It was already 12 o'clock in the middle of the night, but the auditorium of the Vietnam-China People's Hospital was still brightly lit.

It is hard to imagine that a large auditorium that can accommodate a thousand people is still overcrowded at this time, with almost no doctors leaving midway.

Originally, Chen Qi was going to leave directly from the operating room and find an empty ward to sleep with him for three days and three nights.

But later he heard that his colleagues still wanted him to give a few words and talk about his experience in the surgery, so he had to drag his heavy steps to the auditorium.

As soon as he entered, the audience burst into warm applause.

Chen Qi also clasped his hands together and bowed to everyone in thanks.

Comrade Lao Guo took the microphone and personally hosted this "meeting".

"Comrade Chen Qi is really amazing. It took him 14 hours and 45 minutes to perform this highly difficult operation. Not only did he save the patient's rectum and anus, but he also provided information for the treatment of laterally developing tumors.

A latest idea, this can benefit thousands of patients. I suggest that we once again give warm applause to Dr. Chen Qi, the great hero today!"

Wow~~~~

The applause rang out warmly again.

"Okay, it's already 12 o'clock, and Comrade Chen Qi is already very tired, so I won't delay everyone's communication and communication. Let's ask Dr. Chen Qi to say a few words."

Everyone's eyes were shining brightly at Chen Qi.

Chen Qi was a little embarrassed, so he scratched his head and said, "Guo Shuji, can you give me a chair to sit on and talk?"

He Jia from the hospital office grabbed a chair as quickly as possible and rushed to the stage. Many people were thinking in their hearts that this little girl has eyes and a bright future.

"Thank you, Comrade Xiaojia. I'm sorry everyone, I really can't bear it and have to sit down and talk. I know that before I had this surgery today, most people were not optimistic about it and thought that endoscopy could not replace traditional surgery.

.

But today’s surgery has proven to everyone that endoscopy has its own advantages, such as simplicity, speed, efficiency, safety, less damage to the patient, fewer complications, low mortality and low total cost. For this patient,

You can be discharged from the hospital after three days.

But if we use traditional surgery, think about what will happen? Total removal of the rectum and anus is easy to say, but it will cause great trouble to the patient's prognosis and future life. He will have to carry a feces bag throughout his life.

, how painful is this?”

After Chen Qi finished speaking, he raised his lips.

Now it was Jin Meng's turn to run up to the stage and hand over a bottle of Coke.

"Teacher Chen, here."

Chen Qi was quite surprised when he saw Coke, he laughed and joked:

"It seems that my students still remember that I love to drink Coke. It just so happens that my blood sugar should be at its lowest now, just enough to supplement my sugar intake."

Many people's hospital employees curled their lips, thinking that there were so many sycophants today.

In the audience, a doctor from Shanghai took the opportunity to ask:

"Dean Chen, you once said that after learning the three new techniques in endoscopic surgery today, half of the diseases in gastroenterology no longer require surgery. Does this mean that surgery will no longer be possible in the future?

"

This is an issue that all surgeons and surgeons in the field are very concerned about.

"Yes, I said this, let me give you a few examples.

For example, ESD surgery is suitable for giant flat polyps in the digestive tract, broad-based polyps and sessile polyps in the gastrointestinal tract greater than 2cm in diameter, early gastrointestinal cancer, submucosal tumors of the digestive tract, and submucosal tumors of the digestive tract, such as leiomyomas.

, stromal tumors, lipomas, neurogenic tumors, etc.

The surgical indications for EMR are mainly gastrointestinal lesions, including polyposis of the upper gastrointestinal tract and lower gastrointestinal tract, early cancer <2cm, other benign lesions, and even ectopic pancreas.

There is also a POEM procedure, the indications include achalasia, other esophageal motility disorders, esophageal-gastric outflow tract obstruction and other diseases.

Everyone counts the wrench index. I just gave examples of so many diseases. Do they already account for more than half of the diseases in gastrointestinal surgery? The key effect is better than traditional surgery. For example, the POEM surgery treats achalasia, which is far better than surgery.

.

So I say, not to mention other disciplines, as far as our gastroenterology or gastroenterology department is concerned, endoscopic surgery will definitely become a mainstream treatment method in the future. Of course, I want to make it clear that endoscopic surgery is not a patent for physicians.

, surgeons can also learn it.”

At this time, another doctor raised his hand and asked:

"President Chen, what I want to ask is, apart from gastrointestinal surgery, are there any other surgeries that are also easily replaced?"

Chen Qi drank a few sips of Coke and quickly put down his answer after hearing the question:

"It cannot be said to be a replacement. Traditional surgery cannot be completely replaced, but it is true that the surgical business will get worse and worse in the future. It is indeed not limited to gastrointestinal surgery. I see many surgeons who are a little afraid, and they are also afraid.

It's no use.

Just like a few days ago, our Vietnam-China People's Hospital just treated a patient with myocardial infarction. The thrombolysis effect was not good. Our Vietnam-China Hospital does not have a cardiac surgery department and there is no way to perform bypass surgery, so we used a new interventional method.

Operation."

Wow, there was a lot of discussion in the audience.

The people who came here today are all top leaders from major hospitals, either directors or professors, and they all obviously know something about interventional surgeries.

We all know it, but China did not carry out cardiac interventional surgery in 1989, and even in European and American countries, it was only carried out by a few top hospitals.

Good guy, such a complicated surgery was actually carried out in a small municipal hospital in Yuezhong?

Many people have begun to have various doubts and disbelief in their hearts.

"In the past, severe coronary artery stenosis could only be treated by cardiac surgery, and a new blood vessel was used to connect the two unobstructed ends, commonly known as bypass surgery. However, this operation has many restrictions, there are not many doctors who can do it, and the hospital level is also very high.

.

Moreover, even if a bypass operation is performed, the high medical expenses are not affordable by ordinary patients. However, there are so many patients with coronary heart disease in the society, are they all waiting to die? Therefore, foreign countries have recently invented cardiac interventional surgery.

This chapter is not finished yet, please click the next page to continue reading the exciting content! Just take a catheter, and then send the catheter to the heart through the radial artery or femoral artery. If any blood vessel is occluded, then I will be at the occluded place.

Use a balloon to expand it, or more advanced, just install a stent.

This kind of interventional surgery is very simple and can be completed by two doctors in half an hour. The cost is not high, at least not as high as traditional heart bypass surgery, and the curative effect is very good.

In addition to the coronary heart disease and myocardial infarction that I just gave an example of, other congenital heart diseases, such as atrial septal defect, radiofrequency ablation of tachyarrhythmia, arrhythmia-type diseases, chronic bradycardia or paroxysmal supraventricular tachycardia, etc.

etc., can all be accomplished through interventional surgery.

Think about it, if cardiac interventional surgery can solve so many common diseases, will cardiac surgery lose most of its business? Let me say here, in foreign countries, such surgeries are all performed by cardiology departments. Are cardiac surgeons worried?

died?"

Chen Qi's joke made the doctors in the audience stop laughing.

Good guy, in the blink of an eye, the cardiac surgery department is going to be ruined again? Can we still make friends happily?

In the audience, Lao Guo and Zhu Huoyan also frowned. The two surgeons were obviously frightened by Chen Qi's remarks.

But Chen Qi was obviously not prepared to let everyone go. He also wanted to take this opportunity to sound the alarm for everyone.

"You think that's the end of it? Wrong, big mistake. In addition to endoscopic surgery and interventional surgery, there is also a kind of laparoscopic surgery. When this kind of surgery is popularized, it will be the technology that really changes the entire surgical landscape."

Boom~~~

This conclusion obviously made many surgeons unconvinced.

Why? Because laparoscopic surgery has appeared in 1989, and many surgeons have heard of it.

For example, in 1985, German doctor Muhe used SEMM instruments and his own designed surgical laparoscope "galloscope" to perform cholecystectomy on a patient.

However, due to some reasons, the operation was not completely successful. Therefore, after Muhe published the report on the operation, the academic community dismissed it.

In 1987, French doctor Moret performed the world's first laparoscopic cholecystectomy, which attracted great attention in top surgical circles in Europe and the United States.

Unfortunately, due to the lack of endoscopic equipment, it has not attracted everyone's attention.

As for the first laparoscopic surgery in China, the original history did not appear until 1991.

So when Chen Qi said that laparoscopic surgery is a major trend in future development and the real old friend of traditional surgery, the surgeons in the audience were not convinced.

"Dean Chen, laparoscopic surgery has been tried several times abroad and was not very successful. How can you say it can replace traditional surgery?"

"Our current surgery has been developing for a hundred years and is still creating new surgical techniques. How can such a rising discipline decline?"

"It's just that foreign doctors are not good at laparoscopic surgery, so it's so good that it has been promoted so long ago."

Chen Qi listened to the rebuttals of these surgeons and sneered in his heart.

He is a reborn person, and no one knows better than him the role of laparoscopic surgery in the field of surgery in the future.

Put it this way, by 2022, laparoscopic surgeries will account for more than half of all surgical surgeries.

Among them, minimally invasive cardiac and major vascular surgery accounts for 56%, minimally invasive general thoracic surgery accounts for 94.85%, and minimally invasive thoracoscopic surgery accounts for more than 70% of all thoracic surgery operations.

Minimally invasive laparoscopic surgeries in urology account for more than 75% of the total surgeries, and hysteroscopic surgeries in gynecology also account for 80%.

For example, the proportion of laparoscopic surgery for intestinal cancer patients reaches about 90%.

Don’t these data show that minimally invasive surgery will already occupy a mainstream position in the future, far surpassing traditional surgery?

But Chen Qi cannot show these data now, so he can only use other methods to remind his domestic colleagues and scare them appropriately.

"Many colleagues have just questioned the role of laparoscopic surgery. In fact, what I want to say is that everyone has been in China for too long and does not know how far foreign medicine has developed. I often travel abroad and see it with my own eyes.
To be continued...