Chapter 461 Japanese endoscopic technology


As soon as the light box at the door of the operating room dimmed, everyone knew that the operation was over, so everyone who was in the lounge gathered around the corridor.

After a while, the door of the operating room was opened, and a group of people quickly gathered around.

Mrs. Nanxiang had woken up from the anesthesia at this time, but she was still in a daze and could not answer the questions completely.

Nango Saburo held his wife's hand tightly, with a lot of tears and runny nose:

"Michiko, how are you? Is it painful? You have to hold on, me and the children I’m still waiting for you to go home, the cherry blossom trees in my hometown..."

The more Lin Sanqi listened, the more wrong she became, and she quickly interrupted:

"Mr. Nanxiang, my wife's operation was very successful. Don't worry, I have removed the necrotic tissue. The lung lobes are there." Here."

Lin Sanqi pointed to the sealed box in Feng Ruoqi's hand.

Professor Theodore was the first to jump out:

"Lin, you are really a desperado. This lady not only has tuberculosis, but also has lung infection and lung function. Decline, overall physical condition is very poor, you really dare to operate? Fake, wait a minute..."

Professor Theodore suddenly noticed the two old Japanese people holding hands and quickly stopped him:

"Mr. Nanxiang, if I were you, I'd better not touch your wife, let alone change her position easily. , she just had a major operation , the incision is very huge. Not to mention internal injuries, just one stitch can easily cause the thread to fall off.”

The blood supply of the skin of older people is not very good, especially an old lady who weighs only 70 pounds. , the skin is extremely loose.

Now one hand is held by the husband, and the whole body is turned slightly. In the doctor's opinion, it is easy to cause the incision to collapse.

Frightened, Saburo Nango quickly gently put his wife's hand on the hospital bed, very carefully.

Lin Sanqi waved her hand: "It doesn't matter. You should get out of bed and walk as soon as possible after the operation. You can get up and exercise your lung function tomorrow, and you can eat tonight."

Professor Theodore doesn't Convinced, Americans are extroverted and must say whatever comes to mind:

“Lin, I think there is something wrong with your suggestion. Generally, for this kind of thoracotomy, we need to keep the patient absolutely bedridden at least. How can you ask the patient to act tomorrow after about 7 days? "

Lin Sanqi knew that the American doctor thought it was still a traditional thoracotomy, so he pretended:
< br>"Theodore, this is the difference between the surgeries between our two countries. We have adopted a brand-new surgical method. The patient's incision does not exceed 5cm, so the recovery is faster and the movement is not restricted."

"What?"

Not only Professor Theodore was shocked, but also Professor Anthony and Dr. Xiao Nan.

“This, how is this possible?”

“The 5 cm incision is too small, I can’t even put a hand in!”

“Lin, you must Are you kidding me?”

Lin Sanqi pointed at the patient and said: "Let's go, it's not convenient in the corridor now."

In the ward, the American doctor and the Japanese medical team were very curious about how the Chinese doctor performed the operation. .

So when Lin Sanqi removed the gauze and everyone looked at the "small incision", everyone had an expression on their face: areyoukiddingme.

Even Nango Saburo found it unbelievable that such a small incision could actually complete a difficult and large lobectomy?

At this time, everyone’s first feeling was that this Chinese doctor had faked the situation.

But the logic of the fraud does not make sense. After all, this kind of thing is easy to confirm. If you take an X-ray, you can see whether the lesion has been removed.

Professor Theodore also lightly touched the periphery of the incision with his fingers. After confirming that it was real flesh, he exaggeratedly asked:

"Lin, is this your new surgery? Come on. Come on, tell me what kind of new surgery the incision is like this Smaller?"

Professor Anthony couldn't help it at this time:

"Lin, the only thing I can think of is that you hit the lungs through this incision, and then Cut out with special tools ”

Lin Sanqi thought to herself, he is a top doctor after all, and he could immediately guess the principles of thoracoscopic surgery.

"But Lin, I can't figure it out, how did you manage the surgical field of view? With such a small incision, you can't see the lungs clearly. How can you ensure that there are no such thin blood vessels and bronchi?" Wrong cut? "

Professor Anthony didn't think Lin Sanqi would lie, but there were too many doubts for him to believe that the operation was successful.

Dr. Xiao Nan is also discussing with the team members to determine the possibility of this operation.

The Japanese are also very smart and immediately thought of the concept of laparoscopic surgery proposed by Swedish physician Christian Anderson decades ago.

However, endoscopic surgery relies heavily on television imaging systems and endoscopic cutting and suturing instrument technology.

That is to say, you need to have a micromirror camera lens with its own light source, and it can be broadcast live at all times without delay. This technology alone is difficult to achieve.

These two technical bottlenecks have not been broken, and laparoscopic surgery remains at a concept.

The Japanese team strongly suspected that if Lin Sanqi really underwent this surgery, the only possibility would be the legendary "endoscopic surgery."

Dr. Xiaonan thought of a key point at this time:

"Lin Sang, can we take a look at the lung tissue you removed during surgery?"

Lin Sanqi stepped back a little, pointed to a sealed box in the corridor at the door of the ward and said:

"I know you don't believe it, so I brought the lung tissue I hope you can confirm it as soon as possible. I want to take it for pathological examination."

As soon as Professor Theodore heard this, he ran over and opened the box in a hurry. Lin Sanqi had already retreated. At the top of the stairs, Feng Ruoqi took a look and quietly followed behind.

As soon as the box was opened, the foreign doctors all poked their heads over, and then all ran away.

Several female doctors also had physiological reactions and felt like vomiting.

This was related to a million-dollar bet. Professor Theodore quickly put on a mask, held his breath, and took out the lungs to examine carefully.

He could tell at a glance whether it was lung tissue, and he also saw that the lung tissue was already in a necrotic state, which was why it smelled so bad.

The lung lobes are not fake, so the problem is back to the original point.

The lung lobes were put back into the box, and the staff took the pathological slices. The ward was quiet for a while.

At this time, a little nurse came in with several bottles of potions on the tray. Professor Theodore glanced at them casually, and then took the bottles directly.

"Lin, what kind of potion is this? Why haven't I seen it before?"

"Oh, the bottle you have is imipenem-cilastatin, which is good for aerobic/anaerobic It has excellent effects on mixed infections caused by bacteria. In addition, there is a larger bottle of brown medicine containing moxifloxacin, which is a top-notch antibacterial drug to prevent Mrs. Nanxiang’s postoperative infection.”

If. Lin Sanqi's mentor, Dean Wang, was present and would definitely criticize Lin Sanqi severely.

Where does an intern doctor get the authority to prescribe such high-level antibiotics? This is only available at the chief physician level.

In addition, a small preventive drug for the lungs directly uses this ceiling-level drug. God, if you are a doctor, you will judge the prescription as unqualified and deduct money for misuse of antibiotics.

But Lin Sanqi doesn’t care about this. What he wants to ensure now is that the operation is successful.

If your skills are not good, then you can use medicine to ensure 100% safety. After all, Nango Saburo is someone who has stuffed red envelopes, so he has to be worthy of others.

Professor Theodore was about to twist his hair at this time:

"Fake, what is imipenem-cilastatin? What is moxifloxacin? And you How was this operation done? Oh my God, Lin, you are like a mystery, I am at a loss.”

Professor Anthony was relatively calm and just asked in a deep voice:

“Lin, if you really complete the lobectomy, if the operation is successful, you will get the bet, but can you tell me how you performed the operation? "

Lin Sanqi was a little confused:

"Sorry, Professor, I can only sue I told you that this is a new technique, but it is still in the laboratory confidentiality stage. You also know the intellectual property protection involved, so I’m sorry.”

Professor Anthony was very disappointed when he heard this. Wanting to learn the secrets of the other party, he really wanted to know how the operation was done, because it must involve new tools. If this kind of surgery is announced and promoted globally, it will be an epoch-making technology.

Dr. Xiaonan’s eyes kept rolling.

After Lin Sanqi gave some instructions about the post-operative requirements, she left the ward. Doctor Xiao Nan saw her and immediately chased after her.

"Lin Sang, please wait a moment."

"It turns out to be Doctor Xiaonan, you are..."

"Lin Sang, can you take a moment to talk? It's best to have a private place."

It was Lin Sanqi's turn to start rolling her eyes.

The Japanese doctor caught up with him, and he would undoubtedly ask about the surgery. The business he was chasing was the real money maker, and it seemed that he had made money again?

"Dr. Xiaonan, please come over here. The surgical area is still sealed off, so no one can eavesdrop on the conversation."

"Please!"

In the operating room office, Xiaonan Yuki said his purpose:

Read the error-free version at 69 Book Bar! 6=9+Book_Bar debuts this novel.

"Lin Sang, that's it. I wonder if you have heard of our Japanese Olympus Medical Company?"

Lin Sanqi nodded, Olympus Let alone 1961, the brand was still famous even in 2014. As long as you are studying medicine, almost everyone knows about it.

“This is a very strong medical device company.”

"Lin Sang, it's like this. Our Kameda Medical Center and Olympus Corporation have jointly established an endoscopy project, which specializes in studying various endoscopic surgeries with the purpose of producing various endoscopic medical instruments.

We have been carrying out this project for many years, and the progress has been very slow because the endoscopic equipment involves too much high technology, and it is not our hospital or a company. Our company can solve it, but this requires global cooperation.

Lin Sang, if nothing else happens, Mrs. Nanxiang’s lobectomy, judging from the size of the incision and the choice of the incision site, you will definitely use it. Is it an endoscopic technology that has not yet been made public?"

Lin Sanqi was a little surprised, thinking that the Japanese were really smart. They could judge the new surgery with just a small incision?

What surprised Lin Sanqi even more was that according to the information he found, laparoscopic surgery did not become popular in foreign countries until the 1980s, while in China it took until 1991 for the first laparoscopic surgery to be completed. Cholecystectomy.

So he naturally believed that laparoscopic surgery was a black technology in the 1960s and no one knew about it.

But he forgot that the introduction of a new technology or a new device often requires many years of research and development, experiments, trials, promotion, and finally popularization.

Obviously, the Japanese have temporarily taken the lead in laparoscopic surgery.

As for the United States, it has definitely started research and development, but the research and development pharmaceutical companies have not found a team composed of Professor Anthony and Professor Theodore, so they don't know about it.

After all, new technologies in the research and development stage must be kept confidential.

Since laparoscopic surgery is no longer a "black technology" and is already a new instrument being developed, there is no need for such confidentiality.

Lin Sanqi looked at Xiaotian and smiled confidently:

“I admire Dr. Xiaonan’s clinical level and vision. Yes, I did use a thoracoscope for this surgery. It’s done by methods, and you should be able to guess the principle.”

Dr. Xiaonan. Upon hearing this, his eyes immediately lit up:

"Really? It's incredible. We are still in the laboratory stage of equipment, but you can actually apply it in clinical practice? Your country... I'm sorry Lin Sang, it’s not that I look down on China, it’s really that China is too..."

Lin Sanqi thought to herself, you just look down on Hua Guo.

"Xiao Nansang, as the saying goes, a ruler is shorter and an inch is longer. Japan has Japan's advantages, and China also has China's advancement.

We are far away If not, let’s just say that neither Japan nor the United States can produce this anti-tuberculosis drug. China invented it, right?

The same is true for medical equipment. Maybe you, Japan, are ahead of China in many aspects, but we are not without the ability to fight back. For example, our country has the capacity to produce the 1250 X-ray machine. Can you do it? ”

Dr. Xiaonan bowed:

"Lin Sang, you are right. I have an uninvited invitation. Can you let me see your thoracoscopy equipment? I am very curious."

Lin Sanqi pretended to look left and right. , and then coughed lightly:

"Ahem, this, this, Dr. Xiaonan, you also know, the chest Although the mirror is in the operating room next door to us, the intellectual property rights of this, this, and this machine belong to the state. How can I personally reveal state secrets? "

Lin Sanqi said as he spoke. While sitting, he picked up a book and pretended to turn the pages, but his gestures seemed like he was counting money.

The reason why Japan can become a developed country after the United States is that the people in this country are very smart. Dr. Xiao Nan immediately realized something.

But he felt that Chinese people were very face-conscious and would not be able to find someone with a few good words, so they had to pretend to be stupid.

"Lin Sang, you are Mr. Nanxiang's friend. Our Kameda Medical Center is also Mr. Nanxiang's property. After all, we are all our own people, and we will never treat our friends badly... "

Lin Sanqi hated going around in circles like this, so he said greedily:

"Little Doctor Nan, this is a rare opportunity. This thoracoscopic machine will be transported away for protection either this afternoon or tomorrow. If you want to...ahem...you'd better hurry up and impress me, or you can hit me to death... ”

Doctor Xiao Nan’s mind was filled with questions: “Lin Sang, why did I want to kill you?”

Lin Sanqi glanced at Xiaonan Yuki: "I mean, you can smash me to death with a sword."

In order to make the Japanese more tempted, Lin Sanqi said in a good manner:

"For example, I can tell my superiors that the thoracoscopic machine needs to be fully disinfected and will stay in the operating room of Union Hospital tonight. For another example, the security guard outside the operating room can be mine, and outsiders are not allowed to approach.

For another example, It’s useless just to look at the surface of the machine. Maybe you want to take a screwdriver to see the internal structure, or you want to see how thoracoscopy is used in clinical practice and how surgery is done, right?

But? In doing all this, I have to accept the condemnation of my conscience. I always think that I am ashamed of the country and the people. I am selling my soul. I am of the same nature as Wang Jingwei back then and was despised by thousands of people.
< br>

Doctor Xiaonan, you see I am prepared to sacrifice so much and pay so much, shouldn’t I get what I deserve? Don’t you want to know the principles of using endoscopic surgical instruments and avoid detours? "

Dr. Xiaonan began to despise this Chinese doctor in his heart.

I thought to myself that this guy looks thick and upright on the surface, but he didn't expect that he is actually a traitor?

That’s fine, If you are a stubborn person, they may not be able to do anything, but as long as you are a money-loving person, it is not a problem if you can solve it with money.

"Lin Sang, you are a cheerful person, I understand, but this matter. I can't make the decision, I need to ask my boss for instructions. ”

Lin Sanqi thought to herself, isn't your biggest boss Nanxiang Saburo? He's in the inpatient department. It's such a small distance, so you can just ask for instructions.

So what if the endoscopic machine was seen by the Japanese? You may not be able to imitate it if you see it.

For example, endoscopic lenses, processors, light sources, camera systems, surgical tools, display systems, etc., can the technology of the 1960s keep up?

Just an objective lens system and an optical transmission system cannot solve the problem.

There is also a core problem, the chip.

The chips of modern high-end medical instruments are all nanometer-scale, but in the 1960s, even the United States had just replaced the vacuum tubes of the past with transistors as signal amplification components, and the chips were completely impossible to imitate.

Of course some people will say that the Japanese cannot solve it now, but as long as they have an idea, they will be able to solve it in a few years, and the endoscopic instrument will be built.

Then aren’t you, Lin Sanqi, an enemy?

In fact, even without Lin Sanqi, the Japanese will still be able to build a laparoscopic machine in a few years. I didn’t know that Olympus is already doing clinical research.

As for China, a thoracoscope involves all aspects of cutting-edge technology. All the parts of a machine add up to tens of thousands, and the core components alone involve dozens of disciplines.

So if China in the 1960s and 1970s also wanted to make a cavity mirror, only Lin Sanqi would sell parts from another time and space and assemble them.

Otherwise, depending on the country’s technological strength and the “technical generation gap”, the possibility of manufacturing endoscopic machines and selling them for money is zero.

Even in 2014, the core components of endoscopes were only imported and could not be completely domestically produced. This indirectly shows that preventing copycats is not as simple as imagined.

So if China wants to use Lin Sanqi to overtake in corners, "Medicine" is the best opportunity.

Of course, when the Japanese build their own endoscopic surgery machine, they may be surprised to find that all endoscopic-related patents may have been applied for.

In other words, if the Japanese want to produce and sell endoscopic instruments in the future, they must pay patent fees to the Chinese.

Of course the subject of the patent is not allowed to be the country, otherwise they will act rogue, but it can be Xiangjiang Lingnan Tang Pharmaceutical Company... (End of this chapter)

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