Back in 2002 as a doctor

"Look at it." Academician Chu said intently, "The operation is too difficult. The key is that I haven't heard of the ESD project in 912 before. How can Mr. Huang do such a difficult operation just now?"

"Huh? 912 didn't start?" Lu Tiancheng was dumbfounded.

He always thought that ESD technology had already been developed in 912, and Zhou Congwen only did it after seeing and learning in 912.

However, according to Academician Chu, not only Shanghai, but even 912, where Mr. Huang works, did not carry out this operation.

It's really strange, Zhou Congwen is... no, now is not the time to think about it.

It was also the first time for Lu Tiancheng to see the struggle between school bosses. Although Dr. Laurent could not be called a school boss, Mr. Huang definitely was.

And Mr. Huang didn't use shady tricks.

Standing in front of a doctor who mainly uses European digestive endoscopy, he is upright and upright. He wants to directly crush Dr. Laurent to death with a difficult operation that others did not expect, and nip doubts about ESD surgery in the bud.

These are reasonable and grandiose to say, but what to do if you make a mistake.

Lu Tiancheng was still entangled in this matter.

But talking too much at this time is useless, Lu Tiancheng can only concentrate all his attention, silently praying that Mr. Huang will succeed.

Not only him, but even Academician Chu had ordinary ideas.

Now Academician Chu is no longer limited to the opinion of the sect. Mr. Huang can experience ESD surgery because his chest department also treats esophageal cancer. Why not let him do it?

Besides, it doesn't matter if you can do it or not.

Huang Lao's aura just now was indeed very compelling, and the sweat on Academician Chu's body has not yet disappeared.

Academician Chu knew that even in China, if Mr. Huang wanted to talk to him, he would be the only one who lost in the end.

These have become details. Academician Chu knew that whether the ESD operation could be recognized by the industry was most likely due to Huang Lao and Zhou Congwen's operation.

If the operation fails, the promotion of ESD will be delayed by at least ten to twenty years.

I don't care about it, I'm afraid Huang Laohui will be very unwilling.

Doctors from all over the world took advantage of this time to discuss.

They are all people in the industry, and they all know the difficulties of duodenoscopy. It is not like a gastroscope, just poke along the mouth, pharynx, and esophagus.

This thing... is still relatively difficult. Very few people can do duodenoscopy, let alone operate under duodenoscopy to remove ampullary cancer.

Even if it is only carcinoma in situ, even if the tumor is small, the difficulty of surgery is beyond everyone's expectations.

Many doctors got excited, they didn't expect that there would be such a wonderful thing in one session.

Originally, everyone wanted to hear about the new progress of ERCP surgery. Unexpectedly, Dr. Laurent finally brought the topic to ESD surgery and successfully attracted the attention of the "behemoth".

The old man appeared like a prehistoric monster, and trampled Dr. Laurent into a meatloaf, and used his absolute strength to complete a surgery that he could not even dream of.

Everyone has different opinions.

Everyone thought that the operation could not be completed, but the one who just stood on the stage and spoke was Dr. Huang, who won the No.1 Cardiothoracic Surgery World Competition for many times!

It is said that the myocardium he cut out is still the Guinness World Record for Batista's operation.

In the face of such a legendary magician, everyone should give a certain amount of respect.

What's more, respect in the industry is one thing, but respect from capital is another.

Just by looking at the attitude of the directors of the Bordeaux Central Hospital's board of directors towards Mr. Huang, one can guess a thing or two.

At the scene, everyone was tangled, conflicted and complicated.

Knowing that it was impossible, he rationally told himself that a legendary artist would not joke about his life's honor.

For a mere new technique, let yourself leave a lot of failure in your career, who would do such a thing.

While discussing, the screen suddenly lit up.

The meeting room suddenly fell silent, even the sound of breathing seemed to stop for an instant, and the sound of electricity from the screen and the machine could be heard.

On the screen, it was all red, and the duodenoscope had entered the stomach.

The operation has already begun!Everyone held their breaths, watching a surgery performed by a legendary surgeon who put his life's honor on it.

Chapter 1295 Exercise Code!

The duodenoscope passed through the pylorus steadily and entered the duodenum. Several turns did not seem to interfere with the operator, and the fiber tube in his hand seemed to be given life, passing through the intestine without any obstacles .

Academician Chu has done gastroscopy and colonoscopy all his life, and his experience can be said to be quite rich.

When he saw the scene in front of him, he felt a little desperate.

Huang Lao is really old and strong, old and spicy.

His specialty is cardiothoracic surgery, but the operation of duodenoscopy is more than 01:30 better than his own.

To be able to send the duodenoscope in without any obstacles, just this hand is enough to be amazing.

In the whole world, Academician Chu doesn't know.But just a pre-movement, the number of people in the country who can do it can be counted with a slap.

The doctors from all over the world in the venue are masters at performing duodenoscopy, but none of them can do this.

Surprise sounds one after another.

But everyone is still restraining their emotions.

After all, the old man said that he would complete the treatment of ampullary cancer. If he couldn't even get the duodenoscope in, it would be the biggest joke in the medical field this year.

It is indeed good to do this step, but it is also necessary and inevitable.

Lu Tiancheng silently looked at the video data transmitted from the projector. After a period of surgery, he had more or less reached the threshold of gastroenteroscopy.

To achieve the level of the Huang Lao in front of him like an arm and a finger, maybe it is the kind of legend in the martial arts novel that the human and the sword are united?

In any case, I can't do it myself.

And Lu Tiancheng knew it well, not only was he unable to do it now, but he probably had no hope of being able to achieve the state of unity of management and management in this life.

Huang Lao is in his eighties, yet he is still so powerful!

Lu Tiancheng suddenly thought that Mr. Huang is the ancestor of cardiothoracic surgery, and he is so proficient at performing gastrointestinal endoscopy, it seems that he is not considered a career change.

In addition, Mr. Huang said that ESD surgery was researched by him more than ten years ago to treat the early lesions of esophageal cancer and severe dysplasia. Lu Tiancheng's mentality has changed that he did not notice.

Doing ESD surgery should not be regarded as a career change, which is also the scope of cardiothoracic surgery.

The last hurdle in Lu Tiancheng's heart was passed by invisibly, the block in his heart disappeared, and the torrential river rushed to the sea.

The lesion quickly appeared on the screen, a raised change in the shape of an ulcer in the ampulla of the duodenum.

"Academician Chu, look, this is an early cancer." Lu Tiancheng asked in a low voice while staring at the screen.

"According to Mr. Huang, a series of examinations should be done before this. There should be no doubt about the early diagnosis of cancer. I don't know the specific stage and type." Academician Chu replied.

Just as he was speaking, the surgeon had already used a needle-shaped incision knife to make an incision and position on the edge of the lesion.

Six incision points, like plum blossoms, fall around the lesion, 0.8cm away from the center of the lesion.

Even with a duodenoscope, Huang Lao's operation is still as stable as Mount Tai, and extremely accurate.

0.8cm, 6 points, there is no "mistake" by ordinary people's visual inspection.

As soon as the expert stretches out his hand, he will know whether it is there.

Even if they are not surgeons, all the doctors attending the meeting know that the seemingly casual operation of the surgeon is so precise that it is outrageous.

And without the slightest hesitation, he rotated the duodenoscope as if eating and drinking, and immediately marked the edge of the lesion.

The operator is like an experienced top sniper, who doesn't need a scope at all, and raises his hand to shoot his head.

Academician Chu's fingers moved slightly. He had done too many similar trainings and surgeries recently, so that when he saw the picture, he hopelessly put himself into it.

But he can't imitate the operation of the surgeon at all. It is a kind of proficiency that goes deep into the bone marrow, like a lifetime of ESD surgery.

Academician Chu knew that for this step alone, it would take at least 5 minutes for him to perform the surgery.

Not to mention the length of time, and the position of the positioning is absolutely impossible to be exact, say 0.8cm is 0.8cm.

Mr. Huang is like a machine, standing in the position of the surgeon, whether it is performing ordinary thoracotomy or thoracoscopic surgery, whether it is performing heart surgery or interventional surgery, or even operating duodenoscope for ESD surgery, They are all calm and precise.

Really great!Academician Chu sighed in his heart.

It was only a moment of emotion. The operator and his assistant cooperated very tacitly. After the six positioning points under the camera were fixed, the needle of the syringe was sent in and appeared in the operation field.

At a position 0.4cm away from the positioning point, inject submucosally at multiple points, about 2ml per point.

Not only is it fast, but the assistants injected in full accordance with the practice standard, from the anal side to the oral side, simple and standard, just like the practice standard.

This step lasted a little longer. After multi-site injection, the lesion similar to the ulcer surface was "lifted" by the injection.

Academician Chu held his breath, he knew that the most critical step was finally coming.

The next step is incision, using a needle incision knife, HOOK knife, and IT knife to incise the mucosa at marked points along the edge of the lesion.

The incision is a special examination skill, and once he incision caused intestinal perforation. Academician Chu was terrified when he encountered this situation.

But Zhou Congwen said nothing was wrong, and assisted Academician Chu to clamp the perforation with titanium clips, and continued the ESD operation.

After the operation, Academician Chu observed the patient's state with fear. The clamped perforation seemed to be fine. It was not until Academician Chu followed up the patient for half a month after the patient was discharged that he was relieved.

It's okay, but it's certainly a hundred times better without a piercing than with a piercing.

And there is bleeding involved, and in the narrow, cramped space of the duodenum, the impact of bleeding is more difficult to deal with than bleeding in the stomach.

It's coming, Academician Chu's hands can no longer imitate and keep up with Huang Lao's operation, he clenched his fist tightly, as if to cheer Huang Lao up.

The surgeon did not change the instruments, and the needle-shaped incision knife sent in at the beginning was always there.

The needle incision knife is then lightly applied to the edge of the ulcer.

A little bit of red that seemed to be negligible appeared in the surgical field. Academician Chu looked at this scene in astonishment, unable to believe it.

This step cannot be deep or shallow, it must be just right.

If it is too deep, it will cause intestinal perforation, and titanium clips must be used.If you put a titanium clip in the duodenum, there will be some negative effects during the operation, not to mention what happens after the operation.

However, if you are afraid of perforation and bleeding, you will not be able to cut the position at all, and you need to cut one knife, one knife, and another knife... The cutting pattern is refurbished, and the cutting is horrible.

Academician Chu has done this kind of thing.

However, the patient was diagnosed with ampullary carcinoma, and the tumor was repeatedly cut, so the possibility of tumor seeding was extremely high.

But on the screen in front of him, Huang Lao only slashed down, neither deep nor shallow, just outside the muscle layer.The most unacceptable thing to academician Chu is - almost no bleeding!

This is impossible!

Chapter 1296 Sudden separation in ESD surgery

After Academician Chu saw the operator's operation, the little beast in his heart roared and roared wildly.

But no matter how he rants, he deeply knows that Huang Lao's level is much higher than his own.

How much is the difference?

Not to mention more, at least one light-year exists.

The shot is an operation at the level of a surgical master. It is as precise as a textbook, and the weight is lifted lightly. Even in a daze, Academician Chu didn't see any bleeding!

After this step in the operation, Academician Chu no longer doubted whether Huang Lao and Zhou Congwen could solve ampulla cancer.

People have been doing surgeries for a lifetime, but whether they can do it or not is not as good as their own mind.

However, what made academician Chu unacceptable had just begun.

The needle incision knife is lightly tapped, and then pulled sideways to open the incision.Then two hot biopsy forceps appeared in the operative field.

The hot biopsy forceps are used to stop the bleeding. During the cooperation between Academician Chu and Lu Tiancheng, this is Lu Tiancheng's job.

Whether the operation goes well or not, hemostasis is the most important thing.

Seeing this, Lu Tiancheng's spirit lifted.

Although he didn't know why there were two hot biopsy forceps, he was eager to see how Huang Lao or Zhou Congwen made sure to stop the bleeding during the operation.

Lu Tiancheng was not so arrogant that his level was higher than Huang Lao and Zhou Congwen, he looked at it with a learning attitude.

However, Lu Tiancheng didn't see anything.

Two hot biopsy forceps are free under the mucosa, and one grasping forceps grabs the edge of the incision to pull up the mucosa and expose the operative field.

However, the surgeon did not continue the incision with a needle incision knife, and only two hot biopsy forceps existed in the operative field.