Since 1981 Health School

Chen Qi is going to give Qi Quanlin a colonoscopy.

This examination is originally a very simple matter, but the complication lies in the fact that lateral developmental tumors of the large intestine are a rare disease, which is rare in clinical practice, and even Professor Tong has not seen a few cases.

Now it is still possible to use "new technology" endoscopic surgery to treat this rare disease, which is rare among rare.

If the endoscopy is successful, it will be the world's first endoscopic surgery for laterally developing tumors of the large intestine, which is of great significance.

When encountering this kind of number one in the world, as a professional doctor, which one is not itchy for such intractable diseases? Who doesn't want to participate, even to see it with their own eyes.

The doctors from Yuezhong were embarrassed to speak, but the doctors from Xijing couldn't help it, so they all surrounded Qi Quanlin in the ward.

Liang Pingjian and Zhou Qifa carried canned fruit and malted milk, and they put the things on the coffee table with a flattering expression.

"Old Qi, come here, come here, we can be regarded as meeting old friends in a foreign country. This is a colleague and a fellow, and we have been old friends for many years. This can be regarded as an official visit."

"That's right, Lao Qi, I'm not mean enough to say that you're not mean enough. If someone came across half of China and came to this coastal area, in case someone doesn't even have any relatives around him, we just happened to be here, so you can rest assured."

Zhou Qifa and Liang Pingjing sang together, and Qi Quanlin shook his head again and again:

"I know the purpose of you two coming here, do you want me to contribute myself as a model, as a general teacher, for your gastroenterology research, right?"

"Hey hey, it's not like your tumor is relatively rare, it's rare for us to come across one."

"That's right, Lao Qi, don't worry, we will definitely not spread this matter, let alone spread it back to Xi'an, and we won't embarrass you."

Qi Quanlin continued to shake his head:

"Old Liang, we are all in our 50s. Do you think there is any fire in this world that can be covered with paper? I came to Yuezhong. On the one hand, I hope that President Chen Qi can help us with a special treatment method. Help me, and on the other hand, I really don’t want outsiders to know that I may become a useless person with no rectum and anus and carrying a bag of feces in the future.”

Seeing that Qi Quanlin still refused to disclose his operation, Zhou Qifa became even more anxious:

"Old Qi, listen to me. I don't care about others. I'll just talk about our gastrointestinal surgery. You are a surgeon yourself. You should know that lateral developmental tumors of the large intestine are the business of our surgery. You said you went to the internal medicine department for medical treatment. Didn't you slap our surgeon in the face?"

Chen Qi took all endoscopic surgery patients into the Department of Gastroenterology, so the outside world regarded endoscopy as the scope of internal medicine.

Qi Quanlin was a little embarrassed:

"Well, I can't do anything about it. Our surgery is a one-shot operation. My rectum and anus will definitely not be preserved. You say I can't control my bowel movements in the future, so how can I go to work? Standing on the operating table, pooping while having surgery , can you imagine that scene?"

Zhou Qifa is obviously on the top:

"Old Qi, Comrade Qi Quanlin, you haven't understood what I said. I mean, if our gastrointestinal surgery can be treated by their physicians through endoscopic surgery in the future, then what's the use of our surgery? We Can I be laid off?"

Liang Wenjian is a physician, and he was delighted to hear it:

"That's right, in the future we will rule the world in internal medicine, and you will all clean the toilets and do logistics. I promise you won't be idle, hahaha."

Zhou Qifa rolled his eyes, pointed at Liang Sting and cursed:

"Old Qi, look at how many of these guys are there, you can stand these physicians running over our surgeons to shit and pee?"

As surgeons, there are not many good-tempered ones, and all of them are rough old men.

Qi Quan and Lin Ming knew that Zhou Qifa was provoking him, but he also understood that the opportunity of this intractable disease was rare, and no one wanted to miss this opportunity.

There are a lot of doctors, and the level of doctors in Xijing Hospital is top-notch. Will there be more people and more ideas, maybe it will be good for his surgery?

Thinking of this, Qi Quanlin sighed softly:

"Well, since you want to participate in my rare disease, then you can participate. I have been a doctor all my life, and I never thought that I would be a general teacher again when I am old."

When Qi Quanlin agreed, Liang Pingjian and Zhou Qifa were very happy:

"Okay, okay, teacher general!"

"Old Qi, you are right. We don't want to let our fat water go to outsiders' fields. We can't just let Dr. Yuezhong get it if it is beneficial. What if we can handle it by ourselves?"

Zhou Qifa was still bragging at this time, and when he had a colonoscopy at noon, he couldn't brag anymore.

Endoscopy clinic room.

Chen Qi personally operated the colonoscope, starting from the rectum and slowly extending to the colon.

What is shown on the display screen are all densely packed, large and small, the color is similar to raw egg yolk, and there are some tumors like lettuce flower.

People with trypophobia can't stand it at all.

In the consultation room, Professor Tong, Guo Yuanhang, Zhu Huoyan, Zhang Weizhong, Liang Wenjian, Zhou Qifa and other physicians and surgeons all remained silent and frowned.

In the multimedia classroom outside the consulting room, doctors from Xijing Hospital, doctors from Yuezhong Hospital, and 15 students in the master’s class were all staring at the big screen. He took a deep breath.

"There are tumors all over the intestines, how could this be?"

"The tumor has already covered the rectum and colon. Besides removing the entire intestine, what other way is there?"

"It is too difficult for President Chen to have endoscopic surgery for laterally growing tumors."

Everyone was talking about it, and there was only one central idea, that either death or surgery was the only way, and this point of view was obviously agreed by all surgeons and surgeons.

In the consultation room, everyone thought that Chen Qi was just doing a colonoscopy.

In fact, they didn't even know that Chen Qi had quietly taken out an endoscopic ultrasound and started further examinations.

Endoscopic ultrasonography is a digestive tract examination technique that combines endoscopy and ultrasound.

During the inspection, the miniature high-frequency ultrasonic probe is first placed on the top of the endoscope. After the endoscope is inserted into the body cavity, the endoscope can directly observe the gastrointestinal mucosal lesions.

At the same time, real-time scanning of ultrasound under the endoscope can be used to obtain the histological characteristics of the hierarchical structure of the gastrointestinal tract and the ultrasound images of the surrounding adjacent organs.

This thing is a black technology from later generations. Chen Qi also bullied people at this time who did not know ultrasound endoscope, so he boldly took it out and used it with confidence. Those who didn't know it thought it was an ordinary colonoscope.

There is no way, Chen Qi wants to treat Qi Quanlin's disease, he has to be confident.

First of all, it is necessary to judge whether the lateral developmental tumor has become malignant? If it has become malignant, how much is the extent of infiltration? This is very, very important, and follow-up operations must be based on this.

Only the black technology of later generations such as ultrasonic endoscopy can do it. In 1989, other instruments were useless at all.

For example, the intestinal wall is divided into 5 layers under the endoscopic ultrasonography, and the echo of the third layer is the obvious sign of the mucosal base layer.

If it has become malignant and the area is in the first and second layers, it means that it is limited to the mucosal layer. At this time, endoscopic surgery can be performed.

Once the cancer cells have broken through the third layer, which means that the submucosa has been invaded, then endoscopy is meaningless, and surgery can only be performed.

(So, to develop technology and technology to promote human progress, real estate only fattened a very small number of people.)

Old Comrade Guo watched Chen Qi check for a long time, holding the "colonoscope" to take photos over and over again, and couldn't help asking:

"Chen Qi, how is the situation? It's all like this, is it still suitable for endoscopic surgery?"

Lao Guo has been a doctor all his life, and his thinking has been fixed. Seeing so many tumors in the intestines on the display screen, he has long made a judgment in his heart: traditional surgery is the only way.

While continuing the ultrasound examination, Chen Qi replied:

"Early cancerous changes have occurred."

As soon as the words fell, Qi Quanlin on the treatment bed closed his eyes.

In the consultation room and multimedia classroom, many people exclaimed, especially the doctors of Xijing Hospital. They always hoped that their fellow and colleague would have a good result.

Cancer is something that doctors and patients are unwilling to face calmly.

Zhu Huoyan is also a surgeon, and he also prefers traditional surgery, so he asked puzzledly:

"Chen Qi, you haven't had a pathology section yet, how can you be sure it's cancerous?"

Chen Qi thought to himself that I can't tell you that I have done a comprehensive scan with black technology, and I even know how many layers the cancer cells have infiltrated.

"Ms. Zhu, you see, the biopsy forceps bite and lift, the lifting sign after submucosal injection, the space deformation test under the endoscope, and the lesion has deformation and lifting signs during aspiration. These have already appeared cancerous, but fortunately, the cancer is In the early stage, we will make a biopsy to confirm the diagnosis in a while."

In fact, Chen Qi was talking nonsense, and the others half-understood after hearing it, so they didn't ask any further questions.

At this time, Qi Quanlin on the hospital bed couldn't help asking a question that everyone cared about:

"Dean Chen, according to your judgment, can my condition be treated endoscopically?"

Everyone looked at Chen Qi, no matter if it was a physician or a surgeon, everyone believed that Qi Quanlin's condition was only suitable for surgical resection.

Everyone just wanted to see if this Dean Chen had a ground-breaking disagreement?

Chen Qi could clearly see everyone's thoughts, so he smiled slightly, puffed up his chest, and replied very pretentiously:

"Director Qi, you took great courage to come to Yuezhong to find me in your last hope. How could you be disappointed? This operation can be treated with endoscopy, and your direct and anus can be preserved."

Qi Quanlin's eyes widened all of a sudden: "Is this really true?"

There was another burst of exclamation inside and outside the consulting room: "Is it like this, can we still operate?"

If Chen Qi hadn't been the dean, many people would have spoken rudely, thinking that Chen Qi was bragging to the Northwest.

Professor Tong couldn't help but questioned:

"Xiao Chen, this is not a joke. If this joke gets out, you will make a big joke in the national health system."

Lao Guo was also a little anxious: "Yes, Chen Qi, I just took a rough look at it. There are at least 80 large and small tumors, and there are tumors of different types. How do you do endoscopic surgery?"

Chen Qi coughed a few times, and said a little worriedly:

"It is definitely possible to do it, but this operation will be very complicated. It will not be able to be performed in less than 10 hours, and it may take more than 15 hours. It will be a major test for the physical strength of the surgeon and the anesthesia technique. .”

After more than 10 hours of surgery, Chen Qi really lacked confidence.

Endoscopic surgery is different from other traditional surgeries. When Chen Qi is overwhelmed, both Lao Guo and Lao Zhu can take his place as the chief surgeon. Everyone takes turns.

Endoscopic surgery is currently only available to one and a half doctors at the Vietnam People's Hospital.

Chen Qi counts as one, and Zhang Weizhong, a former Fudan professor and director of the Endoscopy Department of Zhongshan Hospital, counts as half.

This also means that Qi Quanlin's surgery took more than 10 hours and only one doctor, Chen Qi, could do it.

For more than 10 hours, Chen Qi could not urinate or eat, and had to hold the endoscope joystick all the time.

This is a very, very huge test of physical strength and perseverance.

On the contrary, Chen Qi wasn't worried about the surgical technique at all. The operation could be done with only three new techniques.

One is EMR endoscopic mucosal resection, and the other is ESD endoscopic mucosal dissection. Different surgical methods are adopted according to the different forms of lateral developmental tumor growth.

In fact, the lesion has already involved the submucosal, and POEM peroral endoscopic myotomy can also be used to dig a tunnel for treatment.

So why does the operation take more than 10 hours?

Nonsense, there are dozens or even hundreds of tumors in this intestine, and they are removed one by one like mine clearance. How long will it take? This is completely a grind.

The sanitation system is like a big sieve, what can be kept secret?

Chen Qi from Yuezhong Hospital was going to perform endoscopic surgery for Qi Quanlin, a surgeon from the First Affiliated Hospital of Xi'an Jiaotong University, and gossip about the treatment of lateral developmental tumors spread immediately.

Chen Qi is a famous person, and Qi Quanlin is not an unknown person, and instantly detonated the entire medical circle.

Especially the surgeons, when they heard that Chen Qi was going to use the "medical method" of endoscopy to treat lateral developmental tumors, they all expressed disbelief.

Even physicians didn't believe it, so everyone was eager to try and see for themselves how Chen Qi performed endoscopic surgery.

Because the operation was scheduled for 2 days later, the doctor who was far away was overwhelmed.

The doctors in Haidong Province, Jiangsu Province, and Shanghai City, because of their geographical proximity, had the advantage of being close to the water, and ran to Yuezhong at the fastest speed one by one.

On the morning of the operation, Chen Qi saw that everyone in his family had prepared a large table for breakfast, but he wanted to eat it but was afraid to eat it.

The silly elder sister was also surprised: "Second brother, eat, you said that you will have a one-day operation today, and you will have the strength to perform the operation when you are full."

The twins ate happily beside them: "Dad, eat quickly, it's so delicious."

Chen Qi rubbed his stomach, but just stuffed two meat buns into his mouth and stopped eating:

"Sister, don't dare to eat. If you eat too much, you will go to the bathroom, so you should prepare more food tonight. I think I will faint from hunger when I get off the operating table."

This is the tragedy of the surgeon, because the entire operation must be aseptic.

It's like a surgeon standing there with his hands hanging in front of his chest forever, never touching anything.

If two doctors want to switch positions, they also need to turn back to back at the same time, because the area above the waist, below the shoulders, hands, arms, and before the midaxillary line on both sides is a sterile area and cannot be touched.

With these standards, doctors cannot go to the toilet, eat, or even wipe sweat during the operation.

Many people saw the surgeon sweating on TV, and the gentle little nurse next to him helped wipe it off. Many people thought this behavior was ambiguous.

In fact, it's not as dirty as some people imagined. It's just that the surgeon can't wipe his sweat and has to let others do it for him, that's all.

With everything ready, Chen Qi is ready to go on stage.