Back in 2002 as a doctor
Page 760
What are they trying to do?
Both Academician Chu and Lu Tiancheng looked at this scene in astonishment.
As for the other doctors from all over the world, they were not as surprised as Academician Chu and Lu Tiancheng.
Because, they have never done ESD surgery and take everything for granted.
This is a typical ignorant performance of fearlessness.
The two thermal biopsy forceps begin... blunt separation!
Lu Tiancheng burst into tears watching it, this is the basic operation of surgery, blunt dissection!
Seeing this scene during the ESD operation with a duodenoscope, Lu Tiancheng's nose felt sour, and his eyes were a little blurred.
He immediately wiped away the tears and continued watching.
No wonder there is no needle incision knife but only two thermal biopsy forceps. These two forceps are like the left and right hands of the surgeon, doing blunt dissociation dexterously.
Academician Chu was also dumbfounded.
surgery,
How could he still do this!
When I do ESD surgery myself, I always use a needle incision knife to make incisions. Lu Tiancheng is preparing to stop the bleeding while exposing the operative field.
Academician Chu is satisfied with Lu Tiancheng that no matter how urgent or severe the bleeding is, Lu Tiancheng can almost use hot biopsy forceps to clamp the bleeding point in the pool of blood, and then stop the bleeding.
However, during the ESD operation of Huang Lao and Zhou Congwen, no bleeding was seen at all...
No bleeding!
The little beast in Academician Chu's heart was already lying on the ground, howling and weak.
The operation does not mean that there is no bleeding, but that the two thermal biopsy forceps are bluntly dissociated, and the thermal biopsy forceps will be opened at the position that is slightly difficult and may bleed, and the thermal hemostasis will be performed directly in advance.
Blunt dissociation + hemostasis, completed at the same time, this scene almost dislocated the shocked jaws of Academician Chu and Lu Tiancheng, and smashed them on the feet.
Academician Chu and Lu Tiancheng felt ashamed when they saw that the Shuye was clean.
Academician Chu and Lu Tiancheng had a tacit understanding with the cooperation of more than ten or twenty surgeries before.Once bleeding occurred, the hot biopsy forceps in Lu Tiancheng's hand stopped the bleeding immediately, and then rinsed it with warm saline to clean the operative field again.
Even Lu Tiancheng sometimes thought in his heart that his performance in the ESD surgery had almost reached the extreme.
Just now he wanted to learn how Huang Lao stopped the bleeding, but deep down in Lu Tiancheng's heart, he thought that Huang Lao would definitely be better than him, but it was just a little bit.
However, what he never expected was that Mr. Huang's operation did not use a needle incision knife at all, but a standard surgical practice - sudden separation.
And it is foreseeable in advance, the bleeding is stopped in advance, and it is clean and there is almost no blood in the surgical field.
This surgery was done...
I don't talk about learning, but I can't figure out why it is so accurate just by thinking about it.
Moreover, the two thermal biopsy forceps in the operative field are doing their own thing with each other, and occasionally cooperate with each other, just like one person.
Lu Tiancheng looked puzzled, whether it was Huang Lao holding two hands and holding two thermal biopsy forceps for sudden separation, or Huang Lao and Zhou Congwen each holding thermal biopsy forceps.
This could be understood at first glance, but the operation on the screen made Lu Tiancheng more and more confused.
"Tian Cheng, look here, who uses the thermal biopsy forceps?"
Just as Lu Tiancheng was thinking about it, Academician Chu asked in a low voice.
Lu Tiancheng sighed, "Academician Chu, I don't know either. If one person... has a tacit understanding, but it's too difficult to focus on two tasks; but if there are two people, there is no such thing as one mind and two tasks. Why is it so tacit?"
During the operation, the sudden separation was carried out very quickly. The two thermal biopsy forceps sometimes came together to complete a super-difficult operation, and sometimes separated to do their own work.
In less than 3 minutes, the ulcerated surface of the tumor was completely peeled off.
The moment the diseased tissue was removed, Academician Chu sighed deeply, his whole body was sore and limp, and he almost slumped on his seat.
Huang Lao and Zhou Congwen cooperated in the operation. He heard from Chu Yuntian that the old Morgan's man had an embroidery needle in the right upper pulmonary vein.
It's one thing to hear Chu Yuntian say this kind of thing, but it's another thing to witness it with his own eyes.
Academician Chu finally understood the extent of tacit understanding between Huang Lao and Zhou Congwen.
If a person like Zhou Congwen really became his student, would he dare to use him?
It is a waste of money to use it.
Only Huang Lao's level can maximize Zhou Congwen's advantages, and only Zhou Congwen can perfectly cooperate with Huang Lao to put some advanced ideas into reality.
The perfect combination of the actions of the two is breathtaking.
"It's done." Academician Chu said softly.
Lu Tiancheng didn't speak, he silently looked at the "wound" after the diseased tissue was removed.
The outer layer of the mucous membrane was "cut" away smoothly, without bleeding, and it was clean, with the muscle layer underneath, and there was no such thing as academician Chu's usual surgery of varying depths, and some deep parts need to be clipped with titanium clips for fear of perforation. Son.
The operation area looked clean, and the faint blue color was the color of 1:20000 indigo carmine that had just been injected and "lifted" the lesion.
Neat and flat, the muscle layer is the muscle layer, there is no damage at all.
The surgery was done perfectly.
Chapter 1297 Nailed on the Pillar of Shame in History
If it is only the perfection of the operation process, it is still second.
This operation was more difficult than any other operation performed by Academician Chu, and he never thought that ESD surgery could treat duodenal lesions.
As for ampullary cancer, Academician Chu still didn't believe it even after he had just finished reading it.
Huang Lao and Zhou Congwen opened a window together, spreading from the esophagus to the stomach, and then to the duodenum, jejunum, colon, and rectum.
It is no surprise that all early lesions in the digestive tract can be treated in this way.After all, the most difficult ampullary cancer has been done, and the others are not easier.
The diseased tissue was removed, and a part of the faint blue light appeared in the field of vision, which shocked the doctors from all over the world.
Before today, they could not imagine that there is such a simple and quick way to strip away the early lesions in the digestive tract.
and!
Although the duodenum belongs to the upper gastrointestinal tract, it is located very deep. It needs to pass through the mouth, esophagus, and stomach, and only after nine turns and eighteen turns can the ampulla of the duodenum be seen.
Among all the tissues of the digestive tract, the ampulla of the duodenum belongs to the middle position, and it is also a vital part of the ampulla.
Even though it was so difficult, the old man still finished it with ease. No wonder he threw the paper directly on Dr. Laurent's face.
because,
He really has this ability.
After the abuse, Dr. Laurent was not wronged.
A surgery that unmistakably tells everyone here that the ESD surgery is advanced, and it has surpassed this era for at least 10 years!
All the accusations made by Dr. Laurent Fabius about ESD surgery before now seem so nonsense.
Mr. Huang refuted all kinds of absurd views on Dr. Laurent Fabius's PPT one by one. Before the operation, the truth was half-baked, but now no one would think Dr. Laurent Fabius's The point is correct.
The operation is right there. It doesn’t matter whether the early lesion of the patient’s ampulla is carcinoma in situ or severe dysplasia. It has been stripped away before it grows and becomes malignant.
A malignant tumor is eliminated before it matures and metastasizes, preventing problems before they happen.
The gastroenterologists attending the meeting watched this scene silently, and no one spoke.
The surgeon and assistant checked the surgical wound again and found no bleeding. Then the duodenoscope was pulled out and the signal was cut off immediately.
The screen went black, but in the eyes of all the participants, it seemed that the operation was still going on.
It was a beautiful performance, in which both the surgeon and the assistant showed the world a kind of early healing that could not have been dreamed of.
Everyone's heart is full of shock, is this ESD surgery?
Dr. Laurent Fabius sat beside him, looking pale.
He never expected that the ESD surgery he criticized could do this!
Ampullary cancer, that's ampullary cancer!The old man who criticized him one by one just now and that nasty young man cured his helpless ampullary cancer in just over 20 minutes.
This is simply unimaginable.
Dr. Laurent Fabius stared blankly at the dark screen, thinking of the PPT he made.
Dr. Laurent Fabius spent a lot of time on this PPT, and he wants to kill with one blow.
But I didn't expect that in the end, all the painstaking efforts to do well were in vain, and the clown turned out to be me.
ESD surgery is simple, convenient, fast, and difficult... At least it seems to be easy to do under the hands of Dr. Huang and that nasty young man.
Then this surgical method has the possibility of being popularized, and it is quickly accepted by most gastroenterologists and gastroenterologists.
Dr. Laurent Fabius realized the absurdity and ignorance of everything he was doing.
After inadvertently picking a fight in academia, Dr. Laurent Fabius loses miserably.
But the opponents didn't seem to think that victory was enough. They were still chasing fiercely, not only refuting each point one by one, but also nailing Dr. Laurent Fabius to the pillar of shame with a hearty operation.
Defeated, Dr. Laurent Fabius knew that he was not only a failure, but also the most shameful kind of failure.
I can't turn the tables in my life.
As more and more doctors learn ESD surgery, they will become the background board.
Even at every meeting, doctors from all over the world will mention themselves when discussing ESD surgery, mentioning the idiot who first questioned this surgery and made a PPT.
Yes, I am an idiot, Dr. Laurent Fabius thought distraughtly.
Why bother with that young man, just because of a gesture?
Dr. Laurent Fabius' thoughts have been solidified. Why is it not important? What is important is that his academic status and even his job at Bordeaux Hospital are gone, only because of his own provocation.
He stood up unsteadily, and walked out of the conference room like a walking dead.
The back of Dr. Laurent Fabius revealed a sense of desolation, sadness and helplessness.
But the doctors present did not pity him. This is a war in the academic world, and the loser will inevitably end up in a miserable end.
Because of this, ordinary people would not choose such a fierce battle.
Dr. Laurent Fabius chose, he thought he could crush that young Zhou Congwen.But what he didn't expect was that he was crushed again and again, until finally he was nailed to the pillar of shame in history.
lifetime,
A generation.
As long as ESD surgery is not eliminated, the name of Dr. Laurent Fabius will be on the background board and laughed at as an idiot.
Academician Chu sighed, "Tian Cheng, the battles in world-class academic circles are really cruel."
Hearing what Academician Chu said, Lu Tiancheng was a little at a loss.He couldn't get in touch with these at all. For Lu Tiancheng, sitting in the well in Jianghai City before, the sky he could see was only the size of a palm.
Zhu Jun was everything he had ever been, and he never dreamed of such a world-class academic battle.
Doctor Laurent Fabius was defeated. Although he would not be turned into a psychopath and finally beaten to death by the security guards, his life was more painful than his death.
Although Dr. Semmelweis, the father of modern hospital epidemiology, had a miserable end, he knew he was right and had been fighting for a correct belief.
But what about Dr. Laurent Fabius?
Huang Lao used theoretical knowledge and a flawless operation to prove that he is a fool, a fool who is trying to stop the wheel of history from rolling forward!
Since then, Dr. Laurent Fabius has become a notorious, jobless and ridiculed fool in the academic world.
Life is better than death.
About 10 minutes later, Mr. Huang walked into the meeting room with his hands bent and his back bent. Zhou Congwen followed behind him.
applause.
One doctor after another stood up and applauded to welcome Mr. Huang.
Chapter 1298 Bodhisattva Heart, Thunderbolt Means
Huang Lao walked slowly onto the stage with his hands behind his back.
He has seen too many similar scenes, and he has long been used to it.
Zhou Congwen followed behind his boss, stood aside, and looked at the doctors from all over the world who were standing and applauding with a smile.
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