Recently, urologists at Hainan Cancer Hospital successfully performed a highly challenging kidney cancer surgery, o(≧v)o~~, which is hailed as the "crown jewel" of urology in the industry
The successful operation marks that the urology team of our hospital has reached the advanced level of their domestic counterparts in terms of technology
On June 25th, Ms. Li was discharged safely after her recovery (^o^)/
The urology team visited Ms. Li
Danger, kidney tumor "occupies" the inferior vena cava
Ms. Li, 59, was diagnosed with locally advanced renal cell carcinoma in October last year, with a complex and critical condition.
In February, Ms. Li was transferred to the urology department of Hainan Cancer Hospital for treatment. Experts examined and found that the patients kidney tumor was growing wildly along the renal vein, entering the inferior vena cava and forming an 8-centimeter-long and 4-centimeter-diameter tumor within the inferior vena cava, professionally known as a "tumor thrombus", which almost completely "blocked" the inferior vena cava.
The operation involves cutting the thickest vein in the human body, and such surgeries carry an extremely high risk of mortality.
If no surgery is performed and the tumor is left to grow, the patients life will also enter a "countdown".
Wonder, new assistive technology creates a turning point for life
As Ms. Li was admitted to the hospital with locally advanced renal cancer, the tumor in the inferior vena cava met the grade III criteria of the Mayo Clinic.
Radical surgery is the preferred treatment for kidney cancer. Because it was discovered too late, Ms. Li lost the opportunity for surgical treatment.
After a careful analysis of the condition by the team of Dr. Qu Jun, the head of the urology department, a neoadjuvant treatment plan of "targeted combined with immunotherapy" was tailored for Ms. Li. After three cycles of "targeted + immunotherapy", the tumor successfully achieved downstaging and downgrading. Among them, the kidney tumor shrank by half, the inferior vena cava tumor decreased from 8 cm in length to 2.9 cm in diameter, the vena cava tumor decreased from 4 cm to 1.4 cm in diameter, and the vena cava tumor thrombus decreased from grade III to grade II, creating surgical opportunities for patients.
Risky, the operation was full of suspense
Dealing with tumors on the kidneys is a piece of cake for urologists. The difficult part lies in removing tumors from the inferior vena cava.
Qu said that the inferior vena cava is as thick as a finger and the tumor grows close to the heart.
During the operation, like a water pipe repair, the blood supply to the surgical site needs to be cut off first, then the blood vessel needs to be cut open to completely remove the tumor inside the vessel, and then the vessel needs to be sealed.
Chen Songlin, an associate chief urologist, admits that the danger and difficulty of surgery are far more complex and dangerous than words and writing.
The words of the operation are very simple, but the actual process is full of suspense.
01 During the process of cutting off the blood supply, if not careful, it can cause the patients heart to stop beating or die from massive bleeding.
02 Tumor tissue is as fragile as bean curd residue. If it is not removed completely, it can cause blood clots if there is any residue.
03 The blood vessels are sutured purely by hand. If the suturing is not tight, the pressure of blood flow in the inferior vena cava is very high, which can cause massive postoperative bleeding; If the suture is not smooth, postoperative thrombus will form; During the suturing process, if there is residual air in the vein, an air thrombus will form.
If any of these small details go wrong, it will endanger the patients life. It shows how dangerous and difficult the surgery is.
The urology team worked closely together according to the preoperative plan and successfully completed the operation.
The day after the operation, Ms. Li got out of bed and moved around on her own and recovered quickly.
Expert Introduction
Qu Jun
Chief of Urology
Chief Physician
Good Doctor introduced in Hainan Province
Other types of high-level talents in Hainan Province
Medical expertise
Skilled in the diagnosis and treatment of urogenital tumors and minimally invasive endovascular treatment, especially urogenital tumors, able to develop complete individualized treatment plans based on standardized diagnosis and treatment using new and special drugs.
Outpatient hours
Monday morning/afternoon
Chen Songlin
Urology
Associate Chief Physician
Medical expertise
Focused on the diagnosis and treatment of urogenital tumors, adrenal diseases, benign prostatic hyperplasia, urinary calculi, and female urological and andrological related diseases; Master various urological and minimally invasive urological surgeries (laparoscopy, endoscopy, etc.).
Outpatient hours
Tuesday morning/afternoon
Written by Liang Shan