Lian Lei: Can't simply take "disease" as the center should be centered on "patient"

Lian Lei, chief physician of the sixth hospital affiliated to Sun Yat -sen University

A few small holes were hit on the patient's belly. The fine equipment was inserted into the body from the hole. The liver, gallbladder, stomach, and intestine organs were even very small and even small on the big screen in front of the eyes. Staring at the big screen, pulling small equipment one by one, the tissue is separated by layers, and some operations such as cutting, sewing, pinching, broken, kissing, etc. The organs and tumors need to be removed. For laparoscopic surgery such as gastric cancer and colorectal cancer, Professor Lian Lei has to do about four or five hundred units a year, ranking among the top domestic peers.

After walking through the road of seeking medical treatment and clinical refining for 12 years, he is 40 years old. He is already the director of gastrointestinal surgery. Since 2007, he has successfully carried out the first laparoscopic gastric cancer root treatment. The current diagnosis and treatment technology has reached the international advanced level. , Fill the gap in this field in China.

During the work, Lian Lei worked hard and forge ahead, and treating the disease and saving people as his own mission. It is the industry elite with exquisite Chinese medicine and good reputation in patients. As a doctor of university affiliated hospitals, Lian Lei is innovative in medical technology, leading the scientific research team to start with clinical problems, conduct scientific research, and strive to overcome major scientific issues that are difficult to complex.

Leading, complicated laparoscopy, and difficulty in the treatment of 400 or five hundred cases of cure

Like many doctors, he began to start from the most basic work, shuttled in the ward, and seriously wrote medical records, changing medicines, hooks, and disinfection for patients; then he was used as a helping mirror. 'Slim skin is so happy. "Slowly, Lian Lei got more hands -on opportunities in the operating room, and began to perform simple small surgery such as appendicitis and gallbladder resection.

Lian Lei, who is diligent in learning, quickly promoted the deputy chief physician and chief physician. There are more and more opportunities for high difficulty surgery, such as gastric cancer, bowel cancer root treatment, ultra -low -level rectal cancer and anal surgery, etc. Also get more satisfaction.

"Under the guidance of teachers and predecessors, we have made a little progress, and the technical experience of surgery has been accumulated." Professor Lian Lei told reporters that the current leading and participating laparoscopy is complicated and difficult to treat. Standing at the forefront of domestic peers.

Surgical surgery generally has open surgery, endoscopic, laparoscopy, Da Vinci and other surgery. Talking about the laparoscopic surgery that he is good at, Lian Lei told reporters that this surgical patient has less trauma, small bleeding, and recovery quickly; for the doctor, it is more conducive to teamwork. Under the enlargement of the mirror, the operation of moby resection, lymphoma cleaning, and the reconstruction of digestive tract are more accurate and more secure. At present, gastric cancer surgery can be completed in laparoscopic.

"Intestinal cancer and even ultra -low bowel cancer are the same. As long as the tumor does not invade the anal sphincter, it can be minimally invasive to cut tumors to protect the anal and protect the anal. Side lymphatic metastasis appears. During the surgery, we use precise anatomy technology to dig out the metastatic lymph nodes in a relatively narrow space, while maintaining the patient's main nerves and ureteralized anatomical structures. "

Establish a multi -disciplinary, accurate, and personalized diagnosis and treatment mode for patients

Almost every day in clinical hard work, busy Lian Lei frankly said that when doctors suffer, tired, and comfortable, surgery is strong. Basically, one stop for one stop is three or four hours. For more than a dozen hours, sometimes the surgery was completed, his hands and feet were sour and straight, so tired that he didn't want to talk ...

"But the surgery was successful, and the patient had a good effect and was happy to be discharged from the hospital. It could bring us a sense of accomplishment. This is the best return for hard work." Professor Lian Lei said with a smile.

"Of course, surgeon cannot simply measure the success of the surgery with the length of surgery, clean tumor resection, and surface scars. Instead, the overall situation of the patient should be considered. In clinical treatment, the patient's benefit is greater than everything." Professor Lian Lei also told reporters that the surgeon should be removed immediately when he saw the tumor, and now there have been some changes in the treatment strategy. "For a relatively large tumor, chemotherapy or radiotherapy can be done first, and the tumor can be reduced before surgery. The cure and resection effect will be better, and the survival benefits will be higher." In addition to the work of Lian Lei, I often pay attention to new academic progress, continuously improve their academic and experience, and continue to innovate technology.

The incidence of gastric cancer in my country is still very high, especially the combination of esophageal gastric cancer. Its mainstream surgical method is full gastric resection. In recent years, the "Side Overlap" surgery has been able to achieve the effect of cutting the stomach to protect the stomach for such patients. Professor Lian Lei quickly mastered and promoted it to the clinic. "During the surgery, the patient's stomach is fixed at the left and right diaphragm feet to rebuild the artificial stomach bottom, which can reduce the incidence of reflux esophagitis after surgery. The risk of postoperative fistula is greatly reduced. Anatomy physiology, the cost is low ...

His gastrointestinal surgery, since 2016, he took the lead in creating a joint clinic (MDT) for gastric tumors (MDT). The excellent resources of the whole hospital provided high -quality services for patients. From 24 to 98, he has implemented successful diagnosis and treatment; At present, it has established a multidisciplinary diagnosis and treatment model for gastrointestinal tumor patients with surgery, supplemented by chemotherapy, radiotherapy, and molecular targeted therapy.

Doing popular science on the ground, the teachings of the boss are unfortunately gastric cancer. Should chemotherapy do chemotherapy? Does cancer patient need to be taboo after surgery? How many times a day is the most normal? How can I treat my stomach? What are the dangers of Helicobacter pylori? Will gastrointestinal physical examination pain? ... As a clinical first -line doctor, Lian Lei is asked to be asked by patients and family members a lot of questions every day. Some problems are particularly high. Due to the professionalism of medicine, they often explain to the patients, and they are also "in the clouds and fog."

In order to improve the efficiency of communication with patients and family members, Lian Lei simply classified these issues and wrote as concise and easy -to -understand articles. In addition to publishing on some websites, the public account "gastrointestinal surgeon" was opened. 180 articles. The concise and clear medical treatment guide to patients and family members is his unique tenderness as a doctor. "Oral explanation, it is more difficult to understand after listening to it, and the text is different. Patients can read and understand themselves afterwards to help digestion."

Lian Lei concluded the cheats of "sucking powder", "popular science articles are as spoken as possible to avoid the use of medical terms. If you must use it, you must explain it." In order to increase the readability of the article, he also uses questions and answers for common questions. Presence, one question and answer, is more popular with readers. Some articles have continued to be innovative, reaching tens of thousands of reading, and the number of fans has continued to increase, making Lian Lei happy, "This is also a certainty."

Outpatients, inspection, duty, surgery, teaching, research, education, science popularization, helping surgery and other "medical, teaching, research, and aid" run through Lian Lei's work daily life. As a master's degree and doctoral supervisor of Sun Yat -sen University, the young doctor of the department leads teachers. In order to allow young people to make materials as soon as possible, he has taught each other, and even taught them with a sincere and humble attitude. Many young people have made achievements. The students he brought for several consecutive years have won the title of outstanding graduates of China University, and some young colleagues have obtained more opportunities for further studies and improvement. He is sincere for them, "Long teaching, no succession in learning, teachers and students, and achieve each other."

Biography

Professor Lian Lei, the sixth hospital affiliated to Sun Yat -sen University, director of gastrointestinal and gastrointestinal surgery, chief physician, doctoral supervisor, introduced talents in Sun Yat -sen University "Hundred Talents Program", outstanding young medical talents in Guangdong Province, the most powerful middle -aged expert in Guangdong Province, Guangdong Province Outstanding Youth Fund winner. He has been studying at the Cleveland Clinic for 4 years at Cleveland Clinic Center. Summary treatment of peritoscopic minimally invasive treatment of abdominal mirrors that are good at gastrointestinal and intestinal surgery and difficult diseases, in gastric cancer, obesity weight loss surgery, colorectal cancer, pancreatic cancer, rectal cancer side lymph nodes, hereditary bowel cancer, inflammatory bowel disease, anastomotic mouth Surgical treatment of complications has rich clinical experience. In -depth research and rich clinical experience in surgical treatment of inflammatory bowel disease (ulcerative colitis and Crohn disease).

Q & A

What qualities should a good doctor in your mind be?

Surgeon is a special occupation with great responsibility and life -threatening. Good doctors must first have a strong business level and cautious professional attitude, standardize treatment, and avoid errors as much as possible. Large damage, even life -threatening. Do not pursue learning some new treatment methods and advanced concepts.

During the diagnosis and treatment process, we cannot simply focus on "disease", but centered on "patients". It is not sympathy, not that the patient is pitiful, and the empathy is deeper. It is to enter the inner world of the patient, and to give more care to the fragile life, help patients to face their condition, and finally achieve effective treatment.

Source: New Express News

- END -