The second operation begins.

The second surgery was actually performed by the same person on two different parts of the body.

Because a stromal tumor was found in this patient's esophagus and a leiomyoma was found in the colon.

Two tumors in two locations, with different properties and sizes, now all need to be removed at the same time.

It can only be said that the Texas Medical Center has too many patients, with nearly 10,000 beds, and you can find the cases the doctor wants if you just search.

Facing the camera, Chen Qi asked with a smile on his face:

"Everyone has seen the medical records. Now think about it, if you were the attending doctor and faced with two tumors of different properties, how would you deal with them?"

Chen Qi deliberately left a blank space to give everyone time to think, and suddenly there was a lot of discussion in the venue.

For gastrointestinal specialists, stromal tumors and leiomyomas are relatively common tumors, but if you are a gastroenterologist, you can only spread your hands and express your inability to do anything, internal medicine PASS.

Gastrointestinal surgeons are more excited, and this is often the time for surgeons to shine.

The operation is relatively simple, that is, use a scalpel to cut open the chest, use tools to fold the sternum and ribs, then cut open the esophagus, remove the tumor, and finally splice and fix the bones, closing and suturing layer by layer.

The same goes for the bottom, first open the abdomen, incise the omentum, find and cut open the colon, take out the tumor, and continue to suture layer by layer

To put it simply, two surgeries are performed at the same time, both in terms of difficulty and risk.

Chen Qi asked again:

"If two incisions are made in the chest and abdomen at the same time, or some doctors just make one big incision, how long will it take to perform two surgeries? The patient's trauma, postoperative recovery, medical expenses, and accidents caused by too long anesthesia time are unknown.

Do you know if any doctor can help me answer this question?"

In the venue, a gastrointestinal surgeon stood up and took the microphone:

"If I were to do it, the two operations would take at least five hours including anesthesia time. The pure operation time usually takes about three and a half hours, and the incision would be relatively large. In order to fully expose the incision, it would need to be at least 40cm.
p>

A drainage tube needs to be placed for gastrointestinal decompression after the operation. It will take at least a week before discharge can be considered, but it will take at least a month to get out of bed. As for the medical expenses, I think this is not a matter of concern to our doctors. Let the insurance

Companies go cry."

Hehehe·~~~

There was a burst of chuckles in the venue, obviously everyone agreed with the doctor's statement.

When the members of the Chinese delegation heard this, they were filled with envy. Look, doctors don't have to worry about medical expenses and can just do the surgery safely. How happy this is.

Chen Qi was not in the main venue, but there were staff members who transmitted everything in the venue through mobile phones.

Facing the camera, Chen Qi nodded slightly:

"Thank you, professor, for your answer. We focus on three key points. One is that traditional surgery takes about 4 or 5 hours, the second one requires more than a month to recover after surgery, and the third surgical incision is 40cm long."<

/p>

The people present were all experts and professors, and everyone understood that if these three points were exceeded, it meant that the difficulty of the operation had reached level 4.

As long as there is surgery, there is uncertainty. Surgical accidents and anesthesia accidents may kill the patient. The higher the level, the higher the mortality rate.

Seeing that the atmosphere was almost flattering, Chen Qi continued:

"I also selected this patient last night from hundreds of medical records. The preoperative preparation and plan were not that complete. You can also believe that I have no time or possibility to cheat, and everyone can supervise it.

So what I will do next is, I will complete the patient’s esophageal stromal tumor resection and colon smooth muscle resection within one hour, and there will be no wounds. He can still be discharged from the hospital 3 days after the operation.”

Chen Qi's awesome bragging caused another uproar in the main venue.

The gastrointestinal surgeon who just spoke is a famous surgical professor in England, and he already represents the top level of surgery.

He said that it would take 4 or 5 hours to perform two combined surgeries, but now a doctor from a Chinese primary school actually said that it could be completed within 1 hour, and there were no wounds.

If this was not the scene of the WCOG conference, everyone would definitely think that Chen Qi is a medical liar.

Even the old professors in China exclaimed that it was impossible.

Professor Liang Chengwu from Union Hospital said softly to Professor Tong next to him:

"Xiao Chen is so bragging. He completed two operations in one hour. I really can't imagine it. It takes a lot of time just to search for two tumors in two locations. If you are not lucky, you can do it."

It is common for surgeries to take 5 or 6 hours."

Professor Tong has inexplicable confidence:

"That's not necessarily true. If someone dares to brag in front of so many people, he must have a lot of tricks up his sleeve. Let's wait and see."

Over there, Professor Jin Puze from South Korea was also whispering to Professor Hendricka Asan beside him:

"Mr. Xiangde, in your Asan country, how long does it take to complete these two surgeries at least?"

Professor Asan's dark face was a little red: "This, this, usually takes about 4 hours."

In fact, how much better is the medical level in Asan than in China?

He is famous for his generic drugs, and his homework skills are even better than Chen Qi's, but when it comes to surgical skills, Asan's rich people go abroad to treat diseases anyway.

Jin Puze curled his lips. As a stickman, he also looked down on Asanguo and felt that the words of these people smelled like curry.

"If you let me do it, my limit is 3 and a half hours!"

After saying that, Jin Puze puffed up his chest, but did not hear the expected praise.

Dr. Ah San didn't hear what Dr. Bangzi said at all, because Chen Qi's surgery had already started at this time, and everyone's eyes were attracted.

I saw Chen Qi first pick up the gastroscope and poke it into the esophagus.

The camera at the front end of the gastroscope quickly moved down and quickly found the bulging mucosa on the esophagus. Doctors from all over the world knew that the tumor had been found.

This chapter is not over yet, please click on the next page to continue reading!

If it is a traditional surgery, the tumor will usually be found based on the image report, and it will also need to be felt with hands. It is not as clear as a gastroscopy, which is also an advantage of endoscopy.

Once the tumor is found, a problem arises. The tumor is not on the surface of the mucosa, which can be easily removed, but inside the mucosa, which is equivalent to a dissection.

If Chen Qi were to incise the esophageal mucosa now, this would actually violate the principle of non-invasive or minimally invasive endoscopic surgery, and the skin would be broken as soon as it was blown out.

At this time, two-thirds of the doctors in the main venue were watching. Everyone wanted to see how this Chinese doctor would deal with it?

Are you ready to retrieve things remotely?

Professor Grace had already seen Chen Qi's surgery in full, so he was not worried at all. He still smiled knowingly when he heard the various speculations from other colleagues, and everything was under control.

On the big screen, everyone saw that after finding the tumor, the gastroscope retracted about 8cm, and then the electric scalpel head gently made a small incision in the mucosa.

In this way, the later-famous POEM "tunnel technology" appeared for the first time at an international academic conference.

Many doctors have their mouths wide open and their minds filled with questions.

Many doctors still didn't close their mouths until they saw Chen Qi opening up the tunnel, directly removing the "tumor" between the mucosa layer and the muscle layer, and then taking it out through a small incision on the mucosa, and then taking it out through the mouth.

At this time, the voice from the operating room came from the big screen:

"After measurement, the diameter of the stromal tumor reached 3.1cm, and it took a total of 20 minutes."

Oh·~~~

There was a burst of exclamation in the conference hall, and before everyone could react, Chen Qi began to adjust the patient's position and put on the colonoscope.

The surgical method is the same. It also involves finding the location of the tumor through a colonoscope, then digging a tunnel to dig out the tumor, and finally closing the wound with titanium clips.

Just when everyone was still experiencing this "tunnel technology", the sound of the operating room appeared on the speakers again.

"The leiomyoma is 2.5cm in diameter and the total time taken is 31 minutes."

The main venue was silent as everyone thought of Dr. Chen's bragging before the operation: "I will complete two operations within one hour."

At this time, Professor Bradrick's excited voice appeared on the speaker again:

"The esophageal stromal tumor resection took 20 minutes, and the colonic smooth muscle removal took 31 minutes. The two operations took a total of 51 minutes, and there were no obvious wounds. The patient's vital signs were stable. I declare that the operation was successful!!!"

From the speakers, cheers erupted from the operating room.

In the quiet main venue, every doctor's mouth opened wide and could not be closed for a long time. Except for a handful of doctors who had seen Chen Qi's surgery, all of them were shocked.

Kim Po Taek from South Korea and Hendricka from Asam Kingdom, their heads are all buzzing.

He kept mumbling to himself: "How is this possible? How can there be such a top doctor in China? This must be like making a movie."

There were definitely not a few people in the venue who had this idea.

Professor Grace stood up, looked back at the world's top gastroenterologists, and said slowly:

"Technology changes the world, and technology changes the future. Professor Chen Qi's new endoscopic surgery will change the diagnosis and treatment of our gastrointestinal system. From now on, there will be a third treatment method between conservative internal medicine treatment and traditional surgery, endoscopy."

!

All of you here are the world's top gastroenterologists. Have you ever thought about whether when you were young, you sacrificed everything for the pursuit of new technologies and dedicated yourself to the health of patients? Now that you have become famous, you have become conservative.

Instead, they become blockers of new technologies?"

Shantouism and academic cliqueism are definitely not domestic patents.

Relatively speaking, it is more obvious in foreign countries, even because major pharmaceutical companies are intensifying their efforts for their own interests.

Some doctors not only want to prevent Chen Qi's endoscopic surgery from being promoted, but also want to prevent Chen Qi from entering the WGO Board of Directors.
To be continued...