2695 New Technology
The most common complication after esophageal cancer surgery is the occurrence of anastomotic fistula.
Because the elasticity of the esophagus is not good, blood circulation may occur after anastomosis, resulting in a series of complications.
The higher the esophageal cancer, the more difficult it is to treat, because the higher the gastric pull, the greater the tension, and the greater the tension, the worse the blood circulation at the anastomosis.
Linger knew all these things. He felt a little embarrassed when he saw Professor Lu say this, and knew why.
There is a fistula in the anastomosis, local tissue congestion, edema, and it is not healed well. When the stent is removed, once the stent pokes the part of the anastomosis that has not been fully healed, it may lead to larger tearing.
Otherwise, Director Luo would not have said that he refused to have a gastroscopy at the beginning, but was worried about the occurrence and development.
The patient's current situation has nothing to do with 912. Once there is secondary, especially after the traumatic operation of the surgery, it will be the 912 cause.
"When will Director Kong step down?" Linge asked.
"It's almost done," said Professor Lu, "I'm so embarrassed to ask Director Kong for help every time."
"Okay, the patient's condition is very clear. It's okay to have other locations." Linge asked.
"Uh...Director Lin, it seems that it's really okay in other locations now, don't scare me." Professor Lu said: "It's been one month since the operation and it hasn't grown yet. It's really possible that you will be gone if you sneeze."
This is an old joke from 912.
That was a few years ago, a similar patient, who was just ordinary esophageal cancer and did not undergo a total gastrectomy. However, the entire course of the disease was similar, and anastomotic fistula also occurred after the operation.
At that time, it was also the whole hospital-wide consultation chaired by Lin Ge. Because Director Kong did not go abroad to study at home, Zhao Wenhua came. He was not sure about the patient's stent after the operation, so he adopted conservative treatment.
The patient flushes the chest cavity every day and drains the flow smoothly. Just when everyone sees hope, the aorta next to the esophagus is corroded by dirt for a long time and is broken by a sneeze.
That's why Linger asked this question.
Professor Lu also knew about this patient. When he thought of the patient's mouthful of blood, the person was gone. The blood marks in the room were scary.
Later, because of this, the departments organized several exchange activities, which Director Ye Qingqiu and Ye personally presided over. The medical department made a guarantee, and Director Kong took the job.
However, Director Kong's level is still high, and he is the kind of bold and careful. In recent years, he has not had any problems with the stent surgery for anastomotic fistula after esophageal cancer surgery.
Lin Ge was not in a hurry either. He just looked at the Quan Xiaocao next to Professor Feng with curiosity, thinking about when she would speak and what was going on with the endoscopic surgery she wanted to have.
This is the case with medical technology. People who sneeze in the past few years were gone. For example, patients with esophageal anastomosis fistula had problems with esophageal anastomosis fistula. They could only continue to flush, keep clean and strengthen nutrition, so that the anastomosis could grow hard.
At this time, you have to fight for luck.
With interventional surgery, the survival rate of the patient after being discharged from the stent is much higher. Did Quan Xiaocao master any new technology? Even Director Luo was curious. Could it be that Boss Zheng secretly taught some unique skills?
Linger's mind began to move.
But unlike Boss Zheng, who was not interested in this case at all, sat there honestly weaving a red rope. If he taught it to Quan Xiaocao, he would have to come and see if he had the first surgery.
While waiting for Director Kong to come, Lin Ge chatted while not seeing Quan Xiaocao speak. Not only did she not speak, she kept her head down, as if she didn't even dare to look up.
This kid is still really cowardly, Linge thought to himself.
But it is also true that the director of the room, led the team professor, and she was a student. If she stood up and talked about it at this time, it would be Quan Xiaocao but Boss Zheng Ren and Zheng.
"Dongdongdongdongdong~" a knock on the door sounded.
Fang Lin opened the door as soon as possible, but it was not Director Kong but Boss Zheng who came in.
"Boss Zheng, why are you here?" Fang Lin asked in a low voice.
"Director Kong encountered some problems in the operation, so he asked the nurse to call me to attend the consultation." Zheng Ren smiled, "What's the situation?"
After Professor Lu taught the training student again, Zheng Ren watched the patient's condition with the film for 3 minutes and said, "The probability of recovery with the next stent alone is still a bit low."
"There is no way, I'm very content to be able to put the bracket in steadily." Professor Lu sighed and said.
"There is no problem with the stent being removed. I suggest you have another endoscopy." Zheng Ren said.
Endoscopy!
Boss Zheng proposed to have an endoscopy, and the intensity was completely different from that of Quan Xiaocao.
Director Luo asked with interest: "Boss Zheng, Professor Feng's students before also said that they could have endoscopy. What kind of treatment is this?"
"Oh? Xiaocao has already started to contact this part?" Zheng Ren turned his head and looked at Quan Xiaocao, and smiled and said, "Littlecao?"
Quan Xiaocao responded like a mosquito, but still didn't look up.
Zheng Ren knew that this guy was a little helpless. The surgery was clearly done well, and according to Su Yun's statement, he was admitted to the house. Why didn't he even dare to say something?
"In recent years, there has been an endoscopic technology, full name is over the scope clip. Simply put, the main methods for treating anastomotic fistulas include conservative treatment, conventional endoscopic clip closure fistulas, secondary surgical surgery, etc. However, due to the small closing force of conventional endoscopic clip, the limited clamping range, and the hardening or scarring of the tissue around the anastomotic fistula, the success rate of fistula closure is low." Zheng Ren stood in front of the film reading device, as straight as a steel gun.
"Surgery secondary surgery and interventional surgery are still the main method to solve anastomotic fistula, but there are often risks such as high recurrence and high mortality."
"But I think this over the scope clip should become the mainstream in the future. Now we are facing 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 anastomosis clip in the treatment of anastomotic fistula still needs further research and confirmation."
Professor Lu's ears were almost erected.
Although he was disdainful of what Professor Feng taught what he said before, the meaning of Boss Zheng changed.
For thoracic surgery, if there is a way to solve the anastomotic fistula after esophageal cancer, 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 research, the efficacy of OTSC anastomosis clip for the treatment of anastomotic fistula still needs further research and confirmation. However, he was able to stand there confidently propose endoscopic treatment, which was aware of it.
Zheng Ren said, but his eyes were fixed on Quan Xiaocao.
Chapter completed!