Director Chen wanted to perform an endoscopic "gastric resection" surgery in front of all the doctors in the hospital, which immediately caused a sensation in the hospital.

If a layman hears that "stomach removal" is required, he or she would be concerned that so-and-so has this disease? Or that so-and-so is so pitiful.

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

So that night, there were a lot of discussions 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 there really no problem with the endoscopic surgery tomorrow? You also know the gastroscopy equipment in our hospital. I really can't think of the possibility of gastrectomy."

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

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

"If you don't cut out the stomach, how can you treat it? This is not stomach bleeding. You can solve it with electrocautery."

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

"Okay, you'll know tomorrow. I'll keep it secret for now. You go to bed first, and I'll go to the WC and get a big size."

"Lazy people pee a lot, good night."

In fact, Chen Qi didn't really want to get into the big class, but took the opportunity to sneak into the space operating room and rummage through the pile of "medical device garbage" collected by the Mayo Clinic to find the tools he wanted to use.

In fact, there are many ways to treat "refractory gastroesophageal reflux disease" in later generations, and conservative medical treatment is one of them.

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

For example, radiofrequency ablation (rfa), medigus ultrasonic intraluminal stapler (muse), endoscopic full-thickness plication (eftp), anti-reflux mucosal resection (arms), etc.

However, these treatment methods not only require doctors to have superb clinical skills, but also require a full set of surgical instruments. In addition, they also need a tacit understanding and high-level teamwork.

But this was 1988, and many instruments had not yet been invented. Even if Chen Qi had this ability, he lacked the tools to take advantage of it, so he had to give up.

There is also a surgical procedure called "transoral incisionless fundoplication (tif)".

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

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

But this surgery also has one of its biggest shortcomings, which is also one of the biggest controversial points.

After gastric plication surgery, the folded area often wraps the esophagus too tightly, easily blocking the passage of food.

This can easily cause symptoms such as bloating, difficulty swallowing, and upper abdominal discomfort.

In addition, the stimulation of the fundus of the stomach and esophagus caused by surgery can also cause congestion and edema in the fundus of the stomach and esophagus, causing difficulty in swallowing and making the patient very painful.

To understand it this way, it turns out that the cardia connecting the upper end of the stomach and the esophagus is too loose, which causes the gastric contents to reflux up.

The principle of the operation is to make the loose cardiac cardia tighter and tighten the pocket to prevent the contents of the pocket from falling out.

But it’s difficult to control this degree. It’s not good if the pocket is too loose, and it’s not good if it’s too tight. Things below you won’t be able to flow back up, but things above you will also have a hard time getting out.

Or maybe you have gastrointestinal bloating or gastrointestinal gas accumulation caused by indigestion, which can be solved by farting or burping a few times.

It's better now. Because the bag is tied too tightly, it is difficult to expel the gas in your stomach, and the stomach will become severely bloated, which will also make the patient feel painful and troubled.

Now Chen Qi has limited tools, 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. He spent 5 years as an undergraduate, 3 years as a master, and 2 years as a doctoral student. He has a full 10 years of medical education foundation.

During these 10 long years, he either worked in the hospital or read and studied in the library, reading a large number of medical magazines.

This is also one of the important reasons why he was not married after he was 30 years old in his previous life. He was really too busy, so he really persuaded people to study medicine, and it was like thunder.

However, those countless hours of loneliness and hard study day and night in my previous life finally blossomed and bore fruit in this life.

Chen Qi, who has mastered countless advanced techniques and technologies, could become a great doctor in the 1980s just by relying on his "Wen Chao Gong".

Chen Qi is looking for medical equipment that he can use.

The staff of the Logistics Department of the People's Hospital were also busy overnight. They borrowed a set of state-of-the-art closed-circuit televisions from the Fourth Hospital to prepare for a live broadcast of Chen Qi's surgery 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 observe.

Then they need to be gathered together and watch together in the auditorium. In order to stimulate and shock them, Chen Qi requested a live broadcast.

It was a quiet night, except that the emergency department was still as busy as a vegetable market.

Noon the next day.

As soon as they got off work, the doctors rushed to the cafeteria early to eat. After eating, they hurried to the auditorium to grab seats, trying to sit near the front.

In the operating room, in addition to Lao Guo, several old directors of the Department 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 broadcast. The operating room was too small to squeeze in.

When Wu Agou was pushed into the operating room, he saw Chen Qi and burst into tears:

"Dean Chen, I know that the hope for my disease is slim. It is probably stomach cancer. In fact, I don't want to be cured at all. I have gone to so many places, taken so many medicines, and spent so much money. The whole family is worried."

They will all be tortured to pieces by me.

But I know that my wife sincerely hopes that I can cure the disease, and my two sons are also filial and take me to see a doctor everywhere, so I can't bear to reject them, don't want to let them down, and want to leave them a glimmer of hope.

But Dean Chen, I feel miserable. I used to be poor and didn’t have enough to eat, so I worked day and night to start a business. Now that my family is finally better off, I have this terminal disease. Why do you think I am so unlucky?

”

Chen Qi, wearing surgical clothes, also held Wu Agou's hand tightly, smiled and comforted:

"Old Wu, you are a good person. Even if you are the boss, you are also a conscientious boss. As the saying goes, good people are rewarded. If you believe me, you can rest assured that you do not have gastric cancer. I am confident enough to help you treat it.

OK."

People are always afraid of death. Although Wu Agou said that he was in despair, when he heard that Chen Qi said that there was still a cure, he suddenly became energetic.

"Really? Dean Chen, you didn't lie to me? I won't die?"

"Death, you have to die..."

"Ah?! Didn't you mean..."

"Who won't die? You can only live another forty or fifty years at most. Your conscience can't be too fierce. That's it. You're going to die anyway."

Wu Agou was stunned for a moment, then laughed loudly: "Thank you for your kind words, thank you for your kind words, it would be great if I could live forty or fifty years."

Being comforted by Chen Qi, Wu Agou's mood obviously improved a lot. 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..."

At this time, Lao Guo and Zhu Huoyan also walked into the operating room wearing surgical clothes. When they saw Chen Qi, Lao Guo asked again in a loud voice:

"Chen Qi, I don't understand what kind of endoscopic surgery is going on today. Lao Zhu and I will be your assistants together. We can do whatever you want."

Chen Qi was moved after hearing this. After all, these two elders had personally assisted him in several critical surgeries in the past, giving him considerable support and help.

Today, Lao Guo and Zhu Huoyan are obviously ready to stand up to Chen Qi as soon as possible.

"Uncle Guo, Teacher Zhu, don't worry. I am confident in this operation. And endoscopic surgery is different from traditional surgery and does not require too many assistants. So I appreciate your kindness. You can feel free to see me today."

How to perform endoscopic surgery and surprise everyone."

"Okay, as long as you have confidence, I'm afraid you'll blow off your awesomeness and be trembling with fear, hahaha."

Lao Guo laughed heartily, but Zhu Huoyan was still a little worried, so he suggested:

"We'd better be prepared with both hands. You go on stage to perform the endoscopic surgery first. It's best if it succeeds. If it doesn't succeed, everyone in the hospital will be watching today, and there may be comrades from the sister hospital arriving. We can't let others laugh.

.

When the time comes, Guo Shuji and I will undergo the operation immediately. I already know the principle of fundoplication you mentioned, and I can try to use traditional surgical methods. In any case, today's operation can only be successful, and failure is not allowed."<

/p>

Chen Qi nodded heavily: "Okay, listen to Teacher Zhu, I will ask you two godfathers to help me escort me."

12 o'clock at noon is the doctor's rest time and will not delay work.

The auditorium of the People's Hospital is already crowded with doctors, including doctors from our hospital, doctors from the Second and Fourth Hospitals, and even a few doctors from the provincial capital in the corner.

It can only be said that gossip spread really fast, and almost the entire province knew about it overnight.

Hundreds of doctors gathered together and discussed with each other. The topic of discussion was of course today's endoscopic surgery.

"Old Wang, how did Dr. Chen perform this gastric surgery through endoscopy today?"

"Yeah, I can't figure it out either. Last night I was holding a stick and was thinking about how I could use the stick to perform cutting, suturing and other surgical steps? I can't think of it, I really can't think of it."

"That's not necessarily true. Before, Dean Chen used gastroscopy to treat gastric bleeding. You also said it was impossible, but he did it."

"Yes, our dean is really amazing. Maybe he can actually create miracles."

Because there were so many people, the logistics staff had to add a few more TVs and place them in every corner of the venue.

There is no way, there are no large LED screens or projectors these days, and even the color TV is only 14 inches.

It is obviously impossible for everyone to see such a small screen, so we can only use quantity to make up for this shortcoming. No, almost all the color TV sets in the hospital have been moved in.

Fortunately, it’s the People’s Hospital. If it were any other hospital, I probably wouldn’t be able to get even a color TV.
To be continued...