Outside the multimedia classroom, as soon as Shunta Nishigishi walked out, he was pulled to the stairs by Sakuta Tsukasa.

Nishikashi Shunta didn't know what was going on, so he asked strangely: "Director Saku, why did you ask me to come out?"

Sakutaji gritted his teeth and looked very anxious:

"We were careless. We didn't expect that this doctor from China has such a high level of endoscopic skills, and his surgical research has far surpassed that of our Dongda Hospital. It won't work if we continue like this. When his four surgeries are completely successful, our Dongda Hospital's

Where is the face? We will become the laughingstock of our colleagues in Japan, oh no, around the world."

The University of Tokyo Medical Center, as the world's top hospital, invests a large amount of funds every year to support doctors' research.

For example, in order to support the endoscopy project of Dongda Hospital, Nipro Company's annual sponsorship fee is as high as 5 million US dollars.

In addition, hospital funding comes from donations from patients, and the scientific research expenses for the gastroenterology department alone reach tens of millions of dollars every year.

If you want to maintain a leading position in the world and the country, you must persist in scientific research, and scientific research definitely requires financial support.

Well now, I gave you so much money, but you still can’t handle the endoscopic surgery project in a Chinese hospital.

Most people in China know the city of Yuezhong in China, because their favorite "Lanting Preface" and the ceramic "Yue Kiln" came from Yuezhong.

China is already poor and backward enough. As a third- and fourth-tier small city in China, Vietnam and China are even more backward.

The result is such a small hospital that the Japanese look down upon. The level of endoscopy and endoscopic research far exceeds that of Dongda Hospital. Who wouldn’t laugh at this?

I am afraid that even those wealthy people who have sponsored more than N amounts of money have to ask one more question: Have all our money been fed to the dogs?

Sakutaji can now see that these Chinese doctors are not coming here to study, they are clearly coming to study.

The Japanese are very bad. Chen Qi showed his prowess because he underestimated the enemy before, so now it’s time to use the trap.

"Junta, please quickly remove the fourth patient and replace it with a more difficult patient."

Nishikashi Shunta instantly understood what his director wanted to do, so he looked around with caution and saw no one around, and then whispered:

"Director, what you are saying is that the fourth stage of resection of carcinoma in situ is not difficult enough. It is better to switch to a more difficult operation. It is best to let Dr. Chen fail the operation and then we can remedy it, so that our face can be saved."

"Yes, although this is against medical ethics, I really can't explain it to the hospital when I am embarrassed in front of so many colleagues across the country. What's more, Professor Grace from WGO also came here in person. This will affect our Dongda Hospital.

status in the WGO field."

Japan is the largest manufacturer and exporter of endoscopic medical instruments.

As the top hospital in Japan, the University of Tokyo Medical Center is naturally the most authoritative hospital in the field of endoscopy, and it is famous all over the world.

Professor Sakuta Tsukasa's idea is very simple. If an American hospital surpasses Tokyo University Hospital, then forget it.

But you, a Chinese hospital, want to surpass Dongda Hospital. This is intolerable. It is not only a matter of face, but also a matter of your own wallet.

Nishishishi Shunta nodded heavily: "Okay, I will listen to the director, then which patient should we arrange next?"

Sakutaji had already thought about it in the multimedia classroom:

"In this case, the mother of the Second Minister of Tibet has an esophageal tumor. We are still discussing treatment plans these days. Isn't this Dr. Chen omnipotent? Then leave this patient to him."

Everyone trembled after hearing this:

"Director Saku, is there any problem with this? After all, the patient's status is special!"

The Ministry of Finance is equivalent to the Ministry of Finance in Japan, and the Deputy Minister of Finance is equivalent to the Deputy Minister of Finance, with real power.

The Tibetan Prime Minister’s mother is an old lady in her 80s, and her body is already weak. If she died on the operating table today, or if the operation failed and she suffered a gastric perforation and esophageal perforation, it would be a lot of fun.

At that time, Chen Qi's reputation will no longer be a problem, but may become a major issue in the dispute between the two countries. Chen Qi may even be legally responsible.

Don’t forget, Chen Qi is not qualified to practice medicine in Japan. Because the incident happened suddenly, the teaching surgery did not pass the registration of the Ministry of Health, Labor and Welfare (Ministry of Health)

If this really needs to be investigated, it would be appropriate to classify him as practicing medicine illegally.

Although Todai Hospital or Sakuda Tsukasa himself will definitely be blamed, this kind of blame is obviously easier to bear than the shame.

"No matter, just follow my instructions. However, in order to show that we are not making things difficult for Dr. Chen, all medical records must be given to him completely. It would be best if he quits in spite of the difficulties. Our goal has been achieved, and the patient has been spared a visit.

Danger."

Sakuta Tsukasa and Nishishishi Shunta were discussing how to make a trip. Chen Qi's surgery was so easy and happy.

When the third POEM technique ended, the discussion in the venue had reached its peak.

Drilling a tunnel in the esophageal wall was successful, which subverted everyone's understanding. At the same time, everyone immediately realized how wide the range of applications of POEM surgery could be.

This link has been opened up, and many diseases for which endoscopic surgery was previously unmanageable have suddenly become surgically allowed, and the thinking becomes smoother.

This is a huge progress for the gastroenterology, or gastroenterology profession.

In the operating room:

While disinfecting, I asked my wife next to me: "Lijuan, are you tired? This has been three surgeries."

Lan Lijuan smiled and said: "I'm not tired. This one surgery of yours can equal three or four others. You are known as a fast shooter in the world. How can I be tired?"

Chen Qi was unhappy when he heard this: "What fast shooter? Don't you know if I am fast or not?"

Lan Lijuan blushed: "Bah, gangster, this is abroad, be careful."

When the three of them finished disinfecting and came to another operating room, Chen Qi realized something was wrong.

Because the medical record given to him before was supposed to be that of a middle-aged man, but now there was an elderly woman lying on the operating table.

What doctors fear most is that there will be a mistake in the connection work, and then your waist will be on the left side instead of on the right side. This is a serious medical accident.

"Doctor West Coast, this patient seems to be inconsistent with the medical record we discussed yesterday. Could it be a mistake?"

Shunta Nishigan smiles so harmlessly:

"Dr. Chen, the patient we discussed yesterday heard that he was going to have a public teaching surgery. He was afraid that his privacy would be leaked, so he suddenly refused the surgery. We had to temporarily change the patient. Please forgive me."

Chen Qi and Lan Lijuan looked at each other and felt that there was something wrong with the decision to change patients.

Generally speaking, in order to ensure the smoothness of the teaching surgery, the surgeon will understand the patient's condition in detail beforehand and formulate a surgical plan in advance, so that nothing goes wrong.

If the patient cannot cooperate due to special circumstances, the general teaching surgery will be canceled directly instead of temporarily changing the patient.

Chen Qi had a vague suspicion in his mind. It seemed that Dongda Hospital did not want his teaching surgery to go too smoothly.

But now 300 Japanese doctors and Professor Grace are watching the live broadcast. If he asks to stop the operation, then half of the reputation gained by the previous three operations will be wasted.

Because doctors may encounter emergencies at any time, and if you cannot handle them, it means you are not qualified as a doctor, or you may only be able to perform surgeries that have been arranged in advance.

So even if Chen Qi feels something is wrong, but he wants him to throw in the towel and admit defeat, this is not his temper.

"Oh, the patient is temporarily changed. Then you can report the condition to me in detail. Also, bring over the inspection reports. I need to review them myself."

Dr. Shunta Nishiganda thought to himself that this Chinese doctor took the bait, so it depends on how you die.

"Hi, the patient is a female, 82 years old. She came to our hospital in January because of upper abdominal discomfort. The gastroscopy showed a submucosal bulge on the left wall of the lower esophagus near the cardia. The surface was smooth and the size was about 2.5X3. It showed the lower esophagus and cardia area.

The structure is unclear, the tube wall is thickened, and strip-like dense shadows can be seen around it..."

The condition is actually very simple. There is a tumor in the lower end of the old lady’s esophagus, near the cardia, which causes the mucosa to bulge out and cause esophageal obstruction.

The nature of the tumor has not been determined, and it is unknown whether it is malignant or benign.

Similar to the symptoms of achalasia, due to esophageal obstruction, food cannot pass through the cardia smoothly, which leads to severe vomiting and malnutrition in the patient.

Combined with the fact that the old lady is over 80 years old and has poor physical tolerance, she may not be able to bear a thoracotomy and esophageal incision. Endoscopic surgery seems to be the best solution.

Chen Qi, Lan Lijuan, and Zhang Weizhong didn't care that they had finished disinfecting, and picked up various inspection reports to read them.

Zhang Weizhong was relatively experienced and whispered to Chen Qi:

"Dean Chen, it looks like a stromal tumor."

Chen Qi nodded and breathed a sigh of relief: "It seems that we are lucky. There has been no hematogenous transmission yet, so the difficulty of the operation has plummeted."

Zhang Weizhong has never seen such an operation and is a little worried:

"Dean Chen, is this kind of tumor resection endoscopically feasible? What should we do?"

"How to do it?"

In fact, Chen Qi already has a complete treatment plan in his mind, which is another surgery derived from POEM.

Endoscopic submucosal tunnel tumor resection, the full English name is submucosaltunnel endoscopic resection, or STER for short.

"STER technique?"

Zhang Weizhong was excited as soon as he heard it. Following Dean Chen, he could come into contact with a new technique from time to time, and they were all original, which gave him great satisfaction as an endoscopy technician.

"Yes, the STER surgery is actually similar to the POEM surgery. It also drills a hole through the tunnel to reach the middle of the mucosal layer, and then removes the entire tumor through the tunnel, esophagus, and perorally. The surgical process is not complicated."

Zhang Weizhong and Lan Lijuan were delighted when they heard this.

"It seems that Japan wants to set difficulties for us, but in the end it only makes you famous."

Chen Qi shrugged:

"As the song goes, there are no guns or cannons, and the enemy has made them for us. We also have to thank the captain of the transportation team. But we are also lucky. If they had made a more complicated arrangement, or it was already an advanced tumor, today

This endoscope will definitely not be able to be used anymore."

Shunta Nishiganda couldn't hear Chinese, but when he saw that Dr. Hua Guo, who had been serious just now, suddenly relaxed, he instinctively felt that things were beyond their expectations.

But now the arrow is on the string and it has to be fired. With the eyes of hundreds of people staring at it, even if it means stumbling, it can't go too far.
To be continued...