"Thank you, if you hadn't risked my surgery, let alone wouldn't have saved my anus, even my life..." In the third department of general surgery of Pingxiang People's Hospital, Zou Bo, who is in his 70s this year, told the medical staff with deep feelings.
Zou Bo is an old smoker with a smoking history of nearly 50 years, diagnosed with COPD 30 years ago, and still smokes in the past 30 years, which has led to the deterioration of his lung condition step by step, usually walking 50 meters on the flat road will be panting and shush, at night can not leave the oxygen, going far away has become a luxury.
In January this year, Uncle Zou felt that he had difficulty in defecation and blood in his stool, and the above symptoms could not be relieved repeatedly and defecation became more and more difficult, and his family quickly took him to the local hospital for examination, and the result was diagnosed with low-grade rectal cancer.
The local hospital informed that due to the patient's long-term history of COPD, there were very severe pulmonary hypoventilation, there were contraindications to surgery, and surgery was temporarily not suitable. However, Zou Bo was unable to eat due to intestinal obstruction, and severe abdominal pain repeatedly induced pulmonary complications such as shortness of breath and shortness of breath. The family watched him spend every day in pain and came to our hospital with the attitude of giving it a try.
After admission, a detailed examination was arranged for Zou Bo, and the results were indeed as expected, Zou Bo also had "extremely severe mixed ventilation dysfunction, respiratory failure, bilateral pulmonary bullae, partial destruction of the left upper lung, chronic cor pulmonale, chronic cardiac insufficiency, and cardiac function grade III", but fortunately, the tumor did not metastasize far and there was a chance of radical cure.
CT images of the lungs
"It's not completely hopeless, there have been similar patients before, and we can do a good job of perioperative management through multidisciplinary collaboration, and there are still opportunities for surgical rehabilitation." Director Qin Zhanglu and Director Guo Chaoyang of the three departments of general surgery said after inspecting the patients. In order to ensure the safety of surgery, shorten the operation time as much as possible, strengthen perioperative management, invite multidisciplinary consultations such as respiratory and critical care medicine, anesthesiology, intensive care medicine, nutrition, thoracic, cardiopulmonary and macrovascular surgery, timely provide patients with nutritional support, respiratory exercise, oxygen therapy, aerosol inhalation, anti-infection and other treatment measures, strictly implement 18 core medical systems, escort medical safety, adjust the patient's state to the best, and strive for surgery opportunities for him.
"In such patients, weaning and extubation are difficult after surgery, endotracheal intubation should be avoided and surgery time should be reduced as much as possible." Director Peng Hong of the Department of Anesthesiology pointed out that this operation adopts continuous epidural anesthesia combined with general anesthesia with a laryngeal mask to maximize patient safety with all-round and multi-dimensional measures. Under the escort of the team led by Director Peng Hong of the Department of Anesthesiology, Director Guo Chaoyang led doctors such as Zhou Xingjian, Qiu Cheng and the surgical nursing team for nearly two and a half hours, and successfully completed this ultra-low rectal cancer radical surgery and successfully preserved the anus for the patient. After the operation, Uncle Zou was sent to the intensive care department for close monitoring, and with the unremitting efforts of multiple disciplines, his condition eventually stabilized, and he was transferred back to the general ward on the fourth day after the operation, and successfully recovered and discharged from the hospital.
Throughout the course of treatment,
The medical team is professional and dedicated
It has been affirmed by patients and their families.