laitimes

The elderly crossed most of China to seek medical treatment, just to do an operation

"Doing this operation has been a lot of twists and turns, spanning most of China, but I came to the right place, met a good doctor, and thanked the medical staff and the hospital." Recently, in the urology ward of Union Shenzhen Hospital (Nanshan Hospital) (hereinafter referred to as "Nanshan Hospital") of Huazhong University of Science and Technology, Uncle Liu (pseudonym), a septuagenarian from Gansu in the northwest of China, said with great excitement.

It turned out that due to prostate cancer, Uncle Liu came thousands of miles away to seek medical treatment, and successfully underwent laparoscopic radical prostate cancer surgery at Nanshan Hospital, and was successfully discharged from the hospital.

According to reports, this year, Nanshan Hospital has successfully completed 3 cases of laparoscopic radical prostatectomy, filling the gap in the hospital's prostate cancer surgery methods, marking a new stage in the minimally invasive surgery of urology in the hospital.

The elderly crossed most of China to seek medical treatment, just to do an operation

Director Zhang Liyuan led the team to check the room

Prostate cancer was detected on physical examination

The elderly in Gansu are thousands of miles away to seek medical treatment

At the end of 2021, Uncle Liu, who lives in Jinchang, Gansu Province, found an abnormality in a "prostate-specific antigen (PSA)" indicator after getting the physical examination report, and the results of the specialty puncture biopsy showed that it was suspected to be prostate cancer.

Due to the impact of the epidemic, it is not convenient to go to a large hospital for further examination. Until February this year, his son took him to a well-known top three hospital in Lanzhou for treatment, and after doing an MRI examination and a re-puncture biopsy, he was diagnosed with prostate cancer, and the doctor recommended surgery.

Just when enjoying a happy old age, suddenly diagnosed with cancer, Uncle Liu panicked, felt unprecedented fear, the family is also very worried, everywhere to inquire about the experts who do surgery.

At this time, a relative and friend informed that the First Hospital of Lanzhou University had a urological surgeon Zhang Liyuan who did a very good operation. However, as soon as he arrived at the hospital to inquire, Zhang Liyuan had already gone south to Shenzhen.

"Since you want to do surgery, you still have to find a doctor with good skills." After much discussion, Uncle Liu's family still decided to find Zhang Liyuan for surgery. After inquiring from many parties, they contacted Zhang Liyuan, who has joined the Urology Department of Nanshan Hospital.

For Uncle Liu to come to Shenzhen for surgery, Zhang Liyuan initially refused, "From Gansu to Shenzhen for surgery, the road is too far, there is no need, patients and families are not convenient, I can contact the doctor in Lanzhou to help you do it." Helplessly, because Zhang Liyuan's surgery has long had a reputation in the local area, Uncle Liu and his family did not accept his kindness, and after many communications, Zhang Liyuan agreed to let Uncle Liu come to Shenzhen.

However, due to the impact of the epidemic in Shenzhen, Uncle Liu's road to seeking medical treatment is also full of twists and turns. "We bought the ticket three times, refunded it three times, and finally had to take the high-speed train from Lanzhou to Guangzhou South, and then from Guangzhou to Shenzhen." Uncle Liu said. No matter how far away and how difficult it was, his determination to find Zhang Liyuan for surgery did not waver.

The elderly crossed most of China to seek medical treatment, just to do an operation

Director Zhang Liyuan led the team to check the room

Multidisciplinary teamwork

Minimally invasive surgery to remove the tumor

On the morning of March 24, Zhang Liyuan met uncle Liu's family in the ward, and after inquiring about the condition in detail and checking the imaging data, uncle Liu was admitted to the hospital for "prostate cancer". Subsequently, after discussion in the department, Zhang Liyuan decided to perform "laparoscopic extraperital approach radical prostatectomy" for him.

"Laparoscopic extraperitoneal approach radical prostatectomy" refers to laparoscopic, transperitoneal entry, removal of the prostate and part of the surrounding seminal vesicles and vas deferens.

Zhang Liyuan introduced that laparoscopic radical prostatectomy, as one of the largest surgeries in urology, is one of the most effective methods for the treatment of prostate cancer. This minimally invasive surgery has the advantages of small wounds, fast postoperative recovery, and relatively little pain for patients, and successful surgery can greatly improve the quality of life and survival time of prostate cancer patients.

On March 29th, in the country's leading digital integrated operating room of Nanshan Hospital, under the sincere cooperation of urology, anesthesia, operating room and other disciplines, Zhang Liyuan performed laparoscopic radical prostatectomy for Uncle Liu, and the operation was very successful.

The elderly crossed most of China to seek medical treatment, just to do an operation

Director Zhang Liyuan led the team to operate on the elderly

The Urology Team also applies the concept of Rehabilitation Surgery (ERAS) to the clinic to reduce complications, allow patients to recover quickly, and return to a healthy state of life sooner and better.

On the afternoon of the operation, Uncle Liu was able to get down to the ground and walk around. The day after surgery, he was able to move around the ward. At the beginning of April, Uncle Liu successfully recovered and was discharged from the hospital.

"I came to the south to see a doctor this time, can be described as three 'good', one is to meet a good doctor, high technology, good service attitude; second, came to a good hospital, strong technical strength, especially good quality of urology services; third, there are good medical equipment, fast postoperative recovery, less pain... ..." When discharged, Uncle Liu wrote a word of thanks to urological medical staff and hospitals. He also said bluntly that this time he came to Shenzhen for surgery thousands of miles, which was the right one.

Well-known experts in domestic urology went south

Successfully completed a number of difficult surgeries

Prostate cancer surgery is one of the top surgeries of urology, of which laparoscopic radical prostate cancer resection has high requirements on equipment conditions and doctors' technical level, and is a landmark operation that reflects the professional and technical level of urology in the hospital, and the smooth development of this operation in Nanshan Hospital has successfully filled the gap of minimally invasive urological technology.

It is worth mentioning that Dr. Zhang Liyuan is the leader of the urology discipline introduced by Nanshan Hospital this year, and is a well-known expert in the field of urology and andrology in China, with rich clinical experience, exquisite surgical skills, and good at difficult surgery in urology, especially all kinds of extranaurologic laparoscopic minimally invasive surgery and andrology surgery.

It is understood that he has worked in the Affiliated Hospital of Lanzhou University for more than 10 years as the director of urology and the director of andrology, always adhering to the concept of "benevolence and virtue, the pursuit of excellence, and wholehearted service for patients", hard work, and has carried out the promotion of surgical concepts and technologies in more than 50 brother hospitals at all levels, filling the technical gaps in urology and andrology in many hospitals and regions.

Dr. Zhang Liyuan is one of the pioneers of minimally invasive urology technology in mainland China, and he runs the concept of "preoperative accurate assessment, innovative surgical system, and postoperative rapid rehabilitation" throughout the entire process of surgery, and because of the superb surgical technology, it has been recognized by the majority of patients.

The elderly crossed most of China to seek medical treatment, just to do an operation

Dr. Zhang Liyuan organized the urology team to carry out difficult surgeries with multiple disciplines

Recently, Dr. Zhang Liyuan organized the urology team to cooperate with the hospital in multidisciplinary and sincere cooperation, and has successfully carried out a series of highly difficult surgeries in urology such as laparoscopic radical prostate resection, radical cystectomy, pelvic lymph node dissection, partial nephrectomy, pyelectomy, renal parenchymal lithotomy, pyelectomy and lithotripsy, renal rupture repair, etc., and actively applied the concept of accelerated rehabilitation surgery to clinical practice, and all patients had good surgical results and were discharged from the hospital.

The successful implementation of these operations has greatly improved the business level of the Urology Department of Nanshan Hospital, marking that the laparoscopic minimally invasive technology of the Hospital Urology Department has ranked among the advanced levels in China.

Just draw a tube of blood

It can accurately screen for prostate cancer

Prostate cancer (PCa) is the most common malignancy in the genitourinary system of men, and according to the World Health Organization (WHO) statistics in 2018, its incidence ranks second among all malignant tumors in men worldwide, after lung cancer.

In China, prostate cancer has become one of the fastest growing malignant tumors in men in the past decade, and its incidence and mortality rates have increased by 8.92% and 13.37% respectively. Among them, the incidence of prostate cancer over 50 years old has increased exponentially, and the incidence of prostate cancer over 70 years old has exceeded that of bladder tumors, ranking first among male genitourinary tumors.

However, prostate cancer is generally asymptomatic and difficult to detect in the early stages, known as the "silent killer". Surveys show that up to 60% of prostate cancers on the mainland are already advanced when they are found, when the treatment effect is poor, and patients lose the best time for treatment.

PSA (prostate-specific antigen) is one of the important indicators of early diagnosis of prostate cancer, and it is also recognized as the best screening method for early detection of prostate cancer.

Screening for prostate cancer is very simple, just draw a tube of blood, through the serum PSA test, you can detect early, the prostate cancer "strangled in the cradle".

Xie Lei, director of the Department of Urology of Union Shenzhen Hospital of Huazhong University of Science and Technology, introduced that since the second half of 2020, relying on the Regional Discipline Alliance for the Prevention and Treatment of Kidney Disease and Urinary System Diseases in Nanshan District, the Social Welfare Center of the Headquarters of the Urology Department of Nanshan Hospital and the United District Medical Group has carried out prostate cancer screening and free clinic activities, and conducted free prostate cancer screening for residents at their doorstep.

According to statistics, from January to December 2021, the discipline alliance conducted free screening for more than 1,500 residents in Nanshan District, of which more than 100 people were screened out of abnormal PSA values, and many cases of prostate cancer were confirmed, realizing early diagnosis and early treatment of prostate cancer.

At present, the Regional Discipline Alliance for the Prevention and Treatment of Kidney Disease and Urinary Diseases in Nanshan District has set up a fixed free screening point for prostate cancer screening in Xinghai Mingcheng Shekang, and men over the age of 50, or men over the age of 45 with a family history of prostate cancer, can go to the social health center for free screening.

[Reporter] Ding Kan

[Correspondent] Xiang Yuhang

【Author】 Ding Kan

【Source】 Southern Press Media Group South + client

Read on