Author: Rong Media Reporter Huang Lingling
If a surgical procedure can be named after oneself, it will be the greatest compliment for a surgeon. Professor Xing Nianzang, assistant to the president and director of the Department of Urology of the Cancer Hospital of the Chinese Academy of Medical Sciences, has two advanced medical technologies named after himself, namely "Xing's anastomosis" and "Xing's neobladder". These two technologies The technique has not only had great repercussions in the urology community at home and abroad, but has also been included in the famous textbook "Wu Jieping Urology"
"Xing's method" is a bold innovation. Promoting the development of urology
For a long time, the main treatment method for advanced bladder cancer is radical cystectomy, which is one of the most challenging operations in urology. The time needs to be from 8 am to 8 pm , its complexity is evident, and it also causes many doctors to have headaches when they see this operation. Patients have to cut off their bladders and have to hang a urine bag on their stomachs for life. This is very difficult for young patients to accept, and they have to think about how to solve it. This problem keeps Xing Nianzang awake at night.
In the era of open surgery, two foreign experts invented the orthotopic bladder, which was to use the patient's large intestine to make a new bladder to replace the original broken bladder. The surgery was named after them, "Hautmann's Bladder" and "Hautmann's Bladder" respectively. Studer bladder". From the world of From a global perspective, these two types of neobladders and neobladders improved on these are the most commonly used. However, in today's era of minimally invasive technology, it is unprecedented to perform such an operation under endoscopic surgery, and Xing Nianzang chose to face the difficulty. To face this challenge head-on, he decided to use a minimally invasive method to complete this operation under endoscopic surgery. The operation achieved the same effect as open surgery. What impressed him most was that the first operation using "Xing's Neobladder" took 7 hours, and the subsequent operation was completed in about 2 hours. Surgery.
Xing's neobladder surgery method is simple, effective, and highly reproducible. Its innovative points include: First, there is no need to pass the ureter through the sacrum promontory and anastomose it to the input loop during the operation. The ureter can be connected to the input loop in situ. Perform end-to-end anastomosis, so the operation Relatively simple. Second, the bilateral input loops are combined with the urinary bladder in a peristaltic manner, which has a certain anti-reflux effect, prevents hydronephrosis and renal pelvis infection caused by urine reflux, and can maintain a normal upper urinary tract. The third reason is that the terminal ureter is directly anastomosed with the intestine after being cut open, and the anastomosis is relatively small. It is spacious and effectively avoids anastomotic stenosis. When the surgical video of "Xing's Neobladder" appeared at the Australian and European urology conferences, it attracted the attention of many urology experts. "I met a foreign expert at the conference. While waiting in line to watch other people's videos, he was watching my surgery video attentively. "When he learned that the Chinese expert behind him was the protagonist of the surgical video, the foreign expert was very surprised and took Xing Nianzang for a photo. "Xing's Neobladder" has been praised and recognized by colleagues at home and abroad.
In order to promote this surgery and let more colleagues in the urology department learn from it, Xing Nianzang also compiled the surgical steps into a catchy formula: "Laparoscopic bladder resection, don't panic step by step, keep your head down and your feet high, and try to insert the intestines as much as possible. abdominal cavity. The left and right ureters are freed to protect the blood supply and the umbilical artery is easy to find. Early treatment will reduce bleeding. When the seminal vesicles and vas deferens are lifted up, Di's fascia can be easily opened and separated only when fat is seen, so the rectum will definitely be fine. "Years ago, a Tianjin expert followed this formula and successfully performed this operation, which made Xing Nian feel even more gratified.
A Dalian female patient about 50 years old got a new life because of "Xing's Neobladder". She also After he recovered, he made a special trip to Beijing to visit Xing Nianzang. A doctor friend has been using the "Xing's Neobladder" to reconstruct his bladder for 10 years and is still in good health. Seeing the patient's health is what makes Xing Nianzang happiest. According to rough statistics, as of today, thousands of patients have benefited from "Xing's Neobladder".
After that, Xing Nianzang pioneered the creation of the "Xing's anastomosis method". After cystectomy, urinary diversion is required. The most common operation is called ileal passage. The difficulty is how to connect the ureter and the rectum without causing stricture. The unique feature of "Xing's anastomosis method" is that it not only directly anastomoses the ureter and the intestine end-to-side, while retaining sufficient blood supply, it ensures a smooth lumen and reduces the occurrence of stenosis; it also makes the left and right ureters and intestinal anastomoses face each other. Independent, leaving room for the management of possible upper urinary tract complications in the future. This method is simple, has few complications, and is especially suitable for completion under laparoscopy. In the past, this operation took more than half an hour. After the simplified process, it can be completed in about 5 minutes, greatly reducing the patient's pain. It is reported that "Urinary Diversion", edited by Professor Xing Nianzeng and Professor Huang Jian of Sun Yat-sen Memorial Hospital of Sun Yat-sen University, is about to be released. This is the first time in the world that someone has elevated the technology of urinary diversion into a knowledge.
Make surgery into an art, the operation is meticulous and not quick, and the "three fines and one high" strong skills
In Xing Nianzang's view, a good operation must not only be successful, but also be enjoyable to watch. "Good surgery is not only a technology, but also an art." Just like carving and making handicrafts, you can have a sense of happiness in the process of making them. Every time he has an operation, he is filled with a sense of happiness, because before the operation , he copied the operation countless times in his mind, "For example, for kidney tumors, part of the kidney needs to be removed. How to cut? Where to cut? How to sew after cutting? How to reconstruct." These steps were gradually programmed, and in Only successful surgery can get twice the result with half the effort. He emphasized that in order for surgery to slowly turn from a technology into an art, we must continue to improve our medical technology level repeatedly in accordance with the requirements of "three fines and one high".
"Three Essences and One Highness": precise surgical ideas, fine surgical anatomy, superb surgical skills, and a high sense of responsibility for patients. He knows that nothing is trivial on the operating table, and every move a doctor makes is related to the life and death of the patient, so he must be meticulous and strive for excellence. He often emphasizes to his students that doctors are benevolent, and doctors must always maintain benevolence and be true and kind in the process of treating patients.
In addition, Xing Nianqiang emphasized that the operation must not be quick, but should be meticulous and meticulous. "In recent years, there has been a bad guidance in the medical community, that is, surgery must be done quickly. I think the most important thing about surgery is to do it carefully so that the patient can recover well after the operation, and not just focus on speed." A urological surgeon Growth does not happen overnight. Only by constantly pondering, optimizing, and innovating, and finally forming a set of own methods, can we perform better surgeries. "One minute on stage, ten years of hard work off stage", diligent study and practice are the only way for a surgeon to grow.
Promote the homogeneous development of urology disciplines, Healthy China Urology First
Since the surgical formula has been recognized by his peers, Xing Nianzang often thinks about how to make more surgical procedures simple and easy to remember. He still remembers that the first surgical formula he wrote in 2006 was about prostate cancer . "Anatomy is the key to radical cure of prostate cancer. Two ligaments on both ends and sides. Make up a formula and write it down. Remove the fat in the front and protect the rectum in the back. Separate the upper and lower parts to find the interface. Do not deal with the left and right sides quickly. In order to control urination, the urethra should be as long as possible. Remove the tumor cleanly. Be a man." After that, he also compiled formulas such as "sandwich" urethral reconstruction technique and "upper urinary tract". Because he has the ability to write poems, the rhymes he compiled are catchy, easy to remember and practical.
Some formulas are inspired on the plane, and some formulas are remembered late at night. He even once had an operation in Inner Mongolia and woke up in the middle of the night while staying in a hotel. He could not sleep and made up a formula for female cystectomy. Why make up formulas? The purpose is to summarize experience, benefit more people, program the experience, and promote surgical progress through continuous innovation.Through these experiences, he has created many short-term surgical records. For example, a kidney resection operation can be completed in 13 minutes. Adrenal gland tumor can be removed in the fastest 5 minutes. An upper urinary tract operation that previously required 4 to 5 hours took 27 minutes. can be done.
While making continuous breakthroughs in surgical technology, as the president of the Urological Surgeons Branch of the Chinese Medical Doctor Association, Xing Nianzang believes that he still has the responsibility to lead Chinese urological surgeons to make their own way. Academician Guo Yinglu, one of the leaders of urology in China, has proposed a goal for everyone: by 2035, the development level of urology in China will be "leading in Asia and first-class in the world." The Urological Surgeons Branch of the Chinese Medical Doctor Association also proposed a goal development slogan "Healthy China, urology first." "We must keep up with the times and contribute to the national strategy of healthy China." He emphasized that urological surgeons must have a sense of responsibility, bravely shoulder the responsibilities entrusted by the times, take the initiative, and adapt to Dare to be the trend-setter of the times, following the development trend of the times.
In order to promote the homogeneous development of urology disciplines across the country, the branch has launched the "Ten Thousand Miles Tour of Urologists" large-scale public welfare project, "Urology Surgery Live Broadcast" activities, etc., to sink high-quality medical resources and help more urologists improve their surgical skills. Let more people get better medical services, implement the spirit of the central government with practical actions, and ensure that policies that benefit the people can be well implemented.
"After studying hard for many years, I embarked on the path of exploring medicine. Keep pursuing without regrets, respect life, and go all out..." These are the lyrics in the song "Doctor's Dream" written by Xing Nianzang. After practicing medicine for more than 30 years, Xing Nianzang’s dream is for doctors and patients to work together to defeat diseases, bring harmony to the doctor-patient relationship, and enhance everyone’s happiness. In him, you can see the temperament of a poet, the chivalrous heart of a swordsman, and the compassion of a doctor.
