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

   Chapter 1920 [1921] Special

  Chang Jiawei is estimating that people from other departments, including his old classmate Fu Xinheng, may not be able to explain their orthopaedics content more fluently than what Xie said just now.

   Dr. Liu lowered his head curiously, looked at Xie Wanying, and asked her another question: "Tell him about en-blocresection."

   This is the senior who was whetted by her and wanted to discuss with her in depth. Anyway, after her speech, she could just continue to help them explain the family members, killing two birds with one stone.

"en-blocresection is a surgical concept. The surgical concept is not specific. It can be widely applied and guided to any surgical operation, not just spine surgery." Xie Wanying said, trying to help Geng recall relevant medical knowledge "For example, the total resection of cervical cancer that we discussed in the gynecology department in the afternoon can be said to be an interpretation of en-blocresection."

   This analogy is easy to understand. The others nodded frequently.

  en-blocresection is directly translated as: en bloc resection. Such nouns don't have a pre-designated name, and they really don't refer to any surgery, just as Xie Wanying said that it is only suitable for any surgical surgery as a concept principle. In a nutshell, it's called everything. No matter how much the tumor occupies, as long as the tumor occupies the entire anatomical area involved, it is completely resected.

The greatest benefit of   total resection is self-evident, which is to minimize the problem of tumor spread during surgery. However, for patients and their family members, as long as they hear words like cutting off all of them, they will inevitably be stimulated, and it is difficult to accept the result of cutting off a whole piece for a while.

  The doctor chooses not to choose a full cut, and cannot depend on the mood of the patient and family members. First, it depends on the specific case and considers it separately.

   Thinking of his stepmother's illness, he didn't advocate everything. Now my brother's surgery says that his brother's entire vertebral body needs to be cut off. It's the spine. It's too clear that he is a doctor who is missing a vertebral body. Geng Yongzhe's face was blue and his heart ached, and he said, "Isn't it benign? Why do you need to cut the entire vertebra? Is there no other surgical method?"

  Spine surgery is certainly the same as any other surgery, there are many types of operations. For example, we often hear about the palliative decompression that only removes the laminae for advanced patients, the early curettage tumor resection and only the visible part of the tumor, and the WBB staged resection developed on this basis. The extent of quasi-tumor invasion is limited and the tissue is preserved as much as possible. However, later clinical practice proved that the staged surgery of spine surgery may not achieve good results if it wants to achieve good results such as breast-conserving uterine surgery. Bone is a hard lump that is not easier to pathologically differentiate and cut than soft tissue.

"The spine is a special place. If there is a spinal tuberculosis, the whole vertebra is cut. Doctors mainly look at the degree of bone destruction. If the bone damage is very large, you can't cut the whole vertebra. On the other hand, whether it is benign or It is malignant. Because it involves the spinal cord, it is difficult for doctors to partially remove it and remove it. Many tumors are prone to recurrence. It is not a benign tumor that will not recur after excision. For example, the benign uterine fibroids we saw in the gynecology department. Your brother is young, and the doctor will relapse It is better to cut the whole vertebra, even if it is a malignant metastatic tumor, the possibility of the recurrence of all vertebrae is minimized.” Xie Wanying explained to Geng.

   (end of this chapter)

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