In the endoscopic operating room.

Chen Qi and Zhang Weizhong had just walked into the operating room after disinfection. All 15 master's students, led by Yang Yibing and Jin Meng, stood up.

"Hello, Teacher Chen, Hello, Teacher Zhang~~~"

Chen Qi nodded, looking very happy at seeing his students.

"I looked carefully today. I want to use three endoscopic surgeries on the same patient. What kind of tumors are suitable for which surgeries? This has very important reference significance for future clinical applications. This is a good opportunity.

You can’t miss it.”

Qi Quanlin couldn't laugh or cry after hearing this:

"Dean Chen, today I risked my life for your sake. My happiness for the rest of my life depends entirely on you."

In order to give Qi Quanlin confidence, Chen Qi deliberately pretended to be indifferent:

"Don't worry, old man. I've told you before. This operation is not complicated, but it's a bit cumbersome. I'll give you general anesthesia in a while. When you open your eyes again, I promise to cut off the tumor cleanly and let you be alive and kicking."

Go back to Xi'an."

Qi Quanlin was very moved after hearing this: "Okay, then I'll trouble you, Dean Chen."

"Anesthesia, come on!"

Today, Qi Quanlin's surgery was performed by Chen Qi, assistants Zhang Weizhong and Zhang Xing, nurses Chen Li and Yang Xiuxiu, and Yi Zewen served as the "cameraman."

This is because the People's Hospital of the People's Hospital of China adopted a live broadcast of the entire operation in order to take care of its employees and colleagues from major hospitals who came from other places.

By this time, the auditorium of the People's Hospital was already crowded.

In order to facilitate Chen Qi's teaching, the People's Hospital specially renovated the auditorium and purchased a full set of live video equipment to play on a large screen.

This also means that once a teaching operation is performed, the whole hospital must collect TV sets and then lay a lot of wires on the floor. This is neither safe nor convenient.

Now, once the live broadcast equipment is in place, the big screen is turned on, and the video and audio are broadcast simultaneously, the auditorium is exactly the same as the operating room.

"Attention all units, endoscopic radical resection of lateral developmental tumors of the large intestine has now officially begun. Please keep quiet."

There was a sound coming from the speakers, and all of a sudden the auditorium became quiet.

At this time Chen Qi began to speak:

"First of all, we would like to thank Professor Qi Quanlin from the First Affiliated Hospital of Xi'an Jiaotong University. Professor Qi voluntarily submitted his medical records for everyone's reference and study. It is Professor Qi Quanlin's medicalism spirit that can promote the development of my country's medical industry.

Next, I will first use a colonoscope to show you what the patient's intra-large intestinal invasive tumor looks like, and then everyone will think about it, if you were the chief surgeon, which treatment plan would you use?"

After saying that, Chen Qi inserted the colonoscope into the rectum. The scene inside the rectum immediately appeared on the big screen, and a gasp of air suddenly erupted in the auditorium.

"Oh my God, is this a lateral developmental tumor?"

"I feel goosebumps when I see it. It's so disgusting. Why are there so many?"

"If you are going to die, how can you remove so many tumors? This is not like cutting leeks. If the pedicle (root) of the tumor is not removed, there is no point in the operation."

"Don't argue, don't argue. Look at what President Chen Qi did. Otherwise, why would he be a director of WGO?"

So some people are waiting and seeing, but in the minds of most doctors, traditional surgery is still the solution to treat both the symptoms and the root cause.

Of course, whether the patient's life is inconvenient after surgery has nothing to do with the doctor. The doctor is only responsible for the disease you have now and does not care about your future life.

At this time, Chen Qi’s voice sounded again from the loudspeaker:

"Everyone knows the condition of the patient's intestines. Today we will use a brand-new endoscopic surgery, using three surgical techniques: ESD, EMR, and POEM. Learning these three techniques can basically solve more than half of the diseases of the gastrointestinal tract.

All can be solved endoscopically, without the need for traditional surgery.”

As soon as these words came out, the surgeons in the auditorium were unconvinced:

"Damn, is this guy Chen Qi so crazy?"

"He himself is a surgeon, but he actually took his own life?"

"There is no need for surgery. They are just talking about internal medicine!"

Compared with the anger of the surgeons, the physicians were as happy as drinking a can of ice soda in the summer:

"Look at these rough old men. To put it bluntly, they are just a group of carpenters and cement workers who do manual labor. What do they know?"

"In the future, surgery will become internal medicine. What do we need these losers for?"

"The Department of Gastroenterology has a WGO director and a committee member. Their Department of Surgery only has Professor Wu Mengchao, which is far behind our Department of Internal Medicine."

Chen Qi didn't know what was happening in the auditorium. He just started the operation at his own pace.

"Okay, now we can start the operation soon. Before the operation, I would like to inform everyone that my operation will not be completed in less than 10 hours today, so everyone should arrange their own food and accommodation. Don't be homeless if there is no train home by then.

street."

As soon as these words came out, the surgeons and surgeons all looked at each other, you looked at me, I looked at each other, they felt a little scary.

An operation that takes more than 10 hours is a level 4a operation, and not many doctors can handle it.

In fact, Chen Qi was not confident either. He was afraid that he would faint due to hypoglycemia or exhaustion during the operation. In that case, the operation would not only fail, but it would also embarrass him in front of the whole country.

You must know that the videotape of this operation has been reserved by major hospitals across the country. Even the ministry called and asked for more copies.

Therefore, Chen Qi’s surgery today is only allowed to be successful and cannot fail.

Professor Tong from Xijing Hospital looked at the big screen with deep eyes, wondering what he was thinking.

The operation began.

I saw Chen Qi ligating the first obviously protruding tumor root at the rectal opening, then quickly cutting it off with an electric knife, and quickly taking out the fallen tumor with tissue forceps. This was the first one, and EMR was used.

The second tumor was slightly protruding, and it was difficult to ligate at this time. So Chen Qi first used salt water to hit the surrounding area of ​​the tumor to make the tumor more protruding, and then used a special electric knife to dig out the tumor like jelly.

It's esd surgery.

Chen Qi's hand speed was very fast. After all, with so many tumors, each operation could not be performed for half an hour as before. Then it would take several days and nights to dig out dozens or hundreds of tumors.

Not to mention that the patients can't bear it, the doctors are also exhausted.

There is not much time left for Chen Qi, he must seize all the time.

Most of the doctors in the auditorium had never experienced endoscopic surgery. At this time, they all held their breath and stared at the big screen with their eyes motionless.

When the operation progressed to the fifth tumor, it was found that the tumor had not "broken out" yet, but the mucosa was obviously bulging, indicating that there was a lateral developing tumor in the mucosa.

At this time, Chen Qi changed his tactics again and began to use tunnel poem surgery to remove the tumor.

This series of operations made all the doctors in the operating room and auditorium stunned.

Zhang Weizhong looked at the clock on the wall. It only took 10 minutes to dig out a tumor. He was really fast. The original fastest record also took 21 minutes.

A layman knows the rules, and an expert sees the excitement. Zhang Weizhong knew that Chen Qi performed exceptionally today and worked hard for this operation.

I just don’t know if I have the physical strength to keep up.

When Chen Qi removed 6 or 7 tumors within an hour, the doctors in the auditorium couldn't help but start talking again.

"It seems that endoscopic surgery is really effective in treating intestinal tumors. There is no need to open the stomach. This surgery is good."

"Yes, Dr. Chen did this surgery very easily, but there are too many tumors. It seems like it was a waste of time."

"Despite the ease with which Dr. Chen did it, the risk is actually very high. If you are not careful, you may suffer from massive bleeding or perforation. During the Chinese New Year, there was a foreigner who overestimated his ability and wanted to do endoscopic surgery, but ended up with a big perforation."

"Lao Zhang, what should I do? Is it true that our surgeons will be useless in the future?"

"Good fellow, upper and lower gastrointestinal endoscopy can perform surgery, so what can we do in gastrointestinal surgery in the future? Should we all switch to internal medicine?"

The operation lasted for 2 hours, and some doctors began to become unable to sit still and frequently ran to the toilet or to smoke a cigarette.

Four hours into the operation, many doctors were so hungry that they ran out of the auditorium in search of food.

Chen Qi had also stood for five hours, and at this time his physical strength reached its first limit.

It's not like Chen Qi has never done surgery that lasted several hours, or even more than ten hours, but the channels had to be changed. The doctor could rest for a while before the next patient came in.

Like the provincial hospital in his previous life, there was a small restaurant in the operating room. Doctors could go and have something to eat when they were hungry, and then went on stage for surgery when they were full.

But he really hadn't experienced many consecutive surgeries like today's, which were still incapable of moving.

Chen Qi really didn't dare to move. He was afraid that if he shook his feet and hands, he would accidentally create a perforation and the operation would fail.

He had to cut out hundreds of tumors today, and there were hundreds of possible perforations. Chen Qi had to be careful.

Jin Meng beside him couldn't stand it anymore and hurriedly ran to the anesthetist.

"Teacher, can I borrow your stool?"

In the entire operating room, only the anesthesiologist has a stool, and everyone else has to stand.

"Why can't you stand up at such a young age?"

Jin Meng was ashamed: "I'm not sitting, I want to sit for Teacher Chen. I have to let him conserve his strength. This operation is not even halfway through."

When the anesthesiologist heard that the chair was for the dean, he immediately felt embarrassed. At the same time, he was a little annoyed that he didn't take the initiative to give up his chair to flatter the dean, because someone else had taken such a good opportunity.

When Chen Qi removed another tumor, Jin Meng appeared in time:

"Mr. Chen, why don't you just sit down and do the surgery."

The reason why Chen Qi did not sit down was because the endoscopic monitor was placed relatively high on the shelf. When he stood, his eyes could be on the same plane as the screen, making him less tired.
To be continued...