內容目錄
“Impossible! I just felt sick to my stomach, how come I have advanced gastric cancer!” In January of this year, fate hit Uncle Fu (pseudonym) hard. Unprepared, he was told I have stomach cancer.
Uncle Fu is 87 years old this year. He was a worker before retirement. He has always had a good appetite and good physical strength. But at the end of last year, he felt a bloated stomach for no reason and couldn’t eat. He thought about going to the hospital to get some stomach medicine, but after an examination at the hospital, he found a huge tumor growing in his stomach!
“You got it wrong!” Unprepared, Uncle Fu’s family rushed to Hangzhou First People’s Hospital. Chief physician Shan Yuqiang, deputy director of the Gastrointestinal Surgery Department of the hospital, conducted a more detailed examination for him, and believed that surgical total gastrectomy was the most effective treatment for Mr.
Considering that Uncle Fu is seriously ill and old, how to minimize intraoperative bleeding and physical injury is a difficult problem facing Shan Yuqiang’s team.
Finally, after full evaluation and detailed planning, Shan Yuqiang specially formulated a careful surgical plan for Uncle Fu – let the Da Vinci surgical robot play, complete the radical total gastrectomy, and use the robot The dexterous “hand” sutures the small intestine and esophagus to create a new digestive tract.
“Total gastrectomy means the patient loses the cardia, the door that connects the stomach and esophagus. The cardia is like a one-way door that controls the reflux of stomach acid into the esophagus. Once lost Cardia, it will cause gastroesophageal reflux and other conditions.” Shan Yuqiang said, they removed the tumor and diseased stomach for Uncle Fu, then loosened the small intestine in Uncle Fu’s abdomen, pulled it upwards, and used the da Vinci robot’s dexterous ” The small intestine and the esophagus are manually sutured with a thread. The peristalsis of the small intestine can improve the symptoms of reflux and make the reconstructed digestive tract feel comfortable.
In fact, the operation of high-level esophagus and jejunum anastomosis like Mr. Fu is very difficult in conventional endoscopic surgery. In the past, only surgical instruments could be used for anastomosis. Since the Da Vinci robot has a robotic hand that can rotate 360 degrees without dead ends, this difficult anastomosis becomes simple and fast, and many parts that could not be sewn by hand can be achieved by the robot’s hand. In addition, the use of robots not only reduces the operation time, trauma, and intraoperative blood loss, but also reduces the number of intraoperative cutting and closure devices used, and the postoperative recovery is also faster.
Uncle Fu’s surgery took more than two hours and was very successful. Ten days after the operation, he recovered and was discharged from the hospital. After that, over time, the pulled up small intestine will be slowly stretched open and become a “new stomach”. As long as he recovers well, he can eat normally as before.
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