Men also suffer from gastric and esophageal cancer at the same time. Experts have successfully cured the operation at one time to rebuild the digestive tract for them.

For ordinary people, food should be digested through the esophagus and stomach before entering the small intestine.

However, the 59 -year -old Mr. Li (pseudonym) suffers from gastric and esophageal cancer at the same time, and all gastric and high -level removal of the esophagus need to be removed.

How to completely cure the tumor and let Mr. Li eat normally?

Recently, the multidisciplinary team of Xiangya Hospital of Central South University successfully implemented the "Mount Everest" operation of Mr. Li's "Mount Mount Mount" — the "colon shoulder -esophageal pipe" surgery.

Professor Liu Heyi and Associate Professor Ge Jie in the gastrointestinal and intestinal surgery team with chest surgery, hand -schituration, anesthesia, and operating rooms have gone through more than ten hours. With the assistance of Da Vinci robotics, gastric resection, high esophageal resection, and the right half of the colon " "Grafting" replaced the esophagus on the esophagus and small intestines, and slightly consistent with the neck blood vessels with the transplanted colon blood vessels, successfully cured two types of cancer in one operation and rebuilt the digestive tract for Mr. Li.

Mr. Li was discharged from the hospital on August 2 and had eaten normally.

This marks a new step in the cooperation of multidisciplinary cooperation in Xiangya Hospital of Central South University.

Full -cut stomach and some esophagus, "grafting" column reconstruction digestive tract

In January of this year, Mr. Li found that he lost more than 10 pounds in a short time, and the "old problem" of stomach pain was getting more and more frequent. He came to Xiangya Hospital of Zhongnan University for inspection and found that he had suffered from the gastrointestinal cardia squamous carcinoma and the upper esophagus tract at the same time. Syntoma carcinoma.

After the consultation of the hospital, multi -disciplinary experts such as thoracic surgery, tumor radiotherapy, operating room, ICU, etc., decided to do pre -surgery, chemotherapy, chemotherapy, and cure for surgery.

Director Zhou Rongrong of the Radiotherapy Department conducted precise preoperative radiotherapy and chemotherapy for Mr. Li. Tumor in two parts was significantly reduced, but CT showed that there were still enlarged lymph nodes around the lesion. Surgical treatment was the only way.

For most patients with high esophageal cancer, replacement of removed esophagus with duct stomach is the most commonly used surgical type. This has always been a medical problem.

The "colon shoulder -to -esophageal pipe" has complicated operation and a lot of anastomosis. It is prone to complications such as anastomotic fistula, transplanting colon necrosis or edema, and the mortality rate is also very high.

"We hope to use colon instead of the esophagus to make patients have a higher quality of life after surgery. On the one hand, the colon capacity is relatively large, and the patient's postoperative consumption and nutrition will be better; in addition, the blind petals are retained, which can prevent bile reflux . "Professor Liu Heyi said.

Multi -discipline collaboration with the same stage surgery, cure 2 kinds of cancer at a time

Under the guidance of Professor Pei Haiping Director of General Surgery, gastrointestinal surgery has made rigorous and detailed deployment for this operation, detailed to surgical equipment, anesthesia, monitoring, etc., and formulated a thorough surgical plan and emergency plan to ensure that the patient is surgery in surgery. The process is everything.

On July 20, the multi -disciplinary team conducted surgery for Mr. Li.

During the operation, the lump was found on the bottom of the stomach, the plasma surface was affected, and there were enlarged lymph nodes around. The team of Director Liu Heyi settled at the full gastric resection under the auxiliary of Da Vinci robotics, and it was free of about 40 cm of the right half colon to protect the colon to protect the colon. The medium dynamic vein is the blood vessels of the transplants to provide blood supply to the esophagus on the right half colon.

Subsequently, Director Zhang Chunfang and Deputy Director Gao Yang of the thoracic surgery completed the root treatment surgery of esophageal cancer under the assistance of the robot, and coincided with the end side of the neck-to-eeda tube-the intestinal end side.

Director Tang Jugu's team in the hand shows the fine back of the colon blood vessels on the same stage with the microcosmology of the neck horizontal blood vessels to ensure that the arterial blood supply and smooth vein return of the migrants are used to avoid complications such as necrosis or edema of colon.

At the end of the surgery, the gastrointestinal surgery completed the intestinal-horizontal colon, and the long breakthrough of the esophageal colon was completed with the Roux-Een-Y empty intestinal 袢, which can effectively prevent discomfort caused by bile return after surgery.

In order to perform intestinal nutritional treatment after surgery, it can be disposed of in an empty intestinal nourishment tube of an empty intestinal fistula at 20cm in the distance from the distance from the anchor in the air intestine (Figure 1).

Figure 1, gastric cancer, gastrointestinal cancer reconstruction diagram (reference: Diseases of the esophagus (2013) 26, 50–56)

With the cooperation of the anesthesiology and operating room, the operation was successfully completed.

Under the careful treatment of ICU director Professor Zhang Lina and Professor Ma Xinhua, under the careful care of gastrointestinal and gastrointestinal medical staff, Mr. Li resumed well. Essence

"This surgery is complicated and fine. Thanks to the close cooperation and strong assistance of the multidisciplinary team, precision chemotherapy, Da Vinci robotic surgery, and micro -vascular consistency technology guarantee blood supply before surgery. . "Professor Liu Heyi said.

It is reported that in response to the national hierarchical diagnosis and treatment policies, gastrointestinal surgery of Xiangya Hospital of Central South University has been committed to difficulty in gastrointestinal and gastrointestinal surgery, such as gastroesophageal binding tumors, advanced gastric cancer, extremely low rectal cancer, anal surgery, colorectal intestine Cancer recurrence and metastasis to save surgery, surgical therapy after the recurrence of gastrointestinal gastrointestinal tumors, etc., has been highly recognized by the industry and praised by the majority of patients.

(Edit Rainbow.)

Hunan Medical Chat Special Author: Peng Huan Xie Biao Tu/Wang Jie, Xiangya Hospital of Central South University

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