Since 1981 Health School

When Chen Qi stepped into the multimedia classroom of the University of Tokyo Medical Center, he was really taken aback.

I saw 300 gastroenterologists sitting neatly in the lecture hall.

Almost all of these doctors are middle-aged and elderly people, and they are all senior doctors or professors just from their age, which shows that the participants are of high level.

It doesn't matter if you are high-ranking, these Japanese doctors are all sitting upright with serious expressions, and the whole venue is quiet, there is no noise at all.

It was eerily quiet, as if a military meeting was being held.

If there is a meeting in the auditorium of the Yuezhong People's Hospital, isn't it as noisy as a vegetable market at this time? I have to say that the Japanese are really self-disciplined, but they also lack human touch.

You are self-disciplined, but this oppressive feeling makes Chen Qi's heart beat faster, so nervous.

Anyone who is stared at by more than 300 pairs of eyes will not be able to bear it. Chen Qi is not Chen Beixuan, nor Li Qiye.

After entering the venue, Chen Qi was invited to the stage.

There were only 3 chairs on the stage, one was for Chen Qi, one was for Professor Grace, the president of the WGO Society, and the other was for the host, Professor Tsukasa Sakuta, who is also a Japanese gastroenterologist. Chairman of the society.

There is a banner hanging on the back, which reads "Dr. Chen Qi Endoscopic Surgery Teaching Association".

This is a very rigorous academic conference, not an "exhibition game", Chen Qi couldn't help but ignore it.

Lan Lijuan, Zhang Weizhong, Chen Shu, Chen Hua and 15 graduate students were arranged to sit in the audience.

Lan Lijuan and the others are alright, the students don't dare to breathe at this time, there is no way, the little chicks who have just emerged from the nest have never seen such a big scene?

Both Chen Shu and Chen Hua clenched their fists secretly, worried for their elder brother, if there was a mistake, they really didn't know how to step down.

Sometimes the higher you hold, the harder you fall.

Professor Sakuta stood on the stage and said to his colleagues in the audience:

"Comrades, today we are very honored to invite Associate Professor Chen Qi from Huaguo to teach endoscopic surgery. Let us warmly welcome Professor Chen first."

The roaring applause from the audience, not to mention how enthusiastic it was, was not infrequent, and it gave Chen Qi enough face.

Chen Qi stood up, bowed slightly to the audience, and then sat down with a smile.

"Everyone is a gastroenterologist and is more interested in endoscopy. According to the prediction of the WGO organization, endoscopic surgery or minimally invasive surgery may replace traditional surgery, and it will be the first to be fully applied in gastroenterology. repair doctor.

But what about endoscopic surgery? What kind of surgery can be done? Can it really replace traditional surgery? We are still exploring this, and there are also different opinions and debates. We feel that endoscopy such as gastroenteroscopy can only be used as an auxiliary examination to supplement clinical practice, and cannot become the mainstream.

Professor Chen beside me has just completed several difficult endoscopic operations in Huaguo. At that time, Professor Grace, the president of WGO, was also at the surgery site in Huaguo. It was a coincidence that Professor Chen came to our Dongda Medical Center a few days earlier. Visit, so we made an appointment for this professor to observe the surgery.

Now, we ask Professor Chen to introduce these 4 endoscopic surgeries to us. "

There are almost no associate professors in their 20s, even in Japan. Although many doctors in the audience didn't say anything, they all complained in their hearts that Hua Guo's professors are so worthless?

Chen Qi took the microphone, sat down, and motioned to Jin Meng, and then on the big screen in the venue, the projector began to play pictures.

"Hello, everyone from Japan, I'm Chen Qi, from Huaguo Yue TCM Hospital, and today I'm going to do 4 endoscopic surgeries.

They are Lijuan's modified fundoplication for the treatment of refractory gastroesophageal reflux disease, ESD for flat raised adenoma, POEM for achalasia, and a radical operation for early cancer.

The specific operation principle is like this..."

Chen Qi began to explain the specific steps and principles of the operation to the slides. This is a theoretical explanation that must be done before teaching the operation. Otherwise, people will not be able to understand the operation after a while, which will affect the teaching effect of the operation.

Of course, he is not afraid of others learning it.

It is definitely possible to learn, but even Professor Bradrick overturned during the operation, which shows that endoscopic surgery is definitely not so easy to learn.

You have to know how many years did Chen Qi practice in his previous life? The skills he knows are all fed by surgery and taught by the teacher. He can't do it out of thin air, and he will succeed.

This theoretical explanation only lasted about 30 minutes, and Japanese doctors wanted to see if endoscopic surgery is so magical.

Finally Chen Qi said:

"Next, I will spend the entire morning with my assistants, Professor Zhang Weizhong and Associate Professor Lan Lijuan, and I will work together to complete the teaching of 4 units. If there are deficiencies, I hope you will forgive me and let us learn together and make progress with each other. .”

Professor Grace also nodded with a smile:

"I saw Professor Chen perform 2 types of endoscopic surgery in Huaguo before, and now I can see 4 types of surgery. These 4 operations belong to one improved operation and two innovative operations. It is very remarkable. I look forward to Chen Excellent teaching demonstration by the professor."

Chen Qi did not expect that this WGO boss would come to Japan in person.

No matter what the other party's purpose was, he came and said good things to Chen Qi in front of everyone, which is considered to be a distance to Chen Qi.

The Japanese can look down on Doctor Hua, but they firmly believe in the words of Mi Guo's father, which relieves Chen Qi's pressure a lot.

The conference room was still relatively quiet, but as Chen Qi's team left, some people began to whisper.

Chen Qi knows that many people will doubt it, but this is the part he likes to hear and see the most.

Zhang Weizhong was very excited. He wanted to do endoscopic surgery wholeheartedly. For this reason, he resigned from a prestigious school and went to work in a rural hospital in Yuezhong. This determination and perseverance are not comparable to ordinary people.

Now that the "master" I have identified has come directly to a developed country, and Japan, one of the birthplaces of endoscopic surgery, is definitely enough gold in front of a group of top doctors in the world.

"Dean Chen, what is our first station doing?"

For today's 4 patients, Chen Qi has already studied it before, so he decided to start with the EMR endoscopic mucosal resection that Japan is proud of.

Use the most direct, simplest, and crudest way to destroy the Japanese's self-confidence and sense of superiority.

The patient has been anesthetized and is lying on the hospital bed. The endoscopic instrument used by Chen Qi this time is mainly of the "Nipro" brand, and the inverted 8 trademark is particularly obvious in the camera.

He is the father of the funder, who gave the red envelope, whose machine is not used?

But Chen Qi kept an eye out.

The ESD he is going to do, endoscopic submucosal dissection, is actually very simple in principle, and the main trick is on the electric knife.

The principle of EMR surgery is to find a way to bulge the lesion, then use a surgical thread to cover it and ligate it, and then resect it.

The operation principle of ESD is simpler, that is, a circle of adrenal saline is injected around the lesion, so that the mucosal layer and the muscular layer can be separated.

Then use a special electric knife, that is, the head of the electric knife is flat, with a certain curvature at the front end, which is also called "end insulator electric knife" (IT knife) in later generations.

With this special electric knife, Chen Qi only needs to dig out the entire lesion like a spoon digging out the flesh of a watermelon, which is why it is named "dissection".

In this way, the surgical site can be performed in a larger and deeper range than EMR (resection), and the effect is better and more thorough.

However, Chen Qi would not teach such a simple operation to Japanese doctors. In addition to the limitations of tools, there is another biggest pitfall in ESD surgery.

That is when you are peeling off the lesion, or you are digging hard, but this action is very, very easy to dig too far, and a little carelessness will cause perforation and bleeding.

Think about how Professor Bradrick made the patient pierced, and how he panicked? You know how messed up this is.

At the beginning of the operation, this is a patient with flat raised adenoma.

In the multimedia classroom, live broadcasts are being performed simultaneously on the big screen, just like showing movies. I have to say that the conditions of Japanese hospitals are really good.

When Chen Qi began to inject saline around the lesion, many doctors frowned, because the method of using saline to separate tissues was invented by Japanese doctors.

As it turned out, this Hua Guo doctor was also doing the same thing. Isn't this obviously suspected of plagiarism, and he boasted that he was original?

But the following surgical steps are completely different. In the camera, a surgical instrument that no one has ever seen before appears at the front end of the endoscopic tube.

Who here is not a human being, and suddenly realized that the good show was going to be upscaled.

Chen Qi had identified the lesion, and then directly operated the handle to start "digging watermelon" with the electric knife.

In order to dig a hole for the Japanese doctor, Chen Qi dug very quickly, digging left and right, and in less than 10 minutes, he dug up a flat raised adenoma with a diameter of 4cm.

(If Japanese doctors dare to dig so quickly, wait for the perforation)

After the adenoma was completely dug out, there was almost no bleeding due to the electric knife. After Chen Qi rinsed it with salt water several times and dried it, a clean incision appeared on the big screen.

oh~~~~

In the multimedia classroom, the Japanese doctors all let out a burst of exclamation, and then began to chatter.

"It turns out the operation is so simple!"

"It's great. In the past, we were always worried about the incomplete resection in EMR surgery. Now this worry has been solved."

"If you want me to say, this Dr. Chen's idea is too good, and it is too practical for clinical use."

At this time, Chen Qi's commentary appeared on the speaker:

"ESD can not only be used to remove adenoma, but also can be applied to gastrointestinal polyps, submucosal tumors, esophagus, stomach, early intestinal cancer, etc. It will be widely used clinically and will also make Surgeons are out of scope."

hehehe~~~~

A burst of laughter broke out in the multimedia classroom. After all, the battle between internal medicine and surgery is a popular event all over the world. It can make surgeons feel embarrassed. This is something that all physicians love to see.

Laymen watch the excitement, while experts watch the doorway.

Compared with many doctors in the conference room who paid more attention to clinical technology, Kaito Nimura, the manager of Nipro, paid more attention to the strange electric knife that Chen Qi took out during the operation.

He knew his own products, and Nimura Kaito could be sure that Chen Qi's previous electric knife was definitely not produced by his own company.

And he also saw that the principle of the operation is not complicated, and the process is relatively simple, but the key to the operation lies in this special electric knife.

Because ordinary electric knife does not have the function of "digging" at all.

As a businessman, he has a very keen sense of smell. Kaito Nimura was thinking about who invented this electric knife? Have you applied for a patent? Can we cooperate?

As Chen Qi said, ESD surgery is widely used clinically, which means that the sales of this special electric knife will definitely not be a problem. This is related to money and business, and Nimura Kaito naturally does not want to miss it.

Professor Grace, who was sitting in the classroom, looked at his Patek Philippe watch at this moment, smiled and said to Tsukasa Sakuta next to him:

"Mr. Saku, how long does it take for you to perform an EMR operation?"

Sakuta replied bitterly: "Even if I do it, it will take more than an hour."

Professor Grace laughed, "But Dr. Chen Qi only took 27 minutes, and the operation was more complicated."

Everyone is a thousand-year-old fox. Needless to say, Tsukasa Sakuta understands what the WGO boss is saying. Isn't it just that Chen Qi is more powerful.

Compared with the amazement of the Japanese doctor, Chen Shu, Chen Hua, Yang Yibing and other 15 students were more excited and excited.

Chen Hua slapped Chen Shu's arm hard: "Second Brother, Second Brother, Big Brother is amazing!"

Jin Meng also said softly to the students beside her: "Mr. Chen is too powerful, look at the expressions of these Japanese, obviously they can't do it!"

As the class monitor and the big brother, Yang Yibing was obviously calmer, and he made a gesture of pressing his hands to the excited students around him:

"Don't worry, don't worry, there are still 3 operations, it's too early to be happy!"

At this time, in the operating room, the three members of Chen Qi's team were re-sterilizing, and the nurses were helping to replace the surgical instruments.

The second patient had gastroesophageal reflux disease and underwent modified fundoplication.

The difficulty of this operation is moderate, and gastric plication is currently being performed in endoscopic surgery. Although Chen Qi's improved operation is very creative, but because the curative effect is not yet visible, it did not surprise everyone.

If I insist on being amazing, Chen Qi still completed this operation in 40 minutes, which may take 90 minutes for others.

Many Japanese doctors have to marvel, this is really a fast shooter.

The third surgery, POEM surgery.

The genius "tunnel technology" made all the doctors present unable to sit still, and started discussions one after another. At this time, the originally quiet venue became lively.

At this time, Sakuta Tsukasa couldn't sit still any longer.

"Professor Grace, excuse me, I'm going to the bathroom."

When Sakuta turned around, he gestured to Shunta Nishigan with his eyes, and asked him to go out with him, obviously he didn't have any good intentions.

Will the Japanese little old man make the operation go smoothly?