Qianjiang Evening News·Hours News Correspondent Li Wenfang Ye Xiaojun Reporter Wu Chaoxiang
On September 28, the chief physician team of the Anorectal Surgery Department of Run Run Shaw Hospital Affiliated to Zhejiang University School of Medicine Huang Xuefeng through laparoscopic intracological anastomosis technology, and the intestinal tumor was minimally invasively removed from a 73-year-old patient, Aunt Wu, with only 3cm in the body surface incision.
Patients who are afraid of pain are also willing to undergo this surgery
Aunt Wu said that she had symptoms of changing stool traits two years ago. At that time, the stool became thinner and thinner, but she felt that it might be related to her recent diet, so she didn't take it seriously and did not go for further examination. For two years, Aunt Wu's bowel movements have been getting better and worse, and has not completely returned to normal. Under repeated urging from his children, Aunt Wu finally made up her mind to have an colonoscopy , and this discovered a big problem.
colonoscopy suggests cauliflower tumors in the liver area of the transverse colon. Consider colon tumor , and surgical resection is recommended. This scared Aunt Wu and her family. When she thought of the huge incision of the operation, Aunt Wu couldn't help but feel panicked. According to the recommendation of a friend, Aunt Wu found Huang Xuefeng, chief physician of the Department of Anorectal Surgery at Run Run Shaw Hospital, at .
Chief physician Huang Xuefeng admitted Aunt Wu to the hospital and improved the relevant examinations. After careful evaluation, it was found that although Aunt Wu's lesion could not be removed under colonoscopy, fortunately, the lesion was not large. Preoperative CT indicated that the tumor stage was in the middle and early stages, and minimally invasive surgery could be chosen.
Considering that Aunt Wu is usually afraid of pain and is more resistant to large postoperative incisions, Chief Physician Huang Xuefeng recommended the patient to undergo laparoscopic assisted radical right hemicolon tumor surgery (intracavity anastomosis).
laparoscopic radical surgery for right hemicolon tumors (intraluminal anastomosis) is mainly reflected in: 1. Reduce traction force of mesenteria ; 2. Reduce the risk of mesile ileal torsion during anastomosis; 3. Reduce skin incision and postoperative pain.
Aunt Wu happily underwent laparoscopic surgery. With the precise cooperation of the entire team, the operation took two hours, and the intraoperative bleeding volume was 10ml, and the operation process was very smooth. On the second day after the operation, Aunt Wu can get out of bed and move. When changing the dressing, Aunt Wu and her family were surprised to see that the incision was only 3cm long.
Chief physician Huang Xuefeng introduced that minimally invasiveness is not only reflected in the size of the wound surface, but also in multiple aspects such as radical disease cure, organ function preservation, and rapid postoperative recovery. Aunt Wu's surgery was smooth. During the operation, the tumor was cured and the trauma was minimized, which avoided the reversal of intestinal anastomosis. The incision on the surface of the body was small. I believe that Aunt Wu could recover quickly after the operation and return to normal life as soon as possible.
Changes in stool habits should be alert
According to the National Cancer Center's "2022 National Cancer Report" released by the National Cancer Center, the number of colorectal cancer cases is about 408,000 each year, ranking second; the number of deaths is about 196,000, ranking fourth. Moreover, the age of 41-65 is the highest incidence age, and the incidence rate in men is higher than that in women.
The main symptoms of colorectal cancer include changes in bowel habits, bloody stool or black stool, abdominal distension, abdominal pain, indigestion, loss of appetite, anemia that cannot be explained by other reasons, sudden weight loss, etc.
Early-stage colorectal cancer progresses slowly, and it may take 10-15 years to develop into adenoma cancer. Therefore, early detection and early treatment have become the key to preventing and treating colorectal cancer.
Ⅰlevel prevention: etiology prevention
1. Dietary habits: improve dietary structure, increase the intake of cellulose and vitamins, folic acid and related trace elements, eat less fatty meat and less calorie foods, eat less irritating foods with fried, stir-fry, cook, and fry, and eat regularly.
2. Lifestyle and daily routine: limit tobacco and alcohol intake, exercise regularly, and control weight.
Ⅱ level prevention: early detection, early diagnosis, early treatment
Common optional examination methods include: anal fingerprint, fecal occult blood test , hematologic tumor index examination, colonoscopy, abdominal CT and other related examinations.
Level III prevention—latest disease prevention
adopts multidisciplinary comprehensive diagnosis and treatment (MDT). At present, for colorectal cancer that can be surgically removed, the main treatment is radical surgery: including radical surgery, chemotherapy, radiotherapy, molecular targeted therapy, traditional Chinese medicine and immunotherapy , etc.Radical surgery can consider individualized surgical plans based on the patient's actual situation, such as using surgical tools such as robots or laparoscopy, and using surgical techniques such as intracavity anastomosis and natural cavity specimens removal.
Regarding the surgical incision problem that many patients are worried about, Chief Physician Huang Xuefeng said that with the popularization of NOSES technology and intracological anastomosis technology in recent years, the patient incision has changed from a huge incision of more than ten centimeters to a micro-incision without incision. Run Run Shaw Hospital's anorectal surgery department carries out nearly 1,000 minimally invasive colorectal surgery every year.
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