Since 1981 Health School

In the endoscopy operating room.

Chen Qi and Zhang Weizhong had just walked into the operating room after disinfection, and all 15 postgraduate students headed by Yang Yibing and Jin Meng stood up.

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

Chen Qi nodded, quite happy to see his students,

"Look carefully today. I want to use three endoscopic operations on the same patient. What kind of tumor is suitable for what kind of operation. This has very important reference significance for future clinical applications. This kind of good opportunity You can't miss it."

Qi Quanlin didn't know whether to laugh or cry when he heard this:

"Dean Chen, today I'm going all out 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 Qi, I told you earlier that this operation is not complicated, but it is a bit cumbersome. I will give you general anesthesia in a while, and when you open your eyes again, I promise to cut off the tumor and make you alive and kicking." Go back to Xi'an."

Qi Quanlin was very touched when he heard this: "Okay, then I will trouble Dean Chen."

"Anesthesia, go!"

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

Because this operation, the People's Hospital adopted a live broadcast of the entire operation in order to take care of the staff of the hospital and colleagues from major hospitals who came from other places.

At this time, the auditorium of the People's Hospital was already full of people.

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

This also bids farewell to the need to collect TV sets from the whole hospital and then lay a lot of wires all over the floor once teaching surgery is done, which is neither safe nor convenient.

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

"Attention all units, the endoscopic radical resection of the lateral developmental tumor of the large intestine is now officially started, please keep quiet."

There was a sound from the stereo, and the auditorium fell silent all of a sudden.

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 provided his medical records for your reference and study. It is the medical spirit of Professor Qi Quanlin that can promote the development of my country's medical industry.

Next, I will use a colonoscope to show you what the patient's inner large intestine looks like, and then think about it, if you were the surgeon, which treatment plan would you adopt? "

After speaking, Chen Qi sent the colonoscope into the rectum, and the scene of the rectum appeared on the big screen immediately, and there was a sound of gasping for air in the auditorium.

"My God, is this a lateral developmental tumor?"

"I can see the chicken skin coming, it's too nasty, why are there so many?"

"I'm going to die. How can I remove so many tumors? This is not cutting leeks. If the pedicle (root) of the tumor is not removed, the operation is meaningless."

"Don't quarrel, don't quarrel, let's see what Dean Chen Qi does, or why is he a director of WGO?"

So some people are waiting to see, but the vast majority of doctors still think that traditional surgical resection is the solution to both the symptoms and the root cause.

Of course, whether the patient’s life is inconvenient after the operation has nothing to do with the doctor. The doctor is only responsible for the disease you are suffering now, regardless of your future life.

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

"Everyone knows the patient's intestinal condition. Today we will adopt a brand-new endoscopic surgery, using ESD, EMR, and POEM respectively. After learning these three operations, basically more than half of the diseases of the gastrointestinal tract will be treated. They can all be resolved endoscopically without traditional surgery.”

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

"Damn, is Chen Qi so crazy?"

"He was a surgeon himself, and he actually took his own life?"

"No need for surgery, they eat farts in internal medicine, and they will use their mouths!"

Compared with the anger of the surgeons, the physicians are like drinking a can of ice soda in summer, which is very refreshing:

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

"From now on, surgery will be internalized. Why do you want them to be idiots?"

"The Department of Gastrointestinal Medicine has a WGO director and a committee member, and Professor Wu Mengchao is the only one in their surgery department, which is far behind our internal medicine department."

Chen Qi didn't know what happened in the auditorium, he just started the operation according to his own operation rhythm.

"Okay, now we can start the operation right away. Before the operation, I will inform everyone that today my operation will not be completed within 10 hours, so everyone arranges the board and lodging by themselves. If there is no train to go home by then, don't be homeless. street."

As soon as these words came out, the surgeons and surgeons all looked at each other in blank dismay. You looked at me, I looked at each other, and felt a little scary.

The operation of more than 10 hours is a 4A+ level of difficulty operation, and there are really few doctors who can bear it.

In fact, Chen Qi didn't have any confidence. He was afraid that he would faint due to hypoglycemia or exhaustion during the operation. Then the operation would not only fail, but 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, and even the Ministry has called to ask for more copies.

So Chen Qi's operation today is only allowed to succeed, not to fail.

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

Surgery begins.

I saw that Chen Qi ligated the root of the first protruding tumor at the rectal opening, and then quickly cut it off with an electric knife, and quickly took out the detached tumor with tissue forceps. This is 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 saline to beat around the tumor to make the tumor more protruding, and then used a special electric knife to dig out the tumor like jelly. It is ESD technique.

Chen Qi's hands are fast. After all, there are so many tumors, it's not like before. Each operation takes half an hour, and it will take days and nights to dig out dozens of hundreds of tumors.

Don't say that the patient can't bear it, and the doctor will be 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, and all of them held their breath and stared at the big screen without moving their eyes.

When the operation reached the fifth tumor, it was found that the tumor had not "broken out of its shell", but the mucous membrane had obviously protruded, indicating that there was a laterally developing tumor inside the mucous membrane.

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

All the doctors in the operating room and the auditorium were stunned by this series of operations.

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

Laymen watch the doorway, and experts watch the fun. Zhang Weizhong knows that Chen Qi has performed exceptionally today, and he has also worked hard for this operation.

I just don't know if my physical strength can keep up.

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

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

"Yes, Dr. Chen performed this operation very easily, but there were too many tumors. It seems that this is a hard work."

"Don't look at what Dean Chen did easily. In fact, the risk is very high. If you are not careful, you will suffer from massive bleeding and perforation. During the Chinese New Year, there was a foreigner who overreached and wanted to do endoscopic surgery, and ended up with a big perforation."

"Old Zhang, what should we do? Are we surgeons really useless in the future?"

"Good guy, endoscopy can operate on the upper and lower digestive tracts, so what can we do in the future in gastrointestinal surgery? Do we all switch to internal medicine?"

The operation lasted for 2 hours, and some doctors could not sit still, frequently ran to the toilet, or went to smoke a cigarette.

Four hours into the operation, many doctors were so hungry that they ran out of the auditorium to find something to eat.

And Chen Qi had already stood for 5 hours, and at this time his physical strength reached the first limit.

It's not that Chen Qi hasn't had surgery for a few hours, or even more than ten hours, but that requires changing channels. Before the next patient comes in, the doctor can rest for a while.

Like the provincial hospital in his previous life, there is also a small restaurant in the operating room. The doctor can go to eat something when he is hungry, and he can go to the stage for surgery when he is full.

But like today's continuous surgery, or a motionless surgery, he really hasn't experienced much.

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

He has to cut hundreds of tumors today, and there are hundreds of possible perforations. Chen Qi has to be more careful.

Jin Meng next to him couldn't stand it anymore, and hurried to the anesthesiologist.

"Teacher, can I borrow your stool?"

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

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

Jin Meng blushed: "It's not me sitting, I want to sit for Teacher Chen, I have to let him conserve his strength, the operation is not even halfway through."

When the anesthetist heard that the chair was for the director, he immediately felt embarrassed, and at the same time, he was a little annoyed why he didn't take the initiative to give up the stool to flatter the director. Someone else took such a good opportunity.

After Chen Qi cut off a tumor again, Jin Meng appeared in time:

"Ms. Chen, why don't you sit and do the surgery."

The reason why Chen Qi didn't sit down was because the endoscope monitor was placed higher on the shelf, so he could keep his eyes on the same plane as the screen while standing, and he didn't look tired.

But the eyes are not tired and the legs are tired.

"Hey, it's still Xiaomeng who is caring, okay, then I'll sit for a while, oh my god, I have to sleep with him for three days and three nights after today's operation, by the way, find a stool for Teacher Zhang too."

Zhang Weizhong, a former professor of Fudan University, has been helping Chen Qi to fight, and at the same time observing Chen Qi's methods.

But after all, due to insufficient practice time, I dare not do experiments on patients for the time being, especially this kind of surgery that the national health system is paying attention to.

"Jin Meng, I don't need a stool. One more stool adds another source of pollution, but it's hard work and you have to stand for more than ten hours."

In order to train his master students, Chen Qi specially asked them to follow the stage of surgery, and had to stand there like the chief surgeon, to let them feel the difficulty of surgery in advance.

It can be seen that these students are quite hard-working, and they didn't complain a single word throughout the whole process. Even if they were tired, they would alternate feet and rest.

Another female student in the master's class, Teng Yuqin, also patted a few words of flattery at the right time:

"Ms. Chen, it would be great if we already know how to perform endoscopic surgery. You don't have to work so hard. One person can do the whole process of each operation."

Chen Qi continued to operate without moving his hands, but he quite agreed in his heart:

"Xiaoqin is right on point. If this operation comes next year, everyone will probably be proficient in operating endoscopes. By then, we will be on stage for half an hour, and the operation will be completed smoothly. So, you have to hurry up." Time to study hard.

In addition, I would like to tell you another thing. From the next semester, I decided to enroll two advanced endoscopy classes, one for domestic and one for foreign countries. Each class has a quota of 20 students. However, the refresher class is clinically important, and you must learn both clinical and theory. "

It is a predetermined plan for Chen Qi to set up an endoscopy class. After all, there is a demand for this at home and abroad.

It was delayed because of insufficient preparation work before, but now the new building is under construction, the multimedia classrooms and dormitories have been remodeled, and the next step is to recruit students.

Of course, the requirements for admissions at home and abroad are different. For example, the tuition fee for domestic endoscopy training courses means nothing.

But foreign doctors come to study endoscopy, ahem, anyway, Chen Qi is going to kill him hard.

While chatting casually, Chen Qi was actually trying to distract himself, because the fatigue from continuous work had become more and more intense.

At the seventh hour of the operation, he took a 5-minute break and continued on stage.

When it was the ninth hour, Chen Qi sat there and rested for 10 minutes, and drank a bag of glucose solution to replenish his energy.

When the operation reached the 10th hour, the sky outside had already begun to darken.

All the people watching the operation in the multimedia classroom were staggering. Except for a few who were still watching the big screen, most of them were already so tired that they fell asleep on the desks and chairs.

Professor Tong looked at his watch, and then at the screen of "digging the tumor" on the big screen, he admired Chen Qi to the extreme.

He turned his head to look at Director Zhou Qifa who was yawning beside him.

"Xiao Zhou, do you now think Qi Quanlin's surgical endoscope can't be done?"

Zhou Qifa shook his head again and again: "I can do it, I can do it, I have convinced Comrade Chen Qi."

Director Liang Pingjian next to him also said with emotion:

"No one can succeed casually. Comrade Chen Qi not only has creativity, ideas, and ability, but more importantly, he has perseverance. His persistence is worth learning for all of us."