Returning to ’90s, She Became Famous in Major Surgical Fields

   Chapter 1907 [1907] Guaranteed

  Du Haiwei turned to see other doctors.

  The other doctors present nodded in agreement with Xie's opinion.

  In this case, there is no need to wait for the results of the colonoscopy to come out, but to take the time to complete the preoperative discussion, and the surgery can be performed as soon as the colonoscopy is completed. For this reason, what we are now discussing is the surgical procedure of the patient.

   "The patient is old and has a son, so he should not be too obsessed with reproductive function, so he can perform total surgery." Zuo Liang took the lead in proposing a tentative surgical plan for everyone to discuss.

  Total resection of cervical cancer refers to radical hysterectomy that removes the entire uterus and appendages followed by pelvic lymph node dissection and para-aortic lymph node sampling. In this way, it is equivalent to abandoning the reproductive function of the patient, and the harm to the female patient can be imagined.

  The clinician considers whether to complete the resection, just like Dr. Zuo Liang said, not only considering staging, but first considering whether the patient needs to preserve fertility. It should be said that domestic surgeons are far more cautious than foreign surgeons.

  A lot of surgical research literatures abroad believe that total resection is not necessary for early-stage cancer, and it will not affect the survival of patients. Pathological staging is more important, and surgery can try to preserve organs. Breast-conserving and uterine-preserving surgery is of great significance to female patients such as breast and cervical cancer, so if you ask the patient himself, as long as there is a chance, the patient will definitely be more inclined to protect the uterus.

   After this advanced surgical concept was introduced into China, most doctors in the country did not actually like to do such conservative surgery except to take the opportunity to promote it. . Only a few top doctors in top hospitals are willing to take the risk. The main reason is that organ preservation surgery has higher technical requirements for doctors, and at the same time requires a pathology department in the hospital that can cooperate with surgical precision surgery.

  You think about it, even everything might relapse very quickly. Doing breast conservation to protect the uterus will inevitably relapse faster, and I am afraid that it will be too late if I want to regret not doing everything to protect my life. Domestic doctors are too afraid that patients and their families will make trouble after surgery. The common people only know that as long as it is a malignant tumor, if you want to save your life, the doctor must cut the cancer cells clean. As long as the patient relapses soon after the operation, the doctor will say that the operation was not done well. Some family members and patients are disgusted by the doctor's failure to do a complete cut, not to mention only a small part.

   The surgical plan proposed by Dr. Zuo Liang seems that no doctor will object. In particular, everyone knows that this patient is a person who is afraid of causing trouble, so you don't need to think too much and do everything you can to avoid endless troubles.

   "What do you think?" Du Haiwei asked Geng, another student.

   Geng Yongzhe seemed to be thinking, and tapped the pen in his hand on the notebook.

  Others wondered what was going on with his hesitation at this time.

   "You say your opinion." Seeing that he became mute, Zuo Liang stopped Xie to speak, and hurry up.

"I think this patient pays more attention to his physical condition on weekdays. After learning about his condition, he wants to seek medical treatment in the capital as soon as possible, because he tends to want to save the uterus." Xie Wanying said, "Her current stage is tentatively scheduled for In stage IA, cervical conization can be tried. If the pathological result is not good, it may be indicated that re-enlargement surgery may be required in stage IB, and radical trachelectomy plus pelvic lymph node dissection and para-aortic lymph node sampling can be performed.”

  Student Xie said these words with all his heart and mind only on technology, and he did not care about whether the family members of the patients would come to trouble.

   (end of this chapter)

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