Chapter 2696 New Technology

The most common complication after esophageal cancer surgery is anastomotic leakage.

Because the elasticity of the esophagus is not good, there may be problems with blood supply after anastomosis, leading to a series of complications.

The higher the esophageal cancer is, the harder it is to treat, because the higher the gastric traction, the greater the tension, and the greater the tension, the poorer the blood supply at the anastomosis.

Ringer understood all this, and he was a little embarrassed when he saw Professor Lu say this, and he knew why in his heart.

There was fistula at the anastomosis, local tissue congestion and edema, and the healing was not good. When the stent is lowered, once the stent pokes at the part of the anastomosis that has not fully healed, it may cause a larger tear.

Otherwise, Director Luo would not say that he refused to do gastroscopy at the beginning because he was worried about the appearance and development.

The current situation of the patient has nothing to do with 912. Once there is a secondary, especially traumatic operation, it will be the fault of 912.

"When will Director Kong step down?" Linge asked.

"It's too soon." Professor Lu said, "I'm really embarrassed to ask Director Kong for help every time."

"Okay, the patient's condition is clear, are the other positions okay?" Linge asked.

"Uh...Director Lin, other positions are really fine now, don't scare me." Professor Lu said: "It's been a month since the operation, and it hasn't grown up yet. It's really possible that someone who sneezes will die No situation."

This is an old meme of 912.

That was a few years ago, a similar patient, just ordinary esophageal cancer, did not have a total gastrectomy. However, the whole course of the disease was similar, and anastomotic leakage also appeared after the operation.

At that time, it was also the hospital-wide consultation presided over by Linge, because Director Kong was not at home to study abroad, and Zhao Wenhua came. He was not sure about the postoperative stent, so he adopted conservative treatment.

The patient's chest was flushed every day, and the drainage was unobstructed. Just when everyone saw hope, the aorta next to the esophagus was corroded by dirt for a long time, and it burst because of a sneeze.

That's why Ringer asked such a question.

Professor Lu also knew about this patient. When he thought of the blood spurted out by the patient at that time, he died immediately. The bloodstains all over the room are scary to look at.

Later, because of this matter, several exchange activities were organized between the departments, and Director Ye Qingqiu Ye personally presided over them. After communicating with each other, the medical department made a guarantee, and Director Kong took over the job.

However, Director Kong's level is still high, and he belongs to the bold and careful kind. In the past few years, he has handled stent surgery for anastomotic leakage after esophageal cancer surgery without any problems.

Linge was not in a hurry, he just looked curiously at Quan Xiaocao next to Professor Feng, wondering when she would speak and talk about the endoscopic surgery she wanted to do.

This is the case with medical technology. In the past few years, people who sneezed were gone. Like this kind of patient who had esophageal anastomotic leakage before, he could only rinse constantly, keep clean and strengthen nutrition, so that the anastomotic stoma would grow hard.

At this time, it is about luck.

With interventional surgery, the survival rate of patients after the stent can be removed is much higher. Has this Quan Xiaocao mastered any new technology? Even Director Luo was curious. Could it be some special skill secretly taught by Boss Zheng?

Ringer's mind began to move.

But it's not like, Boss Zheng has no interest in this case at all, just sitting there weaving red ropes. If he passed it on to Quan Xiaocao, he would have to come and see if it was the first surgery.

Linge was chatting while waiting for Director Kong to come, but he didn't see Quan Xiaocao talking. Not only did she not speak, she kept her head down, as if she didn't even dare to look up.

This kid is really cowardly, Ringer thought to himself.

But it's true, if the director, the professor leading the group, and she is a student, if she stands up and talks at this time, it's not Quan Xiaocao but Boss Zheng Renzheng.

"Dong dong dong~" There was a knock on the door.

Fang Lin opened the door immediately, but it was not Director Kong but Boss Zheng who came in.

"Boss Zheng, why are you here?" Fang Lin asked softly.

"Director Kong encountered some problems during the operation, and asked the nurse to call me to attend the consultation." Zheng Ren smiled, "What's the matter?"

After the interns brought by Professor Lu talked about the patient's condition again, Zheng Ren held the film and watched it for 3 minutes, and said, "The probability of recovery is a bit low just for the next stent."

"I can't help it. It's enough to put the bracket in steadily." Professor Lu said with a sigh.

"There's nothing wrong with the lower stent, I suggest another endoscopy." Zheng Ren said.

Endoscopy!

Boss Zheng proposed to do an endoscopy, which is completely different from what Quan Xiaocao said.

Director Luo asked with interest: "Boss Zheng, Professor Feng's students also said that they can do endoscopy. What kind of treatment is this?"

"Oh? Xiaocao has already started touching this area?" Zheng Ren glanced sideways at Quan Xiaocao, and said with a smile, "Xiaocao?"

Quan Xiaocao responded like a mosquito, but still didn't look up.

Knowing this guy's temper, Zheng Ren felt a little helpless. The operation was clearly done well, and according to Su Yun's statement, the endoscopic treatment is considered a breakthrough, so why don't you even dare to say a word.

"In recent years, there has been an endoscopic technique called over the scope clip. Simply put, the main methods for the treatment of anastomotic leakage include conservative treatment, conventional endoscopic clip closure of the fistula, and secondary surgery. However, due to conventional endoscopic The clamping force is weak, the clipping range is limited, and the tissue around the anastomotic fistula is hardened or scarred, resulting in a low success rate of fistula closure." Zheng Ren stood in front of the film reader, straight as a steel gun.

"Surgical secondary surgery and interventional stenting are still the main methods to solve anastomotic leakage, but there are often risks such as high recurrence rate and high mortality."

"But I think this kind of over the scope clip should become the mainstream in the future. Now we are faced with the problem of insufficient surgical samples and no big data observation. Due to the lack of large-scale prospective clinical research, the efficacy of OTSC anastomotic clip in the treatment of anastomotic leakage is still Further research is needed to confirm."

Professor Lu's ears almost pricked up.

Although he dismissed what the student Professor Feng taught before, the meaning of what Boss Zheng said changed.

For thoracic surgery, if there is a way to solve anastomotic leakage after esophageal cancer surgery, it means that the risk of surgery will be further reduced.

This is a great thing.

Although Boss Zheng also said that there is still a lack of large-scale prospective clinical studies, the efficacy of OTSC anastomotic clips in the treatment of anastomotic leakage still needs further research to confirm. But he was able to stand there and propose endoscopic treatment confidently, because he knew it well.

Zheng Ren was talking, but his eyes were fixed on Quan Xiaocao.

"Xiaocao, come and tell me your opinion." Zheng Ren said gently.