Since 1981 Health School

  Chapter 605 Preservation of the **** and anus

  Chen Qi is going to give Qi Quanlin a colonoscopy.

  This examination is originally a very simple matter, but the complexity 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 never seen a few cases.

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

  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 bear it one by one, so they all surrounded Qi Quanlin in the ward.

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

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

   "That's right, Lao Qi, I said you are not mean enough. One person crossed half of China and came to this coastal area. If there is someone who doesn't even have a relative around, we just happened to be here. 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 hey, isn't this a rare tumor like yours, and it's rare for us to come across one."

   "That's right, Lao Qi, don't worry, we will never spread this matter, let alone go 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 **** and **** 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 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, there's nothing I can do about it. Our surgery is a one-shot operation. My **** and **** 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 Enlightenment is clearly 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 Jingjing is a physician, and he is happy to hear it:

   "That's right, in the future we will rule the world in internal medicine, and all of you will clean the toilets and do logistics. I promise not to let you idle, hahaha."

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

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

   As surgeons, few have a good temper, 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 receiving treatment, and the doctors in Xijing Hospital are all top-notch. Will there be more people and more ideas, maybe it will be good for his operation?

  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."

  As soon as Qi Quanlin agreed, Liang Pingjian and Zhou Qifa were very happy:

   "Okay, okay, teacher generally!"

   "Old Qi, you are right. We don't want to let our fat water go to outsiders' fields. We can't just let the Yuezhong doctor 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 could no longer brag.

  Endoscopic examination room.

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

  The displays 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.

  If a person with intensive phobia can't bear 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 all tumors in the intestines, how could this be?"

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

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

  Everyone started to talk about it, and there was only one central idea. Either death or surgery was the only way. This view was obviously agreed by all physicians 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.

  Ultrasound endoscopy is a digestive tract examination technology that combines endoscopy and ultrasound.

  During the examination, first place the miniature high-frequency ultrasound probe on the top of the endoscope, and when the endoscope is inserted into the body cavity, the endoscope can directly observe the gastrointestinal mucosal lesions.

  At the same time, the ultrasound under the endoscope can also be used for real-time scanning 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 endoscopy, 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 must 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 ultrasound 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 an obvious sign of the base layer of the mucosa.

  If it has become malignant and the area is 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 there is invasion of the submucosa, then endoscopy is meaningless, and the only option is to perform a total surgical resection.

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

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

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

  Old 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.

   Chen Qi replied while continuing the ultrasound examination:

   "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 hope that their fellow and colleague will have a good result.

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

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

   "Chen Qi, you haven't had a pathological 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, all 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."

  Actually, Chen Qi was talking nonsense, and the others half-understood after hearing it, so they didn't pursue it.

  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's eyes turned to Chen Qi. Anyway, no matter whether they were physicians or surgeons, everyone believed that Qi Quanlin's condition was only suitable for surgical resection.

  Everyone just wants to see if this Dean Chen has any shocking disagreements?

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

   "Director Qi, you have taken 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 **** can be preserved."

  Qi Quanlin's eyes widened all of a sudden: "Is this 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 questioning:

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

  Old 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.

  At present, there are only one and a half doctors in Vietnam People's Hospital who can perform endoscopic surgery.

  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 couldn't pee or eat, and he 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 is not worried about the surgical skills at all. This operation can be done with only three new surgical methods.

  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.

  It is true that 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 the intestines, and they are removed one by one like mine clearance. How long will it take? This is completely a grind.

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

  Chen Qi from Vietnam Hospital of Traditional Chinese Medicine was going to perform endoscopic surgery on Qi Quanlin, a surgeon from the First Affiliated Hospital of Xi’an Jiaotong University. Gossip news 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 planned to use the "medical method" of endoscopy to treat lateral developmental tumors, they all expressed disbelief.

  Even physicians don’t believe it, so everyone is eager to try and see for themselves how Chen Qi performs 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 they 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 of breakfast, but he wanted to eat it but dared not.

  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 toilet, so you should prepare more food tonight. I think I will faint from hunger when I get off the operating table."

  The tragedy of the surgeon lies in this, 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 areas above the waist, below the shoulders, hands and arms, and before the midaxillary line on both sides are sterile areas and cannot be touched.

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

  Many people see the surgeon sweating on TV, and the gentle little nurse next to him wipes it off. Many people think this behavior is very ambiguous.

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

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

  (end of this chapter)