Changjiang Daily, Wuhan Client, July 25th (Reporter Qi Yan Correspondent Liu Shanshan) The elderly in their sixties always choked when they were eating, until they couldn’t even eat porridge. On examination, it turned out to be esophageal cancer. After careful medical history, experts analyzed the cause of the disease or related to the patient’s long-term love of hot food.
Grandpa Wu, who lives in Hankou, is 68 years old this year. He is usually in good health and eats easily. He eats food in a few minutes, and especially likes to eat it “while it’s hot”. For the past six months, Grandpa Wu always felt like he was stuck in his throat when he was eating, and he was choked at every turn. Despite this, the elderly’s difficulty in swallowing became more and more serious, and even eating porridge would be choked. Because I couldn’t eat anything, I lost a lot of weight. At this time, Grandpa Wu decided to go to the hospital for examination. Unexpectedly, a new organism was found in the middle and lower part of his esophagus through gastroscopy, and the biopsy result was diagnosed as esophageal cancer.
Traditional esophageal cancer surgery requires “opening of the chest and abdomen”, or even “opening the neck”, and the trauma is huge. Even if the thoracoscopic resection is often carried out now, a 10 cm incision is still required in the patient’s abdomen. For reconstruction of the digestive tract. Grandpa Wu was terrified of the operation, for fear that the “big surgery” would have a great impact on the body, so he did not dare to operate. Last week, he found the team of Director Chen Baojun of the Department of Thoracic Surgery of Wuhan Central Hospital. After careful study and evaluation by experts, he decided to perform a total laparoscopic radical resection of esophageal cancer for the elderly, that is, a combined operation of thoracoscopy and laparoscopy. Smaller, faster recovery.
A team of thoracic surgeons operate on a patient.
After full preparation, Zhao Ke, the deputy chief physician of the thoracic surgery department of the hospital, and Zuo Tao, the attending physician, performed a minimally invasive operation on Grandpa Wu. Two small incisions were made in his chest. The dissection of the esophagus and the dissection of the lymph nodes were completed under the thoracoscope, and the tumor was successfully resected completely. Then, four keyhole-sized holes were punched in the abdomen, and the stomach was dissociated under laparoscopy to form a tubular stomach. The tubular stomach was lifted up and the residual esophagus was sutured to rebuild the digestive tract. The operation took 4 hours to complete successfully. Under the careful treatment and care of the thoracic surgeons, the patient recovered well after the operation, and was able to get out of bed within a few days, and was discharged from the hospital recently.
“This patient suffers from esophageal cancer, and poor eating habits are the direct cause.” Chen Baojun, director of thoracic surgery, introduced that in addition to genetic factors, he prefers to eat hot, spicy, scalded and pickled foods, and smokes for a long time. People over the age of 40 who drink alcohol and have a family history of the disease are at high risk for esophageal cancer. If you have symptoms such as a sense of obstruction in eating, dysphagia, or retrosternal pain, you should be vigilant and go to the hospital for inspection in time to achieve early detection and early treatment. Total thoracoscopic and laparoscopy combined with radical esophagectomy avoids large incisions in traditional surgery and conforms to the concept of rapid postoperative recovery, especially for elderly patients with poor cardiopulmonary function.
[Editor: Yu Lina]
[Source: Changjiang Daily – Changjiang Net]