Changjiang Daily, Wuhan Client, March 18th (Reporter Wang Chunlan, Correspondent Li Bei) The doctor performs “combination boxing” through endoscopy and laparoscopy to provide patients with more precise surgical treatment methods . Recently, a reporter from Changjiang Daily learned from the Nanjing Road District of Wuhan Central Hospital that the innovative team of Cai Changchun from the Department of Hepatobiliary and Pancreatic Surgery has performed laparoscopic combined intraoperative endoscopic duodenal tumor resection for patients, exploring the use of dual mirrors in abdominal surgery. Applications in the field of special surgery.
50-year-old Ms. Zeng (surname changed) often felt full and uncomfortable in her upper abdomen. After she went to Wuhan Central Hospital Nanjing Road for medical treatment, through endoscopy, the doctor found that she had a duodenum. Small tumors that protrude into the intestinal lumen, causing poor feeding and emptying.
According to the patient’s condition, the Department of Hepatobiliary and Pancreatic Surgery of the hospital discussed. The diameter of the duodenum is not large, and the tumor is adjacent to the duodenal papilla. If the tumor location is not accurately “captured” during the operation, it may lead to incomplete resection or insufficient resection, or too much bowel can be removed. Intestinal stenosis occurs, which affects the drainage of bile and pancreatic juice, and affects the patient’s eating after surgery. In the end, the team decided to use a combination of laparoscopy and duodenoscopy to complete the local resection of the tumor.
Cai Changchun and his team during the operation. Photo by correspondent Li Bei
Afterwards, Deputy Chief Physician Lv Bo performed endoscopic surgery for Ms. Zeng, first using the endoscope to find the tumor, and acting as a “monitor” to monitor the entire operation; then , Deputy Chief Physician Kong Xiaoyu used laparoscopy to accurately remove the tumor. After suturing under laparoscopy, a final inspection of the bowel lumen with endoscopy was performed to ensure that there were no strictures and hemorrhages, and that the drainage of bile and pancreatic juice was not affected. Recently, the patient returned to the hospital for re-examination and recovered well after the operation.
“With the development of endoscopy, endoscopy, robotics and interventional hybrid technology, medicine has entered the era of precision surgery.” Cai Changchun, director of the Hepatobiliary and Pancreatic Surgery Department of Nanjing Road Hospital, introduced that endoscopy and endoscopy are in There are certain limitations in operation. If necessary, combine the two and play “combination boxing”, which can exert the effect of “1+1>2”, and can solve many originally complex clinical problems accurately and minimally. Conducive to the rapid recovery of the patient.
In November last year, the Wuhan Federation of Trade Unions awarded Cai Changchun the “Worker (Model Worker, Craftsman) Innovation Studio” medal in Wuhan. Cai Changchun said that in the future, he will also be committed to patient-centered technological innovation, reduce pain for patients as much as possible, and achieve the best therapeutic effect.
[Editor: Yu Lina]