Chang Jiawei estimated that people from other departments sitting here, including his old classmate Fu Xinheng, might not be able to explain the contents of their orthopedics department more fluently than what classmate Xie just said.
Dr. Liu curiously lowered his head, looked at classmate Xie Wanying, and then asked her a question: "Tell him about en-blocresection again..."
This is because her seniors have whetted their appetites and want to discuss it in depth with her. Anyway, after her speech, she can continue to help them explain the family members, killing two birds with one stone.
"En-blocresection is a surgical concept. The surgical concept is not specific and can be widely applied to guide any surgical operation, not just spinal surgery." Xie Wanying said while trying to help Geng recall relevant medical knowledge.
Point, "For example, the radical resection of cervical cancer that we discussed in the gynecology department this afternoon can be said to be an interpretation of en-blocresection."
This analogy is easy to understand. Others nodded frequently when listening.
En-blocresection is directly translated as: en bloc resection. Such a noun does not have a specific prefix, and it really does not refer to any specific operation. It is like what Xie Wanying said is just as a concept and principle, it is suitable for any surgical operation in any department. In a simple sentence
In summary, it is called total resection. No matter how much area the tumor occupies, as long as the tumor occupies the entire anatomical area involved, it is completely resected.
The biggest benefit of total resection is self-evident, which is to minimize the problem of tumor spread during surgery. However, for patients and their families, as long as they hear the words "complete resection", they will inevitably be irritated, and it will be very irritating for a while.
It's hard to accept the result of cutting off a whole piece.
Whether a doctor chooses to perform a complete resection cannot depend on the mood of the patient and his family. He must first look at the specific case and consider it individually.
Thinking about his stepmother's disease, he doesn't advocate total resection. Now his brother's surgery requires removal of his entire vertebral body, which is the spine. He is a medical student and knows very well what it means to have a missing vertebral body. Geng Yongzhe's
His face was green and his heart ached, and he said: "Isn't it said to be benign? Why do you need to remove the entire vertebrae? Isn't there any other surgical method?"
Spine surgery is certainly the same as other surgeries. There are many surgical methods. For example, we often hear about palliative decompression surgery that only removes the laminar for late-stage patients, early curettage surgery that only removes the tumor part visible to the naked eye, and some
The WBB staged resection surgery developed on this basis focuses on the scope of tumor invasion and expands the incision to a limited extent to preserve the tissue as much as possible. However, later clinical practice has proved that the staged resection surgery of spine surgery wants to achieve breast-preserving and uterine-preserving surgery.
Not all good results can be achieved. Bones are hard pieces and are easier to pathologically distinguish and cut than soft tissues.
"The spine is a special place. For example, in cases of spinal tuberculosis, all vertebrae are removed. Doctors mainly look at the degree of bone destruction. If the bone damage is very large, it is almost the same as whether you can remove all vertebrae. On the other hand, whether it is benign or
It is malignant. Because this area involves the spinal cord, it is difficult for doctors to partially dissect and remove it. Many tumors are prone to recurrence. It is not that benign tumors will not recur after being removed. For example, the benign uterine fibroids we see in gynecology. Your brother is young, and the doctor must prevent recurrence.
The possibility should be considered higher. It is best to remove the whole vertebra, even if it is a malignant metastasis, the possibility of recurrence of the whole vertebra can be minimized." Xie Wanying told classmate Geng.
