Liver cancer
It is a common digestive system malignant tumor
The mortality rate is high, known as the "king of cancer"
Lord Wang was because of "blood in the stool"
At the same time, intestinal cancer, liver cancer, two cancers are superimposed
It’s like adding a "reminder"
Just when he thought he was in a desperate situation
Fudan Zhongshan Xiamen Hospital Liver Surgery Joint Related Department
Open a few small holes in about 1 cm on Wang Laobo
A minimally invasive surgery removes two major malignant tumors
Minimally invasive surgery is the development trend of the 21st century surgery, but the development of minimally invasive surgery in liver surgery is relatively slow.The reason is that the liver blood supply is abundant, and liver tumors are often accompanied by liver cirrhosis, the high pressure of the door, and poor coagulation. It is prone to bleeding and difficulty to stop bleeding. Once minimally invasive surgery is bleeding, it is more difficult to stop bleeding.With the development and application of some energy and device, the problem of stopping the hemostatic problem is solved, and the minimally invasive surgery of hepatic tumors is becoming more and more extensive.
It is reported that in recent years
Hepatology of Zhongshan Hospital affiliated to Fudan University
A number of laparoscopic minimally invasive diagnosis and treatment techniques have been carried out
The technical difficulty reaches the international leading level
More than 2,000 minimally invasive surgery per year
Professor Fan Jia, an academician of the Chinese Academy of Sciences and Dean of Zhongshan Hospital affiliated to Fudan University, and Professor Zhou Jian, deputy dean of Zhongshan Hospital affiliated to Fudan University, provided remote technical support by Professor Wang Xiaoying, Director of Hepatotic Surgery Specialty of Shanghai Headquarters. FudanThe Hepatology Surgery Department of Zhongshan Xiamen Hospital established a minimally invasive surgical treatment group based on the "Shanghai Legion" in March of this year. Under the leadership of Professor Ding Zhenbin, Executive Director of Liver Surgery, more than 100 examples of minimally invasive surgery have been completed in just 4 months.Liver cancer, colorectal cancer liver metastasis, liver hemangioma, liver cysts and other diseases. The patient is 81 years old, with an average number of hospitalization days of 5 days, and only 5-100ml of bleeding.
Compared with open surgery
The patient’s hospitalization time is significantly shortened
Drug use is reduced, medical expenses are reduced
Sumid surgery of intestinal cancer liver metastasis
Lord Wang because of "blood in the stool"
Go to the Xiamen Hospital of Zhongshan, Fudan
Nothing want to find advanced rectal cancer cancer
And has transferred to the liver
Condition is so serious
Is there any chance of surgery?
The old Uncle Wang’s family is deeply desperate
Adhering to the spirit of Fudan Zhongshan, which adheres to the "all for the patient", the team of liver surgery experts repeatedly discussed that although cancer is advanced, the primary and metastatic cord still have the opportunity to completely remove and be able to remove minimally invasive resection.If all the lesions can be removed together and the advantages of recovering fast after minimally invasive surgery, general treatment will begin in the early stage after surgery, and patients may obtain the opportunity of cure and long -term survival.However, if intestinal cancer and liver cancer are required during the same period, it often faces multiple difficulties: the tumor is multiple and close to important blood vessels, you need to carefully plan the resection path and area;It affects the healing of the intestinal coincidence, so all the lesions must be removed in the short period of time.
After surgery, the surgery was on the day of the surgery, and the team of liver surgery experts in the Xiamen Hospital of Zhongshan Hospital, Fudan, completely removed liver cancer with only one block (15 minutes), and then successfully removed bowel cancer with the general surgery expert team.
According to reports, if only intestinal cancer is cut in this surgery, liver cancer risks rapidly; intestinal and liver tumors are removed at the same time, reducing the risk of rapid increased liver metastases after the primary stove.Surgery strike.Three weeks after the operation, the successful recovery of Wang started subsequent comprehensive treatment.
30 cm large incision → 4 small holes
The benefits of minimally invasive surgery to patients
Lao Liu Shen has what he knows
Due to liver cancer twice "open a big knife"
The scar with a length of 30 cm is shocking
When you think of it, you are afraid
Cancer recurrence
Many hospitals were told that they still had to "open a big knife"
And he is eager to do a minimally invasive surgery
Lao Liu Huai came to the Hepatology of Xiamen Hospital in Zhongshan, Fudan, and Professor Ding Zhenbin, who was admitted to analyzed in detail: After the surgery, patients often adhered to abdominal cavity, the original anatomical structure changed, and it was full of complications.The laparoscopic minimally invasive surgery is performed downward, the cavity is difficult, the field of vision is poor, and the laparoscopic instrumental operation space is small, which tests the doctor’s surgical skills.
Although the minimally invasive surgery is extremely difficult, the liver surgery team has not given up, but has faced the difficulty, and bravely breaks the minimally invasive surgical restricted area. It has customized the best surgical approach for Lao Liu Guang through detailed evaluation.During the surgery, the liver surgery team finely separated the severe adhesive abdominal tissue, and finally fully exposed and completely removed the recurrence lesions.The operation only hit 2 0.5cm and 2 1.2cm holes on the stomach. Lao Liu was very happy.Different from the previous surgery for 3 days, it can be discharged from the ground for 10 days. This time, the Lao Liu was moved to the ground on the first day after the surgery, and was discharged smoothly 5 days later.
Advanced fluorescence navigation liver cancer has nothing to do
Aunt Wang suffered from hepatitis B for many years and merged with severe cirrhosis.She found that her condition changed during an ultrasonic examination, and she went to the hepatobiography of Xiamen Hospital in Zhongshan, Fudan.After further inspection, Aunt Wang’s liver was covered with hardening nodules, and one of them had cancer.
How to in many sclerosis nodules
Quickly and precisely find the cancerous point and perform surgery
It’s a problem placed in front of a doctor
The team of liver surgery experts in Xiamen Hospital of Zhongshan Hospital, Fudan, decided to adopt international advanced fluorescent navigation technology to perform micro -creative liver cancer surgery for Aunt Wang.Before surgery, hepatitis Surgery first injected fluorescent dyes (ICG) to Aunt Wang.During the operation, through the fluorescent lens of the laparoscopy, the patient’s hardening the liver of the liver has a 1cm -sized green fluorescent region. The tumor is explicit, and the size and boundary are clear at a glance.
The ICG fluorescence during the operation is like GPS navigation. It guides doctors to cut the liver path and ensure that the tumor visualization of the tumor can be removed.The surgery was completed in just half an hour, and there was almost no bleeding during the operation.
Hepatobe minimally invasive surgery only needs to open a small hole with three or four 0.5-1.2cm in the abdomen. It has less trauma and less bleeding. Patients have mild pain and fast recovery. They have little impact on the whole body immune function.Especially major.Patients can generally complete the entire process of examination, treatment, and rehabilitation in 3-5 days.
Reporter: Chu Yan Correspondent: Hong Yuyu Lu Yanhua Chen Jiajun
Source: Xiamen Daily
