When he was discharged from the hospital, Aunt Shu smiled happily and said to Dr. Nie, "I didn't expect that my heart disease would be relieved so soon, just like a dream, too fast." After being discharged from the hospital, Aunt Shu also specially sent a banner to the department to express her gratitude to the hepatobiliary surgery medical team.
Aunt Shu sent a banner to the department after being discharged from the hospital
"The patient's smile is our continuous motivation, and the patient's sentence must have given us great encouragement. Aunt Shu is just one of the beneficiaries of the concept of "accelerated rehabilitation surgery". "
Dr. Nie Jianhong, deputy chief physician of the Department of Hepatobiliary Surgery of Chenzhou First People's Hospital, introduced: Hepatobiliary Surgery has always attached great importance to the accelerated rehabilitation of patients, and the department began to promote this concept very early. In fact, this concept covers preoperative, during operation, postoperative, follow-up and other links, and has a complete set of standardized practices. The department will formulate targeted accelerated rehabilitation plans based on the patient's situation. At present, there are nearly a thousand laparoscopic surgeries in the department every year. The operation technology is very mature and has accumulated rich clinical experience.
1. Currently common surgery performed under laparoscopic:
1. Laparoscopic cholecystectomy (including single-hole laparoscopic cholecystectomy), suitable for gallbladder stones , cholecystitis, gallbladder polyps, etc.
2, laparoscopic cyst open-wind drainage surgery, suitable for liver cyst , etc.
3, laparoscopic combined with cholangioscopy common bile duct incision and lithography, suitable for common bile duct stones, liver duct stones, etc.
4. Laparoscopic abdominal cavity exploration is suitable for patients who need laparotomy in acute abdominal disease (such as acute appendicitis , gastric perforation, etc.).
5, total laparoscopic (or manual assist) splenectomy , partial hepatic resection , pancreatic duodenectomy, pancreatic partial resection, liver biopsy and gastrointestinal surgery, etc.
2. Advantages of laparoscopic technology:
Traditional open cholecystectomy has poor targeting, large trauma, slow wound healing, and prone to complications, resulting in high pain in the patient and poor postoperative recovery. Since the development of laparoscopic cholecystectomy, this procedure has been quickly accepted by surgeons and patients.
Laparoscopic cholecystectomy (LC) is made in the abdomen with 1-3 small incisions of 0.5-1.0 cm. Using special laparoscopic equipment, the entire gallbladder, including stones, was removed. The operation can be completed in about 10 to 30 minutes, which is simple and safe.
1. Small wound: a tiny incision in the abdomen, 0.5cm to 1cm, known as the "keyhole"
2. Mild pain: the patient feels small in pain and basically no scars are left. The operation is performed by intravenous anesthesia, and the patient completes the operation while sleeping.
3. Fast recovery: greatly reduces damage to organs and interference with organ functions, significantly shortening the recovery time after surgery.
4. Short time: Generally, you can get out of bed 2 hours after surgery. If there is no vomiting reaction after anesthesia, you can eat and you are usually discharged from the hospital one day after surgery.
5. Less bleeding: there is almost no bleeding during the operation. Minimally invasive surgery has a clear vision, fine blood vessel processing, and advanced hemostasis instruments such as ultrasound knives can help reduce bleeding.
6. Low cost: There is generally no need for infusion before and after surgery. Only intravenous channels are provided under surgical anesthesia to provide anesthetics and prevent intraoperative critical situations, so the hospitalization cost is significantly reduced.
7. Few complications: complications such as intestinal adhesions will generally not occur after the operation, and the impact on the functions of other abdominal organs is reduced, and the edema after the operation is mild.
(Editor ZS.)
Hunan Medical Chat Special Author: Department of Hepatobiliary Surgery, First People's Hospital, Chenzhou City, Zhu Xiaoxue
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