The good doctor around him 丨 Jiang Yuequan: The way he created his own operation is named after his name, and the dream will not pick up the surgical knife one day

Those who doctors are good at the world, and the more illness is the good

—— Sun Siyi

-Coun Language-

There are big doctors who are handsome, Zhida New Ji; In recent years, Chongqing University Affiliated Cancer Hospital adheres to the ideas of "talent legislators". By building a platform and improvement mechanism, a number of leaders and high -end talents have been introduced and cultivated. expert. The land of the western tumor prevention and control is deeply rooted, and the core culture of the hospital's "Xiangshan Shang Dechang Xue" was implemented, and the touching poem of saving the wounded was written.

In the form of the column of "Good Doctor around", we have successively displayed these medical style. The characters in this issue are Jiang Yuequan, director of the Checker Cancer Center of Chongqing University Affiliated Oncology Hospital.

Part 01. Introduction

◆ ◆ ◆◆

-1 Jiang Yuequan-

■ Degree/Title/Position: Chief Physician, Doctor of Medicine, Master's Graduate Tutor, Chief Expert of esophageal cancer of the Cancer Hospital of Chongqing University, and Director of the Chest Tumor Center of the Cancer Hospital of Chongqing University.

■ Academic position: Standing Committee Member of the World Chinese Physician Association's chest tumor committee, member of the International Small Intelligence Surgery Association, member of the International Micro Incident Surgery Association, member of the European esophageal disease association, member of the esophagus cancer special committee of the Chinese Medical Doctors Association, Chongqing Deputy Chairman of the Cancer Cancer Special Committee of the Anti -Cancer Association, and deputy chairman of the Chongqing Anti -Cancer Association Esophageal Cancer Special Committee.

■ Experts are good at: 30 years of clinical and scientific research on thoracic surgery, good at esophageal cancer, lung cancer, and hypertrophy of tumor surgery. They are particularly good at the root treatment of thoracoscopic laparoscopy combined with esophageal cancer, single -hole lung leaves and pulmonary segmentation surgery.

■ Outpatient time: Monday morning

Part 02. Text of Characters

◆ ◆ ◆◆

■ Elegant, handsome, not much words, sincere ... no matter when you contact him, you will always give you a down -to -earth feeling.

■ Deeply cultivating lung cancer and esophageal cancer technology, and innovative esophageal cancer conformity has been named by the global authoritative magazine "International Journal of Surgery" (International Surgery Magazine) "Jiang's Activity". The minimally invasive surgery of lung cancer is also one of the best.

■ Boldly, he had done a live broadcast of 15 hours of difficult surgery. Behind "Internet celebrity", he dreamed that the surgeon would no longer need to pick up the surgeon.

Part 03. From medical perception

◆ ◆ ◆◆

For 30 years from medical treatment, the patient always talks about "big truth". I always say to myself, "On the day of the doctor, the doctor treats himself as a patient or the family members of the patient. Treating the truth about them like a relative, the doctor -patient relationship will never be nervous."

Except for the clinic on Monday, Professor Jiang Yuequan, director of the Chestnum Oncology Center of Chongqing University, often worked clinically. He had done a "bold" thing and staged the real version of "Anti -Cancer Doctor One Day" through the Xinjing News "Our Video". The three high -risk operations of the day were broadcast, which attracted millions of people to watch. Wan Wanjou.

He continues to cultivate the field of medical technology. The global authoritative magazine "International Journal of Surgery" (International Magazine) included his innovative e snake cancer -consuming ways, named "Jiang's Activity".

Talk with the patients and their families

At 8 am on Monday, the diagnosis of the chest tumor center was crowded with anxious waiting people, and the water was not leaked.

Jiang Yuequan was sitting in the clinic, and his hair was pale. A 51 -year -old female esophageal cancer patients walked into the clinic with the help of their son. The son said that the mother had previously performed esophageal cancer surgery in another well -known three hospitals. I did not expect that there was another lump around her neck 4 months ago, and now she is swollen and bigger. Jiang Yuequan admitted to her son after careful treatment that her condition deteriorated, and the operation was unable to return to heaven.

"It is not easy for us to live for a while. Can she live for a long time?" "Based on my experience, about half a year. Of course, miracles may live for five or six years." The words were just falling, and her son's eyes were wet. He was grateful to Jiang Yue's unaware communication and thanked him when he got up and went out of the clinic.

Mr. Chen, 68, walked into the clinic with his wife's company. The wife said that her husband smoked three packs of cigarettes a day, and he had to drink two or two heights of liquor in the middle of the night. As a result, it was difficult to swallow water now, and he was often woken up by saliva.

Jiang Yuequan said that this symptoms need to be surgery. The wife heard that she had a bad hobby of her husband, and when she saw her husband bowed her head, Jiang Yuequan quickly hit her husband. When the couple left the clinic, Mr. Chen, who had been silent, thanked Jiang Yue.

Outside the diagnosis, the patients waiting in order. When you leave, almost all patients will thank him.

You will communicate with your family in person before the operation

Except for Monday, every morning at 8 o'clock in the morning, Jiang Yue will have the latest reports of patients in the department. After the meeting, he began to take the doctors for inspection.

Entering the ward, looking at the patient, the doctor asked the bed doctor asked the situation. He rarely intervened, when he encountered something wrong, or when he was doubtful, he would speak.

"Dr. Jiang is a little serious, not much to say, but directly." The patient's emotions are the deepest impression of many patients' family members of Jiang Yuequan. He is very sincere, and he won't turn around. "In this way, we have the bottom of our hearts and don't think about it."

In fact, most surgery is responsible for communicating with patients' family members before and after surgery. However, Jiang Yue is different. Each surgery of his main knife will personally communicate with his family members and postoperative related matters before surgery. For this reason, the family members of patients and patients often mistakenly believe that the patient's condition has deteriorated. Jiang Yuequan's desk drawer has a minimally invasive surgical book, which is given to him by an American expert. On the title page of the book, American doctors wrote a paragraph in English: "To a gentleman doctor, your kindness and kindness will not be forgotten by Chongqing people."

The praise of his peers made Jiang Yuequan very happy, but he felt that instead of being kind and kindness, it was better to say that the doctor's "empathy" and "can appreciate the pain of the patient".

Innovate esophageal cancer matching method

On the morning of June 9, a surgery of the Cancer Hospital Affiliated to Chongqing University, a esophageal cancer tumor resection was underway. After a section of the esophagus attached to the tumor was removed cleanly, Jiang Yuequan began to use a special method to help the patient re -meet the esophagus and the stomach.

In early April 2018, Jiang Yuequan and his team innovated the matchmaking method of esophageal cancer, which reduced the probability of postproof complications of esophageal cancer from recognized from 30 % to less than 5 %. In international authoritative surgery magazines, it is well known by global thoracic surgeons.

Jiang Yuequan said that the probability of postoperative complications of traditional esophageal cancer surgery is about 30 %. The largest complications are that the eloquent and stomach's anastomotic mouth wall cannot heal or scars occur. If the conformal port cannot heal, the occurrence of anastomosis after surgery will directly threaten the patient's life, and the doctor's treatment is quite difficult. The consistency is narrow and difficult to swallow, and it can only be returned to the hospital, and it can expand the anastomosis again in physical methods.

Before 2015, dozens of patients returned to the hospital every year because of complications, expanding the anastomosis again. "Using a long hard tube to enforce the esophagus and expand the anastomosis." Because it needs to be expanded repeatedly, this is very painful for patients.

How can patients suffer less? For many years, Jiang Yuequan and his team have been studying. Until 2015, Jiang Yuequan summarized several international esophageal cancer surgery and thought that he could try to make a "addition".

Internationally universal esophageal cancer sync operation has end -matching (esophageal port and gastric port) and side -side consistency (the side incision of the esophageal side incision and gastric). It will be more serious. After repeated research, Jiang Yuequan finally created a new set of methods. On the basis of "side -by -side", one piece of esophageal was re -packed into the other end of the stomach to ensure that there was no tension in the occlusal part, reducing the chance of the occurrence of anastomotic fistula. Essence

The items are very mature to the clinic. As of now, Jiang Yuequan has undergone such anastomosis surgery for more than 600 patients, and only one patient needs to expand the anastomosis again.

Surgical skills to teach with peers

Near 1 pm, the surgery ended smoothly, and Jiang Yuequan and his colleagues were exhausted and replaced the surgical suit. Because of the meal, the hospital's cafeteria was a little empty. Jiang Yuequan took a simple meal and slowly ate it. This is the first time Jiang Yuequan has a slightly resting break since 8 am.

After dinner, Jiang Yuequan took a moment of rest. He hurriedly got up and prepared for the afternoon surgery. In the memory of colleagues, most of his time, he rotated in this way, with an average of two to three surgery per day, which is the daily work of Jiang Yuequan.

Less than 6:30 in the morning, Jiang Yuequan had already drove out, and the return journey at night was after 8 or 9 o'clock. For more than two decades, this is the case.

On April 19, 2017, a live program called "Anti -Cancer Doctor Day" appeared on the Internet. The live broadcast was as long as 15 hours. At the highest peak, 947,000 people were attracted online at the same time and received 340,000 likes. The live broadcast content is the process of Jiang Yuequan's consultation and the "consecutive axis" of three operations, which is more than 10 hours.

Because of the high popularity of the live broadcast, Jiang Yuequan became a "Internet celebrity". He used the superb skills of esophageal cancer surgery in the live broadcast two and a half hours, which attracted the attention of many domestic peers. Not only did some famous domestic medical universities send letters to watch surgery videos, but also doctors from all over the country hope to come to watch on the spot.

To this end, Jiang Yuequan taught and organized several training courses to teach his peers without reservation. Some people worry that this will lead to Jiang Yuequan's "unique skills". In this regard, Jiang Yuequan said: "Medicine is not business secrets or military secrets. Welcome any peers to communicate and learn. I must know what to say. Because more doctors have technology, more patients benefit."

Dreaming in the future without operating knives

What characteristics should surgeons have? "The profession of surgeon is very special. It must be decisive and very careful. Any possibility must be considered." Jiang Yuequan said.

"Some people say that the doctor is a fighting with death. In this sentence, I don't like it. Why? The death of the death is a little strange from the fight against the god of death, as if the patient is in hell. People with wrestling, I think it will be more accurate. "Jiang Yuequan said.

Some netizens asked in the live broadcast, what is Jiang Yuequan's dream as a surgeon? Netizens received a reply that the surgeon did not use the operating knife, which was his dream. After this reply, the number of likes skyrocketed.

Because it is a dream, it is beautiful.

- END -