Since 1981 Health School

At this time, Chen Qi was still having the gastroscope, and said into the microphone:

"Okay, now I see the cardia, it is very loose, have you seen it? The size of the cardia is at least two mirror tubes. It is because of such a serious relaxation of the cardia that the contents of the stomach will continue to flow up from the stomach. , Corrosion of various organs.

According to the traditional gastric plication operation, this circle of stomach must be folded up, tightly wrapping the esophagus, so as to achieve the goal of tightening the cardia. But such a side effect is that if the wrapping is too tight and the tie is too tight, it will lead to obstruction of the entrance of the esophagus, and the side effects are very serious.

So now I have an optimal treatment plan, which is to enhance the function of the anti-reflux barrier as much as possible without changing the anatomical structure. I call this new operation 'Lanjuan's modified fundoplication'... "

As soon as Chen Qi said this, hundreds of doctors in the auditorium burst into laughter.

In the operating room, Lan Lijuan blushed, annoyed and amused that her husband came suddenly, without even discussing with her beforehand.

"Chen Qi, you..."

Old Guo suppressed a smile to help Chen Qi: "Ahem, pay attention, this is a live broadcast, and the videotape will be broadcast internationally to doctors from all over the world. It must be serious."

Lan Lijuan had to bite her lip when she heard this, thinking that she must kill this second child Chen when she goes back.

(Chen Qi looked surprised: Is it really possible? Biting? Is there such a benefit?)

Surgeons have very broken mouths, and they like to joke with their colleagues and play all kinds of tricks when they are performing operations. They are not as serious and quiet as everyone sees on TV.

Of course, there are times when doctors are serious. For example, if the operation is wrong, or the prediction is wrong, or the operation is too much to handle, this is not a good thing.

Chen Qi was a surgeon for two lifetimes, and he also liked to joke around. At the same time, he named a "new surgery" after his wife. This is an honor that will be included in textbooks, but not everyone can enjoy it.

Chen Qi and Lan Lijuan are not short of money now, what they lack is fame and prestige, so "fostering hope" is very important and will be of great use in the future.

"Okay, now everyone is optimistic. I am going to start the operation officially. This operation is divided into three steps. The first step is to extend the abdominal esophagus; the second step is to fold back the stomach wall and fix it on the The outside of the esophageal wall; the third one I will do a His angle reconstruction.

A fundamental difference between this improved operation and other fundoplications lies in the reconstruction of the His angle. This is very important. I will explain it to you while performing the operation. In fact, the principle is very simple and can be broken at one point. Think more. "

After Chen Qi finished speaking, he started to turn the folding device, and everyone saw a tube protruding from the front end of the gastroscope.

Moreover, the tube will magically turn and bend backwards 180 degrees to form a U-shape.

A suction device is used to fix the gastric mucosal wall, and then the gastric wall is folded up as the U-shaped tube is lifted up.

Up to this point in traditional surgery, manual suturing is required, but Chen Qi just pressed a switch on the gastroscope, and the polypropylene buckle popped out automatically, fixing the stomach wall and esophagus wall.

Just this step alone, whether it is the directors watching in the operating room or the doctors staring at the TV screen in the auditorium, they are all amazed.

Chen Qi then began to perform esophageal lengthening and His angle reconstruction.

Everyone didn't dare to blink their eyes. They witnessed what is called "endoscopic surgery". It turns out that the surgery can also be done without clamps or knives, as long as the tubes are constantly replaced and inserted in and out of the gastroscope.

All the doctors who were still questioning in the venue also shut up, and if they didn't shut up, they would be slapped in the face.

I don’t know which doctor said it before. A stick can be operated on and he eats shit upside down. There is a lot of shit in the septic tank of the People’s Hospital.

In the past, they were sold to farmers in the countryside. How much is a boat of excrement? Now someone in the hospital should eat it by themselves, which may not be enough...

After Chen Qi fixed the last polypropylene buckle and checked the surgical wound for the last time, he straightened up in satisfaction.

"Okay, the operation has almost been completed at this stage, and everyone has seen that I have extended this section of esophagus to use the positive pressure of the abdominal cavity. The more esophagus is pressed against the wall, the stronger the esophageal resistance will be. .

And focus on using the stomach wall to create the His angle, which is to let the stomach fundus lean against the lower end of the esophagus, so that the pressure of the gastric fundus can be transmitted to the lower end of the esophagus, and let them resist reflux by themselves, so that the reflux caused by the relaxation of the cardia can be compensated.

This is the Lijuan modified fundoplication that I pioneered today. Through this endoscopic surgery, everyone should already know how endoscopic surgery is performed. Next, I will give several lectures on this new technology. Those who are interested can come and listen.

Thank you for watching, the live broadcast ends here. "

The traditional gastric plication takes about 3 hours, which is considered a large and medium-sized operation, so many doctors put water in advance and prepared to do a big job.

Good guy, it took less than an hour for Chen Qi to use the endoscope for the whole operation.

While everyone was still trying to figure out what endoscopic surgery is, the chief surgeon actually said that the surgery had been completed?

Seeing Chen Qi who was already pumping the gastroscope tube, Lao Guo asked in surprise:

"Hey, Chen Qi, is this over for you?"

Chen Qi asked a little strangely:

"Well, the operation is over, and it's very successful. We'll know how the effect is later, but we still need to cooperate with the anti-inflammatory and anti-gastric acid treatment of internal medicine. This is Lijuan's business, and it's over here."

Surgeons, you look at me, I look at you, and dare not say a word.

Physicians were a little excited. Isn’t this just the next tube? Physicians know how to operate gastroscopy. Does it mean that there will be no need for surgeons for digestive tract operations in the future?

Director Jia was the first to applaud: "It's amazing, it's Dean Chen who is the best, it's an eye-opener."

Cai Fengyao, director of the First Internal Medicine Department, also applauded and shook his head slightly:

"It's really amazing. There is no need for an open laparotomy. The risk of surgery has plummeted, and the patient's injury has also plummeted. It seems that we are really too outdated..."

In comparison, the clapping of the surgeons was a bit weak, and they all began to feel anxious.

Endoscopy can really perform surgery, so where should surgeons go?

Professional doctors are often experts. They know that although Chen Qi is just holding a few tubes to do this and that a few times, it requires solid anatomical knowledge and proficiency in gastroscopy.

In traditional surgery, the hook is pulled, and all the organs in the stomach are displayed in front of the doctor's eyes, which is very macroscopic.

But this kind of gastroscopic surgery only sees a small screen with a very small field of view, and there is a lot of blood and body fluid in it. Sometimes the lesion can not be seen clearly. How to operate?

Therefore, endoscopic surgery is far more difficult than traditional surgery.

These old directors are all self-aware. This new technology can’t be used just by bragging. I can’t keep up with my eyes, physical strength or brain. Is it true that they are going to be eliminated as everyone joked before? up? "

Compared with the silence in the operating room, the auditorium exploded, and there was instant warm applause.

"Principal Chen is really a genius, such a difficult operation can be done without laparotomy, I am convinced!"

"I haven't even thought about it. The operation is over? Is endoscopic surgery so simple?"

"It's simple, Dean Chen must have studied in a foreign country, how can we country bumpkins understand?"

"Surgery, listen up, let's see if you are good in the future, haha."

"Internal medicine, it's as if you can do endoscopic surgery, go and go, don't make fun of anyone."

In fact, no matter whether it is an internal medicine or a surgeon, the inner shock is indispensable at this time. Some smarter doctors have decided to take part in the next special training class of Dean Chen and prepare to engage in endoscopy.

When Chen Qi walked out of the operating room, he was quickly surrounded by his family members, even the silly elder sister was waiting at the door, and when he saw his brother coming, he was the first to rush up, more anxious than other family members.

"Second, how's it going? How's Uncle Agou?"

"Dean Chen, is my dad's operation successful?"

Chen Qi took off his mask and smiled, looking very relaxed:

"Sister, don't worry everyone, Boss Wu's operation was very successful, and because the stomach was not cut open, the surgical trauma was very small, so the recovery will be faster. In a few months, Boss Wu will definitely be fat again. .”

"Okay! Thank you so much, Dean Chen~~"

"Thank God, thank God~~"

Wu Agou's family members hugged happily. After so many years of torture, people who have never experienced this kind of feeling can't understand it once they are cured.

Wu Agou's eldest son was more sensible, and he shouted:

"Hurry up, send all the souvenirs, send them, uh, Dean Chen, we have prepared some souvenirs for you, they are not worth much, where do you want to send them?"

Chen Qi was a little flustered, is your local product native or not? Don't want Zhonghua cigarettes to be stuffed with RMB, and Moutai wine boxes to be filled with gold bars. This is a crime.

"Uh, this, this, what kind of souvenir is it? It's too expensive and I don't dare to accept it."

"Hey, Dean Chen, don't worry, who doesn't know that you are high-spirited and bright, and you never collect red envelopes from family members. What we send are some cured chicken sauce duck and dried fish. I heard that Dean Chen likes bacon the most, so we will prepare Some, worthless, worthless."

When he heard that it was bacon, Chen Qi felt relieved. Although this thing is worth a little money, it is indeed a local product, and it will be fine if someone reports it.

"Okay, then I'll be lucky, you can send it to the Department of Gastroenterology."

"Okay."

As a result, when Chen Qi went to the Gastroenterology Department for rounds in the afternoon to see how Wu Agou's surgery was recovering, as soon as he entered the department, the air was filled with the strong smell of bacon sauce.

Even the smell of disinfectant is hard to cover.

When Chen Qi saw the mountains of soy sauce in the warehouse, he couldn't laugh or cry.

"Head nurse Wang, how many of these do you have?"

Wang Yumei also couldn't laugh or cry, she has been a nurse for decades, she has seen gift givers, but she has never seen so many presents.

It can only be said that the Wu family is too arrogant, the kind of arrogant and inhumane.

"Dean Chen, I have counted everything. There are 50 bacon chickens, 50 sauced ducks, 20 air-dried hams, 20 dried snail herrings, and 10 sauced pig heads."

Chen Qi was stunned. This was not only a large number, but also a huge sum of money in terms of money.

Among other things, this snail green alone weighs at least ten to twenty kilograms and is more than one meter long. This fish can't be caught without 20 yuan.

Lan Lijuan and Ma Xiaona also came over when they heard the voice, especially Ma Xiaona, seeing Chen Qi, an old classmate, couldn't straighten up laughing:

"Dean Chen, how are you doing? Are you able to finish all the bacon? The little girl is willing to help you eat it up if you can't finish it."

Chen Qi sighed:

"Forget it, it's not easy for the Wu family to get so many local products. It's hard for them to find out what I like to eat. I will be angry if I say no. In this way, Lijuan, you can withdraw 1,000 yuan later. Charge to Boss Wu's hospitalization fee."

Lan Lijuan nodded with a smile, she was not a person who likes to be greedy for small things, not to mention that the family lacked everything, except money.

Chen Qi was still a little worried:

"But there are so many sauces in our family, we can't finish them. My eldest sister doesn't open a shop anymore. How about this, head nurse, count how many people you have in the Department of Gastroenterology, and share a little for each of you."

"Okay, Dean Chen!"

Ma Xiaona excitedly ran to the office and the nurse's station and shouted loudly:

"Hurry up, hurry up to the warehouse. Dean Chen is giving out benefits to everyone. Get what you want to eat by yourself. If you don't go to work today, bring some for them."

Deputy Director Zhou Jin was delighted to hear this:

"Hey~~ I heard that when Dean Chen was in the Fourth Hospital, the patients gave him a lot of souvenirs, and he would distribute them to the staff in the hospital. Now it's finally our People's Hospital's turn, and everyone can enjoy the blessings in the future."

On this day, the Department of Gastroenterology is the same as Chinese New Year. Whether it is a doctor or a nurse, everyone has a share. This one is carrying two chickens, and the other is carrying a dried fish. Everyone is very happy.

And Chen Qi was like the little doctor when he just graduated, carrying hams and pig heads, and giving gifts to the leaders of the hospital.

I have seen subordinates give gifts to the dean, but I have never seen the dean give gifts to subordinates, and it became a joke in the hospital for a while.

Still the same, when Zhu Huoyan saw Chen Qi who was giving the gift, he didn't say anything, and went home with a ham in his hand.

Lao Guo picked a sauced pig's head, and was very happy:

"Okay, this thing is best served with wine and food, so I'm not going to be polite. By the way, your operation is very successful. Can you promote it in our hospital? If it is done well, we will be the first in the country. The first hospital to carry out endoscopic surgery."

The old man never forgets his political achievements.

Chen Qi shrugged:

"There is no problem in promoting technology in an all-round way. The problem lies in the equipment. Our hospital's endoscopic equipment is not good. It is almost supported by second-hand tools from the Mayo Clinic. I have to find a way to get a batch of the most advanced endoscopes. Say it again."

Old Guo Hun didn't care: "Okay, anyway, you can build the machine. The hospital doesn't have much money in its account. You can figure out a way yourself. Let's make an agreement. I'll be in charge of the inside, and you'll be in charge of the outside."

Chen Qi rolled his eyes: "I might as well pay for it myself."