Chapter 1907 [1907] Guaranteed or Not

Du Haiwei turned to look at the other doctors.

The other doctors present nodded in agreement with Xie's opinion.

That being the case, there is no need to wait for the results of the colonoscopy, but to hurry up and finish the preoperative discussion, and the operation can be performed as soon as the colonoscopy is completed. For this reason, what we are going to discuss now is the patient's surgical procedure.

"The patient is old and has a son. He should not be too obsessed with reproductive function, so he can undergo a total resection." Zuo Liang took the lead in proposing a tentative surgical plan for everyone to discuss.

Total resection of cervical cancer refers to radical hysterectomy, that is, complete resection of the uterus and adnexa, followed by pelvic lymph node dissection and para-aortic lymph node sampling. In this way, it is equivalent to abandoning all the reproductive functions of the patient, and the harm to female patients can be imagined.

Clinicians consider whether to perform a total resection, as Dr. Zuo Liang said, not only consider staging, but first consider whether the patient needs to preserve reproductive function. Here I want to say that domestic surgeons are far more cautious than foreign surgeons.

Many foreign surgical research literatures believe that total resection is not necessary for early cancer and will not affect the survival of patients. Pathological staging is more important, and surgery can try to preserve organs. Breast-conserving and uterine-conserving surgery is of great significance to female patients with breast cancer and cervical cancer. Therefore, if you ask the patient himself, as long as there is a chance, the patient will definitely prefer breast-conserving surgery.

After this advanced surgical concept was introduced into the country, most doctors in the country did not like to do such conservative surgery except to take the opportunity to promote it. Only a small number of top doctors in top hospitals are willing to take risks. The main reason is that organ-preserving surgery has higher technical requirements for doctors, and at the same time requires the hospital to have a pathology department that can cooperate with precise surgery.

If you think about it, even everything may relapse very quickly. Breast protection and uterus protection will inevitably relapse faster, and I will regret that I didn't cut it all to save my life, and I'm afraid it will be too late. Domestic doctors are too afraid that patients and their families will make trouble after surgery. The common people only know that as long as it is a malignant tumor, doctors must cut the cancer cells clean if they want to save their lives. As long as the patient relapses soon after the operation, it will be said that the doctor did not perform the operation well. Some family members and patients dislike the whole cut, and the doctor did not cut it well, let alone only cut a small part.

It seems that no doctor will object to the surgical plan proposed by Dr. Zuo Liang. In particular, everyone knows that this patient is afraid of causing trouble, so cut as much as you can without thinking too much to avoid endless troubles.

"What do you think?" Du Haiwei asked another student, Geng.

Geng Yongzhe seemed to be thinking, and the pen in his hand was tapping on the notebook.

The others were a little surprised what was going on with his hesitation at this time.

"You tell me your opinion." Seeing that he became dumb, Zuo Liang stopped Xie to speak, and must hurry up.

"I think this patient pays more attention to her physical condition on weekdays, and she seeks medical treatment in the capital as soon as she learns about her condition, because she tends to want to keep her womb." Xie Wanying said, "Her current stage is tentatively scheduled for For stage IA, you can try cervical conization. If the pathological results are not good, it may indicate that you need to expand the operation when you reach stage IB. Radical trachelectomy, pelvic lymph node dissection, and para-aortic lymph node sampling may be performed.”

Classmate Xie really only talked about technology when he said these words, and he didn't care about whether the patient's family members would make trouble.