qi's remarks.

But Chen Qi is obviously not ready to let everyone go, and he also wants to take this opportunity to sound the alarm for everyone.

"You think that's the end of it? Wrong, big mistake, in addition to endoscopic surgery and interventional surgery, there is also a kind of laparoscopic surgery, and when this kind of surgery is popularized, that is the technology that really changes the entire surgical landscape. ”

Rumble~~~

This assertion has apparently convinced many surgeons.

Why? Because laparoscopic surgery has been around since 1989, many surgeons have heard of it.

For example, in 1985, the German doctor Much performed a cholecystectomy on a patient using the instruments and equipment of Semm and the laparoscope "Galloscope" of his own design.

But for some reason, the operation was not completely successful, so after Muhe published the report on the operation, the academic community dismissed it.

In 1987, the French doctor Moret performed the world's first laparoscopic cholecystectomy, which attracted great attention in the top surgical circles in Europe and the United States.

Unfortunately, limited to the lack of endoscopic equipment, it has not attracted everyone's attention.

As for the first laparoscopic surgery in Huaguo, it was not until 1991 that it appeared in the original history.

Therefore, when Chen Qi said that laparoscopic surgery is the general trend of future development and the real old man of traditional surgery, the surgeons in the audience were not convinced.

"Dean Chen, laparoscopic surgery has been tested several times abroad and is not too successful, how can you say that it can replace traditional surgery?"

"Our current surgery has been developed for a hundred years, and we are constantly creating new surgical methods, how can such a sunrise discipline decline?"

"It's just that foreign doctors can't play laparoscopic surgery, and it's really so good that it has been promoted a long time ago."

Chen Qi listened to the rebuttals of these surgeons, and sneered in his heart.

He is a reborn, and no one knows better than him the place of laparoscopic surgery in the future of surgery.

Let's put it this way, by 2022, laparoscopic surgery accounted for more than half of total surgical procedures.

Among them, minimally invasive cardiac and macrovascular surgery accounted for 56%, general thoracic surgery accounted for 94.85%, and thoracoscopic minimally invasive surgery accounted for more than 70% of all thoracic surgeries.

Minimally invasive laparoscopic surgery in urology accounts for more than 75% of the total number of surgeries, and hysteroscopic surgery in gynecology also accounts for 80%.

For example, the proportion of laparoscopic surgery for patients with bowel cancer is about 90%.

Doesn't these data show that minimally invasive surgery will already dominate in the future, far surpassing traditional surgery?

But Chen Qi can't take out these data now, so he can only remind these domestic counterparts in other ways to scare and scare appropriately.

"Just now, many colleagues are questioning the role of laparoscopic surgery, in fact, I want to say that everyone has been in China for a long time, and they don't know what kind of development foreign medicine has become.

Let's put it this way, the top hospitals abroad, as well as the most famous pharmaceutical companies, are all secretly developing laparoscopic machines, what does this mean? It shows that people are optimistic about this industry, otherwise how can billions or tens of billions of dollars be invested in it?

Another example is endoscopic surgery, I believe that most of the colleagues here are doubting whether the endoscope can do such and such surgery before coming to Vietnam today, and what is the result? The 15-hour operation record is here, do you still doubt it?

Comrades, what I want to say is that compared with foreign countries, our medical technology is comprehensively backward in both clinical and theoretical terms, which we have to admit, but compared with the backwardness of technology, the backwardness of concepts is more terrible.

Therefore, when we encounter a new thing, the first thing we should do is not to doubt it, but to study it and understand it. In the same way, if you have any whims in clinical practice, you can try it, and maybe there will be unexpected effects? ”

As soon as Chen Qi's voice fell, many doctors were pouting, thinking to themselves how old are you Chen Qi? Minister of Health?

Of course, there are many doctors who have thought, yes, foreign technology is changing with each passing day, and we have to take off our shoes to catch up, and we can't follow others anymore.

After a brief silence, there was another hand raised:

"President Chen, I am from the People's Hospital of Xishi City, Suzhou Province, you just said that we need to develop new technologies, and I agree with more medical innovations, we want to make progress, and we must indeed work new technologies. What I want to ask is, if we also want to learn such advanced endoscopic surgery, where can we learn and would you like to teach? ”

Medicine, like traditional skills, is most afraid of the apprentice starving the master.

Now that the Vietnamese People's Hospital has finally mastered the "endoscopic surgery", are you willing to contribute it to the national hospital to share?

If desired, the endoscopic monopoly of the Viet Chung People's Hospital would be broken in a few years.

If you don't want to teach, then what Chen Qi said just now is to fart to develop new technology, and you yourself refuse to teach, so how do you make endoscopy? How to develop endoscopic surgery?

Everyone looked at Chen Qi, who was drinking Coke on the stage, and wanted to hear his answer.

Chen Qi hiccuped after drinking Coke, and was feeling refreshed, and when he heard others ask if he was willing to teach endoscopic surgery in China, he immediately nodded again and again:

"There is no problem in teaching, in fact, I have already started endoscopy teaching, the first batch of 15 master's students have been enrolled, and I am also preparing to launch an endoscopy refresher course, which is aimed at working doctors, and the teaching content is all endoscopy.

However, due to my limited time, 20 places will be temporarily arranged this year, which hospital is interested, you can contact our hospital office of Vietnam Chinese Hospital at that time, please rest assured, I will definitely not hide my secrets. ”

As soon as these words came out, the discussion in the audience became louder.

Everyone knows the preciousness of these 20 places, and in the future, who will have endoscopy doctors in any hospital, not only does it look high technically, but it is also a great growth point in business, making money.

With such a poke of the endoscope, gently dig everything, hundreds or even thousands of medical expenses will be in hand, and the cost is labor and disinfection fees, so much to earn.

For individual doctors, whoever has mastered endoscopic surgery may become a discipline leader and an authority in relevant departments.

So all the surgeons and internists in the audience were ready to move.

At this time, Professor Tong also turned his head to Liang Wenwen, director of the Department of Gastroenterology and Zhou Qiqi, director of the Department of Gastrointestinal Surgery of Xijing Hospital, and said:

"20 places must be rushed, we came first, and we have a little friendship with Chen Qi, so you have to grab the places early tomorrow morning, the more the better, 2 guaranteed, do you understand?"

Liang Wenwen and Zhou Qiqi nodded again and again: "Okay Teacher Tong, we must splash and roll, and resolutely ask for a few more places." ”

That night, I don't know how many doctors fell into insomnia, lying in bed tossing and turning over and over thinking about Chen Qi's remarks about new technologies.

As for Chen Qi, after being helped by Lan Lijuan to sit in Santana, he snored directly, and the operation lasted for 15 hours this day, which really tired him to vomit blood......

(End of chapter)