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.
Nanxiang 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. 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're such a desperado! This lady not only has tuberculosis, but also a lung infection and decreased lung function. Her overall physical condition is very poor. How dare you perform surgery? Fuck, that's crazy. Wait..."
Professor Theodore suddenly noticed the two Japanese elders 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. She just had a major operation, and the incision is huge. Not to mention the internal injuries, a single stitch could easily cause the thread to come loose."
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 slightly turned around, which the doctor thinks may easily cause the incision to rupture.
Frightened, Nanxiang 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 must say whatever they think:
"Lin, I think your suggestion is problematic. Generally, for this type of open-heart surgery, we need to keep the patient in bed for at least seven days. How can you let the patient move tomorrow? It's so irresponsible."
Lin Sanqi knew that the American doctor thought he was still performing a traditional thoracotomy, so he said pretentiously:
"Theodore, this is the difference between the surgical fields of our two countries. We use a brand new surgical procedure. The patient's incision is no more than 5cm, so recovery is faster and there are no restrictions on movement."
“What?”
This time, not only Professor Theodore was shocked, but also Professor Anthony and Dr. Xiaonan.
"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's face had an expression of: are you kidding me.
Even Nanxiang Saburo found it unbelievable that such a difficult large-scale lung lobectomy surgery was completed with such a small incision?
Everyone's first feeling at this time was that this Chinese doctor was committing fraud.
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 even touched the area around the incision with his fingers. 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 instrument."
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 manage your 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 be sure you didn't make the wrong cut?"
Professor Anthony didn't think Lin Sanqi would lie, but too many doubts made him unable 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 any time 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, could you please let us see the lung tissue you removed during surgery?"
Lin Sanqi stepped back a little and 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've brought you the lung tissue. I hope you can confirm it as soon as possible. I'll also take it for pathology examination."
When Professor Theodore heard this, he ran over quickly and opened the box. Lin Sanqi had already retreated to the stairs. Feng Ruoqi saw this and followed quietly behind him.
As soon as the box was opened, the foreign doctors all poked their heads in, 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. 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. There's also a larger bottle of brown liquid containing moxifloxacin. These are both top-tier antibacterial drugs used to prevent Madam Nanxiang from post-operative infection."
If Lin Sanqi's mentor, Dean Wang, was present, he would definitely criticize Lin Sanqi harshly.
How could an intern have the authority to prescribe such a high-grade antibiotic? Only a chief physician could use it.
In addition, for a small preventive lung medication, this top-level drug was used directly. This is outrageous. If it were a doctor, he would have judged the prescription as unqualified and fined the doctor 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 medicine to ensure 100% safety. After all, Nanxiang Sanlang gave me a red envelope, so I have to be worthy of him.
Professor Theodore was already combing his hair fiercely at this time:
"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 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 embarrassment:
"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're also aware of the intellectual property protection involved, so I'm sorry."
Professor Anthony was very disappointed after hearing this. He didn't necessarily want to find out the other party's secrets. He just wanted to know how the operation was performed because it must involve new tools.
If this surgery 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? A private place would be best."
Now it was Lin Sanqi's turn to have his eyes roll.
This Japanese doctor caught up with me and was definitely going to ask about the surgery. The business that was pursued the most was the real money making business. It seemed like there was going to be another profit?
"Doctor Xiaonan, please come this way. The operating area is still sealed off, so no one can eavesdrop on our conversation."
"please!"
In the operating room office, Xiao Nan Xingshu finally revealed his purpose:
"Mr. Lin, let me ask you, have you ever heard of our Japanese company, Olympus Medical?"
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, the thing is, Kameda Medical Center and Olympus have jointly established an endoscopy project to study 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 a single hospital or company. It requires global cooperation.
"Lin Sang, if nothing unexpected happens, judging by the size of the incision and the choice of incision site, you must have used an endoscopic technique that hasn't been made public yet for Madam Nanxiang's lobectomy, right?"
Lin Sanqi was a little surprised, thinking that the Japanese were really smart. They could determine the new surgical method 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 1980s, and in China, it took until 1991 for the first laparoscopic cholecystectomy to be performed.
So he naturally thought that laparoscopic surgery was black technology in the 1960s and no one knew about it.
But he forgot that the launch of a new technology or a new device often requires many years of research and development, experiments, trials, and promotion before it can finally be popularized.
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 pharmaceutical companies that have developed the drug 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 being developed, there is no need for confidentiality.
Lin Sanqi looked at Xiao Rizi and smiled confidently:
"I admire Dr. Xiaonan's clinical skills and vision. Yes, I did use a thoracoscopic approach to perform this surgery. 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, it's not that I 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 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. You Japanese may be ahead of China in many areas, but we are not without the ability to fight back. For example, the 1250 X-ray machine is already in mass production in China. Can you do the same?"
Doctor Xiaonan bowed:
"Mr. Lin, you're absolutely right. I have an unsolicited request. Could you please let me see your thoracoscopic equipment? I'm 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 device belong to the state. How can I personally disclose state secrets? Don't you agree?"
As Lin Sanqi spoke, he picked up a book and pretended to turn the pages, but his gestures were as if 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 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 like this, so he said directly and greedily:
"Doctor Xiaonan, this opportunity is rare. This thoracoscopy machine will be transported away for safekeeping 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 filled with questions: "Lin Sang, why did they want to kill you?"
Lin Sanqi rolled his eyes at Xiao Nan Xingshu and said, "I mean, you can kill me 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 thoroughly disinfected and must remain in the operating room at Union Hospital tonight. Another example is that 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. Maybe you want to use a screwdriver to see the internal structure, or want to see how thoracoscopy is used in clinical practice and how surgery is performed, right?
But when I do all this, I have to accept the condemnation of my conscience. I always think that I am ashamed of my country and my people. I am selling my soul. I am the same as Wang Jingwei back then and am despised by everyone.
"Dr. Xiaonan, I'm prepared to sacrifice so much and give so much, so shouldn't I get what I deserve? Don't you want to know how laparoscopic surgical instruments work so you can avoid taking detours?"
Dr. Xiaonan began to despise this Chinese doctor in his heart.
I thought that 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, the problem that can be solved with money is not a problem.
"Lin-san, I understand you're a straightforward person, but I can't make the decision on this matter. I need to consult my superiors."
Lin Sanqi thought to himself that 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 would it matter? Even if they saw it, they might not be able to imitate it.
For example, endoscopic lenses, processors, light sources, camera systems, surgical tools, display systems, etc., could the technology of the 1960s keep up?
The problem cannot be solved by just an objective lens system and an optical image transfer system.
There is also another core problem: chips.
The chips in modern high-end medical equipment are all at the nanoscale, but in the 1960s, even the United States had just replaced vacuum tubes with transistors as signal amplification elements, so chips are completely impossible to imitate.
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 manufacture 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. There are tens of thousands of parts in a machine, and the core components alone involve dozens of disciplines.
So 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 the "technological gap", the possibility of manufacturing laparoscopic machines and selling them for money is zero.
Even as late as 2014, the core components of endoscopes could only be imported into China and could not be fully 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 surprised to find that all the laparoscopic-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 must pay patent fees to the Chinese.
Of course, the patent holder 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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