Back in 2002 as a doctor

Huang Lao pressed his hands down, but the applause did not stop, but became more enthusiastic.

After doing this three times, the enthusiasm of the doctors gradually became rational, and the applause gradually weakened.

But after a full 5 minutes, some people were still applauding, as if he was immersed in the operation and couldn't extricate himself.

"Sit down." Huang Lao said lightly, "Everyone saw the operation just now. Now I will talk about the treatment of various situations before and after ESD surgery."

Zhou Congwen translated the boss's words into English.

"Just now, my students and I completed an operation for carcinoma in situ of ampullary early, and everyone has seen it."

"ESD is an advanced endoscopic technique that can achieve curative resection of superficial gastrointestinal lesions. While avoiding surgery and preserving organs, it can perform en bloc resection with negative margins."

"Its advantage is that it can perform en bloc resection for lesions with a diameter greater than 2cm, avoid segmental resection, and thus avoid local recurrence."

"ESD can resect superficial lesions regardless of their size, location, and presence of fibrosis. But!"

As Huang Lao spoke, he raised his voice.

"The above advantages are at the expense of increased risks of perforation, bleeding, etc., and longer operation time."

"Next, let me talk about the data I have summarized in ESD surgery over the past ten years."

"The en bloc and complete resection rates for esophageal ESD are 90%-100% and 87.9%-97.4%, respectively.

The 5-year survival rates after ESD treatment were 100% and 85% for patients with lesions confined to the epithelium or lamina propria and those with lesions infiltrating deeper than the lamina propria. "

"Stomach cancer..."

"The duodenum..."

All the data is in Huang Lao's mind, even Zhou Congwen didn't expect his boss to have completed so many surgeries, and he already has a summary.

How could other doctors think of things that Zhou Congwen didn't think of.

In the audience, doctors from all over the world listened to Zhou Congwen's translation in silence.

The detailed data, the flawless operation, and the good postoperative effect are unbelievable.

This is definitely a procedure that can change the history of endoscopic treatment!

Academician Chu blushed when he heard Huang Lao's words.

Compared with his eagerness to publish articles, Mr. Huang cares more about concentrating on doing research.The accumulation of various data takes time.

What Mr. Huang wanted was a comprehensive study, not a case report that was ignored.

He passed a long time alone.

Until the day it erupts.

Compared with Huang Lao, his own thoughts are too heavy.

"The indications for ESD surgery are as follows. First, huge flat polyps in the digestive tract..."

"The contraindications of ESD surgery are as follows. First, the lesion uplift test is negative, which means that there is no obvious local uplift after injecting normal saline at the base.

If a similar situation occurs, it suggests that there is adhesion between the submucosa at the base of the lesion and the base layer, and the tumor may have infiltrated into the muscular layer. "

"second……"

This time, Mr. Huang was not fighting with Dr. Laurent Fabius, but he was speaking eloquently, telling all the experiences he had summed up over the years without reservation.

From advantages to disadvantages, from indications to contraindications, from preoperative preparations to various situations encountered during the operation, everything is detailed and detailed.

The doctors present wished they could not blink their eyes, not daring to miss any of Huang Lao's words.

Every sentence contains a lot of clinical experience, which may be a summary after a wrong operation, and it all means the effect and quality of life of a patient after treatment.

"The metal clips used in ESD surgery will fall off and be discharged with the healing of the wound. Explain to the patient well to eliminate the patient's concerns. Ulcers will form on the surgical wound, which usually heal completely after 1 to 2 months. Patients are advised to review and follow up regularly. mirror."

"Postoperative pathology showed high-grade intraepithelial neoplasia, intramucosal carcinoma, and submucosa superficial carcinoma with local residual and recurrence risk, requiring close follow-up.

间隔3月、6月、12月、1年、1年、1年共6次随访，必要时追加腹部增强CT，如有局部复发可以及时内镜下切除。”

"About postoperative care..."

"About postoperative transfer..."

"For the time being, this is my summary of ESD surgery. Please criticize and correct me."

After Huang Lao finished speaking, he walked out of the podium and bowed slightly to the participating doctors.

"Wow~~~"

The applause sounded again, and all the doctors stood up for the second time, paying the highest respect to this selfless old man.

Huang Lao bowed his hands behind his back, turned and left.

"Zhou Congwen, the surgery went well."

When passing by Zhou Congwen, Mr. Huang praised softly.

"That's right." Zhou Congwen smiled, "I said I can do it, you see."

"Don't be proud, keep working hard."

"Understood." Zhou Congwen felt comfortable physically and mentally, and the smile on his face revealed a sense of joy.

Seeing that Mr. Huang did not return to his seat and left directly after talking about the ESD operation, the participating doctors began to discuss.

Originally, the main topic of this meeting was ERCP surgery. Several doctors from the United States, Europe, and Bordeaux also put forward some opinions and ideas on ERCP surgery and their own experience.

But what I didn't expect was that Dr. Laurent Fabius's little thought directly turned the academy into an academic battle.

The fight begins with farce and ends with no suspenseful crush.

After leaving these years of experience, the old man turned around and left without lingering on the applause and praise.

Academician Chu looked at Huang Lao's back and gradually became fascinated.

After in-depth contact with Huang Lao, Academician Chu realized that this old man was different from the old man in the previous legends.

Compared with legends, Huang Lao can be said to be a Bodhisattva with a heart and thunderbolt methods.

For those who questioned the new technique, Huang Lao's suppression was like a thunderbolt. Dr. Laurent Fabius was like a small bug, unable to resist Huang Lao's thunderous force.

During the live debate, Dr. Laurent Fabius could not refute.

He had achieved an absolute victory, but Mr. Huang didn't stop. Instead, he used a fairy-tale-like surgery with a difficulty beyond the sky to step Dr. Laurent Fabius into the [-]th floor of hell.

With such a method and heart, Chu Yuntian...

Academician Chu immediately thought of his son.

At that time, Mr. Huang was saving face for himself, and because Chu Yuntian tried thoracoscopic surgery, he was always gentle and gentle, and he was not as merciless as he was with Dr. Laurent Fabius.

The son's luck is really good, Academician Chu said with emotion.

Before he knew it, his back was completely wet with sweat again.

Chapter 1299 Cause and effect, the whole story

End of the meeting.

Academician Chu and Lu Tiancheng found Huang Lao and Zhou Congwen.

When he saw Huang Lao, Academician Chu bent his waist unknowingly, which was completely incomparable to sitting side by side with Huang Lao at the annual meeting.

"Huang Lao, your operation is really good." Academician Chu praised sincerely.

Although it was ten thousand times worse than the standing and applauding hundreds of doctors at the scene, Academician Chu still spoke his mind.

"You said the surgery, it was done by Zhou Congwen." Huang Lao said lightly.

"..." Academician Chu and Lu Tiancheng were stunned.

"Old man." Huang Lao smiled faintly, "I ran to Europe to meet my friends, and came here from Switzerland before I had a rest. I was still a little tired. This operation must not be lost, and it is related to the promotion of ESD surgery, so let Zhou Congwen was the chief surgeon, and I was his assistant."

"Old Huang..." Academician Chu wanted to say something, but countless words were stuck in his throat, and he couldn't even utter a single word.

What he originally thought was that Mr. Huang's surgical techniques were extremely powerful, which academician Chu could accept.

But Mr. Huang actually said that Zhou Congwen performed the operation!

From the skillful appearance of nine turns and eighteen turns at the very beginning, to the skillful cooperation of two hot biopsy forceps...

Did Zhou Congwen do it all by himself?

And whether it was Zhou Congwen or Huang Lao, the tacit understanding shown by those two hot biopsy forceps had reached an outrageous level.

"Zhou Congwen has matured." Mr. Huang flatly praised, "In the past half a year, you have made rapid progress."

"Hey, boss, I also feel that I have improved." Zhou Congwen said to Huang Lao like a child, "The biggest improvement is that I can enter the state of flow anytime and anywhere now, unlike before."

Huang Lao nodded slightly, smiling.

"Besides, I use a grinder to grind eggs, and I can grind them blindfolded." Zhou Congwen and his boss showed off.

"..." Academician Chu and Lu Tiancheng knew how Zhou Congwen practiced surgery and maintained his condition.

But they don't know that Zhou Congwen has made great progress, going one step further, another step, and another step.

Step by step, like walking on flat ground.

Is this the rhythm of stepping on the right foot with the left foot, stepping on the left foot with the right foot, lifting Newton's coffin board, and soaring directly into the daytime?

Academician Chu thought of the scene of Zhou Congwen grinding eggs with a neurosurgery drill while blindfolded, and his hands felt numb.

"It's okay." Huang Lao glanced at Zhou Congwen, "Next year's surgery competition is over, you come to 912."

It was the first time Zhou Congwen heard his boss explicitly ask him to go back to 912. Although it was inevitable, he was still happy.

Being able to work by the boss's side and make up for the regrets of the previous life is what Zhou Congwen wants from the bottom of his heart.

"Don't abandon the workstation of the Second Hospital of Medical University, don't be like a blind man breaking corn." Huang Lao said.

Academician Chu's face was a little hot, he felt that Huang Lao was connoting himself.

But the shame was only a momentary thing. Academician Chu knew very well that what Huang Lao said had nothing to do with him, and even if there was, it was only a little bit.

"Boss, I have already made arrangements. Don't worry, after I go to 912, the number of surgeries here will definitely not be guaranteed to be 6000-7000 a year, but it will continue." Zhou Congwen said.

"Eat." Huang Lao said simply.

"Boss, why didn't Director Deng come with you?" Zhou Congwen asked.

"He mentioned the vice president. These few days are a critical period, and he can't get away from it." Huang Lao said, "If you want to be the vice president of some kind of trouble, it's not as fun as surgery."

Zhou Congwen laughed, "Boss, if you don't support me, Director Deng may have no hope in his life."

"I still don't know what he's thinking in his heart." Huang Lao said contemptuously, "Forget it, if you want to be it. Where's the director of the grassroots hospital under your command? Why didn't you follow?"

"Principal Xiao is watching the operation for me at home." Zhou Congwen replied honestly, "Don't tell me, people who have been deans use it completely differently from ordinary doctors."

With these words, Lu Tian became ashamed.

The dean, in the mouths of Huang Lao and Zhou Congwen, turned out to be like a small stone on the side of the road, not worth mentioning at all.

Academician Chu listened to Huang Lao and Zhou Congwen chatting casually, and took a moment to ask, "Huang Lao, when did you study ESD surgery?"

"In the 70s, gastroscopes were introduced in China. But at that time, there were few equipments, so I thought about it myself. After the reform, I tried a little bit. If we really talk about forming surgery, it was more than ten years ago. thing."

Academician Chu was speechless.

I am an academician of gastroenterology who should be exposed to endoscopy, but the creation of surgical procedures... was actually done by Mr. Huang.

"Old Huang, you have been researching." Academician Chu didn't know what to say, so he could only say something casually.

"Yes." Mr. Huang looked up at Academician Chu, and smiled, "The first imported equipment was too expensive, and I couldn't afford it, so I urged to make it quickly. In order to produce fiber optic gastroscopes, I lived in Shanghai for a while. "

"!!!"

Even Academician Chu didn't know about this kind of thing.

"I supervised for a long time at that time, and disassembled the imported gastroscope to study the specific principles. It was not until 1973 that Modu Medical Optical Instrument Factory produced the first XW-I fiber gastroscope, which realized the application of fiber endoscope. Nationalization."

"..."

After taking it apart and looking at it, and then localizing it, Academician Chu was speechless.

"When it comes to ease of use, our domestic products are still not as good. But as long as they are available, foreign manufacturers dare not sell them too expensively." Huang Lao said, "The next updates and upgrades will all depend on you."

"How dare, how dare." Academician Chu said again and again.

"There is nothing to dare." Huang Lao said, "You can't follow the old ways. The emergence of ESD surgery was the first time I saw a patient with an esophageal ulcer with a gastroscope. At that time, I didn't dare to move it, so the patient was treated with oral medication."