Xi'an International Medical Center Hospital Multi -disciplinary discipline combined with the "uterine fibroids" that grow into the heart

Sunshine News (He Di reporter Zheng Yalei) Ms. Wang (pseudonym), 44, has always fainted frequently for nearly a month. At the same time, she was accompanied by panic and shortness of breath. The 8cm strip mass is even more incredible that Ms. Wang's lower cavity veins, right sides of the right side of the right side, until the right side of the right side and veins of the outer veins grow similar to mass, so "vine", cardiac mass The source is actually uterine fibroids.

There are many organs and extensive scope of! Cardiac Hospital of Xi'an International Medical Center Hospital, Gynecological Cancer Hospital, Urology, Anesthesia Surgery Center, Imaging Diagnosis and Treatment Center, Ultrasonic Diagnosis and Treatment Center Multi -Disciplinary Experts Auxiliary single -hole laparoscopic whole uterine resection, bilateral fallopian tube resection, right ovarian resection+in vitro circulation auxiliary cavity venous cut tumor thrust, right console tumor embolism, right iconic vein artificial vascular replacement ", currently Wang Wang Wang Wang The ladies have returned to smooth, and they have been out of bed and will be discharged recently.

How can uterine fibroids grow into the heart?

Professor Wang Hailin, Dean of the Gynecological Oncology Hospital, introduced that uterine fibroids are a common gynecological disease. Most of the patients' fibroids grow on the uterine wall, but there are also a small part of the vicious tumor of malignant growth. Entering the iliac vein and total iliac veins along the blood vessels. It seems that vines generally enter the right heart room from the lower cavity vein and jump back and forth at will. Although uterine fibroids are a benign tumor, once "barbaric growth" can invade blood vessels and other organs, it will cause a series of complications and even life -threatening.

Ms. Wang had undergone uterine fibroid division 4 years ago. Today, after comprehensive and perfect inspection of ultrasound, CTV and magnetic resonance scanning, Ms. Wang's heart inside the heart from the upper abdomen "trace the source" to the right deep blood vessels of the pelvic cavity. It affects multiple organs such as uterus, fallopian tubes, ovaries, etc., which is closely adhered to the top of the bladder, and infringes the iliac vein, lower cavity vein, and right atrium.

"The lower cavity veins are the largest vein blood vessels in the human body. The tumor is going along the blood vessels', and it finally extends to the right ventricle. The body drills the right ventricle, and when the "gate" is closed, it returns to the right atrium. Once there is a debris falling off, there is a risk of pulmonary embolism. If the tumor grows viciously in the cardiac cavity Sudden death. Most of the lower cavity veins are blocked, the total iliac vein is almost completely blocked, and the internal iliac vein is completely blocked, causing the lower limbs and pelvic blood to return to the heart to be blocked. Professor Zhang Jinzhou, deputy dean of the hospital, explained.

To completely remove the tumor, the operation is very difficult. Can the operation be completed at a time? Which subject of the doctor came to power first? How to remove tumors? How to minimize the damage ... A series of tricky problems followed, Deputy Dean of Zhang Jinzhou, Heart Disease Hospital, and Dean Wang Hailin of the Gynecological Cancer Hospital, Director Yang Zengyue, Urology, Deputy Director Wang Binrong of Anesthesia Surgery Center, Director Chen Baoying and Director of Imaging Diagnosis and Treatment Center Experts such as Deputy Director Han Zenghui and Professor Wei Yuxiu of the ultrasonic diagnosis and therapy center have repeatedly discussed and formulated multiple sets of detailed surgical solutions. In addition, the team also fully considered the problems and difficulties of Ms. Wang during the operation. The tumor was removed as much as possible to avoid recurrence as much as possible, and at the same time, it also reduced the trauma and reduced the risk of surgery.

Multi -disciplinary collaborative MDT surgery to escort patients

On August 25, a relay match of gynecology, urology, cardiac surgery, anesthesia surgery centers, etc. officially began.

After the director of the anesthesia surgery center Chai Wei, after the patient's tracheal intubation systemic anesthesia for the patient, the monitoring of blood pressure, heart discharge, cerebral oxygen saturation, central vein pressure, etc. The operation officially started.

Professor Wang Hailin conducted surgery with Da Vinci robot assistance. With the help of high -definition cameras and three -dimensional imaging imaging systems, the blood vessels with thin hair were clearly visible, and the uterus and accessories were surrounded by tumors. In a 540 -degree space, the three robotic arms that can completely imitate the human wrist movement are flexibly running. About 15*16cm tumors go deep into the bottom of the basin, unclear with the bladder and palace boundary, the right uterine blood vessels, and the right ureteral tube. In adhesion, Professor Wang Hailin completely cut the uterus, right attachment, left fallopian tube and cervical tumor, and also removed the hidden dangers of tumor recurrence due to hormones.

Professor Yang Zengyue's team relaying the second baseball team was the second base. Professor Shu Tao's leader, Professor Wang Dong assisted, the surgical knife cut the skin to the abdominal cavity, and carefully separated the lower cavity vein. The lower cavity vein is like the main road of the vascular industry. The liver vein, short liver vein, bisphilis, lumboscope, and total diameter of the iliac vein of the liver vein, liver short vein, dined renal vein, lumbar vein at all levels, and total diameter of iliac vein "Walking, dissect more than 30 important blood vessels of the abdominal cavity one by one, and found that tumor thrombus invaded the right iliac vein through the thin blood vessel wall, and entered the lower cavity vein through the" tributary "internal iliac vein and total iliac vein ...

The surgery must be thoroughly removed of the tumor and tumor, but also try to protect the normal blood vessels and tissues. It must also shorten the ischemia time of the important organs. In the end, the surgical scheme of the lower cavity vein was revealed through the vein of the lower cavity, only the blood supply to the liver, and the lower cavity vein use of the liver of the liver of the liver of the liver of the liver. In order to ensure stability of blood flow dynamics, the external circulation team of the cardiac surgery quickly established in vitro circulation for Ms. Wang. The surgical knife is swimming in the rivers and lakes of human blood vessels. After showing the entire lower cavity vein after the liver is fully free of the liver, the blood flow supply of the "main road" in order is orderly, and the liver blood supply is finally blocked. Cut the lower cavity veins under the liver short vein, and use the esophageal ultrasound to be tightly monitored in real time. The lower cavity intravenous incision is smoothly removed in the right atrium, the upper and lower cavity veins, and the tumor in the lower cavity veins of the hepatoly. The cavity vein, while restoring the liver blood flow "navigation". The surgical knife continues to move downwards, and the lower heart veins are peeled from the distant segment of the lower cavity until the tumor in the right side of the right side and the internal iliac vein in the right side. Varicoma is completely removed!

It has been more than ten hours at this time, and the dawn of victory is in front of you! Due to tumor invasion of adhesion, the vascular cavity of the illegal vein and the internal iliac vein was close to the occlusion, which seriously affected the blood background of the right lower limb. The team of Professor Zhang Jinzhou in the cardiac surgery replaced Ms. Wang a 6cm of artificial blood vessels for Ms. Wang.

After recovery, Ms. Wang can get out of bed. The symptoms of admission have completely disappeared and will be discharged recently. This treatment reflects the multidisciplinary team collaboration ability and medical technology level of Xi'an International Medical Center Hospital.

Professor Zhang Jinzhou reminds the majority of patients that if there are symptoms such as panic, frequent syncope, and lower extremity edema, menopause and women who have a history of gynecological tumor surgery should pay more attention, should seek medical treatment in time, and do related examinations and treatment in combination with the medical history.

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