Fifth-degree operation, Gastrointestinal surgery of Municipal Hospital of Traditional Chinese Medicine treats patients with intestinal obstruction from giant sarcoma

Caption: The gastrointestinal surgery team of Shanghai Traditional Chinese Medicine Hospital provides pictures for the interviewees of the patient’s surgery< /em>

“The patient began to have abdominal distension and stopped defecation in the past month. CT showed that the pelvic mass had invaded the bladder and right ureter. Combined with the history of abdominal leiomyosarcoma, it was considered Intestinal obstruction caused by tumor recurrence must be arranged as soon as possible!” In the 12th ward of Shanghai Traditional Chinese Medicine Hospital, Zhu Guanghui, director of gastrointestinal surgery, and Chu Chenlong, deputy chief physician of urology, were discussing the patient’s condition and surgical plan.

The 64-year-old Aunt Zhang has had four operations due to malignant tumor. This recurrence was during the epidemic prevention and control period. It made her stomach swell like a big balloon. She was very anxious when she saw the news that the outpatient and emergency department of Shanghai Traditional Chinese Medicine Hospital was open normally on the Internet. On the morning of April 19, she came to the emergency department of the hospital for treatment. Director of Gastrointestinal Surgery Zhu Guanghui conducted an emergency examination for her and made a full assessment. She was considered to have a cancerous intestinal obstruction, and surgery must be arranged in the near future, and she was admitted to the hospital immediately.

In order to minimize the risk of new crown infection, in accordance with the requirements of epidemic prevention, the hospital arranged for Aunt Zhang to first stay in the buffer ward of Ward 15, and Zhu Guanghui immediately arranged for her various items. Preoperative examination and treatment, as well as nutritional support, help her to quickly adjust her physical condition and prepare for the operation. Three days later, Aunt Zhang was officially transferred to the 12th ward where the Gastrointestinal Surgery Department is located. On the same day, Zhu Guanghui contacted the Urology Department for preoperative discussions and formed a complete surgical plan.

On the afternoon of April 23rd, Auntie Zhang’s fifth operation was carried out as planned. Bilateral ureteral stenting, cystoscopic biopsy, complex intestinal adhesion release, loop ileostomy, descending colostomy and partial sigmoidectomy were successfully completed.

Zhu Guanghui introduced: “Gastrointestinal surgery has many critically ill patients in the surgical system, and the biggest feature of emergency cases is accompanied by fever symptoms, such as acute appendicitis, digestive In addition to strictly complying with epidemic prevention regulations, the department will make every effort to treat patients, and formulate ward management regulations during the epidemic period in accordance with the relevant hospital regulations.”

Reporter It is understood that in the past few days, with the full cooperation of the Department of Anesthesiology and the operating room, the Gastrointestinal Department of Shanghai Traditional Chinese Medicine Hospital has carried out a number of emergency surgeries for patients with no nucleic acid report under the state of “full protection” at the first time, helping patients relieve sickness.

It is reported that since April, the Gastrointestinal Department of Shanghai Traditional Chinese Medicine Hospital has treated more than 30 critically ill patients and performed operations, including radical resection of gastrointestinal cancer, secondary Cytoreductive surgery, hyperthermic perfusion chemotherapy, retroperitoneal tumor resection combined with regional organ resection were performed for peritoneal cancer.

Shanghai Traditional Chinese Medicine Hospital focuses on sorting out and prioritizing the implementation of limited-duration operations including malignant tumors. Pre-assessment of the senses puts the life of the patients in the first place, and also “tailor-made” the standardized procedures for carrying out operations for patients without nucleic acid reports, and arranges various emergency surgeries, limited-time surgeries, and elective surgeries in an orderly manner. , and effectively meet the medical needs of patients.

Xinmin Evening News reporter Gao Yang