Abdominal pain and abdominal distension The culprit is pancreatic cancer2022-06-24 06:08:46 2 ℃
This article is transferred from: Peninsula Metropolis Daily
Ms. Cheng (pseudonym), the correspondent of Qi Juan, a reporter of the Peninsula Qi Juan, has always been healthy. In just one month, I felt the symptoms of poor abdominal pain and abdomen. The king of pancreatic cancer. Recently, after undergoing laparoscopic RAMPS (cure smooth module, pancreatic and spleen resection)+colon cancer root treatment surgery, she successfully recovered to discharge and started a new healthy life. The "culprit" of abdominal pain and abdominal distension is that Ms. Cheng came from Yantai. One month ago, she felt uncomfortable abdominal pain and accompanied by bloating, and her bowel movement was not smooth. Ms. Cheng, who is healthy, does not take these "symptoms" in heart, thinking that it is caused by the irregular rest of the rest. Later, the symptoms gradually increased, and Ms. Cheng was diagnosed with local county hospitals under the urging of her family. The results of the inspection gave her and her family a good stick. The CT showed the tail of the pancreas and invaded the surrounding intestinal tube. At the same time, it caused incomplete bowel obstruction. The colonoscopy showed the transverse colon and near the spleen glandular cancer. "I thought it was a small problem, how could there be cancer? There are more than one part." The diagnosis result was like a thunderbolt, which made Ms. Cheng and her family unacceptable. In order to seek better treatment, with the advice of the doctor of the local hospital, Ms. Cheng came to the abdominal tumor surgery of Qingdao Central Hospital. After understanding the illness and examination results, Director Yang Tao gave Ms. Cheng and their families a response that re -ignited the hope of life- "Surgery is the best way at present and can achieve a good expected effect." On the day of the clinic, Yang Tao, director of the abdominal tumor surgery, performed surgery for Ms. Cheng after improving examination and exclusion of surgery. Considering that the open surgery is too much trauma to patients, Yang Tao decided to perform minimally invasive surgery of abdominal mirrors. Minimally invasive surgery can not only achieve the expected surgical effect, but also minimize the trauma to the patient. During the operation, the colon tumor was large, which was about the size of goose eggs, and was closely related to the pancreas and spleen. The surgical team, which is based on the chief physician of Yang Tao, the deputy chief physician of Sun Guofeng, and the deputy chief physician of Xie Dongfang, lasted 3 hours to successfully remove the patient's pancreas, left half bowl, and spleen. The incision of the specimen is only about 5cm. On the first day of the operation, Ms. Cheng was able to get out of bed and drink a small amount of water. On the third day after the operation, she had exhausted defecation and eating. Before discharged from the hospital, Ms. Cheng held Director Yang's hand and said, "Thank you, you and your team gave me the second life." Ms. Cheng's "laparoscopic RAMPS surgery" showed postoperative pathology: pancreas: Middle-low-differentiated duct adenocarcinoma, cancer tissue invading the colon plasma layer to the lower mucosal layer, which affects the spleen, the cancer tissue has not accumulated the pancreas and the colon examination (near-cut edge) and (far cut edge) tissue. From postoperative pathological analysis, the low -differentiated catheter adenocarcinoma of the pancreas belongs to the primary stove, colon and spleen and spleen are local tumor metastases. Pancreatic cancer is called the king of cancer by surgeon. The surgical resection is difficult, and there are many postoperative complications. Laparoscopic pancreatic duodenal resection is also known as the pearl on the crown of surgery. The period is late and lost the opportunity to surgery. In recent years, the incidence of colon cancer has increased year by year. Due to the particularity of its physiological structure, tumors often have large tumors and symptoms of obstruction during disease. At the same time, some patients have liver metastasis. Malignant tumors of the spleen are clinically rare, but its surgical resection is relatively simple and the prognosis is better. Generally, the clinical tumor surgery is more difficult to remove in clinical practice, but patients like Ms. Cheng's low -differential gonadic glandular cancer like Ms. Cheng and invade colon and spleen. Opportunities before surgical intervention in time, after the combination of chemotherapy and other related treatment after surgery, can still achieve the ideal prognosis. RAMPS+colon cancer root treatment surgery requires both pancreatic tumor root treatment and colon tumor root treatment. The operation of the surgery is relatively difficult. It also requires the superb laparoscopic operation skills and tacit teamwork of the master. This operation is the second laparoscopic resection of RAMPS+colon cancer root treatment surgery that Director Yang Tao was successfully implemented after the introduction of Qingdao Central Hospital. The appropriate surgery timing and cooperation with the later treatment may have the possibility of treatment.
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