Every 4 people will have a brain tumor. Fortunately, there is this "bomb demolition expert"

"Look, the" guy "who performed more than 500 pituitary tumors a year is here again!" During the visit of the famous pituitary tumor center in the United States, the director of neurosurgery introduced Wang Yifei in this way. This number is incredible abroad, and now this number has become 700.

"Huashan Legendary Sword", "The Hand of God", "Disassembly Bomb Expert" ... On Wang Yifei's good doctor's online homepage, patients often describe him like this. Wang Yifei, chief physician of neurosurgery at Huashan Hospital affiliated to Fudan University, and well -known domestic neurosurgery experts have been focusing on the field of pituitary tumors for more than 20 years.

The pituitary gland is below the hypothalamus and pituitary handles. Although it is only the size of soybeans, it is "in charge" at the level of the human body. Pyphoid tumor is a very common benign tumor. To what extent is it common? There are one person per 4 people, but most people do not have any symptoms and do not need to be treated.

However, not everyone is "lucky." Due to the compression of pituitary tumors, the symptoms of pituitary dysfunction such as fatigue and infertility, and headaches and vision decreased. More complicated is that some pituitary tumors can also abnormally secrete hormones, which are called functional pituitary tumors. It is more difficult to treat: for example, "giant disease" is caused by a large number of pituitary tumors secreted. Caused by prolactin; there is also a pituitary tumor that can cause the adrenal cortex hormone secretion, gradually becomes obese, face full moon, full of acne ... It seems to suddenly become another person.

The functional pituitary tumor is usually used as the standard judgment criterion based on the "relief rate" (the proportion of hormone recovery to normal levels). "Taking the pituitary growth hormone tumor as an example, the surgical relief rate of patients here is about 70%, ranking among the best treatment effects of the global pituitary tumor center, and foreign surgery relief rates are only hovering at about 50%to 60%." Wang Yifei introduced. Therefore, the scene of the article is not surprising.

When a virgin encounters neurosurgery: no matter how difficult the tumor, you must also strive to cut it clean

The brain is the human body's command center, nerves and vascular dense. The surgery in the human brain is not so simple. How to remove the tumor safely, and avoid or reduce the sequelae as much as possible, and retain the normal pituitary function, which is the goal that surgeons have been pursuing. Of course, the more the doctors have surgery, the richer experience, and the better the surgical effect.

The pituitary "Tibetan" is deep in the center of the brain. This position is deep and narrow, and the operating space is very limited. It is surrounded by nerves and blood vessels. When surgical removal of pituitary tumors, because they are worried that there will be some serious sequelae, many doctors will choose to be simple and conservative. In one point, tumor tissues that are very close to nerve and blood vessels often stay there. But this is equivalent to leaving the root of the sick. As long as the root is there, it will germinate, grow up, and eventually relapse, and the tumor after recurrence will be difficult to cut off at a time. Especially for functional pituitary tumors, as long as the tumor is residial, hormones will not return to normal. High hormone secretion will seriously affect the function of the patient's body organs, affect life and work, and even shorten the expected life.

Cutting clean is the symbol of the success of most functional pituitary tumor surgery, the expectation of patients, and the request of the Virgo Wang Yifei. "I have enough confidence to remove the tumor as much as possible. If it is too conservative, it is equivalent to not doing it. The doctor retreats from the whole body from the surgery, but in fact, it does not solve the problem of patients."

However, it is easy to be a perfectionist virgin discussion every day to "touch" the human brain's neurosurgery every day!

Patients with first operation are relatively simple, and they can clearly see the tissue structure in the brain, but Wang Yifei faced every day, mostly patients with postoperative residues or recurrences, and "no way". If you have driven a knife once, it is like a path entering the garden and being stepped on, and it has become messy. "This type of residue or recurrence of tumors may be severe with the adhesion of the nerve blood vessels, and the tumor is very hard. Like sugar, when stripping the tumor, it is like tearing a piece of leather on the shoes. The risk of surgery is very high. If it breaks, the patient may be blind or even dangerous.

"Almost crazy", a student who has followed Wang Yifei's more than six years has used the word to describe the teacher's pursuit of "cut clean". "Teacher Wang can strip the tumor, he can peel it for seven or eight hours, just to peel off a very small little tumor tissue. For postoperative hormones, the hormone can be reduced to normal. The level and patience of a doctor. When we were studying next to us, we were often nervous to forget to breathe. The palms were sweaty. They were very close to the arteries. How could Mr. Wang continue to move forward? "

Virgo's persistent pursuit and pure surgical skills, often bringing "expectations of expectations" to patients. On the online doctor, the patient wrote him 757 thanks to him, "I am a patient with the hospital number 99 ***** 86 in Huashan West Hospital. At the age of 75, the pituitary adenoma It is attached to the two motion blood vessels, hypertension and age, and the risk of triggering cerebral infarction in intracranial surgery. Professor Wang led the team to perform surgery for me. The body recovered quickly after surgery. Sexual pituitary tumor hormones are very high, especially rare. The location is above the saddle area. After the surgery of Professor Wang, all resection! It also takes lipids from the thigh for the brain repair and suture. It is in place at a time. Experts! "" Professor Wang is indeed a knife outside the gods. We found Professor Wang by the recurrence of pituitary tumors. This time the operation was completely cut, and our family thanked you very much! " Do not sleep"

His patient, some people will write a suicide note before surgery. “一旦知道自己得了垂体瘤，患者就觉得是脑子里面长了一个瘤。如果是身体其他地方，医生跟他讲良性的，他可能就没有这么害怕了，但是脑子里面长了个瘤，即便是Being benign, the patient is also very scared. "Wang Yifei knows the mood of the patients.

"It's like a thunderbolt in a sunny day, only in his 20s, and tumors have a tumor in your head?" "Do you have to surgery, can you take medicine for treatment?" Will other nerves leave sequelae? "... Each patient who has just been diagnosed with pituitary tumors can immediately find" the best pituitary doctors in China "and give yourself a answer.

For many patients, Wang Yifei is such a doctor. Although in Shanghai, because of the Internet, the distance between him and the patients became zero. As early as 2009, Wang Yifei opened a good doctor online. "Virgo", he did not sleep without answering the patient's questions. Even if he had done a whole day during the day, he never missed any patient The problem, not even a punctuation symbol. He said, "This incident has become like eating, and must be done, otherwise the patient will not sleep well and I can't sleep." For 13 years, he has helped 8,543 patients online.

Liu Ming (a pseudonym) is 39 years old and is from Fujian. It was found 2.5cm*3.8cm pituitary gland tumor two years ago. His career is on the rise and the family is happy. "All hard work" was his only belief at the time. After searching online and inquiring about two days, Wang Yifei heard and saw the most names, and he decided to seek help from Wang Yifei online by good doctor.

"Endoscopy was removed by nasal surgery, and the beds need to be waited for 1-3 months." At ten o'clock in the evening, he was overjoyed when he returned, but the worry was spontaneous.

"Professor Wang, when I get sick, my heart is messy. My family and I are afraid that there will be residual recurrence after surgery and cause repeated surgery. I am still young. So I still want to ask you like me. If the surgery is smooth, how much hope can I cut it? "Although I know that the answer is likely to be" unable to guarantee the results of the surgery ", Liu Ming still said" carefully "to say The biggest concern in my heart.

"The total probability of the tumor is 70%." It turns out that the "cannot guarantee the surgical results" is not a standard sentence. It turned out that some doctors could give such a clear answer. This number has made Liu Ming's heart a lot of it.

"Professor Wang, this is the first operation in my life. Will you perform the operation in person?" He also wanted to confirm it last.

"Yes, rest assured", the last question was also clearly answered, and Liu Ming fell asleep at ease.

Two months later, the operation was very successful. When he returned home, he went to Wang Yifei's homepage to leave a message for the first time. While expressing his gratitude, he also wanted to share his experience and let more patients see it. "Professor Wang is a good and elegant doctor ... The most moved when the most moved was the day of the operation. Professor Wang came to visit me. He smiled and confidently told me. This operation was for him No problem, this self -confidence and calmness make me more firm confidence. Other patients in the same ward have envious eyes ... Now that I am discharged for more than 10 days, I will recover well, thank you Professor Wang and your team! "

Now, he still keeps in touch with Wang Yifei online through the good doctor online, reports regularly, and the time to return to the consultation, "With Director Wang, I have a reliance in my heart."

Multi -disciplinary combination, so that the treatment effect of patients with pituitary tumors is better

"As a neurosurgeon, you must not only know how to do the surgery, but also know that for pituitary tumors, sometimes it is not solved by surgery." For the therapy of pituitary tumor surgery, Wang Yifei "splashing us" pour us "splashing A small scoop "cold water": functional pituitary tumors have many systemic diseases and need to be monitored with strict consultation; patients who cannot obtain surgery need other comprehensive treatment; although most patients can be preserved after the pituitary function of the patients, some of them can be preserved, but some of them can be preserved, but some of them can Performant, huge, huge, repeated surgical pituitary tumors, the probability of hypotomyosis after surgery is relatively large. In order to further improve the treatment relief rate, control the recurrence of residual tumors, meet the postoperative fertility needs of patients, and improve the quality of life. Neurosurgery needs to diagnose and treat Relevant departments are strong and united, synergistic treatment. In the past, these patients needed to run back and forth between various departments. "After a circle, it takes at least a month. The patients are often exhausted and their minds are embarrassed." A multidisciplinary diagnosis and treatment center of an pituitary tumor has been working hard at this goal.

Finally, on December 5, 2018, with the strong support of the hospital leaders, the "Huashan · Golden pituitary Integration Ward" was established at the West Hospital of Huashan Hospital. Every week, Wang Yifei will go out with the three professors of the Department of Endocrinology, Image, and radiotherapy. You can get "one -stop" solution. Not only that, the diagnosis and treatment characteristics of the Huashan Golden pituitary fusion team today have involved all saddling areas including pituitary tumors, cranial pharynx tumors, and pituitary hypothalamus.

"I saw the feeling of private hospitals in public hospitals", and patients often shared like this. "We are almost becoming a 4A -level‘ scenic spot ’. Patients will take a photo at the nurse of the golden pituitary ward before they are discharged from the hospital, saying that they want to take pictures of photos.” Wang Yifei said proudly.

Nowadays, in addition to continuing to create more miracles in Huashan Ventalation, Wang Yifei is still continuing to explore his pituitary tumor: Is there a better surgical method for refractory pituitary tumors? Is there a medicine that can eventually make patients who have pituitary tumors do not need surgery? ... ...

"I am willing to give him his future." The patient from Nanjing, Jiangsu, left a message on a good doctor online, now we understand.

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