Chapter 253 Gastric cancer resection, the hero hidden behind the scenes

Author: Jiangbian Yuweng

Chapter 253 Gastric cancer resection, the hero hidden behind the scenes

"You are quite confident! Let me test you, where should the wound be chosen for this endoscopic surgery?"

When Director Shang asked this question, his eyes naturally looked at the patient's abdomen.

"If it is a laparoscopic surgery, it must be done through two holes from the part you are looking at. This surgery is only considered for patients with mid-stage gastric cancer. This patient is still in the early stage of gastric cancer. I think the endoscope is inserted through the nose.

The surgery can be completed once you enter.”

Zhou Can has done so many endoscopic surgeries, and they are not in vain.

For such a small question, Director Shang still wanted to test him.

It’s just to give him points!

"Okay, it seems that you have indeed mastered the surgical method, so I will leave this operation to you."

Director Shang only gave him a symbolic test and agreed to leave the surgery to him.

It feels more like a deliberate release of water.

In order to have an explanation in front of other doctors.

There are many doctors under Director Shang, and he has always advocated the principle of fair competition, and whoever is outstanding will be admitted.

Zhou Can wants to preside over this endoscopic surgery alone, but his qualifications are actually not enough.

If Director Shang agrees directly, then if other doctors in the team want to fight for the chance of surgery next time, Director Shang can only nod in agreement.

Therefore, he deliberately set a threshold in order to block other people's mouths.

After Zhou Can got Director Shang's consent, he was overjoyed and the opportunity to gain experience points came.

This surgery will definitely allow him to earn a lot of surgical experience points.

The endoscope is first inserted into the patient's nasal cavity and then into the stomach through the esophagus.

[Implantation surgery experience value +1.]

It was not his first time to insert an endoscope from the nasal cavity to the stomach, so he only earned 1 insertion experience point.

The entire operation process is also extremely skillful.

The endoscope was manipulated to go straight to the cancerous site in the stomach.

It took almost no effort to find the cancerous site. The seemingly simple operation took only one minute on stage and ten years off stage.

In addition to practicing endoscopic techniques, he also needs to do enough homework before surgery.

He had already memorized the cancerous site deeply in his mind.

At this moment, the operation can go straight to Huangting, which is extremely smooth.

After discovering the cancerous part, you don't just control the endoscope and cut it out. Endoscopic surgery for gastric cancer is not that simple.

I saw Zhou Can first controlling the endoscope to mark the resection range around the cancer.

It can be understood as drawing a circle before fighting.

To avoid accidentally injuring other places after the fight begins.

After marking the resection range, normal saline is injected into the cancer base.

What to do?

In order to float the part of mucosa that needs to be removed.

These valuable surgical skills and experiences are all summed up by foreign predecessors after destroying the stomachs of countless patients.

The ancestors planted trees, and the descendants enjoy the shade.

Zhou Can learned these techniques and used them all in actual surgical operations.

Strive to minimize patient harm.

After the injection of normal saline was almost complete and the gastric mucosa under the cancer base had fully floated, Zhou Can moved on to the third step.

Use the endoscopic scalpel to cut a complete circular tangent line along the marked resection circle.

If the gastric cancer is not round, the resection circle can also be in other shapes.

It doesn't necessarily have to be a circle.

Generally speaking, gastric cancer in the early stage, even in the middle and late stages, often grows in clusters. Most of them are round.

What Zhou Can is marking at this moment is a circle.

Gastric cancer is trapped in it.

As soon as the scalpel cut, blood started to flow out of the wound. Zhou Can calmly stopped the bleeding of the patient.

Until the circular cut is completed along the marked tangent line.

At this time, the entire gastric cancer is removed together with the cancer base.

It must be explained that the cancerous part after resection needs to be taken out. Taking it out from the nasal cavity is simply not feasible because the nasal cavity is too small.

At this time, removing the cancerous part from the patient's mouth becomes the best option.

During the operation, the patient is under general anesthesia.

Usually the mouth is closed.

This requires using a crowbar to pry open the patient's mouth. Also, care must be taken when removing the cancerous parts. The patient must not be allowed to suffocate to death.

Zhou Can's operation is very skillful, and there is no chance of suffocating the patient.

The cancerous part is successfully removed, and then it needs to be sent for examination after the operation is completed. This can further clarify the nature of the tumor and whether the edges are clear.

In the process of removing cancerous parts, more normal tissue is usually removed.

Even so, it's still possible that the cut won't be clean.

Cancer cells are sometimes very aggressive. They will quietly infiltrate surrounding organs or tissues and easily spread to other areas along lymph and blood vessels.

Postoperative pathological examination is very necessary.

After Zhou Can successfully removed the gastric cancer, he examined the patient's stomach and performed a dissection.

The surgery ends here.

If after a period of time, the examination reveals that new tumors have grown at the resection site or elsewhere, or cancer has occurred, then a second or even third surgery will be required.

Generally speaking, when multiple surgeries are required, the treatment effect is often poor.

Because cancer tumors recur, it means that cancer cells have spread to other parts of the body. The scary thing about cancer is that they are like weeds, with extremely tenacious vitality.

The more you remove them, the faster the cancer cells grow.

Moreover, if one area is cut, cancerous tumors will grow in multiple other areas at the same time. It is like opening a terrible Pandora's box. In the end, the more you cut, the more cancer cells will spread, and the cancer cells will spread faster, and the patient will eventually die soon.

This is why when doctors discover that cancer cells may spread, they regret that they can no longer perform surgery.

The only options are interventional treatment, radiotherapy, and chemotherapy.

No matter which treatment method is used, drugs are used to kill or inhibit cancer cells. At this point, it can basically only extend the patient's life, and there is no way to cure it.

For stage II or even stage III gastric cancer, as long as it is treated aggressively, the five-year survival rate can basically reach about 60%.

Many people don't understand why they still have to endure tremendous pain and spend huge amounts of money to receive treatment even though they know that cancer cells have spread. Is this kind of death struggle meaningful?

The answer is meaningful.

It not only provides doctors with more clinical trial data, but also makes it possible to wait for the advent of new drugs to completely cure cancer.

In this era of rapid technological development and hundreds of flowers blooming, everything is possible.

A large number of new cancer treatment drugs are released every year, and they are specifically targeted at certain types of cancer. Some lucky cancer patients actually successfully defeated the disease and recovered after taking the new drugs.

After Zhou Can successfully removed the patient's gastric cancer, he earned 100 experience points for incision and 100 experience points for separation.

This made him very satisfied.

Endoscopic surgery has always been his favorite.

Because performing endoscopic surgery makes it easier to obtain high experience points rewards from the system.

Currently, his incision and separation are moving towards level five, while his anastomosis is lagging far behind and is still only at the lower level.

"Director Shang, do you think there is anything else that needs to be improved? If not, I will remove the endoscope."

After Zhou Can completed the operation, he asked Director Shang for instructions.

"Well, the operation was very good. Remove the endoscope and prepare to send the person to the recovery room for recovery! Can you complete the patient's postoperative medical instructions independently?"

Director Shang asked Zhou Can.

"I can give it a try, but I definitely need your help to check it."

Zhou Can has never independently completed the postoperative medical instructions for a gastric cancer patient.

Since Director Shang gave him this place to exercise, he was not polite and tried to prescribe a series of medical instructions to the patient.

Director Shang was standing by to check on him and correct some mistakes and omissions.

Finally, a complete and correct medical order was issued.

[Pharmacological syndrome differentiation experience value +1.]

[When you complete the medical instructions after gastric cancer surgery for the first time, you will be rewarded with pharmacological syndrome differentiation experience points +100.]

Unexpectedly, after the operation was completed, I also earned 100 additional experience points as a reward.
To be continued...