Recently, a rare retroperitoneal malignant tumor combined with multi-organ resection surgery was successfully completed at Jinshan Hospital Affiliated to Fudan University, which marked a new breakthrough in the hospital's surgical difficulty in the field of general surgery.
Xiao Wang, a 29-year-old patient from Jiangsu, has developed urinary incontinence, frequent urination, and urgency in the past month, accompanied by backache and fatigue. Xiao Wang had undergone interventional embolization for invasive pelvic fibroids 2 years ago. In order to seek further diagnosis and treatment, Xiao Wang, accompanied by her husband, went to Jinshan Hospital Affiliated to Fudan University for treatment. Finally, after a doctor's examination, it was confirmed that the patient's retroperitoneal invasive fibroma caused severe stenosis of the right ureter .
Retroperitoneal tumor is located in the deepest part of the human body. It is a relatively unfamiliar and dangerous "life restricted zone" for surgeons. There are many important blood vessels (including the extremely important abdominal aorta, inferior vena cava , the celiac artery supplying the liver and stomach, and even the mesenteric artery) and organ (duodenum, kidney, etc.) structures in the retroperitoneal area. This area Tumors are deep-seated and often involve or even surround important blood vessels. If the tumor cannot receive standard treatment and continues to progress, it will seriously endanger the patient's life.
During the examination, it was found that the tumor in Xiao Wang's body surrounded the kidneys, intestines, uterus and other organs. The distribution of peripheral nerves and blood vessels was complex and spread widely, so the operation was extremely difficult. Relying on Zhongshan Hospital Medical Alliance, Professor Lu Weiqi, Director of the Department of Abdominal and Retroperitoneal Soft Tissue Tumor Surgery of the General Department of Fudan University Zhongshan Hospital and Director of the General Surgery Department of Jinshan Hospital, led the General Surgery Department, with the support of the abdominal soft tissue tumor MDT team of Zhongshan Hospital. After joint discussions with multidisciplinary experts from the Department of Vascular Surgery, Department of Urology, Department of Obstetrics and Gynecology of Jinshan Hospital, it was decided to perform surgical treatment as soon as possible.
"Any operation must take all possible situations into consideration and proceed from the patient's actual situation." According to Lu Weiqi, surgery is currently the most effective treatment for retroperitoneal tumors. Retroperitoneal tumor surgery is different from other surgical operations. Since the tumor is located in the extensive retroperitoneal and pelvic floor areas and involves complex organs, radical surgery requires the removal of the affected organs and tissues, which places extremely high demands on the surgeon.
In order to ensure that the tumor resection can be completed in one go and give the patient the best prognosis, Lu Weiqi and experts from various disciplines once again conducted a detailed discussion before the operation and formulated a detailed surgical process, including surgical approach, separation techniques, Possible organ resection and repair and reconstruction.
On the day of the operation, with the close cooperation of doctors and experts from the general surgery department, vascular surgery department, urology department, and obstetrics and gynecology department, the operation lasted 10 hours. The doctor successfully removed Xiao Wang's retroperitoneal malignant tumor, and also removed the uterus and part of colon. The blood vessels supplying blood to the right lower limb involved by the tumor were also removed and replaced with the artificial blood vessel . The size of the resected tumor was 15 cm × 15 cm. The patient is currently recovering well and has been transferred from ICU to the general ward.
Lu Weiqi said that the follow-up goal will be to build the Jinshan Branch Center for Abdominal and Retroperitoneal Soft Tissue Tumors of Zhongshan Hospital to provide "homogenized" medical services of Zhongshan Hospital for patients with retroperitoneal tumors in Jinshan and its surrounding areas.
It is understood that in the traditional treatment model, patients may be referred multiple times and undergo repeated examinations, which is time-consuming and labor-intensive. This may also delay the condition and miss the best opportunity for treatment. Through the multidisciplinary diagnosis and treatment model (MDT), patients' distrust of treatment plans caused by multiple referrals and repeated examinations in the traditional treatment model can be avoided. At the same time, it also provides "one-stop" medical services for difficult, critical, and tumor patients, greatly improving the quality of medical services.
In fact, the successful rescue of this patient is another manifestation of the multidisciplinary joint treatment strength of MDT, Jinshan Hospital Affiliated to Fudan University.In recent years, Jinshan Hospital Affiliated to Fudan University has actively explored the multidisciplinary diagnosis and treatment model (MDT) to benefit the majority of patients, effectively promoting the improvement of diagnosis and treatment technology for difficult cases.
Zhou Xiaoyong, director of the Medical Department of Jinshan Hospital Affiliated to Fudan University, said that next, the hospital will normalize and standardize multidisciplinary diagnosis and treatment. Through regular and fixed-point multidisciplinary discussions, it will provide one-time services for patients with difficult and complicated diseases and those involving multidisciplinary diagnosis and treatment. Diagnosis and treatment services in multiple specialties provide the most scientific diagnosis and treatment suggestions to benefit more patients.
Source: i Kingsoft
