Chapter 2695

The most common complication of esophageal cancer is anastomotic fistula.

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

The higher the esophageal cancer, the worse the treatment, because the higher the gastric traction, the greater the tension, and the worse the blood supply at the anastomosis.

Linge knew all this. He was a little embarrassed when Professor Lu said this. He knew why.

Anastomotic leakage, local tissue congestion and edema, and the healing is not good. When the stent is removed, once the stent is poked in the part of the anastomosis that has not fully healed, it may lead to greater tear.

Otherwise, director Luo would not say that he first refused to do gastroscopy because he was worried about the emergence and development.

The patient's current situation has nothing to do with 912. Once there is a secondary, especially traumatic operation, it is the pot of 912.

"When will director Kong step down?" Asked ringer.

"It's fast." Professor Lu said, "I'm really sorry to ask director Kong for help every time."

"OK, the patient's condition is very clear. Are other positions all right?" Asked ringer.

"Er... Director Lin, it's really all right for other positions now. Don't scare me." Professor Lu said: "it has been one month since the operation, and it hasn't grown yet. It's really possible that people can't sneeze."

This is an old stem of 912.

A few years ago, a similar patient was just an ordinary esophageal cancer without total gastrectomy. However, the whole course of disease was similar, and anastomotic leakage also occurred after operation.

At that time, it was also the whole hospital consultation presided over by linge. Because director Kong was not at home to study abroad, Zhao Wenhua came. He was not sure of the stent under the postoperative patient, so he adopted a conservative treatment.

The patient's chest was flushed and drained unobstructed every day. When everyone saw hope, the aorta next to the esophagus was corroded by dirt for a long time and broke due to a sneeze.

That's why ringer asked.

Professor Lu also knew the patient. When he thought of the patient's blood gushing out at that time, the person disappeared directly. The blood stains all over the room are frightening.

Later, because of this, several exchange activities were organized between departments, which was personally presided over by director ye Qingqiu Ye. Exchange with each other, the medical office made a guarantee, and director Kong took over the job.

However, director Kong's level is still high, which belongs to the kind of bold and careful. In recent years, he has no problems in the stent surgery for anastomotic leakage after esophageal cancer surgery.

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

Medical technology is like this. There were no sneezers a few years ago. For example, patients with esophageal anastomotic leakage can only be rinsed continuously, kept clean and strengthened nutrition to make the anastomotic grow hard.

It's time for luck.

With interventional surgery, the survival rate of patients who can remove the stent is much higher. What new technology has this Xiaocao mastered? Even director Luo was curious. Is it any unique skill secretly taught by boss Zheng?

Ringer's mind began to move.

But unlike, boss Zheng has no interest in this case. He honestly sits there and makes red rope. If he taught Quan Xiaocao, he would have to come and have a look at the first operation.

Linge chatted while waiting for director Kong, but he didn't see the right grass talking. Not only did she not speak, she kept her head down and seemed to dare not even look up.

The child is still a good counselor, thought ringer.

But also, the director of a room, the professor with a group, is a student. If she stood up and talked, it would not be Quan Xiaocao, but boss Zheng renzheng.

"Dong Dong Dong ~" the knock on the door sounded.

Fang Lin opened the door for the first time, 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 during the operation and asked the nurse to call me to attend the consultation." Zheng Ren smiled, "what's the situation?"

After Professor Lu's trainee repeated the patient's situation, Zheng Ren watched the film for three minutes and said, "just the next stent, the probability of recovery is still a little low."

"I can't help it. I'm very satisfied to put the support in steadily." Professor Lu sighed and said.

"There's nothing wrong with the stent. I suggest another endoscopy." Zheng Rendao.

Endoscopy!

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

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

"Oh? The grass has begun to touch this piece?" Zheng Ren glanced at Quan Xiaocao and said with a smile, "Xiaocao?"

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

Zheng Ren knows the temper of the goods and is a little helpless. The operation is clearly done well. According to Su Yun, contact endoscopic treatment is also a step into the house. How dare you even say a word.

"In recent years, there has been an endoscopic technique called over the scope clip. In short, at present, the main methods for treating anastomotic fistula include conservative treatment, conventional endoscopic clip closing fistula, secondary surgery, etc. However, due to the small closing force of conventional endoscopic clip, limited clamping range, and tissue hardening or scar formation around anastomotic fistula, the success rate of fistula closure is low." Zheng Ren stood in front of the film reader, as straight as a steel gun.

"Secondary surgery and stent under interventional surgery are still the main methods to solve anastomotic fistula, but there are often risks such as high recurrence rate and high mortality."

"But I think this 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 fistula still needs further research and confirmation."

Professor Lu's ears are almost erect.

Although he was dismissive of what Professor Feng had said to the student, the meaning of what boss Zheng said changed.

For thoracic surgery, if there is a way to solve the anastomotic leakage after esophageal cancer surgery, it means that the risk of surgery is 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 anastomotic clip in the treatment of anastomotic fistula still needs to be confirmed by further research. But he could stand there and confidently put forward endoscopic treatment, that is, he knew it well.

Zheng Ren said, but his eyes stared at Quan Xiaocao.

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