Haishi, the site of the Digestive Endoscopy Conference.
The largest dome conference room was filled with more than 1,700 people, who were staring at the screen in front of them, watching the competition of players from various countries.
The atmosphere in the hall was extremely warm, with people sometimes whispering to each other, and sometimes applauding for the wonderful surgical footage.
When He Shengcai took the stage on behalf of China, the doctors in the country were all excited, and thunderous applause swept the audience like a heat wave.
After the applause, a buzz of discussion immediately started.
"Is this Dr. He from Ricky? He looks quite experienced."
"I made a mistake when I saw the English name before. It turned out to be He Shengcai, not Shen Caihe. No wonder I couldn't find it."
"But I've never heard of this He Shengcai. I don't know where he came from."
"Why bother with so much? When the competition rankings come out, there will definitely be detailed reports and interviews."
"STER surgery is Professor Zhou's specialty and it is very difficult."
"Oh, his movements are very smooth and skillful. He is much better than me. No wonder he was chosen."
As the operation progressed, the entire venue fell silent, leaving only the voice of the chairman explaining the operation.
People held their breath and watched the exquisite surgical scenes with full attention, completely immersed in it.
Until the operation was over, no one had reacted.
When the patient regained consciousness, sighs of regret could be heard in the venue.
"What the hell, why did it end so soon?"
"It's only been ten minutes, and I haven't seen enough yet."
"I feel like I missed a lot of details and I should let Dr. He do it again."
"Simple and smooth, extremely fast, just like a sharp knife player."
"He seems to be several minutes faster than Professor Zhou. How did he do it?"
"It's beautiful. Not a drop of blood came out. The wound is so clean. I've never seen it before."
This kind of sigh also continued during other surgeries.
The little-known Dr. He left a deep impression on the audience with his outstanding abilities.
It was only when the chairman of the conference announced that He Sheng won the championship in the morning competition.
A deafening cheer instantly resounded throughout the entire venue, and waves of sound soared into the sky, almost lifting the entire roof.
Not only Chinese doctors are excited, but doctors from many other countries are also cheering.
“Great, we’ve entered the finals again!”
"Come on Doctor He, come on China!"
"As expected of Professor Zhou's disciples, they are indeed of the same blood!"
"Tomorrow's final, we will definitely win the championship."
"Well done to Dr. He, you are our pride!"
Amidst the commotion, Ichiro Takeuchi, who was sitting in the corner, had a clouded face and could not smile at all.
During the 12-minute operation just now, there were a few short shots showing the operation of the endoscope.
Since there are very few pictures where the equipment can be seen, most of the time what is shown is the perspective of the endoscope, so most people don't notice any difference in the endoscopes used by the players.
But he is different.
The so-called people who know you best are not friends, but enemies.
He could tell at a glance that the endoscope used by the Chinese players was Sanqing's equipment.
In fact, the conference did not stipulate that surgical equipment must use a certain brand, which gave the organizers a certain amount of room for maneuver.
As long as manufacturers can generously sponsor, they can have their equipment featured.
Of course, this also has a prerequisite, that is, there should be no obvious gap in the quality of the manufacturer's equipment, otherwise it will affect the performance of the players.
In the past, the endoscopic equipment of domestic manufacturers did not meet this requirement, so there has not yet been an endoscopic manufacturer that can compete with Olympus.
But now, it appears.
Sanqing's endoscopic equipment passed the strict assessment of the competition organizers, and there is no difference in quality with Olympus' equipment, so they can be used together in the competition.
Although it will not be blatantly advertised, it will be given a few obvious shots that anyone with a discerning eye can see.
As long as a Chinese player uses Sanqing's equipment to win the championship, there is no doubt that the media will write a big book about it and leave a deep impression in the minds of doctors around the world.
In this way, doctors will inevitably have a strong favorable impression of Sanqing's endoscopy equipment, and Sanqing's overseas market expansion will be extremely beneficial.
Even if the Chinese player does not win the championship, he will be the runner-up. At least it will leave an impression that Sanqing's endoscopes are completely comparable to Olympus's endoscopes.
No matter which result, it is unacceptable to Olympus.
Because of this, Ichiro Takeuchi's face was so ugly.
However, facing the current situation, he had no choice but to stare at the screen and feel resentment secretly.
Not far from him, there was also a manufacturer representative, with a solemn expression on his face, as if facing a formidable enemy.
President Gray of Johnson & Johnson Medical Devices looked at the screen, his heart was shaken, and his mind was in a mess.
Just a few days ago, the president of Huaxia District sent him new news. It was said that Sanqing had developed a new hose ultrasonic scalpel, so he hurried to the conference to take a closer look.
I never expected to see this legendary product again at the Endoscopy World Cup.
Moreover, it has replaced the electric knife commonly used in endoscopy, and has shown amazing power in the hands of Chinese players.
This can't help but that he doesn't pay attention to it.
"If a Chinese player uses Sanqing's ultrasonic scalpel to win the championship..."
He didn't dare to think about it any more, and his brain was working rapidly, thinking of ways to deal with it.
****
Haishi, Huashan Hospital.
The winner of the afternoon game also came out.
Amid a burst of cheers, Zhou Ruping looked at the surgery pictures on the screen, his smile slowly disappearing.
He Shengcai looked at the teacher's serious face and asked curiously: "Teacher, do you know anything about Castiel, the representative of the Eagle Kingdom?"
Zhou Ruping adjusted his glasses and said thoughtfully: "This Dr. Castile is from Cleveland and has extraordinary talent. He is only in his thirties and under forty, and he is known as the number one surgeon in the digestive surgery department of Eagle."
"His surgical style strives for excellence. He is not the fastest, but his operation is precise and the amount of blood loss is very small."
"As one of the top three hospitals in the United States, Cleveland has a very large volume of surgeries, which is no less than the top three hospitals in the city. Therefore, it has been battle-hardened and is very skilled."
"More importantly, he was the champion of the Endoscopy World Cup 2 years ago and is an expert in ESD surgery."
"This is an opponent who is evenly matched with you, so you need to deal with it carefully."
"But you still have some advantages over him. Just like most doctors in the Eagle Country, he follows the path of doing less and being more precise. He only specializes in a few surgeries, and he doesn't know as many surgeries as you."
He Shengcai suddenly became nervous and asked, "Then what should I do to defeat him?"
Zhou Ruping laughed and said: "Very good. Facing a strong opponent, you did not waver and asked about your chances of winning. Instead, you directly asked how to deal with it. This shows that you have full confidence in yourself."
"Don't be too anxious. Just like usual, I have arranged a very difficult surgery. As you compete tomorrow, you should be able to maximize your advantages."
He looked straight ahead, stood up with a smile, and said: "We will discuss the specific situation later. Now let's enjoy the joy of entering the finals."
He Shengcai's worried heart was relieved. He looked up and saw the chairman of the conference and his party walking towards this side. From a distance, they opened their hands and waved them wildly. They opened and closed their mouths as if they were speaking loudly. What.
So he quickly squeezed out a bright smile and followed the teacher to greet him.
****
July 13, Huashan Hospital, 9 a.m. sharp.
As usual, He Shengcai put on surgical clothes, disinfected his hands, and entered the operating room.
The chairman of the conference will also come in, and he will assist in the operation and explain it.
The patient was lying on the operating table, his eyes darting around with curiosity on his face.
He Shengcai spoke calmly and began to introduce the patient's condition and surgical plan.
"The patient's lower esophagus showed a bird's beak-like change, and at the same time, there were diverticula the size of a pear and a peanut at the upper end. Due to the continued contraction of the lower esophageal muscles, the dilation of the diverticula was aggravated, causing food regurgitation, choking and regurgitation for many years."
"Diagnosed with achalasia and multiple esophageal diverticula, STESD surgery needs to be performed in addition to conventional POEM surgery."
“Considering that when severing the esophageal sphincter, the diverticular diaphragm muscle needs to be severed, the surgical route of myotomy needs to be carefully designed.”
"POEM + STESD dual surgery is a comprehensive treatment for complex and difficult conditions. It is equivalent to two level 4 surgeries performed at the same time, and the difficulty is rare in the world."
"The patient came from abroad and was recommended to Ruiji Hospital for treatment because the operation was difficult and risky."
"Okay, let's get started."
The moment he took action, his whole person changed. His hands were as stable as stones, and the expression on his face solidified into a stone statue.
At this time, the patient fell into a coma under the influence of anesthesia.
The only living person at the scene was the chairman of the conference. He immediately started the performance and explained non-stop.
“The key to POEM surgery is to successfully establish a long enough submucosal tunnel without causing damage to the surface mucosa, and the length of the tunnel must be sufficient to provide space for myotomy.”
"In this case, the length of the myotomy must be at least 10 centimeters to ensure clinical efficacy."
"It can be seen that the patient's esophageal lumen is obviously dilated and twisted, which makes it more difficult to establish a submucosal tunnel and is likely to cause failure."
"However, our Dr. He adopted a two-stage POEM+STESD surgery to deal with it. He first established a submucosal tunnel in the upper part of the larger curved area, and then performed a myotomy in this area."
"Then a second submucosal tunnel is established, muscle dissection is performed on both sides of the inter-diverticulicular ridge, and the two diverticula are completely removed."
"Next, let us witness Dr. He's wonderful surgery."
"Everything went extremely well and he made a tunnel in the submucosa of the esophagus."
"The 10-centimeter tunnel was completed in 5 minutes. It was as fast as flying. It shows that Dr. He is extremely skilled."
"The wound was clean, the vision was clear, and as always, not a drop of blood came out."
"I know you must have started clapping."
"OK, now we have to cut open the muscles around the cardia in the tunnel. Do you see the micro knife head in the picture? Does it feel familiar? Yes, it is the ultrasonic scalpel that can be used under flexible endoscopy. It is more powerful than the electric scalpel. The knife is gentler, more non-invasive and less likely to bleed.”
"As you can see, the ultrasonic knife cuts into the muscle tissue just like cutting into a piece of butter. It is very smooth and without any resistance."
"Dr. He's hand was very steady. Thanks to the extremely high pixels of the endoscope, he skillfully avoided arteries along the way."
"In this way, the originally O-shaped muscles became C-shaped, which perfectly solved the patient's achalasia."
"The first stage of tunnel reconstruction was completed, which took 15 minutes. It was really wonderful. If he hadn't been standing on the opposite side now, I would have thought I was watching Zhou perform this operation."
“Now, the surgery finally enters the second half, with the start of endoscopic transesophageal submucosal tunnel diverticular interspinal dissection (STESD).”
"Bravo is also a wonderful tunnel reconstruction. The length of the tunnel meets the requirement of passing through two diverticula at the same time, so that it can be completely removed at one time."
"It can be seen that such a surgical approach must be carefully considered and the scope of the lesion must be accurately judged."
"It's just that in this way, the endoscope will penetrate deeper. Under such a narrow and ultra-thin mucosa, the operating range will be measured in millimeters."
"To complete the resection without damaging the normal mucosa on both sides of the inter-diverticulicular ridge requires extremely high skills."
"Oops!" the chairman of the conference suddenly exclaimed: "An accident occurred, and the patient's fragile artery actually bled."
"A complete accident is simply a disaster. Let's see how Dr. He will face this crisis."
As he screamed, the referees in the conference room seemed to have their hearts grabbed tightly by a big hand. They all took a breath and stared at the dazzling bright red on the screen.
The whole place fell into deathly silence, no one dared to take a breath.
However, on He Shengcai's side, the expression on his face remained unchanged, and the movements of his hands did not pause, and he continued to move smoothly.
He changed his field of vision, zoomed in on the screen, and quickly found the bleeding point.
Just clamp it with the blade of the ultrasonic scalpel. Almost instantly, the protein at the rupture will solidify and the bleeding will stop immediately.
The blood stains were quickly washed away and sucked away by water, and the surgical field of vision became clear and clean again.
He Shengcai continued the operation as if nothing had happened.
It seemed as if the crisis just now was just a trivial accident.
In the conference room, the silence was instantly broken, and there was thunderous applause.
The chairman of the conference looked at this scene, his voice suddenly stopped, and he was silent for 10 seconds before continuing his explanation.
However, this time, the content of his explanation was not so fancy, there was less free play, and it became more academic.
It's like changing from a passionate host of the Football World Cup to a ruthless script-reading robot.
As for his eyes, he no longer looked around and wandered around the operating room.
Instead, he stared closely at He Shengcai's hands, for fear of missing any details.
The next STESD surgery is a derivative of ESD and requires the removal of two esophageal diverticula, which takes a long time.
It took a full 25 minutes to completely remove it.
Finally, He Shengcai used four titanium clips to seal all the wounds.
Titanium clips are a very convenient way of suturing the body and are harmless to the human body. After the wound heals, the titanium clips will naturally fall into the digestive tract and be excreted out of the body along with food residues.
At 45 minutes, He Shengcai put down the surgical equipment in his hands and announced the end of the operation.
The chairman of the conference reluctantly withdrew his gaze and announced loudly: "Dr. He successfully completed the POEM + STESD surgery. If God had helped the whole process, it would be a miracle."
After 50 minutes, the patient regained consciousness, stretched out his right hand and gave a thumbs up.
This scene was broadcast to the conference room, and the audience once again burst into enthusiastic cheers.
In the corner of the back row, a white man with a thin face, a tall nose and deep eyes looked at the screen in a daze. The expression on his face kept changing, and finally settled into an expression of disbelief.
"Hey, Castiel, how are you?" A big hand patted his shoulder, and a deep laugh came: "Facing such a terrifying opponent, are you confident in defeating him?"
Castiel's face twitched, his expression turned into despair, and he sighed silently.
"Oh my God, I never dreamed of meeting such an enemy."
"Director, you defeated Zhou and won the championship that year. I am very envious of your luck."
"It's a pity that I won't be able to repeat your victory this time against his students."
(End of chapter)
