in a star’s story
Do you often hear about a version
Originally just accompanied my friends to audition
As a result, I didn’t expect to be selected
Become a big star
In the Jiang District of the First Affiliated Hospital of Zhejiang University School of Medicine
Such a story also happened
What? There are also stars here?
Listen to me slowly
The story of the chosen person
Check with your bestie
I didn’t think I had “two bombs buried”
The 55-year-old Aunt Chen (pseudonym) is from Jiaxing. A few days ago, she had undergone gastric and bowel cancer surgery in the First Hospital of Zhejiang University. After returning to her hometown, her best friend Qin for more than 30 years Auntie (pseudonym) immediately came to visit her at home, and both of them were very embarrassed when they talked about this experience.
A little over a month ago, Aunt Qin always felt sick to her stomach. Her daughter was working as a nurse in a local hospital and suggested her mother to have a gastroenteroscopy examination. Aunt Qin had never had a gastroenteroscopy before, so she was a little scared, so she wanted to take Aunt Chen to check it out.
“I don’t feel any discomfort, I don’t have stomach pains, and I don’t have constipation. Why do I suffer from this?”
“It’s not like that. My daughter said that at our age, it’s best to have a gastroenteroscopy. Many problems can be detected early, so that children can rest assured! And now gastroenteroscopy can be done No pain, just get a good night’s sleep, and don’t suffer.”
Aunt Chen was persuaded, so she and Aunt Qin went to the local hospital for a painless gastroenteroscopy examination, but the results of the examination surprised both of them – Aunt Qin is nothing It’s a big problem, Aunt Chen was found to have a mass of about 3 to 5 cm in each of the stomach and ileum. According to the pathological test, the stomach mass was poorly differentiated gastric adenocarcinoma, and the intestinal mass was medium differentiated adenocarcinoma.
As soon as she heard about cancer, Aunt Chen was stunned, and Aunt Qin quickly asked her to contact her son who works in Hangzhou. After being recommended by a friend, her son brought Aunt Qin to Zhijiang of the First Hospital of Zhejiang University. In the hospital area, I walked into the expert clinic of Chief Physician Liu Xiaosun, Deputy Director of Gastrointestinal Surgery.
Stomach opening for surgery
What? Internal organs are upside down?
Chief Physician Liu Xiaosun completed the relevant examinations for Aunt Chen, and he found that Aunt Chen turned out to be a very rare “mirror person”, which is her all Organs are in the opposite direction, for example, a normal person’s heart is on the left side, and hers is on the right side.
“Mirror man” is also called complete inversion of internal organs. At present, there is no scientific conclusion on the cause of the phenomenon of “mirror man”. There is a view that “mirror man” appears in the process of human embryonic development. Mutations are associated with about one in a million occurrences.
Many years ago, Aunt Chen had been told during her physical examination that her internal organs had grown upside down, but since it did not affect her physiological function and had no impact on her life, she did not take this into consideration. things to mind.
Normal heart in left chest
“Mirror Man” has a pathologically enlarged heart in the right chest
After completing various examinations, the gastrointestinal surgery expert team considered that Aunt Chen’s stomach and bowel cancers were both at an early stage, and all indications were in line with minimally invasive laparoscopic surgery, and stomach and bowel cancers can be removed in a single operation.
However, since Aunt Chen is a mirror person, the variation of its internal structure will subvert the doctor’s original anatomical cognition (not only the organs are reversed, but also the corresponding blood vessels and other tissues will be in the space Operations like Mirror Man are not just knitting sweaters in front of a mirror, but backhand knitting in front of a mirror, which greatly increases the difficulty of the operation.
Although the operation is more difficult, compared with traditional open surgery, laparoscopic minimally invasive surgery has smaller incision and less bleeding, and due to the magnification advantage of laparoscopy, It can even make the operation more delicate.
Normal distribution of internal organs
Aunt Chen’s abdominal CT showed that her internal organs were completely “reverse”
The medical and nursing team of the First Hospital of Zhejiang University has always put the safety of patients’ lives in the first place. Director of Gastrointestinal Surgery, Chief Physician Yu Jiren, invited expert teams from Gastroenterology, Oncology, Radiology, Pathology, Anesthesiology, and Operating Room for multidisciplinary consultation. The patient has pathological changes in the internal organs due to the inversion of the organs, which greatly tests the anesthesia level of the anesthesiologist and the cooperation of the surgical team during the operation, and also tests the multidisciplinary team to formulate treatment strategies. The expert team analyzed Aunt Chen’s situation and possible situations during the operation in detail, and formulated a plan one by one, and finally decided to perform laparoscopic minimally invasive surgery for Aunt Chen to remove two “bombs” at one time.
With the full cooperation of Chief Physician Wen Xiaohong and Chief Physician Jin Xudong of the Department of Anesthesiology, Deputy Head Nurse Ma Yifang and Chief Nursing Team Chen Luhong in the operating room, the team of Chief Physician Liu Xiaosun successfully carried out
strong>Minimally invasive laparoscopic surgery. Even for such a special patient, the surgical team cooperates very well and is familiar with each other. There is no need for too much verbal communication. With a glance and gesture of the chief surgeon, the assistant can understand and cooperate, and the instrument nurse can accurately deliver the required surgical instruments. , the anesthesiologist can perform precise anesthesia for the patient. In the end, the expert team completely removed the stomach and bowel cancer for Aunt Chen, and the operation was very successful.
The good news came after the operation. Aunt Chen’s gastric cancer and bowel cancer were pathologically tested, and they were all at an early stage and had not metastasized. Aunt Chen did not need radiotherapy and chemotherapy in the follow-up, but only needed regular review. That’s it.
Strong multidisciplinary team
Protect every patient
“Although the operation of mirror-faced people is very difficult, the hospital usually conducts a full range of skill training for doctors for clinical examples, real scenarios, and rare medical scenarios.” Yu Jiren, Director of Gastrointestinal Surgery said the chief physician. In the Medical Skills Training Center of the First Hospital of Zhejiang University, there is a very advanced clinical operation simulation system, which is used for left and right hand training of surgeons and medical students, so that both hands can be proficient in using scissors, surgical ultrasonic knife system and various surgical instruments.
At the same time, the strong multidisciplinary comprehensive ability of the First Hospital of Zhejiang University enables the Multidisciplinary Diagnosis and Treatment Team (MDT) to formulate precise diagnosis and treatment methods for complex surgical operations, and to formulate safe and reliable perimeters for complex operations. Treatment strategies during the operation period (precise preparation before operation; safe anesthesia during operation and coordination of surgical nursing; precise analgesia, high-quality nursing, nutritional support, and rapid rehabilitation treatment after operation). Even if it is a rare operation, after the diagnosis and treatment of the MDT team, we can do our best to ensure the safety of the operation and the treatment effect of the patient, and help the patient to recover quickly.
In addition, experts recommend that people over the age of 40 who have never had a gastroenteroscopy should have a gastroenteroscopy, especially those in the family who have ever had a gastroenteroscopy. Some people suffering from gastric cancer and intestinal cancer should pay more attention. If polyps are found in gastroenteroscopy, they should be checked regularly in strict accordance with the doctor’s orders.