Recently, Professor Xu Jin, President of Shenyang Sixth People's Hospital (Shenyang Hepatobiliary Surgery Hospital), successfully performed 3D laparoscopic local pancreatic resection for Ms. Wang, a pancreatic tumor patient, and successfully removed the dorsal pancreatic tumor only 2 mm away from the main pancreatic duct under the precise positioning of intraoperative ultrasound, while ensuring the integrity of the main pancreatic duct and pancreatic function, meeting the needs of patients and their families to "cut tumors and preserve pancreas, and live a normal life", and also filled the gap in the treatment of similar diseases in municipal hospitals.
Ms. Wang and her daughter's family live on the other side of the ocean in the United States, and she recently added to the trouble, during a physical examination in the United States, she found a pancreatic mass, which was extremely special in location, sandwiched between the pancreatic neck and the portal vein, and had obvious pressure on the posterior blood vessels and the main pancreatic duct. After CT and magnetic resonance examinations, it was considered to be pancreatic lipoma, although there were no symptoms, it still brought a heavy psychological burden to Ms. Wang, and it became a heart disease, and it was difficult to sleep and eat every day, which seriously affected her normal life. After discussing with her family, she resolutely decided to return to China for surgery to remove the tumor.
After returning to China, Ms. Wang's journey to medical treatment was not smooth, and she was told that she might not be able to remove the tumor alone, and could only perform mid-pancreatic resection, distal pancreatic body resection or pancreaticoduodenectomy. These can greatly impair pancreatic function, and the surgical risks are also extremely high, and the quality of life after surgery will be seriously affected. Is there a way to remove the tumor and protect the pancreas at the same time? Later, Ms. Wang learned that President Xu Jin of the Sixth Municipal Hospital was a well-known expert in hepatobiliary and pancreatic surgery in China and the first person in laparoscopic pancreatic surgery in the province, so she came to the Sixth Municipal Hospital for help.
Based on the results of Ms. Wang's examination, President Xu Jin, who has been practicing medicine for 30 years, believes that the tumor can be surgically removed. "Your tumor is almost close to the main pancreatic duct, and once the main pancreatic duct is damaged during surgery, it is difficult to repair it, and you will have to have to remove more pancreas. We use 3D laparoscopic technology to remove the tumor, which magnifies the field of view and makes it clearer, which greatly improves the accuracy of the operation, reduces the risk of the operation, and causes less damage to you. At present, the equipment conditions of the hospital, the technical level of the team and the clinical experience have fully met the requirements of the operation. After listening to Dean Xu Jin's words, Ms. Wang nodded frequently in approval.
Before the operation, President Xu Jin organized experts from the Department of General Surgery, Ultrasound, Imaging and Anesthesiology to carry out MDT, and after full discussion, it was decided to use 3D laparoscopic technology with laparoscopic ultrasound technology to accurately implement local pancreatic resection. Laparoscopic ultrasound can accurately locate the tumor, clarify the position relationship between the tumor and adjacent organs and blood vessels, and the 3D laparoscope can effectively magnify the surgical field of view, which is convenient for precise operation, coupled with President Xu Jin's extremely rich clinical experience, it can protect the main pancreatic duct to the greatest extent, reduce the damage of the pancreas, and then ensure the pancreatic function and the patient's postoperative quality of life.
During the operation, Dean Xu Jin used skilled laparoscopic techniques to accurately find the lesion. Although I have a lot of experience in pancreatic surgery, I still gasped when I saw the lesions. The lesion is indeed very tricky, it is completely embedded in the pancreatic tissue, there is no border, and the pressure on the portal vein is very obvious. In order to further grasp the situation of the tumor, Dr. Xu Jin adopted a bold and innovative surgical method, fully dissociating and completely inverting the pancreatic neck, and using laparoscopic ultrasound technology with the assistance of the ultrasound department, repeatedly identified the relationship between the pancreatic duct and the tumor from the front and back of the pancreas, and found that the tumor was lying across the superior mesenteric vein, only 2 mm away from the main pancreatic duct. Through the real-time stereoscopic image of the 3D laparoscope, Dr. Xu Jin carefully separated the gap between the pancreas and the portal vein-superior mesenteric vein, peeled off the tumor little by little until it was fully exposed to the field of vision, and accurately removed the tumor like a work of art. After resection, ultrasound was repeated to confirm that there was no pancreatic duct injury. The surgery took only 2 hours and the amount of bleeding was less than 10 ml. Postoperative pathology confirmed to be a benign tumor.
For Ms. Wang, the surgery was a great success, not only did she not have any complications such as pancreatic fistula, but her pancreatic function also returned to normal. "The 'bomb' in my stomach can be regarded as being dismantled, and I can be like a normal person, and I don't have to worry about it anymore. Thanks to the experts of Shenyang Sixth Hospital, I have been able to regain my healthy life, and I can go back to the United States to continue to take my granddaughter! Five days after the operation, Ms. Wang, who was cured and discharged from the hospital, said excitedly when she said goodbye.
In the field of minimally invasive treatment of hepatobiliary and pancreatic diseases, Shenyang Sixth People's Hospital, as Shenyang Hepatobiliary Surgery Hospital and Shenyang Liver Cancer Diagnosis and Treatment Center, has always adhered to the concept of specialized treatment, continuously met the treatment needs of difficult and serious patients inside and outside the province with regional leading, domestic first-class and international standards, and effectively promoted the action of "relieving people's worries, relieving people's hardship and warming people's hearts" with successful diagnosis and treatment practices, and made every effort to protect the health and life safety of the people.
Expert Profile
Xu Jin, President of Shenyang Sixth People's Hospital (Shenyang Hepatobiliary Surgery Hospital), Doctor of Surgery, Professor, Chief Physician, Master Supervisor.
He is a postdoctoral fellow at the University of California, Los Angeles (UCLA), a visiting scholar at Kanazawa Medical University in Japan, and the world's first pioneer of pancreatic duct-jejunal "bridge" anastomosis. He is a well-known hepatobiliary and pancreatic surgeon in China, one of the pioneers who first carried out laparoscopic pancreatic head duodenectomy, a well-known thyroid surgeon in the province, and the first person in laparoscopic pancreatic surgery. He has worked in the Department of Hepatobiliary, Pancreatic and Thyroid Surgery in Shengjing Hospital, China Medical University for 30 years. He is currently the chief expert of Shenyang Hepatobiliary Surgery Hospital, the director and chief expert of Shenyang Liver Cancer Diagnosis and Treatment Center, and the director of the Pancreas Research Institute of Shenyang Sixth People's Hospital.
Specialties: Total laparoscopic pancreaticoduodenectomy, standard pancreatic head duodenectomy, expanded pancreatic head duodenectomy, combined vascular resection pancreatic head duodenectomy, distal pancreatectomy, spleen-sparing distal pancreatectomy, midpancreatic resection, duodenal preservation of pancreatic head resection, acute severe pancreatitis surgery and various comprehensive treatments, surgical treatment of chronic pancreatitis, pancreatic neuroendocrine tumor enucleation, radical hilar cholangiocarcinoma resection (type I-IV), liver cancer resection (liver lobe, Liver segment resection), gallbladder cancer surgery, gastric cancer radical resection, various types of complex intestinal cancer radical surgery, complex retroperitoneal tumor surgical treatment, laparoscopic radical thyroidectomy, thyroid cancer micro incision surgery, modified radical thyroid surgery, modified radical breast cancer surgery, liver cancer conversion therapy, pancreatic cancer comprehensive treatment, etc.
House Hours: By appointment
Location: Director's Outpatient Clinic, 2nd Floor, Building 2