Tongliang County, rural women Yang, only 38 years old, with her husband, children, with full of enthusiasm, to join the tide of working in G
Tongliang County, rural women Yang, only 38 years old, with her husband, children, with full of enthusiasm, to join the tide of working in Guangdong, intended to gold to improve the face of poverty. Instead, around October 2007, the patient suddenly feel right upper quadrant pain, in a hospital in Guangdong for the diagnosis of primary hepatocellular carcinoma; tumor due to huge number of local hospitals are reluctant to perform the operation on the. In desperation, the couple thought of home, thought has been quite good reputation of the Chongqing Armed Police Corps Hospital of hepatobiliary surgery center.
When the couple with anxious and fearful mood to Zhong Yanwen, director of the center of the consulting room, received a warm reception. When out of hospital CT film director Zhong view patients carry, found the right hepatic lobe in patients with large lesions about 18.5cm * 12.5cm * 12cm size (Figure 1), the normal right hepatic position is huge tumor occupied, adjacent to the surrounding organs and large vessels were crowded to the left, up and down. Among them, the right kidney and liver depression of 12Cm, tumor vascular pressure close to medial displacement, the diaphragm into the chest above the top of the tumor. From the CT point of view, there is no obvious boundary between the tumor and the surrounding tissues and organs, and the operation difficulty and risk are very high.
Look at the clock, brow, Yang's husband forehead sweat soaked out, while Yang himself's tired face, with despair eyes looked at the clock, liangbinbanbai. 20 minutes later, the director of the clock is still looking at the CT film, Yang really can not help but, with a trembling voice asked: "Professor, there is hope?"
But at this time the director of the bell, although hesitant, worried, but in the end with years of experience, told the patient: the tumor is still capsule, but the tumor is too large, the risk of surgery is very large, it is estimated to be removed, there is hope.
For more than a week after the correction of anemia before operation, at 9:00 on the morning of November 21, 2007, director Zhong Yanwen Chen Jun with the attending physician, physician Deng Kai Li Guangkuo, attending physicians and three assistants, the tension started right hepatectomy. Through the right thoracoabdominal incision into the abdominal exploration, found that the tumor is very large, can only touch the edge of liver tumor with "the tip of the iceberg" (Figure 2), the liver to the left transposition, right renal tumor can't be pushed down. In view of the operation space is very small, and the tumor vasculature is rich, it is easy to hemorrhage; and tumor adjacent to the inferior vena cava and portal vein and other large vessels, such as accidentally torn bleeding, the consequences....... But the clock is still with director of surgical skill, separation, in narrow space clamp, hemostasis and ligation...... Hundreds of times, knotted, worn several pairs of gloves, finally, at 5:00 p.m.. The director of the liver tumor emerge in its totality clock. The anatomical specimens, the tumor size of 20cm * 13cm * 12.5cm, the weight is about 2Kg, the tumors were due to necrosis, a rotten cotton wool (Figure 3). At 9:00 in the evening, when the operation was over, the doctors dragged out the operation room. At the micro, sleepy eyes open with wife, Yang's husband gave a pleased smile.
After careful treatment of the patients after surgery in January, CT review showed that patients with good liver tissue (Figure 4), good liver function, smooth discharge. When discharged, patients and their families sent a silk banner to the doctors and nurses, skilled in disease, deep spring season".
This winter is not cold!
Reporter: Garden Road exchange of minimally invasive surgery
More professional knowledge can be landed http://www.mini-surgery.com/minisurgery/default.asp