A doctor who travels through two eras
Chapter 461 Japan Needs Laparoscopic 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 in 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 by this time, but she was still in a daze and could not answer the questions completely.
Nango Saburo held his wife's hand tightly, tears and snot streaming down his face:
"Michiko, how are you? Are you in pain? You have to hold on. The children and I are waiting for you to come home to the cherry blossom trees in your hometown..."
Lin Sanqi felt something was wrong the more he listened, so he quickly interrupted:
"Mr. Nanxiang, Madam's operation was very successful, don't worry, I have already removed the necrotic tissue, noisy, the lung lobe is right here."
Lin Sanqi pointed at the sealed box in Feng Ruoqi's hand.
Professor Theodore was the first to jump out:
"Lin, you are such a desperado. This lady not only has tuberculosis, but also lung infection and decreased lung function. Her overall physical condition is very poor. How dare you perform surgery? Fuck, this is crazy. Wait..."
Professor Theodore suddenly noticed the two Japanese old men holding hands and quickly stopped them, saying:
"Mr. Nanxiang, if I were you, it would be best not to touch your wife, let alone change her position easily. She just had a major operation and the incision is very large. Not to mention the internal injuries, a single stitch could easily cause the thread to fall off."
The blood supply to the skin of older people is not very good, especially for an old lady who weighs only 70 pounds, whose skin is extremely loose.
Now one of her hands is held by her husband, and her whole body is a little turned around, which the doctor thinks may easily cause the incision to rupture.
Frightened, Nango Saburo quickly and gently placed his wife's hand on the hospital bed, very carefully.
Lin Sanqi waved his hand and said, "It's okay. You should get out of bed and walk around as soon as possible after the operation. You can get up tomorrow to exercise your lung function and eat tonight."
Professor Theodore was not convinced again. Americans are extroverts and they must speak out whatever they think:
"Lin, I think your suggestion is problematic. Generally, for this kind of open-heart surgery, we need to let the patient stay in bed for at least 7 days. How can you let the patient move tomorrow? It's so irresponsible."
Lin Sanqi knew that the American doctor thought he was still doing a traditional thoracotomy, so he pretended to be cool:
"Theodore, this is the difference between the surgical fields of our two countries. We use a completely new surgical procedure, and the incision for the patient does not exceed 5 cm, so the recovery is faster and the movement is not restricted."
"what?"
This time, not only Professor Theodore was shocked, but also Professor Anthony and Dr. Xiaonan.
"This, how is this possible?"
"The 5cm incision is too small, even a hand can't fit in!"
"Lin, you have to be kidding me?"
Lin Sanqi pointed at the patient and said, "Let's go. It's not convenient to stay in the corridor now."
In the ward, both the American doctors and the Japanese medical team were very curious about how this Chinese doctor performed the operation.
So when Lin Sanqi removed the gauze and everyone looked at this "small incision", everyone had an expression on their face that said: are you kidding me.
Even Saburo Nango found it unbelievable that such a difficult large-scale lung lobectomy surgery could be completed with such a small incision?
Everyone's first feeling at this time was that this Chinese doctor was cheating.
But the logic of falsification does not make sense. After all, this kind of thing is easy to verify. Just take an X-ray to see whether the lesion has been removed.
Professor Theodore also gently touched the area around the incision with his fingers, and after confirming that it was real flesh, he asked exaggeratedly:
"Lin, is this your new surgery? Come on, tell me, what kind of new surgery requires such a small incision?"
Professor Anthony couldn't help it at this time:
"Lin, the only thing I can think of is that you punched the lung through this incision like a hole, and then removed it with a special tool."
Lin Sanqi thought, after all, he is a top doctor, and he guessed the principle of thoracoscopic surgery almost exactly.
"But Lin, I can't understand how you managed the surgical field of view. With such a small incision, you can't see the lungs clearly. With such thin blood vessels and bronchi, how can you ensure that you didn't make the 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. Xiaonan is also discussing with team members to determine the feasibility of this operation.
The Japanese were also very smart. They immediately thought of the concept of laparoscopic surgery proposed by Swedish physician Christian Anderson decades ago.
However, endoscopic surgery is highly dependent on television imaging systems and endoscopic cutting and suturing instrument technology.
That is to say, you need a micro-mirror camera lens with its own light source, and it must be able to broadcast live at all times without any delay. This technology alone is difficult to achieve.
If these two technical bottlenecks are not broken, laparoscopic surgery will remain just a concept.
The Japanese team strongly suspected that if Lin Sanqi really performed this operation, the only possibility was the legendary "endoscopic surgery".
Dr. Xiaonan thought of a key point at this time:
"Mr. Lin, can you please let us see the lung tissue you removed during the operation?"
Lin Sanqi stepped back a little, pointed to a sealed box in the corridor at the entrance of the ward and said:
"I know you don't believe me, so I brought the lung tissue here. I hope you can confirm it as soon as possible. I will also take it for pathological examination."
When Professor Theodore heard this, he ran over quickly and opened the box hastily. Lin Sanqi had already retreated to the stairs by then. Feng Ruoqi saw this and quietly followed behind.
As soon as the box was opened, the foreign doctors all poked their heads in, and then all ran away.
Several female doctors also had physiological reactions and felt like vomiting.
This involved a million-dollar bet. Professor Theodore quickly put on a mask, held his breath, and took out the lung lobe to examine it carefully.
He knew 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.
If the lung lobes are not falsified, then the problem is back to square one.
The lung lobe was put back into the box and taken by the staff for pathological sectioning. The ward became quiet for a while.
At this time, a young nurse came in with a few bottles of medicine on the tray. Professor Theodore glanced at them casually and then took the bottle directly.
"Lin, what kind of potion is this? Why haven't I seen it before?"
"Oh, the bottle in your hand is imipenem and cilastatin, which is very effective for mixed infections caused by aerobic and anaerobic bacteria. The other larger bottle of brown liquid medicine is moxifloxacin. They are both top-level antibacterial drugs to prevent Madam Nanxiang from postoperative infection."
If Lin Sanqi's mentor, Dean Wang, was present, he would definitely criticize Lin Sanqi harshly.
How can an intern doctor prescribe such a high-grade antibiotic? Only chief physicians can use it.
In addition, for a small preventive lung medication, this ceiling-level drug was used directly. This is outrageous. If it were a doctor, the prescription would be judged as unqualified and fined for the abuse of antibiotics.
But Lin Sanqi didn't care about all that. What he wanted to do now was to ensure the success of the operation.
If my own skills are not good enough, I can use drugs to ensure 100% safety. After all, Nanxiang Saburo gave me a red envelope, so I have to be worthy of him.
Professor Theodore was already combing his hair:
"Fuck, what is imipenem-cilastatin? What is moxifloxacin? And how did you perform this operation? 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 do complete the lobectomy, you will get the bet if the operation is successful, but can you tell me how you performed the operation?”
Lin Sanqi said with some difficulty:
"I'm sorry, Professor. I can only tell you that this is a new technique, but it's still in the confidentiality stage of the laboratory. You also know the intellectual property protection involved, so I'm sorry."
Professor Anthony was very disappointed. He didn't necessarily want to find out the other party's secrets. He just wanted to know how the operation was completed, because it must involve new tools. If this operation is made public and promoted globally, it will be a groundbreaking technology.
Doctor Xiaonan's eyes kept rolling.
After Lin Sanqi gave some instructions for post-operative requirements, he left the ward. When Dr. Xiaonan saw him, he immediately chased after him.
"Lin Sang, please wait a moment."
"It's Doctor Xiaonan, what are you doing..."
"Mr. Lin, can you please excuse me and talk to me? It would be best if we can go somewhere private."
Now it was Lin Sanqi's turn to have his eyes rolling.
This Japanese doctor caught up with me and would undoubtedly ask about the surgery. The business that is pursued is the real money-making one. It seems that there will be another profit?
"Doctor Xiaonan, please come this way. The operating area is still blocked off, so no one can eavesdrop on our conversation."
"please!"
In the operating room office, Xiao Nan Xingshu finally stated his purpose:
Read the error-free version at 69shuba! 6=9+shu_ba is the first to publish this novel.
"Mr. Lin, this is the case. I wonder if you have heard of our Japanese Olympus Medical Company?"
Lin Sanqi nodded. The Olympus brand was well-known not only in 1961 but even in 2014. Almost everyone who studied medicine knew about it.
“This is a very strong medical device company.”
"Mr. Lin, it's like this. Our Kameda Medical Center and Olympus have jointly established an endoscopy project, which is dedicated to studying various endoscopic surgeries, with the goal of producing various endoscopic medical instruments.
We have been working on this project for many years, and progress has been slow because endoscopic equipment involves too much high-tech, which is not something that can be solved by just one hospital or one company. This requires global cooperation.
Mr. Lin, if nothing unexpected happens, judging from the size of the incision and the choice of incision site, you must have used an endoscopic technique that has not yet been made public for this lobectomy, Madam Nanxiang, right?"
Lin Sanqi was a little surprised, thinking that the Japanese were really smart. They could determine the new technique 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 abroad until the 80s, while in China it was not until 1991 that the first laparoscopic cholecystectomy was performed.
So he naturally thought that laparoscopic surgery was black technology in the 60s 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, and promotion before it can be popularized.
Obviously, the Japanese have temporarily taken the lead in laparoscopic surgery.
As for the United States, it has certainly already started research and development, but the pharmaceutical companies that have done research and development have not found the team formed by 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 "black technology" and is a new instrument that is being developed, there is no need for confidentiality.
Lin Sanqi looked at Xiao Rizi and smiled confidently:
"I admire Dr. Xiaonan's clinical level and vision. Yes, I did use thoracoscopic method to complete this operation. You should be able to guess the principle."
When Dr. Xiaonan heard this, his eyes lit up:
"Really? This is incredible. Our equipment is still at the laboratory stage, but you can already apply it to clinical practice? You Chinese... I'm sorry, Mr. Lin, I don't look down on China, it's just that China is too..."
Lin Sanqi thought, you just look down on China.
"Xiao Nan-san, as the saying goes, every inch has its own strengths and weaknesses. Japan has its own advantages, and China also has its own advancements.
Let’s not talk about the distant past, let’s just talk about the anti-tuberculosis drug. Neither you in Japan nor the United States can produce it, but we in China invented it, didn’t we?
The same is true for medical equipment. Maybe you Japanese are ahead of China in many aspects, but we are not powerless to fight back. For example, the 1250-type X-ray machine is already in mass production in my country. Can you do the same?"
Doctor Xiaonan bowed:
"Mr. Lin, you are right. I have an unsolicited request. Can you let me see your thoracoscopic instruments? I am very curious."
Lin Sanqi pretended to look around, then coughed lightly:
"Ahem, well, Dr. Xiaonan, you know that although the thoracoscope is in the operating room next to us, the intellectual property rights of this machine belong to the country. How can I personally disclose state secrets? Don't you think so?"
As Lin Sanqi spoke, he picked up a book and pretended to turn the pages, but his gestures looked like he was counting money.
The reason why Japan has become a developed country second only to the United States is that the people of this country are very smart. Dr. Xiao Nan immediately realized something.
But he felt that Chinese people were very concerned about face and would lose their way if they were not praised by a few compliments, so he had to pretend to be stupid.
"Mr. Lin, you are Mr. Nanxiang's friend, and our Kameda Medical Center is also Mr. Nanxiang's business. In the end, we are all family, and we will definitely not treat our friends unfairly..."
Lin Sanqi hated beating around the bush, so he said greedily:
"Doctor Xiaonan, this opportunity is rare. This thoracoscope 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. You can also hit me to death with something..."
Doctor Xiaonan was full of questions: "Lin Sang, why did they smash you to death?"
Lin Sanqi rolled his eyes at Xiao Nan Xingshu and said, "I mean, you can smash me to death with a knife."
In order to make the Japanese more interested, Lin Sanqi persuaded them:
"For example, I can tell my superiors that the thoracoscopic machine needs to be fully disinfected and needs to stay in the operating room of Union Hospital tonight. For another example, the security guards outside the operating room can be my people and outsiders are not allowed to approach.
For example, it is useless to just look at the surface of the machine. Perhaps you would like to use a screwdriver to take a look at the internal structure, or want to see how thoracoscopy is used in clinical practice and how surgery is performed, right?
But while doing all this, I have to accept the condemnation of my conscience. I always think that I have let down my country and my people. I am selling my soul. I am the same as Wang Jingwei back then, and I am despised by everyone.
Dr. Xiaonan, I am prepared to sacrifice so much and give so much, so shouldn’t I get what I deserve? Don’t you want to know the principles of laparoscopic surgical instruments so that you can avoid taking detours? "
Dr. Xiao Nan began to despise this Chinese doctor.
I thought this guy looked righteous on the surface with thick eyebrows and big eyes, but I didn't expect that he was actually a traitor?
This is fine. If the problem is difficult, they may not be able to solve it. But as long as the person loves money, a problem that can be solved with money is not a problem.
"Mr. Lin, I understand that you are a straightforward person, but I cannot make the decision on this matter. I need to consult my superiors."
Lin Sanqi thought, your biggest boss is Nanxiang Saburo, who is right in the inpatient department. It’s just a short distance away, so you can just ask for instructions.
As for the Japanese seeing the laparoscope machine, what does it matter? Even if they see it, they may not be able to imitate it.
For example, endoscope lenses, processors, light sources, camera systems, surgical tools, display systems, etc., could the technology of the 60s keep up?
The problem cannot be solved by just an objective system and an optical image transfer system.
There is also another core problem: chips.
The chips of modern high-end medical equipment are all at the nanoscale, but in the 60s even the United States had just started using transistors to replace vacuum tubes as signal amplification elements, so chips are completely impossible to copy.
Of course, some people will say that the Japanese cannot solve the problem now, but as long as they have an idea, they can completely solve it in a few years and build a laparoscope.
Then aren’t you, Lin Sanqi, aiding the enemy?
In fact, even without Lin Sanqi, the Japanese will still be able to produce a laparoscope in a few years. I heard 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.
Therefore, if China in the 1960s and 1970s also wanted to make a laparoscope, Lin Sanqi would have to sell parts from another time and space to assemble it.
Otherwise, based on the country's scientific and technological strength and "technological gap", the possibility of manufacturing laparoscopic machines and selling them is zero.
Even as late as 2014, the core components of endoscopes could only be imported into China and could not be completely produced domestically. This indirectly shows that preventing counterfeiting is not as simple as imagined.
Therefore, if China wants to overtake others by leveraging Lin Sanqi, "medicine" is the best opportunity.
Of course, when the Japanese develop their own laparoscopic surgical machines, they may be pleasantly surprised to find that all the laparoscope-related patents may have already been applied for by others.
In other words, if the Japanese want to produce and sell laparoscopes in the future, they will have to pay patent fees to the Chinese.
Of course, the patent subject cannot be a country, otherwise they will act rogue, but it can be the Hong Kong Lingnantang Pharmaceutical Company... (End of this chapter)
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