Fujian’s first robotic gastric cancer abdominal surgery without incision was completed in Zhongshan Hospital Affiliated to Xiamen University. Photo courtesy of Zhongshan Hospital Affiliated to Xiamen University
Chinanews.com, Xiamen, April 20 (Yang Fushan and Zhang Shushan) The first robotic gastric cancer surgery without abdominal incision in Fujian Province was recently completed in Zhongshan Hospital Affiliated to Xiamen University. A middle-aged female patient with systemic sclerosis complicated by gastrointestinal malignant tumor has recovered and been discharged recently.
The Zhongshan Hospital Affiliated to Xiamen University said on the 19th that the hospital has achieved full coverage of robotic gastrointestinal tumor NOSES surgery.
According to reports, Ms. Chen (pseudonym), who is nearly 60 years old, went to the Department of Gastrointestinal Surgery of Zhongshan Hospital Affiliated to Xiamen University because of “abdominal distension and vomiting for more than two months”. The doctor learned that Ms. Chen suffered from systemic sclerosis , Long-term oral glucocorticoids may cause gastrointestinal lesions, and long-term oral glucocorticoids can cause gastric mucosal damage, leading to gastric ulcers, etc. It is recommended that she do gastroscopy.
The first gastroscopy showed a huge ulcer in the gastric antrum, and no cancerous changes were found in the biopsy material. However, the gastroenterology and gastrointestinal surgeons of the hospital showed high suspicion of malignant transformation through gastroscopy, and the patient was finally diagnosed as poorly differentiated adenocarcinoma after three gastroscopic biopsies. Postoperative pathology confirmed signet ring cell carcinoma.
“We have organized a number of related disciplines to fully communicate and cooperate to ensure that no cases are missed,” Professor Cai Jianchun said. Systemic sclerosis complicated by digestive tract malignant tumors is relatively rare in our clinic, with an incidence of about 5 %. Poorly differentiated adenocarcinomas, especially signet ring cell carcinomas, often show invasive growth, and gastroscopic biopsy samples are not easy to obtain positive results. “The full trust and active cooperation of patients are also important factors in the final diagnosis.”
Since systemic sclerosis and long-term oral glucocorticoids may affect the healing of abdominal wall surgery incisions, and Ms. Chen is postmenopausal, Professor Cai Jianchun’s team used the first Southwest Fujian first Taiwanese hospital introduced by the hospital last year. The fourth-generation robotic surgery system (Xi) has carried out the radical operation of distal gastric cancer with no incision in the abdomen through the natural orifice (vaginal) specimen (NOSES). This is also the first time that a robot has been used in this operation in Fujian Province. (End)