The fourth day of the first lunar month.

It is the day when every household is celebrating the Spring Festival, almost no one goes to work, and it is rare for all hospitals to be quiet for a few days.

The emergency department of People's Hospital has ushered in the busiest time of the year.

There are many people who eat and drink too much to get their stomachs broken, people who set off firecrackers and injure their whole bodies, people who get drunk and get into fights or injure themselves, and there are even many emergency patients who suffer cardiovascular and cerebrovascular accidents due to emotional excitement.

Fortunately, Chen Qi asked the medical department to arrange a duty schedule before the Chinese New Year, allowing doctors to take turns to be on duty in the emergency department, and each doctor was given a subsidy of 10 yuan per day, so the emergency department was not paralyzed.

While others are busy, Dean Chen is also very busy.

Early on the fourth day of the Lunar New Year, the building where the operating room is located was surrounded by people from relevant departments.

After all, Rupert is the top rich man in the United States and the target of a united front. All the requests he makes are met by the relevant departments as much as possible.

For example, Americans pay special attention to their privacy, so they require operations to be performed secretly, not to be made public, not to be filmed, and to not allow unrelated persons to enter the operating room.

Therefore, for this POEM surgery, it was finally determined that the chief surgeon would be Chen Qi, and his assistants would be Professor Bradrick and Lan Lijuan.

In addition, anesthetists and nurses, all other doctors are not allowed to observe the operation, or even close to the operation area (this rule was added by the relevant departments themselves)

Chen Qi looked at the luxurious, modern, and technologically new operating room in front of him, and he was filled with emotions.

Laminar flow operating rooms like this have long been popular abroad, but they are still rare in our country. It will be 10 years before our economy takes off, which means that our domestic counterparts will have to suffer for another 10 years.

Lan Lijuan also looked at a large number of imported endoscopes with curiosity.

There are two laminar flow operating rooms in the four hospitals. This does not arouse her much interest. What she is interested in is the endoscopic equipment.

According to Chen Qi, surgical operations will definitely become "minimally invasive" in the future, which is also an opportunity for internal medicine. For example, endoscopic surgery can be performed by physicians themselves.

Internal medicine can now perform surgeries. One is the improvement of technology, and the other is the increase in income. No matter which of them is a big benefit.

Therefore, having a set of handy tools is what every technical person desires most.

Just think about how happy Chen Qi was when he got a set of customized surgical instruments from Hanjiang Group.

Compared with the calmness of the two Chinese doctors, Chen Qi and Lan Lijuan, Professor Bradrick kept looking at the brand-new endoscopic instrument on the operating table.

Because he has never seen this endoscope before.

Even though he has never seen it, in the eyes of an expert like him, there is always a feeling that this endoscope is more advanced and not a product of KARL STORZ at all.

But he didn't dare to ask more questions. Again, relatively speaking, Americans pay more attention to privacy.

The rich man Rupert was lying on the operating bed, and his heart was actually very complicated, because he knew that this was his last chance in life.

"Chen, do you know? During World War II, I was also a member of the American Air Force. I once came to China and helped you fight together. It was a wonderful time. I was still young, strong and strong.

It has to be like a western cow."

While Chen Qi was preparing the equipment, he gave the old man a thumbs up:

"It seems that Mr. Rupert is a good friend of our Chinese country. In the words of our Chinese country, we are also the four pillars of life who have shouldered the gun together. We are great heroes."

"Yeah, it's a pity that heroes always end one day. After World War II, I entered the family business, took over the Fox Company from my father, and became a rich man that everyone envied. I lived a life of debauchery, and ended up getting old.

But it turned out to be such a ghost, Chen, I really can’t reconcile it."

Chen Qi knew that the old man was nervous before the operation.

But this kind of tension is not a good thing for surgery, because the heart rate is obviously increasing, the blood pressure is also continuing to rise, and the ECG monitoring is showing a red light.

"Mr. Rupert, I am actually very interested in the behind-the-scenes of Hollywood. How about

My wife doesn’t allow it. I really want to see what that red sofa that talks about looks like."

Sure enough, Lao Sepi was led astray as soon as he heard about women's thinking.

"Hi, do you know about Red Sofa and are you interested? Chen, you are different from other Chinese people. If possible, I really hope to take you to experience Red Sofa and those modern girls, for a role, for

Money, they are willing to pay everything..."

Lao Sepi was talking happily, but Chen Qi's waist was tightly squeezed by Lan Lijuan, which made him grin with pain.

"Don't make trouble, I'm just trying to comfort the old man. You didn't look at the heart rate and it's already over 120 times. How can he perform an operation like this?"

Lan Lijuan snorted: "You'd better be honest, otherwise your third leg will be cut off."

Rupert was already lost in his own thoughts and began to talk to himself:

"Chen, I don't want to die. I'm only over 60 years old. I think I can live for another 30 years, so please help me get cured. Now you are my only hope. As long as I can recover, what do you mean?

I can satisfy all your requirements, money, women, whatever you want, I will give you..."

Chen Qi signaled the anesthesiologist with his eyes, quickly took the mask and put it over the old man's mouth and nose, and then released the anesthetic gas.

A few seconds later, the Hollywood tycoon lost consciousness.

After the patient is put under anesthesia, because the surgical plan does not include tracheal intubation, the operation must be carried out against time.

If the operation takes too long, the patient will either suffocate or bleed, either of which will kill the patient.

"Let's start the operation, everyone is in place."

After Chen Qi finished speaking, he directly picked up the gastroscope tube and inserted it into Rupert's mouth. He quickly inserted the tube with twice the speed of his usual hands.

Swish, swish, the tube went down so fast that even Professor Bradrick next to him felt his scalp numb when he saw it. If he was like him and accidentally punctured his esophagus or stomach, he would have to go to university today.

Woe to you.

Any surgery has risks, and this is a principle that everyone must keep in mind.

For example, in this POEM surgery, esophageal perforation is only one of the risks. In addition, there are other risks such as intraoperative emphysema, pneumothorax, pneumoperitoneum, bleeding, etc.

Especially Rupert is now as skinny as a stick, and his physical fitness is very poor. If he is not good enough, he will be finished.

Chen Qi didn't dare to be careless at all. He looked at the screen with his eyes and held the control in his hand. Without doing too much testing or calculation, he directly made a small incision on the esophageal mucosa with an electric knife.

An opening that is smaller than the one he had during previous surgeries, barely enough to accommodate the passage of the endoscope tube.

When Professor Bradrick and Lan Lijuan saw this step, their hearts were in their throats. If this caused massive gastric mucosal bleeding during the incision, the operation would have failed from the beginning.

Chen Qi was already prepared. The moment he cut the mucous membrane, he quickly pulled out the electric knife, reinserted an injection tube, and quickly injected a medicine into the incision.

The injection was "Growth Statin", which Chen Qi found from the space operating room.

In later generations, it was mainly used to treat gastric bleeding. This drug can not only inhibit visceral bleeding, but also inhibit the secretion of growth hormone and insulin.

Even when gastric varices rupture, this drug can be used for treatment.

It didn't exist in this era, but Chen Qi did. Sure enough, once the somatostatin was used, there was no bleeding at the incision site.

Professor Bradrick screamed in shock:

"Chen, this is amazing. How did you do it? What kind of medicine did you inject?"

I promised to respect other people's privacy, but the white doctor couldn't help but asked out of curiosity.

Chen Qicai wouldn't tell him what this was, he just made a joke:

"This is a hemostatic agent extracted from traditional Chinese medicine. It is very precious."

Professor Bradrick wanted to ask anything else, but Chen Qi didn't give him a chance, because at this time he was about to start "tunneling".

Professor Bradrick accidentally caused an esophageal perforation during this process, so the white doctor's attention was quickly diverted and he swallowed his saliva nervously.

Originally, before making the tunnel, it was necessary to inject normal saline to separate the mucosal layer and femoral layer, but this time Chen Qi still used diluted growth inhibitors as a solvent, and he was extremely careful.

Finally, the hole drilling was successfully completed. The whole process was completed in one go, without any sloppiness, and even looked artistic and beautiful.

Professor Bradrick clapped his hands excitedly: "That's great, Chen Qi, you are such an amazing endoscopist!"

Chen Qi also took a deep breath, now comes the last step.

The ring-shaped sphincter with a dark red envelope is right in front of you. As long as you cut it gently, the operation will be successful.

There is a blood supply in the muscles, but if it is not good, it will cause heavy bleeding.

Lan Lijuan and Professor Bradrick both raised their heads and looked at Chen Qi's final choice.

How can Chen Qi choose?

He glanced at Rupert who was under general anesthesia on the hospital bed. His breathing sounds became thicker and thicker. This was because the human body did not have enough oxygen and was automatically breathing deeper to obtain more oxygen.

There is not much time left for Chen Qi.

The surgical plan has also been decided, and everything that needs to be considered has been considered. Whether the operation is successful or not depends on Rupert's own fate.

The electrosurgery came to the 2 o'clock position on the anterior wall of the esophagus on the lesser curvature of the stomach. Chen Qi no longer had much time to think and decided to start from here.

Because there are fewer blood vessels on the front wall, it is possible to avoid cutting off the sling fibers, a natural anti-reflux barrier, and the postoperative recovery will be better.

Of course, this requires higher stability of the main surgeon's endoscope and the cutting angle of the electric knife, and is technically more difficult, which is beyond the capabilities of ordinary doctors.

Chen Qi did not communicate with the two assistants, and did not even look at each other. He just picked up the electric knife, cut it, and then used the electric knife to quickly stop the bleeding.

Through the TV screen, as far as Kamino could see, traces of bright red blood were flowing out.

This frightened Professor Bradrick and Lan Lijuan, and they only dared to remind them in a low voice:

"Chen, this, this..."

Chen Qi was not blind and of course he saw the bleeding, so he frowned and was so nervous that his heart almost jumped out of his chest.
To be continued...