I can extract side effects

Haishi, the site of the Digestive Endoscopy Conference.

In the largest conference room with a dome, more than 1,700 people were sitting there, staring at the screen in front of them intently, watching the competitions of players from various countries.

The atmosphere in the hall was extremely warm. People sometimes whispered and whispered, and sometimes applauded for the wonderful operation shots.

When He Shengcai took the stage representing Huaxia, the doctors in the country were all erupting, and thunderous applause swept the audience like a heat wave.

After the applause, buzzing discussions sounded instantly.

"This is Ruiji's Dr. He? He looks quite old-fashioned."

"I made a mistake looking at the English name before. It turned out to be He Shengcai, not Shen Caihe. No wonder I couldn't find it."

"But this He Shengcai has never heard of it, I don't know where it came from."

"Why do you care so much? When the ranking of the competition comes out, there will definitely be detailed reports and interviews."

"STER surgery is Professor Zhou's forte, and it is very difficult."

"Hey, his movements are very smooth, very skillful, 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 of the conference explaining the operation.

People held their breath and watched the exquisite operation picture with full concentration, completely immersed in it.

Until the end of the operation, everyone has not reacted.

When the patient regained consciousness, there were bursts of regretful sighs in the venue.

"What the hell, it's over so soon."

"It's only been ten minutes, I haven't seen enough yet."

"I feel like I missed a lot of details. I should ask Dr. He to do it again."

"Simple and smooth, extremely fast, it is simply a sharp knife hand."

"He seems to be a few minutes faster than Professor Zhou. How did he do it?"

"It's beautiful, not a drop of blood came out, and the wound is so clean, it's never seen before."

This kind of exclamation has also continued during other operations.

This little-known Dr. He left a deep impression on the audience with his outstanding strength.

It was not until the chairman of the conference announced that He Sheng won the morning competition.

A deafening cheer resounded through the audience in an instant, and waves of sound soared into the sky, almost lifting the entire roof.

Not only the doctors in China were very excited, but doctors from many other countries were also cheering for it.

"Great, once again entered the final!"

"Doctor He, come on, Huaxia, come on!"

"Worthy of being Professor Zhou's disciple, he is indeed in the same line!"

"Tomorrow's final will definitely win the championship."

"Doctor He is great, you are our pride!"

Amidst the uproar, Ichiro Takeuchi, who was sitting in the corner, had a clouded face and couldn't smile at all.

During the 12-minute operation just now, there were a few brief shots showing the operation of the endoscope.

Since there are very few pictures of the equipment, and most of the time it shows the perspective under the endoscope, so most people don't notice the difference between the endoscopes used by the players.

But he is different.

The so-called person who knows you best is not a friend, but an enemy.

He could tell at a glance that the endoscope used by the Huaxia players was Sanqing's equipment.

In fact, the conference did not stipulate that surgical equipment must use a certain brand, which gave the organizers some room for manipulation.

As long as manufacturers can generously sponsor, they can make their equipment appear on the screen.

Of course, there is a prerequisite for this, that is, there should be no obvious difference in the quality of the equipment of the manufacturer, otherwise it will affect the performance of the players.

In the past, the endoscope equipment of domestic manufacturers did not meet this requirement, so there has not been an endoscope manufacturer that can compete with Olympus.

But now, it's here.

Sanqing's endoscopic equipment passed the strict assessment of the competition organizers, and there was no difference in quality between them and Olympus' equipment, so they were able to be used together in the competition.

Although it will not advertise it blatantly, it will also give a few obvious shots, which can be seen by anyone with a discerning eye.

As long as the Huaxia players use Sanqing's equipment to win the championship, there is no doubt that the media will write a big book and leave a deep impression on the hearts of doctors all over the world.

In this way, doctors will definitely have a strong impression of Sanqing’s endoscopic equipment, and Sanqing’s overseas market expansion will become extremely beneficial.

Even if the Huaxia player does not win the championship, he will be the runner-up. At least it will leave an impression that Sanqing's endoscope is completely comparable to that of Olympus.

No matter which result, it is unacceptable for Olympus.

Because of this, Takeuchi Ichiro's face is so ugly.

However, facing the current situation, he has nothing to do, he can only stare at the screen secretly resentful.

Not far from him, there is also a manufacturer representative, who is looking serious at the moment, as if he is facing an enemy.

President Gray of Johnson \u0026 Johnson Medical Devices looked at the screen with a shock in his heart and a mess in his mind.

Just a few days ago, the president of Huaxia District sent him new news. It is said that Sanqing has developed a brand new hose ultrasonic knife, so he rushed to the conference in a hurry to see what happened.

Unexpectedly, I saw this legendary product again at the World Cup of Endoscopy.

Moreover, it replaced the electric knife commonly used in endoscopy, and it showed amazing power in the hands of Huaxia players.

This is why he doesn't pay attention to it.

"If Huaxia players use Sanqing's Ultrasonic Knife to win the championship..."

He didn't dare to think about it anymore, his brain was running fast, thinking about the countermeasures.

*****

Haishi, Huashan Hospital.

The champion of the afternoon game also came out.

Amidst the burst of cheers, Zhou Ruping watched the operation picture on the screen, and his smile slowly disappeared.

He Shengcai on the side looked at the teacher's serious face and asked curiously: "Teacher, do you know anything about Castil, the representative of the Eagle Kingdom?"

Zhou Ruping adjusted his glasses and pondered, "This Dr. Castile is from Cleveland. He's very talented. He's only in his thirties. He's not even in his forties.

"His surgical style pursues excellence. The speed is not the fastest, but the knife 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 number of surgeries, no less than the top three hospitals in Shanghai, so he has been in the field for a long time and is very skilled."

"More importantly, he was the champion of the World Cup of Endoscopy two years ago, and he performed ESD surgery superbly."

"This is an opponent who is evenly matched with you, and you need to be cautious."

"However, you still have some advantages over him. Just like most doctors in the Eagle Country, he takes the less and more precise route. He only specializes in a few surgeries, not as many surgeries as you do."

He Shengcai suddenly became nervous and asked, "Then what should I do to defeat him?"

Zhou Ruping chuckled and said, "Very good. Facing a strong opponent, you didn't waver. You asked about your chances of winning, but directly asked how to deal with it. It shows that you have full confidence in yourself."

"Don't be too anxious. Just like usual, I arranged a very difficult operation. As your game tomorrow, you should be able to maximize your advantages."

He stared straight ahead, stood up with a smile, and said in his mouth: "The specific situation will be discussed later. Now let's enjoy the joy of entering the final."

Only then did He Sheng let go of his hanging heart, looked up, and saw the chairman of the conference walking towards this side, with his hands open and waving wildly from a distance, his mouth was still opening and closing, as if talking loudly What.

So he squeezed out a bright smile and greeted him with the teacher.

*****

July 13, Huashan Hospital, at 9:00 am.

As usual, He Shengcai put on the surgical gown, sanitized his hands, and entered the operating room.

The chairman of the conference also came in, and he will assist in the operation and give an explanation.

A patient was lying on the operating table, his eyes rolling around, his face full of curiosity.

With a calm tone, He Shengcai began to introduce the patient's condition and surgical plan.

"The lower part of the patient's esophagus showed a bird's beak-like change. At the same time, the upper end was followed by a diverticulum the size of a pear and a peanut. The continuous tightening of the muscles in the lower part of the esophagus aggravated the expansion of the diverticulum, resulting in food regurgitation, choking and regurgitation for many years."

"Diagnosed with achalasia combined with multiple esophageal diverticulum, STESD surgery is required in addition to conventional POEM surgery."

"Considering that while cutting the esophageal sphincter, it is necessary to cut the diverticulum diaphragm muscle, it is necessary to carefully design the surgical route of myotomy."

"POEM+STESD dual surgery is a comprehensive treatment for complex and difficult diseases, which is equivalent to two level 4 surgeries at the same time, and the difficulty is rare in the world."

"The patient is from abroad. Because the operation is very difficult and the risk is extremely high, he was recommended to come to Ruiji Hospital for treatment."

"Okay, let's get started."

The moment he started, his whole body changed, his hands were as firm as stones, and the expression on his face also solidified into a stone statue.

At this time, the patient fell into a coma under the effect of anesthesia.

The only living person on the scene was the chairman of the conference. He immediately started the performance and began to explain it endlessly.

"The key to POEM surgery is to successfully create a sufficiently long submucosal tunnel without causing damage to the superficial mucosa, and the tunnel length must be sufficient to provide space for myotomy."

"In this case, the myotomy had to be at least over 10 centimeters in length to ensure clinical efficacy."

"It can be seen that the patient's esophageal lumen has obvious expansion and distortion, 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 operation to deal with it. First, a submucosal tunnel was established in the upper part with a large curvature, and then myotomy was performed in this area."

"Then a second submucosal tunnel was created, and the muscles were dissected on both sides of the diverticulum ridge, and the two diverticulum were completely resected."

"Next, let us witness Dr. He's wonderful operation."

"Everything went exceptionally well and he made a tunnel in the submucosa of the esophagus."

"The 10-centimeter tunnel was completed in 5 minutes, which is like flying speed, which shows that Dr. He's technique is extremely skilled."

"The wound surface was clean, the field of vision was clear, and there was not a single drop of blood as before."

"I know you must have started applauding."

"OK, now we're going to cut open the muscles around the cardia in the tunnel. Do you see the tiny knife head in the picture? Does it look familiar? That's right, it's the ultrasonic knife that can be used under the tube endoscope. Knives are gentler, less 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, very smooth, without any resistance."

"Dr. He's hand is very steady. Thanks to the extremely high resolution of the endoscope, he skillfully avoided the 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 was not standing opposite him now, I would have thought I was watching Zhou perform this operation."

"Now, finally, the second half of the operation, the endoscopic transesophageal submucosal tunnel spine dissection of the diverticulum (STESD) begins."

"Bravo is also a wonderful tunnel reconstruction. The length of the tunnel meets the requirements of passing through two diverticula at the same time, so that it can be completely resected at one time."

"It can be seen that such a surgical approach must have been carefully thought out, with an accurate judgment on the extent of the lesion."

"It's just that in this way, the endoscope will go 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 diverticulum ridge requires extremely high skill."

"Oops!" The chairman of the conference suddenly exclaimed: "An accident happened, and the patient's fragile artery actually bleeds."

"A complete accident is a sudden disaster. Let's see how Dr. He will face this crisis."

Following his scream, the referees in the conference room seemed to be tightly grasped by a big hand, they all took a breath and stared at the dazzling bright red on the screen.

The audience fell into a deathly silence, and no one dared to take a breath.

However, on He Shengcai's side, the expression on his face remained motionless, and the movements in his hands did not stop, and he continued to proceed smoothly.

He changed his field of view, zoomed in on the screen, and quickly found the bleeding point.

Clamp it directly with the head of the ultrasonic scalpel, and almost instantly, the protein at the rupture is solidified, and the bleeding stops immediately.

The blood was quickly rinsed and sucked away with clean water, and the surgical field of view became clear and clean again.

He Shengcai proceeded with the operation as if nothing had happened.

It seemed that 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 watched this scene, his voice stopped abruptly, and he was silent for 10 seconds before continuing his explanation.

It's just that this time his explanations are not so fancy, and there is a lot less free-playing content, and it becomes more academic.

It's like going from a passionate host of the Football World Cup to a ruthless reading robot.

As for his eyes, he no longer looked around, wandering around the operating room.

Instead, he kept his eyes firmly on He Shengcai's hands, for fear of missing any details.

The next STESD operation is a derivative of ESD, and it takes a long time to resect two esophageal diverticula.

It took a full 25 minutes to completely remove it.

In the end, He Sheng used four titanium clips to seal all the wounds.

Titanium clips are a very convenient method of suturing in the body and are harmless to the human body. After the wound is healed, the titanium clips will naturally fall into the digestive tract and be excreted with food residues.

At 45 minutes, He Sheng 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 operation. If there is divine help in the whole process, it will be a miracle."

After 50 minutes, the patient woke up, stretched out his right hand, and gave a thumbs up.

This scene was broadcast to the conference room, and the audience burst into enthusiastic cheers again.

And in the corner of the back row, a white man with a thin face, high nose and deep eyes looked at the screen in a daze.

"Hey, Castil, how are you?" A big hand patted on his shoulder, and a deep laughter came: "Facing such a terrifying opponent, do you have the confidence to win?"

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 back then and won the championship. I am very envious of your luck."

"Unfortunately, facing his students this time, I'm afraid I won't be able to repeat your victory."