Chapter 606 Super long surgery

In the endoscopy operating room.

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

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

Chen Qi nodded, he was 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 couldn't 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's a bit cumbersome. I will give you a 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 moved when he heard this: "Okay, then I will trouble Dean Chen."

"Anesthesia, go!"

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

Because of 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 a teaching operation, where it is necessary to collect TV sets from the whole hospital, and then a lot of wires are spread all over the floor, which is neither safe nor convenient.

Now it's all right. Once the live broadcast equipment is in place and the big screen is turned on, the video and audio are transmitted simultaneously. The auditorium is exactly the same as the scene in the operating room.

"Attention all units, the endoscopic radical operation for laterally developing tumors of the large intestine is now officially started, please keep quiet."

There was a sound from the stereo, and the auditorium suddenly fell silent.

At this time, Chen Qi started 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 took out 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 first use a colonoscope to show you what the patient's inner large intestine developmental tumor looks like, and then think about it, if you were the surgeon, which treatment plan would you adopt? "

After finishing speaking, Chen Qi sent the colonoscope into the rectum, and the scene of the **** 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 goosebumps 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 surgery is the only solution to treat the symptoms and the root cause.

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

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

"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, how could he take his own life?"

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

Compared to 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?"

"Surgical operations will become internal medicine in the future. Why do you want them to be a group of idiots?"

"The Department of Gastroenterology has a director and a committee member of WGO, and Professor Wu Mengchao is the only one in their Department of Surgery, which is far behind our Department of Internal Medicine."

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 in 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 and I looked at each other, and felt a little scary.

Surgeries that take more than 10 hours are all 4 difficult surgeries, and few doctors can bear to do them.

Actually, 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, not knowing what he was thinking.

Operation begins.

I saw that Chen Qi ligated the first protruding tumor root 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 hand speed is very fast. After all, there are so many tumors, it is not like before. Each operation takes half an hour, and it will take several days and nights to dig out dozens of hundreds of tumors.

Don't say that the patient can't bear it, 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. At this time, they all held their breath and stared at the big screen with their eyes motionless.

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 in the mucous membrane.

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

This series of operations stunned all the doctors in the operating room and the auditorium.

Zhang Weizhong looked at the wall clock on the wall. It took only 10 minutes to dig a tumor. It 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 are 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 overestimated his capabilities 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, upper and lower gastrointestinal endoscopy can operate, so what can we do in gastrointestinal surgery in the future? Do we all switch to internal medicine?"

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

The operation lasted 4 hours, and many doctors were so hungry that they ran out of the auditorium to find food.

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 an operation for several 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.

However, continuous operations like today, and still immobilized operations, 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 also hundreds of possible perforations. Chen Qi has to be careful.

Jin Meng next to him couldn't stand it any longer, 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, can't stand still at 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 anesthesiologist heard that the chair was for the director, he immediately felt embarrassed. 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.

When 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 was because the endoscope monitor was placed on the shelf relatively high, 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, Xiaomeng is caring, okay, then I will sit for a while, 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 and 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 operation that the national health system is paying attention to.

"Jin Meng, I don't need a stool, one more stool is one more 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 for surgery, and he had to stand there like the chief surgeon to let them feel the difficulty of the operation in advance.

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

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

"Mr. 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.

Another thing to tell you, starting next semester, I decided to enroll two advanced endoscopy classes, one for domestic and one for foreign countries, each class has 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 are demands in this area both at home and abroad.

Before, it was delayed due to insufficient preparation work. 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 advanced endoscopy courses in China is the same.

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

Chen Qi chatted casually, in fact, to distract himself, because the fatigue of continuous work has become more and more intense.

At the 7th hour of the operation, he took a 5-minute break and continued on stage.

When it was the 9th hour, Chen Qi sat there and rested for a full 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.

In the multimedia classroom, all the people watching the operation 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 tumors" on the big screen. He admired Chen Qi so much in his heart.

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 Sting next to him also said with emotion:

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

(end of this chapter)