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Chapter 607 Preserving the rectum and anus(1/2)

Chen Qi is going to perform a colonoscopy on Qi Quanlin himself.

This examination is originally a very simple matter, but the complexity lies in the fact that laterally developing tumors of the large intestine are originally a rare disease and are rarely seen clinically. Even Professor Tong has not seen a few cases.

Now it is possible to use "new technology" endoscopic surgery to treat this rare disease, which is the rarest of rare.

If the endoscopy 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 encountering this kind of world's first, as a professional doctor, who wouldn't feel itchy about this difficult and complicated disease? Who doesn't want to get involved, even if it means seeing it with his own eyes.

The doctors from Yuezhong were embarrassed to speak, but the doctors from Xijing couldn't bear it any more, so they all surrounded Qi Quanlin in the ward.

Liang Wenwen and Zhou Qifa were carrying canned fruit, one was carrying malted milk, and they placed the things on the coffee table with flattering expressions.

"Old Qi, come on, come on, we are meeting an old friend in a foreign land. We are colleagues, fellow villagers, and old friends for many years. This can be considered a formal visit to the patient."

"That's right, Lao Qi, I don't think it's interesting for you to say that you have crossed half of China to come to this coastal area alone. If you don't have any relatives around you, you can rest assured that we are here by chance."

Zhou Qifa and Liang Wenwen sang together, making Qi Quanlin shake his head:

"I know the purpose of the two of you coming here. Do you want me to dedicate myself as a model and anatomy teacher for your gastroenterology department to study, right?"

"Hehehe, isn't this a rare tumor like yours? It's rare for us to encounter one."

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

Qi Quanlin continued to shake his head:

"Lao Liang, we are all over 50 years old. Do you think there is any fire in the world that can be contained by paper? I came to Yue Middle School. On the one hand, I hope that Dean Chen Qi can use a special treatment method to help

Help me, but on the other hand, I really don’t want outsiders to know that I may be a useless person without anus and rectum, carrying a feces bag in the future.”

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

"Old Qi, listen to me. I don't care about others. I'm just talking about our gastrointestinal surgery. You are also a surgeon yourself. You should know that lateral tumors of the large intestine are the business of our surgery. You said you go to the internal medicine department to see a doctor. This

Isn’t it a slap in the face of our surgery department?”

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

Qi Quanlin was a little embarrassed:

"Well, there's nothing I can do about it. Our surgery is just a knife. My rectum and anus will definitely not be saved. You said I won't be able to control my bowel movements in the future. How can I go to work? I stand on the operating table and poop while operating.

, can you imagine that scene?"

Zhou Qifa obviously got a little carried away:

"Old Qi, Comrade Qi Quanlin, you haven't understood me yet. What I mean is that if our gastrointestinal surgeries can be treated by their physicians through endoscopic surgeries in the future, then what is the use of our surgery? We

Can I be laid off?"

Liang Wenwen is a physician, and he was happy when he heard:

"That's right, when our internal medicine department dominates the world in the future, you will all clean toilets and provide logistics. I will ensure that you will not be idle, hahaha."

Zhou Qifa rolled his eyes, pointed at Liang Wenwen and cursed:

"Old Qi, look at how many people there are, how can you stand these physicians coming to poop and urinate on our surgeons?"

There are not many surgeons with good tempers, they are all rough men.

Qi Quanlin clearly knew that Zhou Qifa was provoking him, but he also understood that the opportunity to treat this difficult and complicated disease was rare, and no one wanted to miss this opportunity.

There are many doctors who treat patients, and the doctors at Xijing Hospital are all top-notch. Could it be that having more people and more ideas would be good for his surgery?

Thinking of this, Qi Quanlin sighed softly:

"Well, since you want to participate in my rare disease, then you can participate. I have been a doctor all my life, and I never thought that I would have to be a gross-up teacher again when I get old."

When they heard Qi Quanlin agreed, Liang Wenwen and Zhou Qifa were very happy:

"Okay, okay, generally good teacher!"

"Old Qi, you're right. We don't want our wealth to go to outsiders. We can't just let the Yuezhong doctors get the benefits. What if it's our own people who can handle it?"

Zhou Qifa was still bragging at this time, but when he had a colonoscopy at noon, he could no longer brag.

Endoscopy clinic room.

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

What was shown on the display screen were all densely packed, ranging in size, with colors similar to raw egg yolks, and some even looked like lettuce flowers.

People with trypophobia simply can't stand it.

In the clinic, Professor Tong, Guo Yuanhang, Zhu Huoyan, Zhang Weizhong, Liang Wenwen, Zhou Qifa and other surgeons and surgeons were all silent and frowning.

In the multimedia classroom outside the consulting room, the doctors from Xijing Hospital, the doctors from Yuezhong Hospital, and the 15 students in the master's class were all staring at the big screen. They were all excited when they saw the intestinal scene shown by the endoscope.

Take a breath of air.

"There are tumors all over the intestines. How could this happen?"

"The tumor has spread all over the rectum and colon. Besides removing the entire intestine, what other solution is there?"

"It is too difficult for Dr. Chen to undergo endoscopic surgery for laterally developing tumors."

Everyone was talking about it, and the central idea was that surgery was the only solution, or no cure. This view was obviously endorsed by all surgeons and surgeons.

In the clinic, everyone thought that Chen Qi was simply performing a colonoscopy.

In fact, they had no idea that Chen Qi had quietly taken out an endoscopic ultrasound and started further examination.

This chapter is not finished yet, please click on the next page to continue reading the exciting content! Endoscopic ultrasound is a digestive tract examination technology that combines endoscopy and ultrasound.

During the examination, a miniature high-frequency ultrasound probe is first placed on the top of the endoscope. After the endoscope is inserted into the body cavity, the gastrointestinal mucosal lesions are directly observed through the endoscope.

At the same time, real-time scanning with endoscopic ultrasound can be used to obtain the histological characteristics of the hierarchical structure of the gastrointestinal tract and ultrasound images of surrounding adjacent organs.

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

There is no other way. If Chen Qi wants to treat Qi Quanlin's disease, he must be confident.

First of all, it is necessary to determine whether the lateral developing tumor has become malignant? If it has become malignant, what is the extent of the infiltration? This is very, very important, and subsequent operations must be based on this.

Only endoscopic ultrasound, a late-generation black technology, could do this. In 1989, other instruments were useless.

For example, the intestinal wall is divided into five layers under endoscopic ultrasound, and the echo of the third layer is an obvious sign of the mucosal base.

If malignant transformation has occurred and the area is in the first and third layers, it means that it is limited to the mucosal layer, and endoscopic surgery can be performed at this time.

Once the cancer cells have broken through the third layer, indicating invasion of the submucosal layer, endoscopy is meaningless and surgery can only be performed.

(So, we need to develop technology. Technology promotes human progress. Real estate only enriches a very small number of people.)

Comrade Lao Guo watched Chen Qi's examination for a long time. He took the "colonoscope" and took pictures over and over again. He couldn't help but ask:

"Chen Qi, how is the situation? Even if it is like this, is it still suitable for endoscopic surgery?"

Lao Guo has been a doctor all his life, and his thinking has become fixed. When he saw so many tumors in the intestines on the screen, he had already made a judgment in his mind: traditional surgery was the only way.

Chen Qi replied while continuing the ultrasound examination:

"Early cancer has occurred."

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

Many people in the clinic and multimedia classroom exclaimed, especially the doctors at Xijing Hospital. They always hoped that their fellow countryman and colleague would have a good outcome.

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

Zhu Huoyan is also a surgeon. He also prefers traditional surgery, so he asked in confusion:

"Chen Qi, you haven't taken a pathological biopsy yet, how can you be sure that it's cancerous?"

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

"Teacher Zhu, look at the biopsy forceps biting and lifting, the lifting sign after submucosal injection, the empty deformation test under the endoscope, and the deformation and lifting sign of the lesion during aspiration. These are all cancerous changes on the surface, but fortunately, the cancerous changes are

If it's early stage, we'll conduct a biopsy to confirm the diagnosis later."

In fact, Chen Qi was just talking nonsense. Others seemed to understand but did not understand, so they did not ask further questions.

At this time, Qi Quanlin, who was 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 turned to Chen Qi. Regardless of whether they were physicians or surgeons, everyone believed that Qi Quanlin's condition was only suitable for surgical removal.

Everyone just wants to see if Dean Chen has any earth-shattering different opinions?

Chen Qi obviously could see everyone's thoughts, so he smiled slightly, puffed out his chest, and replied in a very pretentious manner:

"Director Qi, you took great courage and came to Yuezhong to find me in your last hope. How could I let you down? This operation can be treated endoscopically, and your vagina and anus can be saved."

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

There was another burst of exclamation outside and inside the clinic: "This is it, can you still perform surgery?"

If Chen Qi hadn't been the dean, many people would have made rude remarks, 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."
To be continued...
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