When Chen Qi entered the multimedia classroom of the University of Tokyo Medical Center, he was really shocked.

I saw 300 gastroenterologists sitting neatly in the lecture theater.

Almost all of these doctors are middle-aged and elderly people. Just by looking at their age, you can tell that they are all senior doctors or senior professors, indicating that the level of the participants is very high.

It doesn’t matter that you are of high rank, these Japanese doctors are all sitting upright with serious expressions. The whole venue is quiet and there is no noise at all.

It's like a military meeting, eerily quiet.

If it were a meeting in the auditorium of the Vietnam-China People's Hospital, wouldn't it be as noisy as a vegetable market? I have to say that the Japanese are really self-disciplined, but they also lack human touch.

You are self-disciplined, but this sense of oppression makes Chen Qi's heart beat faster and he is so nervous.

No one else would be able to stand being stared at by more than 300 pairs of eyes. Chen Qi is not Chen Beixuan or Li Qiye, but he is one of the top four bully kings. That’s how awesome he is.

After entering the venue, Chen Qi was invited to the stage.

There were only three chairs on the stage, one was occupied by Chen Qi, one belonged to Professor Grace, the president of the WGO Society, and the other belonged to the host Professor Sakuta Tsukasa, who is also a Japanese gastroenterologist.

Chairman of the Society.

There is a banner hanging behind, which reads "Dr. Chen Qi Endoscopic Surgery Teaching Conference".

This is a very rigorous academic conference, not an "exhibition competition", so Chen Qi cannot help but not pay attention to it.

Lan Lijuan, Zhang Weizhong, Chen Shu, Chen Hua and 15 master's students were arranged to sit in the audience.

Lan Lijuan and the others were okay, but the students didn't dare to breathe at this time. There was no other way. How had the little chicks that had just emerged from the nest ever seen such a big scene?

Chen Shu and Chen Hua secretly clenched their fists, worried about their eldest brother. If there was a mistake, they really didn't know how to step down.

Sometimes the higher the praise, the worse the fall will be.

Professor Sakutaji stood on the stage and said to his colleagues in the audience:

"Comrades, today we are very honored to invite Associate Professor Chen Qi from China to perform endoscopic teaching surgery. Let us first warmly welcome Professor Chen."

The applause from the audience was not overwhelming, but it was not a handful either. It gave Chen Qi enough face.

Chen Qi stood up, bowed slightly to the audience, and then sat down again with a smile.

"We are all gastroenterologists and are interested in endoscopy. According to the predictions of the WGO organization, endoscopic surgery or minimally invasive surgery may replace traditional surgery and be the first to be fully applied in the gastroenterology department, making it possible for us physicians to become both internal and external doctors."

Doctor who repairs.

But how to perform endoscopic surgery? What specific surgeries can be performed? Can it really replace traditional surgery? We are still exploring this. There are also different opinions and debates. It is felt that gastrointestinal endoscopy and other endoscopy can only be used as auxiliary examinations.

It should supplement clinical practice but not become mainstream.

Professor Chen next to me had just completed several difficult endoscopic surgeries in China. At that time, Professor Grace, the president of WGO, was also at the surgery site in China. It was a coincidence that Professor Chen came to our Dongda Medical Center a few days earlier.

Visit, so we made an appointment with the professor to observe the surgery.

Now, we asked Professor Chen to help us introduce these four endoscopic surgeries."

There are almost no associate professors in their 20s even in Japan. Although many doctors in the audience did not say anything, they were complaining about Chinese professors being so worthless?

Chen Qi took the microphone, sat down, and gestured to Jin Meng, and then the projector began to play pictures on the big screen in the venue.

"Hello fellow Japanese colleagues, my name is Chen Qi, from Hua Guoyue Hospital of Traditional Chinese Medicine. Today I am going to perform 4 endoscopic surgeries.

They are Lijuan's modified fundoplication for the treatment of refractory gastroesophageal reflux disease, ESD for the treatment of flat and raised adenomas, POEM for the treatment of achalasia, and a radical resection for early stage cancer.

The specific surgical principle is as follows..."

Chen Qi started to explain the specific steps and principles of the surgery in front of the slides. This is a theoretical explanation that must be done before teaching the surgery. Otherwise, people will not be able to understand the surgery later, which will affect the teaching effect of the surgery.<

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Of course, he is not afraid of others learning from it.

You can certainly learn, but even Professor Bradrick overturned during the operation, which shows that endoscopic surgery is definitely not easy to learn.

You have to know how many years of practice Chen Qi had to practice in his previous life? All the techniques he knew depended on surgery and the teacher's step-by-step instruction. You can't just do it out of thin air and you will succeed.

This theoretical explanation only lasted about 30 minutes. The Japanese doctors wanted to see if endoscopic surgery was so magical.

Finally Chen Qi said:

"Next, I will take up all your morning time. My assistants Professor Zhang Weizhong and Associate Professor Lan Lijuan and I will jointly complete 4 teaching academics. If there are any shortcomings, I hope you will bear with me and let us learn together and improve each other.

."

Professor Grace also smiled and nodded:

"I have seen Professor Chen perform two types of endoscopic surgeries in China before. Now I can see four types of surgeries. One of the four surgeries is an improved surgery and two are innovative surgeries. It is very remarkable. I look forward to seeing Chen

The professor’s wonderful teaching demonstration.”

Chen Qi did not expect that the WGO boss would come to Japan in person.

No matter what the other party's purpose was, he came and said good things to Chen Qi in front of everyone. This was considered as standing up to Chen Qi.

The Japanese may look down on Chinese doctors, but they firmly believe in the words of their American father, which also relieves Chen Qi a lot of pressure.

The conference room was still relatively quiet, but as Chen Qi's team left, some people began to talk quietly.

Chen Qi knew that many people would doubt it, but this was his favorite part of the show, just pretending to be cool and slapped in the face, and he was in a happy mood.

Zhang Weizhong was very excited. He wanted to do endoscopic surgery so much that he even resigned from a prestigious school and went to work in a rural hospital in Yuezhong. His determination and perseverance were unmatched by ordinary people.

This chapter is not over yet, please click on the next page to continue reading!

Now that the "lord" I consider myself has moved directly to a developed country, Japan is one of the birthplaces of endoscopic surgery. In front of a group of top doctors in the world, this gold content is definitely enough.

"Dean Chen, what are we doing on the first station?"

Chen Qi has already studied the four patients today, so he decided to start with the EMR endoscopic mucosal resection that Japan is proud of.

Use the most direct, simplest and crudest way to destroy the Japanese's self-confidence and sense of superiority.

The patient has been anesthetized and is lying on the hospital bed. The endoscope used by Chen Qi this time is mainly of the "Nipro" brand, and the inverted 8 trademark is particularly obvious in the lens.

I am the sponsor of the father, and I am giving out red envelopes. Whose machine should I use?

But Chen Qi kept an eye on it.

The ESD he wants to perform, endoscopic submucosal dissection, is actually very simple in principle, and the main trick is the electrosurgery.

The principle of EMR surgery is to find ways to bulge the diseased area, then insert a surgical thread into it and ligate it, and then remove it.

The surgical principle of ESD is simpler, that is, injecting a circle of adrenal saline around the lesion, so that the mucosal layer and muscle layer can be separated.

Then a special electric knife is used, which has a flat electric knife head and a certain curvature at the front end. It is also called "end insulator electric knife" (IT knife) in later generations.

With this special electric knife, Chen Qi only had to dig out the entire diseased area like a spoon digging out watermelon flesh, which was why it was named "dissection".

In this way, the surgical site can be larger and deeper than EMR (resection), and the effect is better and more thorough.

However, Chen Qi will not teach Japanese doctors such a simple operation. In addition to the limitations of the tools, there is also the biggest pitfall of ESD surgery.

That is when you are peeling off the diseased area, or you are digging vigorously, but it is very easy to overdo it, and a little carelessness can cause perforation and bleeding.

Think about how Professor Bradrick made the patient perforated, and how he panicked? You will know how pitiful this is.

The operation begins. This is a patient with flat and raised adenoma.

In the multimedia classroom, a live broadcast is being played simultaneously on the big screen, just like a movie. I have to say that the conditions of the Japanese hospital are really good.

When Chen Qi started injecting saline around the lesion, many doctors frowned, because the method of using saline to separate tissue was invented by Japanese doctors.

It turns out that this Chinese doctor is also doing the same thing. Isn’t this obviously suspected of plagiarism and bragging about being original?

But the next step of the operation is completely different. In the camera, a surgical instrument that no one has ever seen appears at the front end of the endoscope tube.

Anyone here who is not a human being will immediately realize that the show is about to get serious.

Chen Qi had already identified the lesion, then directly operated the handle and began to use the electric knife to "dig watermelon".

In order to dig a hole for the Japanese doctor, Chen Qi dug very quickly, digging left and right. In less than 10 minutes, he dug up a flat, raised adenoma with a diameter of 4cm.

(If the Japanese doctor dares to dig so quickly, wait for the perforation)

After the adenoma was completely dug out, there was almost no bleeding due to the action of the electric knife. After Chen Qi rinsed it with salt water several times and sucked it dry, a clean incision appeared on the big screen.

Oh~~~~

In the multimedia classroom, the Japanese doctors all let out a burst of exclamation, and then began to chatter among themselves.

"It turns out that surgery is so simple!"

"It's great. We used to worry about incomplete resection during EMR surgery, but now this worry has been solved."

"I would say that Dr. Chen's creativity is so good and so practical for clinical practice."

At this time, Chen Qi’s commentary appeared on the speaker:

"ESD surgery can not only be used to dissect adenomas, but can also be used for gastrointestinal polyps, submucosal tumors, esophagus, stomach, early intestinal cancer, etc. Its clinical application will be very wide, and it will also allow

There is no use for surgeons."

Hehehe~~~~

A burst of laughter instantly erupted in the multimedia classroom. After all, the battle between medicine and surgery is a popular thing all over the world. It can make surgeons embarrassed. This is something that all physicians like to hear.
To be continued...