At the same time, gastric cancer bowel cancer?Zhejiang experts can solve the "two brothers" to open a few small holes

Zhejiang News Client Correspondent Wang Rui Jiang Chen Reporter Zheng Wen

Earlier this year, the National Cancer Center released the latest national cancer statistics. Among the number of new cancers, colorectal and gastric cancer are ranked 2 or 3, all of which have about 400,000 new numbers. "Public enemy".

Number of new patients

Experts from the First Affiliated Hospital of Zhejiang University Medical College said that gastric and bowel cancer are more and more like a pair of "good brothers", which often occurs at a patient at the same time, which not only causes patients, but also challenges treatment. The development of minimally invasive technology, now only needs to open a few small holes in the patient to solve two diseases at one time.

collapse! At the same time, gastric cancer and bowel cancer

Is there still a drama?

Uncle Lin (pseudonym), 72 years old Lin'an, has suffered from diseases such as chronic obstruction and asthma. More than 2 months ago, he was in a local hospital because of his weakness and poor appetite. Ulcers, about 4 cm in diameter, and the lift of the colon also occupied by a diameter of about 2 cm and a size of about 5 cents. The pathological examination is diagnosed with gastric and bowel cancer.

"Patients with poor lung function, these two are big surgery, and the risks are too high. You go to a large hospital to see." The complex condition made the local doctor powerless, so Uncle Lin walked into Zhejiang University accompanied by his family. Xu Xiaodong, deputy director of the tumor surgery of the first hospital.

After surgery inspection and evaluation, Uncle Lin suffers from extremely severe obstructive ventilation dysfunction. Walking flat will feel breathless. Anesthesia is facing great risks. Great gastric cancer has caused digestive tract bleeding. Pre -operation examination during surgery is during surgery examination during surgery examination. His hemoglobin is only 75 grams/liter, only about half of the normal value (131-172 grams/liter). In addition, the recent system nutritional condition is poor. Open surgery of wound.

However, the tumor must be removed as soon as possible, otherwise the gastrointestinal bleeding is enough to endanger life. Xu Xiaodong accepted the admission of Uncle Lin and organized a multidisciplinary consultation (MDT) for various departments such as tumor surgery, respiratory department, cardiology, intensive care unit, anesthesiology, blood transfusion department and other departments to discuss the treatment and surgery. The new model of the diagnosis and treatment of major difficulty diseases has been saved, and the lives of countless patients have been saved.

End! Doctor reproduces God skills

Several holes are removed at the same time

Surgery must be performed, but traditional large incision surgery is definitely not suitable. In front of you, it seems that there is only the road of minimally invasive.

But Uncle Lin's gastric cancer is large. Can minimally invasive surgery be removed? Can the primary cancers in different parts be removed by a minimally invasive surgery?

As one of the earliest batch of experts in the province who carried out minimally invasive laparoscopic surgery to treat gastrointestinal diseases, Director Xu Xiaodong was undoubtedly a master of laparoscopic surgery. He once won the first province in the Zhejiang Medical Skills Competition. His answer It can be!

"The biggest advantage of laparoscopic is small trauma. Due to the advantages of laparoscopic amplification, surgery can be done more finely and less bleeding, which is safer for patients with extremely low hemoglobin." He explained that the entire surgery needs to be in the patient's abdomen. A few holes in about 5 to 10 mm can be removed at the same time.

This process seems to be easy, but it is full of challenges: the surgery must be less bleeding, even without bleeding, and in order to avoid the risk of long -term anesthesia, to end the surgery as much as possible, and at the same time, the norms of tumor must be achieved at the same time as possible. To cure, this requires the skills of the master doctor to be more skilled and more fine, and the surgical team cooperates well.

Xu Xiaodong Chief Physician (second from right) in laparoscopic operation

A few days ago, with the full cooperation of multidisciplinary, Xu Xiaodong took 2.5 hours to perform minimally invasive laparoscopic surgery for Uncle Lin, and at the same time healed gastric and bowel cancer. The bleeding volume during the operation was less than 20 ml, and the amount of blood was not even tested at the usual test. Uncle Lin, who had successfully anesthetized anesthesia after surgery, removed the tracheal intubation. Uncle Lin, who had intended to go to the intensive care unit after surgery, was also directly sent to the general ward to recover. After two days of getting out of bed, the anus exhaust was restored on the fourth day. You can simply consume liquid food, and restore discharge in about a week.

"Zheyi's experts are masters, the technology is really hard!" Uncle Lin said that he thought his father couldn't pass this level, but he did not expect to enjoy the joy of God.

These situations are applicable to minimally invasive technology

Over 40 years old, this inspection cannot be ignored

The advancement of technology has brought great gospel to patients.

Xu Xiaodong said that, in addition to small trauma and mild pain, laparoscopic surgery is clearer and more detailed than opening surgery, which is more conducive to cleaning lymph nodes while protecting the normal tissue structure. Therefore There are few complications, and the tissue stimulation is small. The patient's intestinal function recovers quickly after surgery, and the recovery process is accelerated.

Because of this, laparoscopic surgery is not an operational operation, and has high requirements for the level of the master doctor. It needs strict training. The tumor surgery of the First Hospital of Zhejiang University is a team in the province's earlier laparoscopic gastrointestinal tumor minimally invasive surgery. , A skilled laparoscopic surgery technology.

Uncle Lin's postoperative review of various indicators is normal

"In recent years, the number of early patients with gastric cancer and bowel cancer has been increasing, and patients with dual -source tumors of gastrointestinal cancer are not uncommon. The endoscopic technical strength of the first hospital is strong. The three major medical hospitals of Qingchun, the first phase of the headquarters (Yuhang), and the Zhijiang medical treatment can be checked at the same time. Patients only need to do endoscopy to find the stomach and colon at the same time. Abnormal lesions, for such patients, early detection and early treatment can be cured by endoscopy and laparoscopic surgery under endoscopy, and the prognosis is good. Indications for laparoscopic gastric cancer surgery that have been recognized and applied to clinical practice include:

1. Stomach cancer detection and staging

2. The depth of infiltration of gastric cancer tumors

3. The pre -stages of gastric cancer are I, II, and IIIA stage

4. Short -circuit surgery of advanced gastric cancer, etc.

If patients have relevant needs, they can go to the expert outpatient consultation consultation.

To prevent gastric cancer and bowel cancer, experts also suggested that they should develop good eating habits and schedule habits. Three meals, eat less pickled foods, barbecue and other fried foods, less tobacco and alcohol, eat more fruits and vegetables, stay up late, recommend 40 40, recommended 40 People over the age of age can increase gastroscopy once. High -risk people and family tendencies can be applied for clinics every 1 to 2 years.

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