Chapter 2895: with translation of chapter title

The most common complication after esophageal cancer surgery is an anastomotic leak.

No named entities from glossary. Terms: esophageal cancer (not in glossary). anastomotic leak (not in glossary). So none.

Because the esophagus is not very elastic, blood flow at the anastomosis may encounter problems, leading to a series of complications.

No.

The higher the esophageal cancer, the harder it is to treat, because the higher the stomach is pulled, the greater the tension, and the greater the tension, the worse the blood flow at the anastomosis.

No.

Lin Ge understands all this; when he hears Professor Lu say this, he feels a bit embarrassed, knowing why in his heart.

Named entities: Lin Ge appears. Professor Lu appears. So we need Lin Ge and Professor Lu.

There is a leak at the anastomosis, with local tissue congestion and edema, and healing is poor. When placing a stent, if the stent punctures a part of the anastomosis that hasn't fully healed, it could cause a larger tear.

No named.

Otherwise, Director Luo wouldn't have said that the initial refusal to undergo a gastroscopy was due to fear of complications developing.

Named: Director Luo. Also maybe "gastroscopy" not in glossary. So Director Luo.

The patient's current condition has nothing to do with 912; but once there is a secondary, especially surgery-related trauma, then it's 912's fault.

No named.

"When will Director Kong step down?" Lin Ge asked.

Named: Director Kong. Lin Ge. So Director Kong, Lin Ge.

"It's said to be soon." Professor Lu said, "Every time we ask Director Kong for help, I really feel embarrassed."

Named: Professor Lu. Director Kong.

"Alright, the patient's condition is quite clear; nothing else is wrong, right?" Lin Ge asked.

Named: Lin Ge.

"Um... Director Lin, other areas look fine now; don't scare me." Professor Lu said: "It's already been a month after surgery, and there's still no growth; it's really possible that a sneeze could kill someone."

Named: Director Lin. Professor Lu. Also maybe "1 month" not needed.

This is an old joke about 912.

No.

That was a few years ago, a similar patient, except it was ordinary esophageal cancer without a total gastrectomy. But the overall disease course was similar, and after surgery an anastomotic leak also occurred.

No.

At that time, Lin Ge also hosted the hospital-wide consultation; because Director Kong was away studying abroad, Zhao Wenhua came. He lacked confidence in placing a stent in post-operative patients, so he adopted a conservative treatment approach.

Named: Lin Ge. Director Kong. Zhao Wenhua.

The patient's pleural cavity was flushed daily for drainage, and just when everyone saw hope, the aorta beside the esophagus, corroded long-term by debris, ruptured from a sneeze.

No named.

That's why Lin Ge asked that question.

Named: Lin Ge.

Professor Lu also knows this patient; when he thinks back to how the patient spat out a mouthful of blood and died instantly, with bloodstains filling the room, it's frightening to look at.

Named: Professor Lu.

Later, because of this incident, several inter-departmental exchange activities were organized, personally hosted by Director Ye Qingqiu. They exchanged ideas, the Medical Department provided guarantees, and Director Kong took over this event.

Named: Ye Qingqiu. Director Ye. Medical Department. Director Kong.

However, Director Kong's skill remains high; he is bold yet meticulous, and in recent years, all the stent surgeries he performed for postoperative anastomotic leaks in esophageal cancer have had no problems.

Named: Director Kong.

Lin Ge isn't in a hurry either; he's just curiously watching Quan Xiaocao beside Professor Feng, wondering when she will speak and explain what kind of endoscopic procedure she wants to perform.

Named: Lin Ge. Professor Feng. Quan Xiaocao. Also Xiao Cao appears later but not yet.

Medical technology is like that; a few years ago, a sneeze could kill you. For patients like this who previously had esophageal anastomotic leaks, the only option was constant flushing, keeping clean and strengthening nutrition, hoping the anastomosis would grow.

No.

At this point, it's just a matter of luck.

No.

With interventional surgery, placing a stent greatly improves patient survival rates. What new technique has Quan Xiaocao mastered? Even Director Luo is curious. Could it be some secret skill secretly taught by Boss Zheng?

Named: Quan Xiaocao, Director Luo, Zheng Lao Ban. Also the term 'Interventional surgery' appears; the glossary already lists Interventional surgery. Should we list it? According to the glossary, Interventional surgery is already included. The instruction says to list every named entity or coined term: characters, places, sects, official/sect ranks/titles, techniques, cultivation realms/pills/treasures, named beasts/items, fan-fiction names. Since techniques count, we should include Interventional surgery as a technique. Also 'new technique' is generic and not needed, but 'Interventional surgery' is a specific term, so we should include Interventional surgery.

Lin Ge's mind started to work.

Named: Lin Ge.

But it doesn't seem like it; Zheng Lao Ban has no interest in this case at all, honestly sitting there weaving red string. If he had taught Quan Xiaocao, he would definitely come to watch her first surgery.

Named: Zheng Lao Ban. Quan Xiaocao.

While Lin Ge waited for Director Kong to arrive and chatted, he didn't see Quan Xiaocao speak. Not only did she not speak, she kept her head down, as if she didn't dare to lift it.

Named: Lin Ge. Director Kong. Quan Xiaocao.

This kid is really timid, Lin Ge thought.

Named: Lin Ge.

But it's also understandable; in a room full of directors and team-leading professors, she's just a student. If she stood up and spoke at length, she wouldn't be Quan Xiaocao but rather Zheng Ren, Zheng Lao Ban.

Named: Team-leading Professor. Zheng Ren. Zheng Lao Ban. Quan Xiaocao.

"Knock knock knock~" the knocking sound rang out.

No named.

Fang Lin opened the door immediately, but the person who entered was not Director Kong, it was Zheng Lao Ban.

Named: Fang Lin. Director Kong. Zheng Lao Ban.

"Zheng Lao Ban, why did you come?" Fang Lin asked quietly.

Named: Zheng Lao Ban. Fang Lin.

"Director Kong encountered a problem during surgery, so he had a nurse call me to join the consultation." Zheng Ren laughed, "What's the situation?"

Named: Director Kong. Zheng Ren.

After Professor Lu's trainee repeated the patient's condition, Zheng Ren looked at the films for a full three minutes and said, "Just placing one stent, the chance of recovery is still a bit low."

Named: Professor Lu. Zheng Ren. Also "3 minutes" includes Minute but not a named entity; we have "Minute" in glossary but it's a unit; not a named entity. Probably not include.

"There's nothing we can do; if we can steadily place the stent, we'd already be satisfied." Professor Lu sighed.

Named: Professor Lu.

"Placing the stent isn't a problem; I suggest doing an endoscopy as well." Zheng Ren said.

Named: Zheng Ren. Also "endoscopic" but glossary has "Endoscopic technique". Not just "endoscopic". Might not need.

Endoscopy!

No named.

Zheng Lao Ban proposed doing an endoscopy; this is completely different from how Quan Xiaocao would say it.

Named: Zheng Lao Ban. Quan Xiaocao.

Director Luo asked with interest: "Zheng Lao Ban, earlier Professor Feng's student also said they could do an endoscopy; what treatment is this?"

Named: Director Luo. Zheng Lao Ban. Professor Feng.

"Oh? Has Xiao Cao already started getting into this?" Zheng Ren glanced at Quan Xiaocao and smiled, "Xiao Cao?"

Named: Xiao Cao. Zheng Ren. Quan Xiaocao.

Quan Xiaocao responded like a mosquito, but still didn't lift her head.

Named: Quan Xiaocao.

Zheng Ren knows this person's temperament, and is somewhat helpless. The surgery was clearly done well, and according to Su Yun's saying, exposure to endoscopic treatment counts as having entered the field, so why can't she even say a word?

Named: Zheng Ren. Su Yun. Also "endoscopic treatment" maybe not needed.

In recent years there is an endoscopic technique called overthescopeclip. Simply put, the main methods for treating anastomotic leaks are conservative therapy, regular endoscopic clipping of the leak, and secondary surgery, etc. But because regular endoscopic clipping has limited force and range, and the tissue around the anastomotic leak becomes hardened or scarred, the success rate of closing the leak is low. Zheng Ren stood before the film viewer, straight as a gun.

Named: 鄭仁 (Zheng Ren). Also "內鏡技術" (Endoscopic technique) appears; glossary includes Endoscopic technique. Also "overthescopeclip" is a coined term (technique name). Should we include? It's a technique name, appears as English already. Should we list it as is? The glossary list expects we list named entities from these lines; we should include overthescopeclip as a term. However the glossary provided does not include it; we need to add it to our glossary output. The instruction: List every NAMED entity / coined term in these lines: characters, places, sects, official & sect ranks/titles, techniques, cultivation realms/pills/treasures, named beasts/items, fan-fiction names. So overthescopeclip is a technique name, we should include it. Also "OTSC" appears later. Also "overthescopeclip" maybe we keep as is. Also "OTSC吻合夾" appears later.

Also 'regular endoscopic clipping' maybe not needed.

Secondary surgery and interventional stent placement remain the main methods for resolving anastomotic leaks, but they often carry high recurrence and mortality risks.

Named: secondary surgery (possibly not in the glossary). Interventional surgery appears again. Also, secondary surgery may be considered a technique; it is not in the glossary but should be included if it appears. According to the instruction, we must list every named entity or coined term, so we should include secondary surgery as a technique name. Since the glossary does not provide it, we translate it by meaning: secondary surgery (or repeat surgery). Also, interventional surgery is already known as Interventional surgery.

But I think this overthescopeclip could become mainstream in the future. Currently we face insufficient surgical samples and lack of big data observation. Because there is a lack of large-scale prospective clinical studies, the efficacy of OTSC anastomosis clip in treating anastomotic leaks still needs further research to be confirmed.

Named: overthescopeclip (again). OTSC (acronym). Also 'OTSC anastomosis clip' maybe we treat as OTSC anastomosis clip. But we need to translate? The glossary didn't have OTSC. It's an acronym for overthescopeclip. We could keep as OTSC. It's a coined term. We'll list OTSC as a term. Also 'anastomosis clip' maybe not needed.

Professor Lu's ears were practically perking up.

Named: Professor Lu.

Although he previously dismissed what that student of Professor Feng said, the meaning changed when Zheng Lao Ban said it.

Named: Professor Feng. Zheng Lao Ban.

For thoracic surgery, if there were a way to resolve postoperative anastomotic leaks in esophageal cancer, it would mean further reducing surgical risk.

No named.

This is a great thing.

No.

Although Zheng Lao Ban also said that, there is still a lack of large-scale prospective clinical research, and the efficacy of OTSC anastomosis clip in treating anastomotic leaks still needs further research to be confirmed. Yet his ability to stand there confidently proposing endoscopic treatment shows he has confidence.

Named: Zheng Lao Ban. OTSC again. Also 'endoscopic treatment' maybe not needed.

Zheng Ren said that with his mouth, but his eyes were fixed on Quan Xiaocao.

Named: Zheng Ren. Quan Xiaocao.

"Xiao Cao, come over and tell me your opinion." Zheng Ren said gently.