Information Times (Reporter Zhang Man Correspondent Liang Jiayun) Two years ago, Ms. Zhang’s physical examination found a 6-centimeter renal cyst. She had a “big heart” and did not seek medical treatment in time. The tumor grew to 15 centimeters and was diagnosed with kidney cancer. A few days ago, Ms. Zhang consulted Professor Luo Junhang of the Department of Urology through the Internet Hospital of the First Affiliated Hospital of Sun Yat-Sen University. Professor Luo Junhang used robotic surgery to “one-pot” this thorny kidney tumor and successfully removed the tumor and preserved her kidney.
The woman ignored the physical examination and developed a 15 cm kidney cancer in 2 years.
Ms. Zhang from Chaoshan, 40 years old this year, two years ago in the physical examination institution, she was found to have long right kidney. A 6-centimeter cyst was diagnosed. Due to the absence of any symptoms and the busy work, there has been no further examination and treatment. Recently, when Ms. Zhang reviewed the cyst, she found that the cyst had grown to 15 centimeters. Further CT revealed that the renal cyst that had been mistaken for was actually cystic renal cancer, and there was a lump of tumor hidden in the huge water sac.
Ms. Zhang consulted a professional urologist, and it is generally believed that kidney-sparing surgery is very difficult, and it is likely that a total nephrectomy is required. After many inquiries, Ms. Zhang learned that Professor Luo Junhang from the Department of Urology of Zhongshan First Hospital has rich experience in the treatment of complex and huge kidney cancer. Since Professor Luo Junhang’s outpatient number could not be registered, Ms. Zhang asked Professor Luo Junhang for help online through the Internet Hospital of Zhongshan First Hospital. , I hope that Professor Luo can help her cut the tumor and protect the kidney.
Professor Luo Junhang agreed to Ms. Zhang’s request and arranged for her to be admitted to the hospital after learning about the patient’s condition in detail.
“Cutting the tumor and protecting the kidney” is unprecedentedly difficult, and robots are assisted to overcome the difficulty
Professor Luo Junhang said that the cystic renal cell carcinoma is as thin as paper, and it takes a little while to separate and remove it. Inadvertently, the cyst wall will be damaged, and the fluid and tumor cells in the cyst will flow to adjacent parts, causing postoperative tumor implantation and metastasis.
On the day of the operation, Professor Luo Junhang used a robot to clearly identify the tumor boundary and accurately separate it with the help of a 3D 15x magnified field of view, avoiding accidental injury to the tumor capsule wall, surrounding organs and blood vessels. The branch arteries are finely separated and identified, and the branch arteries supplying the tumor and the branch arteries supplying the normal kidney are blocked step by step. For deep wound suturing, Professor Luo Junhang first opened the normal branch artery supplying the kidney and then continued the superficial suturing, so that the renal ischemia time was controlled within 25 minutes, which greatly protected the renal function. Postoperatively, the patient’s re-examination of renal function was the same as that before surgery, and there were no complications, and the patient has been discharged from the hospital successfully.
Luo Junhang reminded that due to the limited number of outpatient numbers in the hospital, if the patient is in an emergency, he can directly contact the experts online in the Internet hospital of Zhongshan No. 1 Hospital, especially the patients from other places, it is not convenient to come to Guangzhou , Through the Internet hospital diagnosis and treatment, and then come to the hospital for examination, it can save a lot of time for patients.