The most common complication after esophageal cancer surgery was the appearance of anastomotic leakage.
Because the elasticity of the esophagus was not good, there might be problems with blood supply after anastomosis, leading to a series of complications.
The higher the level of esophageal cancer, the more difficult it was to treat. This was because the higher the gastric traction, the greater the tension. The greater the tension, the worse the blood supply at the anastomosis.
Lin Ge understood all of this. When he saw that Professor Lu was a little embarrassed when he said this, he knew why.
There was a fistula at the anastomosis, local tissue congestion, edema, and the healing was not good. When the stent was removed, once the stent poked at the part of the anastomosis that had not completely healed, it might lead to a larger tear.
Otherwise, Chief Luo would not have said that he refused to do gastroscopy in the beginning because he was worried that it would happen and develop.
The patient's current situation had nothing to do with the 912. Once there was a secondary, especially a traumatic operation, it would be the 912's fault.
"When can Chief Kong step down?" Lin Ge asked.
"He said it's soon," Professor Lu said. "I'm really sorry to ask Chief Kong for help every time."
"Okay, the patient's condition is very clear. Are the other positions fine?" Lin Ge asked.
"Uh … Chief Lin, the other positions really look fine now. Don't scare me," Professor Lu said. "It's been a month since the surgery, and it hasn't grown yet. It's really possible that a sneeze will kill a person."
This was an old joke in the 912.
That was a similar patient a few years ago. It was just that it was ordinary esophageal cancer and did not undergo a total gastrectomy. However, the entire course of the disease was similar. After the surgery, there was also an anastomotic leakage.
At that time, Lin Ge was also the one who presided over the consultation of the whole hospital. Because Chief Kong was not at home to study abroad, Zhao Yunlong came. He was not confident in the patient's stent after the surgery, so he used conservative treatment.
The patient's chest was irrigated every day, and the drainage was smooth. Just when everyone saw hope, the aorta next to the esophagus was broken by a sneeze because it had been corroded by dirt for a long time.
That was why Lin Ge asked this question.
Professor Lu also knew this patient. When he thought about the patient spitting out a mouthful of blood, he died. The room was full of blood stains, and it was scary to look at.
Later, because of this matter, several exchange activities were organized between the departments. Chief Ye Qingqiu personally hosted them. After communicating with each other, the medical administration division made a guarantee and Department Chief Kong took over the job.
However, Department Chief Kong's level was still high. He was bold and careful. In the past few years, he had handled stent surgeries for anastomotic leakage after esophageal cancer surgery without any problems.
However, Lin Ge wasn't in a hurry. He just looked curiously at Quan Xiaocao, who was standing next to Professor Feng. He wondered when she would speak about the endoscopic surgery that she wanted to do.
That was how medical technology worked. People who sneezed a few years ago were gone. For patients with esophageal anastomotic leakage, they could only constantly rinse, keep it clean, and increase nutrition to allow the anastomotic leakage to grow.
At this time, he would have to rely on his luck.
With interventional surgery, the survival rate of patients with stents was much higher. Did this Quan Xiaocao master some new technology? Even Chief Luo was curious. Could it be that Boss Zheng had secretly taught him some ultimate skill?
Lin Ge's mind began to work.
However, it did not seem like it. Boss Zheng was not interested in this case at all. He sat there obediently weaving the red rope. If he was going to teach it to Quan Xiaocao, she would have to come and take a look when it was her first time performing surgery, right?
Lin Ge chatted as he waited for Department Chief Kong to come, but he did not see Quan Xiaocao speak. Not only did she not speak, but she kept her head lowered as if she did not even dare to raise it.
'This child is still really timid,' Lin Ge thought to himself.
However, it made sense. There was a room full of chief physicians and professors leading the group. She was just a student. If she stood up and spoke at this time, she would not be Quan Xiaocao but Zheng Ren.
Knock, knock, knock. There was a knock on the door.
Fang Lin opened the door immediately, but it was not Department Chief Kong but Boss Zheng who came in.
"Boss Zheng, why are you here?" Fang Lin asked softly.
"Department Chief Kong encountered some problems during the surgery. He asked the nurse to call me to participate in the consultation," Zheng Ren said with a smile. "What's the situation?"
After Professor Lu's trainee explained the patient's situation again, Zheng Ren held the radiographic films and looked at them for a full three minutes. He said, "The probability of recovery is still a little low if it's just the next stent."
"There's no other way. I'm very satisfied to be able to steadily put the stent in," Professor Lu said with a sigh.
"There's no problem with the stent. I suggest doing an endoscope," Zheng Ren said.
Endoscope!
Boss Zheng's request for an endoscopy was completely different from what Quan Xiaocao had said.
Chief Luo asked with interest, "Boss Zheng, Professor Feng's student also said that he can do endoscopy. What kind of treatment is this?"
"Oh? Xiaocao has already started to come into contact with this? "Zheng Ren turned his head and glanced at Quan Xiaocao. He smiled and said," Xiaocao? "
Quan Xiaocao responded like a mosquito, but she still didn't raise her head.
Zheng Ren knew this guy's temper and was a little helpless. The surgery was clearly done well. According to Su Yun's words, endoscopic treatment could be considered to have reached a higher level. Why did he not even dare to say a word?
"In the past few years, there has been an endoscopic technique called OVER.
clip。 Simply put, the main treatment methods for anastomotic fistula include conservative treatment, conventional endoscopic closure of the fistula, and secondary surgery. However, the conventional endoscope clips have limited suction force, limited clamping range, and sclerosis or scar formation around the anastomotic fistula leads to a low success rate of fistula closure. "Zheng Ren stood in front of the radiographic film viewer, as straight as a spear.
"Secondary surgery and interventional surgery with stents are still the main methods to solve anastomotic fistula, but there are often high risks such as a high recurrence rate and mortality rate.
"But this kind of OVER
I think it should be able to become mainstream in the future. Now, we are facing the problem of insufficient surgical samples and no big data to observe. Due to the lack of large-scale prospective clinical studies, the efficacy of OTSC anastomotic clips in the treatment of anastomotic fistula still needs further research to confirm. "
Professor Lu's ears almost perked up.
Although he was dismissive of what Professor Feng's student said before, the meaning of Boss Zheng's words changed.
For the thoracic surgery department, if there was a way to solve the anastomotic fistula after esophageal cancer surgery, it meant that the risk of surgery was further reduced.
This was a great thing.
Although Boss Zheng had also said that there was still a lack of large-scale prospective clinical studies, the efficacy of OTSC anastomotic clips in the treatment of anastomotic fistula still needed further research to confirm. However, the fact that he could stand there confidently and propose endoscopic treatment meant that he had a plan in mind.
As Zheng Ren spoke, his eyes were fixed on Quan Xiaocao.
"Xiaocao, come over and tell me your opinion," Zheng Ren said gently.
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