The other doctors present nodded in agreement with Xie's opinion...
In this case, there is no need to wait for the results of the colonoscopy. Instead, we should seize the time to complete the preoperative discussion, and the surgery can be performed as soon as the colonoscopy is completed. For this reason, what everyone needs to discuss now is the patient's surgery.
"The patient is older and has a child. He should not be too obsessed with fertility and can undergo a total resection." Zuo Liang was the first to propose a tentative plan for surgery for everyone to discuss.
Total resection for cervical cancer refers to radical hysterectomy, that is, complete removal of the uterus and appendages plus pelvic lymph node dissection and para-aortic lymph node sampling. In this way, it is equivalent to abandoning the patient's reproductive function.
The harm done to female patients can be imagined.
When clinicians consider whether to perform total resection, as Dr. Zuo Liang said, they not only consider staging, but also first consider whether the patient needs to preserve fertility. It should be said here that domestic surgeons are far more cautious than foreign surgeons.
.
Many foreign surgical research documents believe that total resection is not required for early-stage cancer, which will not affect the patient's survival. Pathological staging is more important, and surgery can try to preserve organs. Breast-conserving and uterine-conserving surgery is suitable for female patients with breast and cervical cancer.
The meaning is too extraordinary, so if you ask the patients themselves, they will definitely prefer to keep it as long as there is an opportunity.
After this advanced surgical concept was introduced into the country, most doctors in the country actually did not like to perform such conservative surgeries except for taking the opportunity to publicize it. Only a few top doctors from top hospitals were willing to take risks. The main reason is to preserve organs.
Surgery has higher technical requirements for doctors, and it also requires the hospital to have a pathology department that can cooperate with surgical precision operations.
If you think about it, even if a complete resection is performed, the disease may relapse very quickly. If you do breast-conserving and uterine-conserving surgery, the relapse will inevitably happen faster. If you want to regret not doing a complete resection and save your life, it may be too late. Domestic doctors are too afraid that patients and their families will cause trouble after the surgery.
Ordinary people only know that as long as it is a malignant tumor, if you want to save your life, the doctor must cut out all the cancer cells. If the patient relapses soon after surgery, they will say that the doctor did not do a good job in the surgery. Some family members and patients dislike the doctor for not doing a good job.
, not to mention only cutting into small parts.
It seemed that no doctor would object to the surgical plan proposed by Dr. Zuo Liang. Especially since everyone knew that this patient was afraid of making trouble, he did not need to think too much about the possibility of doing as much surgery as possible to avoid endless troubles.
"What do you think?" Du Haiwei asked another student Geng.
Geng Yongzhe seemed to be thinking, tapping the pen in his hand on his notebook.
Others were a little curious about his hesitation at this time.
"Say your opinion." Seeing that he had become mute, Zuo Liang asked Xie to speak and hurry up.
"I think this patient usually pays more attention to her physical condition. After learning about her condition, she went to the capital to seek medical treatment as soon as possible. She tends to want to save her uterus." Xie Wanying said, "Her current stage is tentatively scheduled to be in
For stage ia, you can try cervical conization. If the pathological results are not good, it may indicate that you have reached stage ib and need further surgery. You can do radical trachelectomy plus pelvic lymph node dissection and para-aortic lymph node sampling."
When Mr. Xie said these words, he was really focused on technology and didn’t worry about whether the patient’s family members would come and make trouble.