The most common complications after surgery for esophageal cancer were anastomosed fistules.
Since the elasticity of the esophagus was not good, there might be problems with blood circulation after anastomosis, which would lead to a series of complications.
The higher the position of esophageal cancer, the harder it was to treat. This was because the higher the pulling force of the stomach, the greater the tension. The greater the tension, the harder it was for blood to flow at the anastomosed area.
Lin Ge knew all of this. He saw that professor Lu was a little embarrassed when he said this.
The anastomosed area had fistules, local tissues were congested, and there was edema. The healing was not good. If the stent was poked at the part of the anastomosed area that had not completely healed, it might cause a bigger tear.
Otherwise, Department Director Luo would not have refused to do a colonoscopy at the beginning because he was worried that it would happen and develop further.
The patient’s current condition had nothing to do with 912. Once there were any secondary operations, especially those that were traumatic during the surgery, 912 would be the one to blame.
“When can Department Director Kong step down?” Asked Lin Ge.
“He said he’ll be there soon.” Professor Lu said,”I’m sorry to ask you for help every time.”
“Sure, the patient’s condition is clear now. Are the other parts of the body okay?” Asked Lin Ge.
“Uh … Division Chief Lin, the other positions are really fine now. Don’t scare me.” “It’s been a month since the surgery,” professor Lu said.”It hasn’t grown yet. It’s really possible that one sneeze will cause the patient to die.”
This was an old joke from 912.
A few years ago, a similar patient had just suffered from common gastrointestinal cancer and had not undergone total gastrectomy. But the entire course of the disease was similar, and there would also be anastomosed fistules after the surgery.
At that time, Lin Ge was also the one who hosted the hospital-wide consultation. Since Department Director Kong was not at home and studying abroad, Zhao Wenhua came. He was not confident in placing a stent on the patient after the surgery, so he used conservative treatment.
The patient’s chest was flushed every day and the drainage was smooth. Just when everyone saw hope, the aorta next to the esophagus burst due to a sneeze because it had been corroded by dirt for a long time.
That was why Lin Ge asked.
Professor Lu also knew about this patient. He remembered that the patient had died after spitting out blood. The room was filled with blood and it was a terrifying sight.
Later, because of this, several exchange activities were organized between the departments, which were personally hosted by director ye Qingqiu. After communicating with each other, the hospital administration Department made a promise, and Department Director Kong took over the job.
However, Department Director Kong’s level was still high. He was the bold and careful type. In the past few years, he had handled the stent surgery for the anastomosis of esophageal cancer and had never had any problems.
However, Lin Ge was not in a hurry. He was only looking at Quan xiaocao, who was beside professor Feng, curiously. He wondered when she would speak and tell him about the endoscopies she wanted to perform.
This was how medical technology worked. A few years ago, people died from sneezing. For a patient like this who had suffered from esophageal anastomosis, the only way was to constantly rinse it, keep it clean, and strengthen its nutrition so that the anastomosed area would grow.
This time, it all depended on luck.
With the help of interventional surgeries, the survival rate of patients who could remove the stent would be much higher. Did this Quan xiaocao master some new technique? Even director Luo was curious. Could it be that boss Zheng had secretly imparted some ultimate skill to him?
Lin GE’s mind began to work.
But it didn’t seem like it. Boss Zheng had no interest in this case at all. He sat there and made the red rope. If he had taught this to Quan xiaocao, she would have definitely come to take a look on her first surgery.
Lin Ge waited for director Kong to arrive while chatting with her, but Quan xiaocao did not say anything. Not only did she not say anything, but she also kept her head down, as if she did not even dare to raise her head.
‘This child is really a coward,’ Lin Ge thought.
However, it made sense. There were a whole room of directors and professors leading the team. If she, a student, stood up and spoke with confidence at this time, she would not be Quan xiaocao, but Zheng Ren, boss Zheng.
Knock, knock, knock. Someone knocked on the door.
Fang Lin opened the door at once, but it was not director Kong who came in. It was boss Zheng.
“Boss Zheng, why are you here?” Fang Lin asked in a low voice.
“Department Director Kong ran into some problems during his surgery, so he asked the nurse to call me over to join the consultation.” Zheng Ren smiled.”What’s the situation?”
After the in-service student led by professor Lu explained the patient’s condition again, Zheng Ren looked at the film for a full three minutes and said,””The probability of recovery is still a little low with just the next stent.”
“I can’t help it. I’m already content with being able to put the stent in steadily.” Professor Lu sighed.
“There’s no problem with the stent. I suggest we do an endoscope operation. ” Zheng Ren said.
Endoscopies!
Boss Zheng suggested that they perform an endoscopies, but the level of strength was completely different from what Quan xiaocao had said.
Department Director Luo asked with interest,”boss Zheng, previously, professor Feng’s student also said that he can perform endoscopies. What kind of treatment is this?”
“Oh? Xiao Cao has already started to get involved in this?” Zheng Ren turned to look at Quan xiaocao and smiled,””Little grass?”
Quan xiaocao responded like a mosquito, but she still did not raise her head.
Zheng Ren knew this fellow’s temper and was a little helpless. The surgery had clearly been performed well, and according to Su Yun, he had already reached a higher level in terms of endoscopic treatment. Why did he not even dare to say a word?
“In the past few years, there has been an endoscopies technique. Its full name is over the scope clip. To put it simply, the main methods to treat anastomosed fistles included conservative treatment, conventional endoscopic clamping of the fistles, and surgical secondary surgery. However, due to the small strength and limited Clamping range of conventional endoscope, in addition to the hardening of the tissue around the anastomosed fistlet or the formation of scars, the success rate of closing the fistlet was low. ” Zheng Ren stood in front of the film reader, as straight as a steel gun.
“Secondary surgery and interventional surgery to remove the stent are still the main methods to solve the problem of anastomosed fistules, but they often have high risks such as a high recurrence rate and high mortality rate.”
“However, I think this kind of” scope over the show “will become the mainstream in the future. Now, he was faced with the problem of not having enough surgical samples and not having enough big data to observe. Due to the lack of large-scale forward-looking clinical research, the effectiveness of OTSC anastomosed clips in the treatment of fistules still needs further research to prove. “
Professor Lu’s ears perked up.
Although he had previously disdained what professor Feng’s student had said, the meaning behind boss Zheng’s words had changed.
For the cardiothoracic Department, if there was a way to solve the problem of the endoctotic fistules after the surgery of esophageal cancer, it would mean that the risk of the surgery would be further reduced.
This was a great thing.
Although boss Zheng had also said that there was still a lack of large-scale forward-looking clinical research, the effectiveness of OTSC anastomosed clips in the treatment of anastomosed fistules still needed further research to prove. However, the fact that he could stand there and confidently suggest that they perform endoscopic surgery meant that he already knew what was going on.
Zheng Ren said, but his eyes were fixed on Quan xiaocao.
“Little grass, come over and share your thoughts.” Zheng Ren said gently.
