For the elderly.
In addition to the inconvenience of life and the trouble of chronic diseases.
The biggest difficulty is after the illness.
Unable to work properly and comprehensively**.
Anesthesia and surgery are risky.
Surgery at an advanced age is often done.
It discourages patients, families, and hospitals.
And surgery for elderly patients.
It also really tests the doctor's ability.
[Due to his advanced age, he was politely rejected by many hospitals].
5 years ago, 90-year-old Grandma Qi found a pelvic mass, because there were no symptoms, it was not treated, as time went on, the lump enlarged, abdominal distension and pain, seriously affecting life, she and her family went to major hospitals, all because of advanced age, many underlying diseases, and the risk of surgery was politely refused.
After being recommended by a friend, holding on to the last ray of hope, Grandma Qi and her family found itChen Hongmin, deputy director of Henan Provincial Cancer Hospital.
"Tiny people with big bellies look tired. ”This was Chen Hongmin's first impression when she saw Grandma Qi.
Through the questioning examination, Chen Hongmin's expression was solemn
CT examination shows a large cystic solid mass in the abdomen and pelvis that nearly involves the subhepatic abdominal cavity upward, about 30 cm in diameter, and is the size of a watermelon.
Plus Grandma Qi also suffersHypertension, diabetes, coronary heart disease, abnormal kidney function, ......
The lesions are huge, multi-diseased, and frail in old age.
Can a septuagenarian withstand such a major operation? Will you be able to survive the perioperative period smoothly?
A series of problems made it difficult to carry out the operation.
Conservative** or risky surgery?
Conservative** means that the elderly continue to endure abdominal distension and pain, and even risk of tumor rupture.
Due to the large size of the tumor and the compression of important organs, if surgery is not performed in time, a series of complications such as deep vein thrombosis of both lower limbs, edema of the lower limbs, intestinal obstruction, and hydronephrosis may occur.
However, the risk of surgery for the elderly is greater, and Grandma Qi's body compensatory ability is weak, and respiratory and circulatory disorders and surgical complications are prone to occur during surgery.
After full evaluation by the anesthesia team and full communication with the family, Chen Hongmin chose surgery.
[90-year-old man, discharged from the hospital 7 days after surgery].
After being admitted to the hospital, Grandma Qi quickly improved various preoperative examinations, and after multidisciplinary consultation and preoperative evaluation, it was confirmed that the elderly could tolerate it, and the operation was arranged in the fastest time.
The procedure went very smoothly and was completed in only 1 and a half hours.
A cystic solid mass about 30 cm in diameter is removed.
From admission to the completion of the operation and walking, it took Grandma Qi less than five days.
Under the guidance of Accelerated Clinical Diagnosis and Treatment (ERAS), Grandma Qi was able to get out of bed with the help of her family 2 days after surgery, and 7 days after surgery, Grandma Qi was successfully discharged from the hospital.
On the day of discharge, Grandma Qi was like a new life, with a smile on her face, gave a thumbs up to the chief medical team of Chen Hongmin, and wrote a letter of thanks in order to express her gratitude!
Advanced age is not an absolute contraindication to surgery. Chen Hongmin introduced, "With the aging of the social population, the elderly patients have a gradual upward trend. Although the risk of surgery is relatively high in elderly patients, after sufficient preoperative discussion, careful evaluation, and close cooperation of the operational, anesthesia, and nursing teams, the surgery can still be successful and improve the quality of life of the elderly. ”
Zhang Xiuhua, Chen Yubo).