Chen Qi was still continuing to perform the gastroscopy at this time and said into the microphone:

"Okay, now we can see the cardia. It is very relaxed. Can you see it? The size of this cardia is at least two scope tubes. It is precisely because of the severe relaxation of the cardia that the gastric contents will continue to rise up from the stomach.

, corrode various organs.

If traditional gastric plication surgery is performed, this circle of the stomach must be folded up and tightly wrapped around the esophagus to achieve the goal of tightening the cardia. However, a side effect of this is that it is wrapped too tightly or tied too tightly, which may cause

Esophageal inlet obstruction has very serious side effects.

So now I have the best treatment plan, which is to try to enhance the function of the anti-reflux barrier without changing the anatomical structure. I call this new surgery 'Lanjuan's modified fundoplication'...

”

As soon as Chen Qi said these words, hundreds of doctors in the auditorium burst into laughter.

In the operating room, Lan Lijuan's face turned red and she was angry and amused that her husband came so suddenly without even consulting her in advance.

"Chen Qi, you..."

Lao Guo suppressed his laughter and came to the rescue for Chen Qi: "Ahem, pay attention, this is a live broadcast, and the video will be broadcast internationally to doctors from various countries, so be serious."

When Lan Lijuan heard this, she could only bite her lip, thinking that she would kill Chen Laoer when she went back.

Chen Qi looked surprised: Is it really possible? Can you bite? Is there such a benefit?

Surgeons are very talkative and like to make all kinds of jokes and make jokes with their colleagues during operations. They are not as serious and quiet as everyone sees on TV.

Of course, there are times when doctors are serious. For example, if the operation went wrong, or the prediction was wrong, or the operation is too much, it is not a good thing.

Chen Qi was a surgeon in his two lives, and he also liked to joke. At the same time, he named a "new surgery" after his wife. This is an honor that will be recorded in textbooks, but not everyone can enjoy it.

Chen Qi and Lan Lijuan are not short of money now, but they are short of fame and fame, so "raising hope" is very important, which will be of great use in the future.

"Okay, now everyone is ready, I'm going to officially start the operation. This operation is divided into three steps. The first one is to extend the abdominal esophagus; the second one is to fold the stomach wall up and fix it on the

The outer side of the esophageal wall; for the third time, I will have to do an angle reconstruction.

A fundamental difference between this modified surgery and other fundoplications is the angle reconstruction. This is very important. I will explain it to you while doing the surgery. In fact, the principle is very simple and can be broken at one point, so you still need to do more in clinical practice.

Think."

After Chen Qi finished speaking, he started to turn the folding device, and everyone saw a tube suddenly protruding from the front end of the gastroscope.

Moreover, this tube will magically transform, folding back 180 degrees to form a font.

The suction device is used to fix the gastric mucosal wall, and then as the shaped tube is lifted upward, the gastric wall is folded.

Traditional surgery requires manual suturing at this stage, but Chen Qi just pressed a switch on the gastroscope, and the polypropylene buckle automatically popped out, fixing the stomach wall and esophageal wall.

Just this step alone made both the directors watching in the operating room and the doctors staring at the TV screen in the auditorium burst into exclamation.

Chen Qi then began to perform esophageal lengthening surgery and horn reconstruction surgery.

Everyone dared not blink. They witnessed with their own eyes what "endoscopic surgery" is. It turns out that the operation does not require this forceps or that knife, as long as the tubes are constantly replaced and inserted in and out of the gastroscope.

Those doctors who were still questioning in the venue all shut up. If they don't shut up, they will slap themselves in the face.

I didn’t know which doctor said before that a stick could be used for surgery, so he stood upside down and ate shit. There was a lot of shit in the septic tank of the People’s Hospital.

In the past, it was sold to farmers in the countryside. How much does a boat of feces cost? Now some people in the hospital should eat it themselves, which may not be enough...

Chen Qi fixed the last polypropylene buckle, checked the surgical wound one last time, and then straightened up with satisfaction.

"Okay, the operation is almost completed at this point. As you can see, I have extended this section of the esophagus. I use the positive pressure in the abdominal cavity. The more esophagus is pressed against the wall, the stronger the esophageal's ability to resist reactions.

.

And the focus is to use the stomach wall to make this angle, which is to let the fundus of the stomach rest against the lower end of the esophagus, so that the pressure from the fundus of the stomach is transmitted to the lower end of the esophagus, allowing them to resist reflux on their own, thus making up for the reflux caused by cardia relaxation.
p>

This is the Lijuan modified fundoplication that I pioneered today. Through this endoscopic surgery, you should already know how endoscopic surgery is performed. Next, I will give several special lectures on this new technology.

Anyone who is interested can come and listen.

Thank you everyone for watching, the live broadcast ends here."

The traditional gastric plication surgery takes about 3 hours. It is considered a large and medium-sized operation, so many doctors have put in the water in advance and are ready to do it.

Good guy, Chen Qi’s surgery using an endoscope only took less than an hour.

Just when everyone was still taking a closer look at what endoscopic surgery is, the chief surgeon actually said that the surgery had been completed?

Lao Guo asked in surprise when he saw Chen Qi who was already suctioning the gastroscope tube:

"Hey, Chen Qi, are you done now?"

Chen Qi asked a little strangely:

"Well, the operation is over, and it was very successful. We will know the efficacy later, but we still need to cooperate with internal medicine's anti-inflammatory and anti-gastric acid treatment. This is Lijuan's business. It's over here."

Surgeons, you look at me and I look at you, but you don’t dare to say anything.

Physicians are a little excited. Isn’t this just a tube? Physicians can perform gastroscopy. Does this mean that surgeons will no longer be needed for gastrointestinal operations in the future?

Director Jia was the first to applaud: "It's amazing. It's Dean Chen who is amazing. It's eye-opening."

Cai Fengyao, director of the First Department of Internal Medicine, also applauded and shook his head slightly:

"It's really amazing. There is no need to open the abdomen, the risk of surgery has plummeted, and the harm to patients has also plummeted. It seems that we are really too behind the times..."

In comparison, the surgeons' applause was a little weak, and each one of them began to feel anxious.

Endoscopy can really perform surgery, so where will surgeons go?

Professional doctors are often experts in the field. They know that Chen Qi is just holding a few tubes this way and that, but this requires solid anatomy knowledge and proficiency in gastroscopy.

Traditional surgery involves pulling a hook, and all the organs in the stomach are displayed in front of the doctor's eyes, which is very macroscopic.

However, this kind of gastroscopy surgery only sees a small screen, the field of view is very small, and there is a lot of blood and body fluids in it. Sometimes the diseased part cannot be seen clearly. How to operate?

Therefore, endoscopic surgery is far more difficult than traditional surgery.

These old directors are all self-aware. This new technology is not something that can be achieved by bragging. Whether it is eyesight, physical strength or brain, they are completely unable to keep up. Are they really going to be eliminated as everyone joked before?

Already?"

Compared with the silence in the operating room, the auditorium exploded with warm applause.

"President Chen is really a genius. Such a difficult operation can be completed without open abdominal surgery. I am convinced!"

"I haven't even thought about it. The operation is over? Endoscopic surgery is so simple?"

"It's so simple. Dean Chen must have studied abroad. How can we country bumpkins understand this?"

"Surgeons, listen up, I'll see if you are good or bad in the future, haha."

"Internal medicine, as if you know how to perform endoscopic surgery, go ahead and don't laugh at anyone."

In fact, no matter whether they are internal medicine or surgeons, they are all shocked at this time. Some smarter doctors have decided to participate in Dr. Chen's next special training class and prepare to engage in endoscopy.

When Chen Qi walked out of the operating room, he was quickly surrounded by his family members. Even the silly eldest sister was waiting at the door. When she saw her younger brother coming, she was the first to rush up, even more anxious than other family members.

"Second brother, how are you? How is Uncle Agou?"

"Dean Chen, was my dad's surgery successful?"

Chen Qi took off his mask and smiled, looking very relaxed:

"Sister, don't worry, everyone. Boss Wu's operation was very successful, and because there was no incision in the stomach, the surgical trauma was very small, so the recovery will be faster. In a few months, Boss Wu will definitely be fat again.

."

"Okay, okay! Thank you so much, thank you so much, Dean Chen"

"Thank God, thank God"

Wu Agou's family members all hugged each other happily. After so many years of torture, once he was cured, people who have never experienced this feeling cannot understand at all.

Wu Agou’s eldest son was the more sensible one and shouted:

"Quickly, send all the souvenirs to, uh, Dean Chen. We have prepared some souvenirs for you. They are not valuable. Where do you want to send them?"

Chen Qi was a little panicked. Is this local specialty of yours local? The Chinese cigarettes are filled with RMB, and the Moutai box is filled with gold bars. This is illegal.

"Uh, what kind of souvenir is this? It's too expensive and I dare not accept it."

"Hey, Dean Chen, don't worry. Who doesn't know that you are upright and upright and never collect red envelopes from family members? What we give are some cured chicken, duck and dried fish. I heard that Dean Chen likes to eat bacon the most, so we will prepare it."

I bought some, but they’re worthless, worthless.”

Chen Qi was relieved when he heard that it was bacon. Although it was worth a small amount of money, it was indeed a local specialty. If someone reported it, nothing would happen.

"Okay, then I'll be happy. You can send it to the Department of Gastroenterology."

"Okay."

As a result, when Chen Qi went to the gastroenterology department for rounds in the afternoon to see how Wu Agou's recovery was going, as soon as he entered the department, the air was filled with the strong smell of bacon sauce.

Even the smell of disinfectant water is difficult to cover up.

When Chen Qi saw the mountains of soy sauce in the warehouse, he almost couldn't laugh or cry.

"Mr. Wang, how many quantities are there?"
To be continued...