People who have smoked for a long time have three symptoms on the head, or the lungs have become “black as coke”, so be vigilant

Recently, the Department of General Surgery of Shenzhen Hengsheng Hospital successfully completed a single-port laparoscopic radical resection of sigmoid colon cancer. The pain of the patient’s abdominal incision was significantly relieved after the operation. On the 2nd day after the operation, he returned to the ground and resumed his own activities. On the 4th day, he started to eat liquid food. The drain was removed on day 5 and the recovery was very good, in line with the concept of ERAS (rapid recovery).

This technology not only facilitates rapid treatment of patients, but also fills the blank of single-port laparoscopic colorectal cancer radical surgery in Shenzhen Hengsheng Hospital, marking the hospital’s progress in laparoscopic surgery in general surgery. new level.

Condition review

The patient, Mr. Xu, is 35 years old this year. He came to the Department of Gastroenterology of Shenzhen Hang Seng Hospital for bowel surgery due to repeated abdominal distension and blood in the stool during the past six months. Microscopic examination revealed a sigmoid colon mass. Combined with the relevant examination results, the diagnosis results were “sigmoid colon tumor, fungal esophagitis, chronic non-atrophic gastritis with erosion, bile reflux, and chronic hepatitis B surface antigen carrier”.

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Director Cheng Ming of General Surgery conducted a comprehensive analysis around the patient’s condition, and invited the radiology, oncology, digestive The internal medicine department conducts multidisciplinary consultation, and the radiology department conducts precise positioning through three-dimensional imaging technology. After diagnosis and evaluation, it is judged that it meets the conditions for single-port laparoscopic surgery, and a detailed surgical plan is formulated for it, but the operation is difficult and requires high anesthesia. A special body position is required, and the intraoperative cooperation is highly required. Finally, with the full cooperation of the anesthesiology department and the operating room, the first single-port laparoscopic radical resection of sigmoid colon cancer in our hospital was successfully performed for this patient. The patient recovered well after surgery and is ready to go. Continued chemotherapy in one stage.

What is sigmoid colon cancer

Sigmoid colon cancer is a highly malignant tumor. It has the highest incidence and is difficult to detect in the early stage. The main treatment is surgical resection, and radical resection of sigmoid colon cancer is used to control the deterioration and development of the disease.

Technical difficulties

Single port Compared with the traditional laparoscopic technique, laparoscopic colorectal surgery has only one incision, the incision is located at the navel, and the postoperative scar is hidden in the navel.

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However laparoscopic pair For doctors, the difficulty of surgery is increased. Since the laparoscopic body and the operating instruments are in the same operating hole during the operation, it is easy to cause mutual interference between the instruments inside and outside the abdominal cavity, which cannot be fully deployed, resulting in the “chopstick effect”, especially the suture under the single-hole laparoscope is more It is even more difficult, and the technical requirements for the operator are higher.

Technical Comparison

Single-port laparoscopic colorectal surgery is based on traditional laparoscopic surgery Developed from a single small incision in the abdomen to insert multiple laparoscopic instruments to perform colorectal surgery, it can achieve colorectal resection of benign diseases and radical surgery of malignant tumors.

A number of studies have shown that single-port laparoscopic radical surgery for colorectal cancer can also achieve radical curative effects when the technology is mature and in line with indications. Rectal cancer surgery must be performed in a technically mature and specific population of colorectal cancer patients.

With the rapid development of medical technology, minimally invasive treatment will become the main theme of general surgery. Through single-port laparoscopic minimally invasive surgery, multidisciplinary combined MTD treatment, scientific patient management, and meticulous rehabilitation guidance, the general surgery department of Shenzhen Hengsheng Hospital will further reduce the pain of patients in treatment and bring hope and confidence to more patients.