Back in 2002 as a doctor

When it comes to calling the wind and calling the rain, Director Zhu Junzhu has nothing to do with him, as long as he chooses to lie flat.

But Huang Lao can get Dr. Laurent fired with one word, ruining his future.

And after this academic meeting, Dr. Laurent will become a laughingstock in the academic world, if not for the rest of his life, at least for 10 years he can only exist as a joke.

It's so cruel, Lu Tiancheng thought.

But when he recalled Dr. Laurent's PPT before, Lu Tiancheng felt that he was too kind of a woman.After all, Dr. Laurent was provocative and denied the ESD technology. Mr. Huang just argued with reason.

But why did Mr. Huang go?

"Academician Chu, what did Mr. Huang do?" Lu Tiancheng asked in a low voice.

At this time, his mood was extremely complicated, and he even felt that if he spoke a little louder, he would be crushed by Huang Lao's "Tathagata Palm".

"I don't know." Academician Chu was also curious, his eyes fixed on the door of the conference room.

A few minutes later, Mr. Huang came back.

He walked to the front of the stage, holding a microphone and said, "There just happened to be a patient with a problem in the physical examination who needs to be checked to see if he can be operated on."

"..."

"..."

"..."

The minds of everyone in the audience went blank at the same time.

What is the old man talking about? !

"I discussed with the patient's family and won the permission to play the inspection and operation video."

Mr. Huang's words were a little awkward, so that Zhou Congwen thought it was weird when he translated it.

However, before and after Zhou Congwen contacted him, his boss went to Switzerland to see an old patient more than ten years ago, and suddenly said that there was a patient who wanted to see if he could have ESD surgery, and the attitude of the three directors of Bordeaux Central Hospital was respectful and arrogant.

It can only prove one thing - it must be a family member in a certain behind-the-scenes family who checked out the problem, and asked his boss to see if he could solve it with a minimally invasive method.

But Zhou Congwen didn't express any emotion, this is also a daily routine for Zhou Congwen.

In the future, Zhou Congwen will have a lot of dealings with these big families behind the scenes, and he won't feel like he "has never seen the world" like Lu Tiancheng or even Academician Chu.

"Zhou Congwen." Huang Lao suddenly asked.

"I'm here." Zhou Congwen turned around with his arms tied, smiling all over his face.

"Can you cooperate with me in ESD surgery for ampullary carcinoma in situ?" Elder Huang asked calmly.

Chapter 1293 More fairy tales than fairy tales, more myths than myths

Zhou Congwen knew that the ampulla the boss was referring to was the ampulla of the hepatopancreas, also known as the ampulla of Vater.

The common bile duct joins the pancreatic duct in the posteromedial wall of the descending part of the duodenum to form a slightly enlarged duodenal papilla.

The common duct of the common bile duct at this location is called the ampulla of the hepatopancreas.

The great papilla of the duodenum refers to the circular protuberance at the lower end of the duodenal longitudinal fold. The big papilla has the opening of the ampulla of the hepatopancreas, through which bile and pancreatic juice are discharged into the intestine.

For ampullary carcinoma, even if it is carcinoma in situ, there is only one possibility in the treatment plan around 2003 - combined pancreaticoduodenectomy.

This kind of surgery, the biggest surgery in general surgery before, was extremely traumatic to the patient, and it was also a watershed-like landmark surgery for a hospital and a surgeon.

Zhou Congwen didn't expect his boss to be so advanced. It would make sense ten years after he met his boss in his last life, but now it's 2003, and the boss has already consciously done so.

Really mighty!Zhou Congwen praised in his heart.

Even if he is as strong as Zhou Congwen, he can only show endless admiration and admiration to his boss.

"Can you do it?" Huang Lao looked at Zhou Congwen and asked again.

"Yes." Zhou Congwen nodded seriously.

"Then you and I will have the surgery." Huang Lao said, "Are you sure about today's surgery?"

Huang Lao asked a nonsensical question.

It should be that the boss is a little tired from the long journey, Zhou Congwen nodded cautiously, "Boss, I'm sure."

"Then you are a practitioner, and I will be your assistant." Huang Lao suddenly thought of something, "Is the article submitted by Academician Chu?"

"Ah."

"Then ask Academician Chu for his opinion."

Zhou Congwen smiled, the boss was still very considerate.

The boss looked very angry just now, but it was just a performance without physical objects, exaggerating an atmosphere.

The boss's temper is very clear to Zhou Congwen. In addition, in the past ten years, he has vowed to work for the people for another 50 years.

Zhou Cong civilized everything, he was not in a hurry, stepped off the stage and went straight to Academician Chu.

The doctors in the audience didn't know what Huang Lao and Zhou Congwen said, and they all waited for Zhou Congwen's translation with their ears pricked up.

"Academician Chu." Zhou Congwen walked to Academician Chu and said with a smile.

"Ah?" Academician Chu was stunned, he didn't expect to have his own business.

"The boss has a patient who was diagnosed with carcinoma in situ of the ampulla. He has already said that the patient's family members can see the surgical endoscopic images." Zhou Congwen simply stated, "The boss means..."

Before Zhou Congwen could finish speaking, Academician Chu faltered and waved his hands repeatedly.

"Xiao Zhou, I won't go." Academician Chu refused.

Ampullary cancer, even if it is in situ, can it be done with ESD surgery?

Academician Chu knew that he was still a rookie in ESD surgery, so Mr. Huang just wanted to be polite to him.

Don't take it seriously.

If you take it seriously, you will become an idiot. Don't take it seriously. Huang Lao really just wants to be polite to himself.

"Well, I won't be polite to you anymore." Zhou Congwen said with a smile without forcing it.

Looking at Zhou Congwen's back, Academician Chu subconsciously raised his hand to wipe off his cold sweat.

"Academician Chu, what does Professor Zhou mean...to use ESD surgery for ampulla cancer?!" Lu Tiancheng asked in a daze.

Ampullary cancer, that is the ampullary cancer that is difficult to hear from the gastrointestinal tract and general surgery.

Huang Lao and Zhou Congwen actually want to use the minimally invasive method of ESD surgery? !

Lu Tiancheng is an experienced surgeon. Although he is not engaged in general surgery, he also knows the difficulty of ampulla cancer.

So he felt that it was more likely that he had heard wrong.

In Lu Tiancheng's mind, ESD surgery can only be done for minor problems, and the real major surgery still requires the participation of surgery.

Unexpectedly, Mr. Huang set the tone so high that he would directly treat ampullary cancer in one step.

"It seems to be..." Academician Chu also looked confused. It's not that he doesn't believe it, but... even if it is not large, the ampullary cancer can be seen under the duodenoscope. It is ten thousand times more difficult to do gastric mucosal stripping surgery.

Anyway, I guess I have no hope of doing it in my life, Academician Chu knows this very well.

He looked at Huang Lao standing on the stage in a daze, feeling helpless.

Mr. Huang is 80 years old, a round and a half older than himself, but compared with his old man, he looks like a dying old man.

Look at others, experts in foreign wars, don't even bother to play prestige in the country.

Moreover, in the trial of new surgical methods, Huang Lao promoted the progress of minimally invasive surgery with unimaginable confidence.

It is estimated that Huang Lao just started the battle to maintain the dignity of minimally invasive surgery, and this kind of seedling is the least able to withstand wind and rain.

Once you are questioned but do not fight back, it will be too difficult to regain the fixed cognition of doctors.

Old man... Academician Chu looked at Huang Lao's slightly hunched body, with mixed feelings in his heart.

Zhou Congwen talked to his boss, and Mr. Huang nodded slightly, "Tell everyone, and stay if you want to see it."

"Okay." Zhou Congwen nodded with a smile, and then explained the next thing to the doctors who were doing it.

Zhou Congwen seemed to have thrown a powerful depth bomb, and the meeting room erupted instantly.

"Ampullary cancer?! Dr. Huang wants to use ESD surgery for ampulla cancer?! This is impossible!"

"Should be early cancer."

"That's impossible! You've used a duodenoscope. What's the view after you go in? How do you do the surgery?"

"Yes, I think so too. Think about gastric mucosal lesions. After all, the stomach has a large space, and it belongs to the upper digestive tract. It is relatively straight, and the operation is easy. But if you use a duodenoscope ……This unscientific."

As soon as Zhou Congwen's voice fell, the doctors in the audience began to discuss.

It's like a pot of boiling water, the splashing can't be stopped.

Doctor Laurent looked at Huang Lao and Zhou Congwen with a pale face, he had no intention of fighting at all.Because the attitude of the directors of the board of directors towards Huang Lao has already explained everything.

but!

The operation that Dr. Huang is going to show is not a stripping operation of the gastric mucosa, but a stripping of the early ampullary cancer!

how can that be!

Is he really sure?Dr. Laurent is well aware of what he has just "encountered".

It was a very straightforward academic attack, an attack that did not leave a trace of reservation at all, and had no room for maneuver.

If the old man is not sure, he will definitely leave excuses for himself and everyone present.

But he still communicated with the patient's family without hesitation and prepared for the operation.

It is more fairy tale than Danish fairy tale, more mythical than Greek mythology.

Dr. Laurent was going to leave here disheartened, but when he heard that he was going to suffer from ampullary cancer, he still insisted on staying.

Whatever you say, you have to see what's going on.

Chapter 1294

Soon, Huang Lao and Zhou Congwen left the meeting room, and some staff came in to connect the line and prepare for the live broadcast.

"Academician Chu, do you think it will work?" Lu Tiancheng was worried.

"No way." Academician Chu has gradually regained his composure, and he analyzed worriedly, "First, ampullary cancer surgery is extremely difficult, and you are a surgeon, so you must know it; second, general teaching surgery Or learn to broadcast live surgery, patients are selected in advance."

Lu Tiancheng was startled, he forgot this.

It is said that Fengtian just invited a Japanese professor to perform the TIPS operation. Before the operation, patients were screened for five rounds, and all those with slight doubts were ruled out.

Lu Tiancheng occasionally talked about this matter when he was having dinner with his friends, and some people discussed that patients undergoing live surgery are like guinea pigs.

This is what people who don't know how to do it will say. In fact, it is unimaginably difficult to find the world's top experts for surgery.

Three patients were finalized for Fengtian's operation, and a full set of checkups was done the day before the operation, just to prevent unexpected changes in the condition.

Today, however, Dr. Laurent's provocation had no clues. Before, Mr. Huang expressed his regret for not being able to attend the society.

In other words, the patient found Mr. Huang suddenly, and all of this was unpredictable.

Mr. Huang received a text message from Zhou Congwen, knowing that there was an academic dispute, so he hurried over.

According to Lu Tiancheng's point of view, surgery for ampulla cancer is impossible!

Once it goes wrong, it's equivalent to wanting to show your face, but you end up showing your butt for everyone to see.

As for the advantages gained in the academic disputes just now, they will disappear without a trace.From absolute advantage to absolute disadvantage.

The situation is reversed, just between one operation.

And all the resoluteness, all the sharpness, and all the thunderous methods of Huang Lao just now have become a joke.

Dr. Laurent didn't leave, so there was probably a glimmer of hope.

"Alas." Academician Chu sighed, "If it were me, I would definitely accept it. But Mr. Huang... I guess he is absolutely sure about surgery, that's why he wants surgery in front of so many people. .”

"What if it fails." Lu Tiancheng said in a low voice.

As soon as the words came out, Lu Tiancheng covered his mouth.

Witches who predict disasters in advance will be hanged and burned to death, and such crow-mouthed words really cannot be said.

Ordinarily, Mr. Huang would not hear or care, but what if he knew and cared.