It was another weekly preoperative seminar. As usual, Chen Yu was still sitting in his seat listening to the doctor who was introducing the side explaining the case.

But what is slightly different from the past is that there are three more Professor Zhang and Xu Xiaohong around him today. As guests who come to carry out medical cooperation projects, they also attended the preoperative seminar of the Affiliated Hospital of the University of Tokyo to understand the operating model of Japanese hospitals, and also absorb some advanced experience.

Although China's medical industry has developed rapidly in terms of scale, grade and technology in recent years, and has reached the forefront of the world in many aspects, it has to be said that Japan is still ahead in some aspects.

This is also the reason why even if Xu Xiaohong is required to translate continuously, Professor Zhang and his wife still listen very seriously, because this kind of preoperative seminar can really make people learn a lot.

To give an inappropriate example, it is like a doctor from a county, city and township hospital. Although he is a good person in the local area, has rich experience and is skilled, if he is asked to go to a large hospital in Beijing, Shanghai and Guangzhou, such as Union and Renai, to attend other people's research on cases, even if it is just ordinary cases, he can learn a lot of things that he had not been able to touch before.

What's more, because of the existence of Japan's hierarchical medical system, most of the ones that can be sent to the Affiliated Hospital of the University of Tokyo's Medical Department are difficult and complicated diseases that cannot be solved by local hospitals, and there are also many rare cases. These rare cases that have never been seen with their own eyes have made Professor Zhang and his wife feel deeply benefited from it.

"The next patient, Haruka Mifune, female, 21 years old." As another patient's medical record was placed on the big screen, the seminar continued: "The patient suddenly developed appendicitis three days ago and was transferred to this hospital from the 18th Branch of Wakkaido, Hokkaido yesterday. The attending doctor was Dr. Hideki Kadi."

"Hi! This is my patient." Hideki Kadi raised her hand and stood up, explaining to other doctors: "The patient was admitted to the hospital at Wakanai Branch, but during the examination, he found that there was a possibility of suspected appendicular cancer, so after obtaining the patient's consent, he was transferred to our hospital for treatment."

"Appendix cancer? Doctor Kadi are you sure?" Hideki Kadi's introduction asked a sitting surgeon to ask his own questions.

"It is suspected, but it is not yet confirmed. Because appendicular cancer is a carcinoid, and the degree of malignancy of appendicular cancer is low, the tumor is small, and the diameter is mostly less than 2 cm, so the diagnosis cannot be made before the incision. However, according to the examination results, the possibility of appendicular cancer is not ruled out, so the patient was transferred to Tokyo for surgery." Hideki Kadi said, signaling the doctor who was responsible for changing the slides to replace the CT image of Mifune Haruka.

Looking at the shadows on the CT image, the doctors present whispered and did not object to each other, and all recognized Hideki Kadi's diagnosis.

Looking at this scene, Professor Zhang asked Chen Yu in surprise: "Chen Yu, just appendicitis, it wouldn't be so mobilizing, right? Even if there is a possibility of appendicitis, the surgery will be similar to appendicitis. Do patients need to be transferred from another place to undergo surgery? Or are Japanese doctors very serious and meticulous?"

"What, professor, you misunderstood. It's just that this doctor Kadi wants to receive gifts." Chen Yu smiled at Professor Zhang and explained to him: "Although it is possible to transfer appendicle cancer from the branch to the main hospital for treatment, even in Hokkaido, the surgical conditions are still acceptable in Japan. With the surgical level of this doctor Kadi, even in the local branch, it can be done to the patient with a laparoscopy even in the local branch.

He asked the patient to come to Tokyo. On the one hand, he had already transferred back to Tokyo, hoping to bring the patient over to allow the patient to receive better treatment; but in addition, another very important reason is that the patient will give the doctor money.

Since Dr. Jiadi specially brought this patient to Tokyo for treatment, it can be imagined that this patient should have a good family background and at least give a large gift, so Dr. Jiadi is so concerned."

Just as Chen Yu explained to Professor Zhang, the slides on the big screen changed to the next patient again, and this patient was Wang Jiancheng.

"The next patient, Wang Jiancheng, male, 30 years old, was diagnosed with advanced ulcerative gastric cancer and stage 3 hepatic cholangiocarcinoma. The patient suffered from sudden gastric bleeding two weeks ago and was admitted to the hospital for treatment. During the operation, the stomach tumor was found, which was surgically removed by Dr. Chen Yu. In the subsequent examination, the patient was found to have hilar cholangiocarcinoma.

Because the patient's physical condition can no longer bear the liver tumor resection surgery, under the leadership of Dr. Chen Yu, he was transferred to our hospital for treatment under the name of a cooperative medical project between Japan and China. The attending doctor was Dr. Chen Yu."

Before the doctor in charge of the explanation finished this time, the doctors in the audience started to discuss this. This kind of case of multiple primary cancers is very rare even in the Affiliated Hospital of the University of Tokyo School of Medicine. What's more, the two types of cancers the patient suffers from are malignant tumors and are not in the same organ, which makes people even more surprising.

"Professor Chen Yu, since the patient's physical condition is not allowed to undergo another hepatoma resection surgery, then please transfer to our internal medicine department for treatment! Judging from his condition, if the operation cannot be performed as soon as possible, the patient may only survive for six months, but if palliative non-surgical treatment is taken by internal medicine, the patient's survival time should be extended to one year." Although the attending doctor has been announced, there are still people in the internal medicine department who stand up and want to transfer the patient to internal medicine for diagnosis and treatment.

Hearing the internal medicine practitioner say this, Chen Yu stood up with a smile, looked at the doctor, shook his head slightly before looking at him, all the doctors explained: "The hilar cholangiocarcinoma of the patient is a very difficult cancer in the digestive system. Even if the surgery is performed, the survival time after the operation is optimistic is estimated to be only about two years. Although there are not a longer survival case, most patients only have about one year.

So usually, as this doctor said, taking palliative non-surgical treatment for internal medicine can improve the quality of life and survival time for patients, but this is not the reason why I transferred the patient from China to Japan for treatment."

"Can you... Chen Yujun, do you want to try broad-spectrum targeted tumor cell activity inhibition therapy on this patient? No wonder it is a cooperative medical project between Japan and China. It turns out that Chen Yujun, you are making this idea." Shimura Yuan, who was standing next to him, already understood Chen Yu's idea.
Chapter completed!