Surgery scene.
Red Net Moment News July 7 (Correspondent Zhang Zhengpeng and Yuan Wen) Recently, the Gastrointestinal (Tumor) Surgery Department of Xiangtan First People's Hospital successfully performed laparoscopy "ultra-minimally invasive" on an elderly patient with moderately differentiated rectal adenocarcinoma. "NOSES (natural orifice specimen extraction surgery, specimen extraction through natural orifice) surgery. The surgery was performed by Chief Physician Li Shaojie, deputy secretary of the hospital's party committee, joint leader of the four surgical party branches, and dean. With the full cooperation of the gastrointestinal (oncology) surgery department, the patient had no incisions after the operation and could get out of bed and walk in just one day. On July 6, one week after the operation, the patient recovered and was discharged from the hospital, which marked that the minimally invasive technology of the hospital's gastrointestinal (tumor) surgery has reached a new level.
77-year-old Grandpa Chen went to Xiangtan First People's Hospital due to changes in stool shape for 2 years and weight loss for 1 year. The colonoscopy report showed rectal cancer , and he was immediately admitted to the Gastrointestinal (Tumor) Surgery Department for in-depth treatment. The doctor further improved the imaging, pathology and other related examinations for Grandpa Chen, and finally diagnosed him as moderately differentiated adenocarcinoma of the rectum. Considering that patients have many underlying diseases and have high expectations for surgery, abdominal incisions are unavoidable in traditional laparotomy and laparoscopic surgeries. Postoperative pain, restricted breathing, and long-term bed rest may increase the risk of atelectasis. , The incidence of complications such as intestinal adhesion, thrombosis, etc. also affects the patient's early ambulation and gastrointestinal function recovery speed. Therefore, after fully evaluating the patient's various physical indicators, multidisciplinary consultation decided to perform NOSES surgery for rectal cancer with minimal trauma, minimal interference, and no auxiliary incision in the abdomen.
In close cooperation with the Department of Surgical Anesthesiology, Professor Li Shaojie and Director of Gastrointestinal (Tumor) Surgery He Yiwei led the department’s deputy chief physician Zhang Zhengpeng and physician Chen Du to jointly perform the NOSES II surgery on the patient. The operation went very smoothly. On the first day after the operation, Grandpa Chen started to get out of bed and move around. Under the careful care of the department, Grandpa Chen recovered and was discharged from the hospital just one week after the operation. In order to express his gratitude, Grandpa Chen asked his family to prepare a banner early and specially presented it to Professor Li Shaojie before leaving the hospital: "I am very unfortunate to have this disease, but I am so lucky to have Dean Li give me this disease." The surgery enabled me to recover so quickly, and I am grateful to all the medical staff at the Gastrointestinal (Tumor) Surgery Department for their careful care!”
In the past two years, natural orifice specimen extraction surgery (NOSES) has become the “new favorite” in the minimally invasive surgery world. After the doctor uses laparoscopic instruments to remove the tumor, the resected specimen is removed through the natural orifice (rectum-anus or vagina). There is little bleeding during the operation, no incision is needed, and only 5 small holes are left in the abdomen to complete the treatment of colorectal cancer. It can be called the “minimally invasive” among “minimally invasive”.
The Gastrointestinal (Tumor) Surgery Department of Xiangtan First People's Hospital continues to update its professional concepts. It no longer makes drastic changes. Instead, it follows the pace of innovation and enters the era of minimally invasive surgery. It is constantly committed to better practicing ERAS (Acceleration After Surgery). Rehabilitation), providing patients with a more high-quality and comfortable medical experience while ensuring patient safety.
Health Science
What are the advantages of laparoscopic NOSES surgery?
Under normal circumstances, the elderly face many difficulties during surgery, such as poor tolerance to surgery and anesthesia; many underlying diseases, slow postoperative recovery, and prone to infection, pneumonia, deep vein thrombosis, etc. Performing operations on the elderly places extremely high demands on the doctor's skills and the hospital's overall strength. The NOSES operation, which takes specimens through the natural orifice, is completely performed under laparoscopy. Only a few tiny poke marks remain on the abdominal wall after the operation. No auxiliary incisions are made on the abdominal wall, which minimizes the patient's trauma and avoids the complications of abdominal wall incisions. Symptoms and sequelae, and scars are almost invisible after healing, which not only helps the patient recover quickly, but also avoids the negative psychological implications caused by surgical scars, achieving both physical and psychological minimally invasive effects. It is a "good" The ultimate micro-innovative technology of "better and better, better and better".
sounds like such a "beautiful" technology, but it is actually not simple.
Colorectal cancer surgery is a fourth-level "major surgery". In traditional laparotomy, the doctor's hands can directly enter the abdominal cavity to perform operations. However, through laparoscopy, the doctor can only hold long endoscopic instruments to perform blood vessels and surgery in the abdominal cavity. The treatment of the intestinal tract is more difficult than "getting started" directly. Patients with different conditions are adapted to different surgical methods. Doctors need to "tailor-fit" the patient. Not every patient can undergo laparoscopic NOSES surgery. This surgery is suitable for tumors less than 5 cm (transrectal specimen collection), and the maximum is not Patients whose height exceeds 7 cm (samples collected through vagina), but not suitable for overweight people. In order to reduce postoperative pain and preserve function, doctors must also perform standardized operations and handle carefully during the operation. During the process of pulling the resected tumor out from the intestine-anus, appropriate measures must be taken to prevent the tumor from contaminating the abdominal cavity or invading or metastasizing into the abdominal cavity. Normal intestine.
html Grandpa Chen, who is nearly eighty years old, owes his smooth and rapid recovery to the NOSES operation. Age is not a taboo for surgery. Precise and thorough preoperative preparation combined with incision-free NOSES surgery is the key to successful patient treatment.
