Qianjiang Evening News · Hour News Correspondent Jiang Chen Wang Rui
Wang Grandma (pseudonym) from Wenzhou Rui’an, was born at the end of 1922. This year is 98 years old. She is humorous, lively and playful, came to Zhejiang University School of Medicine, the first hospital attached to the colorectal surgery, and I can’t see it in 5 years ago. It encounters low-end colorectal cancer (“colorectal cancer”), and local hospitals have suggested elderly to remove anal. The desperate family finally founded the Zhejiang University, the colorectal surgeon used challenges high-precision technology not only successfully “preventing anus”, but also two surgery to be re-reflected by the temporary ostle. In the past five years, the old man has eaten incense, regular review, the old man is exactly the application of Zhejiang University’s colorectal surgery experts to study 13 years of exclusive “weapons”!
What mysterious weapon? There are two national patents!
Before the “Legend Story” of the old grandmother, we must first understand the colon of the colorectal-human body 1.3 meters, push the intestinal content to enter the rectum, and absorb moisture from it. It is about 15cm in the direct intestine, absorbs moisture, and discharges the feces in a timely manner. The food is from the oral tube to the stomach via the esophagion, followed by sequential into the small intestine, colon and rectum, and finally discharged via an anus, complete its mission.
According to the World Health Organization International Cancer Research Institution (IARC) 2020 Cancer Report In the treatment of colorectal cancer, there is a big Qiankun in the small world.
Tumor distance is less than 5 cm
The anal or safeguards become difficult to select
This year’s 98-year-old Wang grandmother lives in Wenzhou Rui’an, the five-day hall, family harmony, and grandchildren also have an end. In 2016, she has always been able to eat, she can sleep clearly feel that the body “is not big”, I have always loved walking, and she loves to chat because she is not strong. Not only the appetite is poor, but also repeated diarrhea, more destiny, her stool bleed, “from the original day, turn into 2 or 3 times, but still solved, always want to pull it! “
Image Source: Visual China
The filial son, the grandson quickly took the old man to the local hospital for treatment, the results of the colonoscopy allowed the whole family to fall into the Ice Caves – Wang Grandma was diagnosed as rectal cancer. The doctor told the family. After assessment, the tumor has violated the intestinal wall muscle layer (T2), advised the elderly to remove tumors as soon as possible, but due to the tumor position, the anus is less than 5cm, the incidence of the ostrial fistula in the low rectal surgery is 10-20% Around, once anastomosis occurs, it will bring a fatal infection risk to the patient. Therefore, the traditional surgery is generally cutting tumors simultaneously in the near-end to make a protective ostle, temporarily do not let the manure from the rectal anastomosis. After three months, the rectal anastomosis is healed after healing the secondary surgical return.
However, considering the old age of Wang’s grandmother, every surgery means huge risks, so, in general, the rectal tumors of this age generally resemble the tumor direct ostle (ie “artificial anus”), do not match.
“Doctor, my mother loves to clean, let her do the ‘artificial anus’, hanging the feces, just forced her to die!” The son of nearly 80 hours disagree, the local hospital doctor recommended that they went to Zhejiang University anorectal surgery ( Now the rename “colorectal surgery”) Try anal surgery, perhaps the anal function can be retained.
“Secret Weapon” debut
Waiting for the anus, you don’t have to do a temporary
A grandmother came from Wenzhou to Hangzhou and found an expert outpatient doctor’s deputy chief physician. After detailed inspection and full assessment, Hua Han giant deputy chief physician implemented lapar mirror under laparogous mirror, and successfully saved the anus for Li’s grandmother.
At the same time, in order to protect the safety of the rectal anastomosis, the Huan Han giant doctor adopts the department of the department for more than 10 years in the department, and continuous improvement of the controlled self-closed intubation ostchy technology in voltage control mode, three days after surgery, The old man can eat nutrient solution and fluid; Wang Grandma has been high, the wound healing is slow, and the anastomosis of the anastomosis is not healed as scheduled, and the anastomosis, but, under the careful control of clinicians and nurses. , The intubation odor technique in voltage control mode exerts the same effect as the traditional hormone intestines, completely blocking the manure of the rectal anastomosis, the old man without any abdominal infection, after 2 months after 2 months The old people have completely healed, smooth removal of fistula, and the intestinal function is smoothly restored, and the fistula is automatically closed as scheduled, and the anus is saved, and the risk of the secondary surgery is also lamented. “A very perfect result”, now in the past five years, her body is still healthy.
Hua Han giant deputy physician introduced that the most serious complications of colorectal tumor surgery are anastomosis (probability of approximately 10% ~ 20%), and there will be a variety of food residue and microorganisms in human intestinal cavity. Once Accidental fistula can cause severe abdominal infection. So after the low rectal cancer surgery, in order to protect the anastomosis, the traditional surgical method of 166 will be an anus outside the human body, so that the excrement of the intestines will not be anastomic, advance to the in vitro. This traditional surgical approach does have benefits to the healing of the anastomosis, but it will bring pain to the patient because it takes 3 to 6 months to carry out the second opening, and place it as artificial anus. The part of the human body is researched back, bringing great inconvenience to the life and social relationship between the patient.
Zhejiang University’s colorectal surgery ten years ago, a sword, never stopped the exploration and research of new technologies, from the Director of Xu Jiahe, Director Lin Jianjiang, and then to the young generation of Hua Huaji, through meticulous clinical observation and Some accidental clinical phenomena have been inspired and inspired, bringing three innovation and improvement techniques:
From the first generation of closing nails to block the contents of the small intestine into the large intestine, protect the anastomosis, and export content items (2008 ~ 2012) by tracheal intubation; The transition effect is just because the time is uncontrollable, so it is not perfect (2012 ~ 2014); the introduction of the third generation innovative introduction pressure parameter monitoring, use the balloon pressurized, the pressure detector is measured to block the small intestine The content material flows into the large intestine, and “can” control the time “, until the anastomosis is smooth, then directly remove the drainage tube, the patient can return to normal life, no need for secondary surgery (2014 to the present).
Today, this new technology has benefited nearly 600 patients with colorectal cancer such as Wang’s grandmother.
For an alpha, it is similar to that put a small “balloon” into the nine songs, blocking the possibility of “nile” in the intestines, on the one hand, cutting out these “nile” flowing into the anastomosis, Thereby the possibility of abdominal infection; on the other hand, reconstructing an excretion channel (drainage tube) that can be taken at any time, as the patient’s intestinal anastomosis is smooth, pull out the drainage tube, the patient restores the intestinal function.
Hua Han giant deputy physician introduced that this innovative surgery method is the same as the effect of reliability, basically and traditional back intestinal ostures, so it also applies to high-risk knots such as senior, diabetes, new auxiliary radiotherapy, ultra-low anastomosis. Patients with rectal cancer can effectively avoid the serious complications related to the anastomosis, eliminating the temporary fistula needed for low rectal cancer traditional surgical surgery and post-retrieval surgery. At present, the surgical method has obtained 1 patent of relevant national invention, and also obtained the international invention patents of Europe and the United States, and the relevant research results were published in the anorectal professional international authority magazine.
Dynamic intestinal cancer like “catching hide”
Do this and save life
In 2018, the data showed that China’s new 521 million colorectal cancer, 248,000 people died of this malignant tumor, which was equivalent to one person died in colorectal cancer every 2 minutes. In just 30 years, the number of patients with Chinese colorectal cancer increased by 700%, ranking first in the world.
One of the biggest characteristics of colorectal cancer is that the disease development is relatively long, and the development of small polyps in the intestine has become a colorectal cancer. It is often taken more than 5 years. It is the best “fool cancer”, but in my country, most of the patients often have abdominal pain, digestive bleeding (black, blood, etc.), thin, diarrhea, abdominal mass, presence or absence of colorectal cancer Alarm symptoms, even after intestinal obstruction, it will take treatment. Once the above symptoms, the patient is often in the mid-term and late colorectal cancer, and even have lost the operation.
In recent years, there are more and more young patients “middle tricks”. In fact, if you do colonoscopy, colorectal cancer, early colorectal cancer is good, 5 years of survival rate exceed 90%, while advanced colorectal cancer The patient’s 5-year survival rate is less than 20%.
Here, experts strongly recommend those ages more than 40 years old, or have high risk factors such as family history, diet, work, and long-term stress, people who have a large pressure, staying up late, this is a gold standard, which is a colorectal cancer screening. It also strongly appeals to the intestinal mirror into the necessary medical examination project, which is a medical progress to each of the discovery cancer, the treatment of cancer.
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Image Source: Visual China
Image Source: Visual China