Recently, the colorectal surgery team of Baoji People's Hospital cooperated sincerely and braved the difficulties to successfully complete the minimally invasive rectal cancer surgery for an octogenarian with pulmonary embolism.
Uncle Feng from Jintai District, Baoji City, suddenly appeared blood in the stool 1 day ago, for fresh blood and blood clots, the amount of about 500ml, the family immediately sent Uncle Feng to the emergency department of Baoji People's Hospital, after emergency consultation, admitted to colorectal surgery department for further examination and treatment.
During the examination, it was found that Uncle Feng had a mass lesion in the rectum, and after active hemostasis and blood transfusion treatment, after bleeding control and stable vital signs, electronic colonoscopy and biopsy were performed to consider diagnosis: rectal cancer.
Currently, surgery is the preferred treatment for rectal cancer. But for an elderly person, poor physical tolerance, poor cardiopulmonary function, the risk of rectal cancer surgery is extremely high, and what is even more frightening is that in the process of further examination, we found that Uncle Feng had atrial fibrillation, pulmonary embolism and severe deep vein thrombosis of the lower limbs, which was life-threatening at any time. Faced with this tricky situation, my colorectal and surgery department calmly responded, under the leadership of Yang Yang, deputy chief physician of the department, and convened the interventional department, anesthesiology, respiratory department, imaging department and other departments to conduct a multidisciplinary discussion (MDT) of the whole hospital. The relevant departments of the hospital have worked together to formulate a rigorous and detailed treatment plan, and formulate a sound emergency plan for possible risks.
First of all, the Interventional Department of our hospital performed inferior vena cava angiography + inferior vena cava filter insertion for patients, which escorted the operation while avoiding more serious consequences caused by thrombotic detachment; then, Deputy Chief Physician Yang Yang led the colorectal surgery team to successfully implement laparoscopic rectal cancer radical resection after more than 2 hours of intense and orderly surgery. After the operation, after careful treatment and nursing by the department, he has successfully recovered and been discharged from the hospital.
Yang Yang, deputy chief physician, introduced that colorectal cancer is the third most common malignant tumor in the world and the second most common cause of malignant tumor death. For colorectal cancer, early prevention and timely diagnosis and treatment are the key: first, it is necessary to adjust lifestyle and avoid bad habits such as smoking and alcoholism; secondly, optimize eating habits, eat more high-fiber foods, avoid high-fat diets; and carry out appropriate physical exercise at the same time; the most important thing is to have regular physical examinations, the World Health Organization recommends that people aged 45-74 years, do stool occult blood examination every two years; people over 40 years old, do colonoscopy every 5 years.
The Department of Colorectal and Surgery of Baoji People's Hospital, with the aim of providing better medical services for patients, has joined hands with many professors from Tangdu Hospital and the First Affiliated Hospital of Xi'an Jiaotong University to carry out laparoscopic minimally invasive treatment of colorectal cancer and achieved good results.
Pay attention to the health of the people, Baoji City People's Hospital Colorectal and Surgery Department escorts you.