Pancreatic tumor, or partial cut?They retain the function of the patient for patients

Text/Picture Yangcheng Evening News reporter Zhang Hua correspondent Liu Wenqin Lin Weiyin

The "knife tip dance", which lasted more than 4 hours, and Sun Yixian Memorial Hospital of Sun Yat -sen University has recently successfully performed a highly difficult surgery of the pancreatic surgery for a 30 -year -old patient. Pancreatic head cutting.

According to Professor Liu Chao, deputy dean of Sun Yixian Memorial Hospital of Sun Yat -sen University and Director of Biliary Pancreatic Surgery, because the patient is a benign lesion of the pancreas, and he is only 30 years old, he has not adopted the traditional large -scale resection surgical method, and it has been more finely refined. The surgical method -retains the entire pancreatic head of the duodenum and the total script of the bile tube to maximize the surgical trauma, try to retain the normal function of the organ, and improve the quality of the patient's long -term life.

"We think that the development of minimally invasive surgery is not only small surgical knives, but also should be reflected in the small damage to the internal organs, and retains the function of the organs to the greatest extent." Professor Liu Chao said. It is reported that this way to break the traditional surgical method requires doctors' profound understanding of the pancreatic anatomical structure.

Hepatobiliary pancreatic anatomy

The physical examination unexpectedly found that the pancreatic head mass "full cut" VS "partial cut" is very different

Ms. Li, who lives in Guangzhou, was 30 years old. In a conventional physical examination in the year, she accidentally found that the pancreas had a "duck egg" -sized mass. After enhancing the CT examination, the possibility of "pancreatic solid fake papilloma" is considered.

After the diagnosis, Miss Li consults from multiple parties, and the doctor recommends that the pancreas duodenal resection removal of the lesion. Although the pancreatic duodenal resection is a classic technique for the treatment of pancreatic head! However, this operation needs to remove some stomach, duodenum, gallbladder, gallbladder, and pancreatic head. The gastrointestinal consistency, the surgical trauma is large, the anastomosis is more, and the postoperative complications are large. For patients with long -term survival, the quality of life is low in long -term.

According to the reporter, Miss Li is a second child, her eldest daughter is 5 years old, and her younger daughter is only over 1 years old. Is it bad in the future? "When I think of this, my psychological pressure is so strong." Miss Li told reporters.

In order to find a better way to solve this problem, several times, Ms. Li Mu Li found Professor Liu Chao, deputy dean of Sun Yixian Memorial Hospital of Sun Yat -sen University and Director of Ballast Pancol Surgery.

After careful consideration, Vice Dean Liu Chao said, "This is a benign lesion, and the patient is only 30 years old. You can consider the pancreatic surgery of retaining function."

In order to minimize surgical trauma and reduce the impact of surgery on normal physiological functions, Vice Dean Liu Chao, Lin Haoming, and Professor Zhang Rui organized multiple disciplinary discussions, and finally decided to try to retain the pancreas of the duodenum and gallbladder tube. The technique retains Miss Li's pancreas to the greatest extent.

The whole pancreatic head cutting of the duodenum intestine and the bile tube is a fine surgery of high difficulty of pancreatic surgery

Dipping away from the duodenum and intestinal membrane veins require patientness and love to complete surgery

Choose a new surgical method and keep the organs function, doctors must pay more.

Professor Liu Chao said, "Ms. Li's lesion has a diameter of more than 6cm, and the tumor is close to the veins of the duodenum and intestinal membranes, which is extremely difficult. During the operation, we need to perform more accurate surgery. From the peeling of the veins of the duodenum and intestinal membrane, the blood vessel rupture is not paid to the blood vessels, causing the duodenum and biliary ischemia and necrosis. This is a way to patiently and love. "

According to Lin Haoming, deputy director of the gallbladling surgery of Sun Yixian Memorial Hospital of Sun Yat -sen University, the key to this technique is to completely remove the tumor and ensure the integrity and blood supply of the bile ducts of the duodenum and pancreas. Pancreatic duodenal posterior arteries and its blood vessel bow. Therefore, doctors who perform surgery must be familiar with the anatomical structure of the pancreas, the end of the gallbladder, and the duodenal intestinal area.

Professor Liu Chao ’s team provides patients with full pancreas head cutting/respondents who retain the duodenum intestinal and bile gangs

The team of experts has worked hard, and the benefits to patients not only retain the function. Professor Liu Chao also introduced to reporters, "Because only the need to remove the lesions of the lesions, it retains the integrity of the digestive tract to the greatest extent, which has a small impact on the quality of life after surgery. ","

It is reported that the Sun Yixian Memorial Hospital of Sun Yat -sen University has recently implemented full pancreatic head cutting for four patients to retain the duodenum and gallbladder. "We believe that the development of minimally invasive surgery is not only small surgical knives, but also should be reflected in the small damage to the internal organs, and retain the function of the organs to the greatest extent." Professor Liu Chao said.

Source | Yangcheng Evening News · Yangcheng School

Responsible editor | Cui Wencan

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