Superposition of multiple diseases poses great risks for surgery
In early May, Aunt Wu was treated in other hospitals in the province due to abdominal pain and obstructed defecation. After examination, she was diagnosed with ileocecal malignant tumor complicated with intestinal obstruction, resulting in abdominal pain and obstructed stool, and planned to undergo surgical treatment.
However, Aunt Wu had respiratory and cardiac arrest during bowel preparation before surgery. During the treatment in ICU, she had two consecutive respiratory and cardiac arrests. Although the resuscitation was successful, she was evaluated as not suitable for surgery due to the complex and serious condition.
If surgery is not performed in time, the tumor and intestinal obstruction will deteriorate rapidly, and the patients life will enter the "countdown".
At the end of May, with the recommendation of experts, Aunt Wu was transferred to the minimally invasive Surgery diagnosis and treatment Center of Hainan Chengmei Hospital for treatment.
After further examination and evaluation of Aunt Wus condition, the team of Professor Yu Shuyong, president of Hainan Cancer Hospital and Hainan Chengmei Hospital, a well-known gastrointestinal surgery expert in Hainan, found that the patient had acute left heart failure with cardiogenic shock, left ventricular aneurysm, sinus node and atrioventricular node dysfunction, severe anemia, diabetes and breast cancer after surgery and other multi-system diseases. Malignant intestinal tumor combined with intestinal obstruction made the condition worse.
Multidisciplinary intervention improved the outcome of the patient
President Yu Shuyongs team initiated hospital-level MDT (multidisciplinary consultation) for Aunt Wu at the first time, and organized experts in cardiology, digestion and digestive endoscopy, anesthesia, and imaging for consultation. After multidisciplinary experts discussion, an individualized treatment plan was tailored for the patient.
The team of Lin Xiaoming, director of cardiology Department, intervened in time to adjust the patients cardiac function, and nutrition and anesthesia experts provided preoperative nutritional support and intraoperative personalized anesthesia plan for the patient.
After a week of preliminary treatment, Aunt Wus physical function recovered quickly and she regained the opportunity of surgical treatment.
The high-risk operation was successfully carried out by multi-expert escort
Patient safety comes first. In order to ensure the safety of treatment, President Yu Shuyongs team formulated two sets of surgical treatment plans for the patients.
One is a radical surgical treatment plan, which can solve the problem at one time. However, the operation takes a long time, the wound is large, and the risk is high.
The other is the "life-saving" surgical plan, which "fistulostomy" in the patients abdominal wall to solve the intestinal obstruction problem first. The advantages are that the operation is simple and quick, can be completed in half an hour, and the operation is safe. The disadvantage is that the patient needs to defecate the fecal bag on the outside back, which affects his life, and when his condition is stable, he needs to undergo a second "closure" operation - to reattach the intestine.
The patient strongly chose radical surgery for treatment.
To ensure that the operation is foolproof. Cardiology experts installed a temporary pacemaker for the patient, a "double insurance", and at the same time arranged experienced deputy chief doctor Zhou Suping to assist on the operating table to ensure patient safety.
The operation was performed by President Yu Shuyong himself. It took 2 hours to successfully carry out the radical resection of intestinal cancer.
Professor Yu Shuyongs team performed the operation (file photo)
After careful treatment and round-the-clock monitoring by the medical team, the patients indicators were significantly improved and he was discharged safely.
President Yu Shuyong said that Hainan Chengmei Hospital has broken disciplinary barriers to achieve multidisciplinary diagnosis and treatment of elderly patients with complex conditions, and provided patients with more comprehensive, accurate treatment and quality nursing services, which has been generally trusted and recognized by patients and their families.
Aunt Wus wife, who is also a retired gastroenterologist for many years, is very aware of the difficulty and risk of the operation. He said, "The superb professional technology of President Yu Shuyong and his team, together with the close cooperation of the multidisciplinary team of the hospital, created the miracle of life!"
Expert introduction
Yu Shuyong
Dean, chief physician, Professor
President of Hainan Cancer Prevention and Treatment Association
Military subsidized experts and provincial excellent experts
Experts with outstanding contributions in Hainan Province
Excellent scientific and technological worker of Hainan Province
Excellent scientific and technological worker of Guangzhou Military Region
Medical expertise
He specializes in laparoscopic radical gastrectomy, laparoscopic radical resection of colon cancer, laparoscopic radical resection of rectal cancer, combined thoracoscopic and laparoscopic resection of tumor, single-port laparoscopic radical resection of gastrointestinal tumor and thyroid tumor ablation.
Manuscript | Liang Shan