I can't eat, I can't drain it, and my belly is as big as a drum.
It turned out to be peritoneal cancer.
See the experts of the Municipal People's Hospital.
How to relieve the pain of the patient.
Extend life. The 75-year-old grandmother felt unwell, with stomach pain and difficulty in defecation. She didn't go to the hospital, but bought her own laxative medication to take.
Four months have passed, and Grandma Gao's symptoms have not only not eased, but have become more serious. At this time, her belly was as big as a drum, she couldn't eat, she couldn't breathe, and she could barely walk. Her family sent her to the Department of General Surgery of Fangbei Branch of Shijiazhuang People's Hospital for treatment.
After detailed examination, it was found that the tumor of the colon of Gao Grandma had metastasized extensively, spreading to the retroperitoneum, liver, bilateral appendages and other places. Grandma Gao's condition is very critical, not only painful, but also directly life-threatening. It is imperative to undergo surgery as soon as possible to remove the cancerous tissue. But can a grandmother who is old and frail and has poor nutritional indicators tolerate such a major surgery?
After multidisciplinary joint consultation and comprehensive evaluation by the Department of Medical Oncology, Department of Anesthesiology, Operating Room, ICU, Department of Respiratory and Critical Care Medicine, Department of Cardiovascular Medicine, etc., the team of General Surgery (Fangbei) formulated a detailed and meticulous plan and surgical plan, and decided to perform "tumor cytoreductive surgery + hyperthermic intraperitoneal chemotherapy" for Grandma Gao. After the nutrition-related indicators of the elderly improved, surgery was put on the agenda.
After sufficient preoperative preparation, the team of director Wu Guobin of the Department of General Surgery (Fangbei) performed the operation. The peritoneal condition was as severe as expected, with 4000ml of malignant ascites, liver metastases, and scattered tumor nodules on the omentum surface ......Even more sinister is the extensive peritoneal metastasis, in which the peritoneum is occupied by many mung bean-sized nodules throughout the surgical field.
Peritoneal cancer is a type of malignant tumor that develops or develops on the surface of the peritoneum. In the past, peritoneal cancer was considered to be the terminal stage of the tumor, and palliative treatment was taken**. With the deepening of peritoneal oncology research, a set of active integration strategies have been explored and developed internationally, and the core technology is tumor cytoreductive surgery + hyperthermic intraperitoneal chemotherapy.
Cytoreductive surgery is a standard surgery to remove tumors in the abdominal cavity and tumors on the peritoneum to a large extent.
Hyperthermic intraperitoneal chemotherapy is a continuous cyclic perfusion chemotherapy in the abdominal cavity with high-temperature chemotherapy drugs immediately after the operation is completed to destroy micrometastases and disseminated cancer cells.
On the basis of traditional debulking surgery, this first-class scheme expands the scope of surgery, standardizes the surgical steps, and kills cancer cells as much as possible while removing cancerous tissues.
With the active cooperation of the anesthesiology department and the operating room, Director Wu Guobin's team skillfully operated and removed the omentum, left colon, and bilateral appendages of cancerous tissues, and microwaved ablation of left liver tumors; "Tumor cytoreductive surgery + hyperthermic intraperitoneal chemotherapy" was performed on the peritoneum, and the peritoneum full of metastases was removed, and hyperthermic chemotherapy was performed. After 10 hours, the operation was successfully completed.
After the operation, Grandma Gao has been carefully treated and cared for by the medical staff, and her condition is getting better and better.
I was finally able to eat, my stomach didn't hurt anymore, and I was able to walk on the ground, which was much better than before the operation! The old man said with a smile.
Grandma Gao's family is extremely recognized and infinitely grateful to the department team: "The old man is so old and has such a serious condition, it is the second life given to her by the general surgery team, and it is the luck of our family to meet you!" ”
Subsequently, Grandma Gao will also undergo further chemotherapy.
In the face of life, there is no way back. Although peritoneal metastases are tricky, for the sake of the health of patients, we have to face the difficulties, and we are confident in our medical technology. Director Wu Guobin said, "Surgery-centered peritoneal malignant tumor synthesis is a new model of peritoneal malignant tumors, and it is also a new work being carried out by the Department of General Surgery (Fangbei)." We will continue to work hard to protect the health of our patients. ”
The doctor said.
yishengshuo —
What is peritoneal cancer.
Peritoneal cancer refers to a type of malignant tumor that occurs or develops on the peritoneum, which is a smooth serous membrane wrapped around the inner abdominal wall and the surface of abdominal organs, which plays the role of protection, fixation, lubrication, and defense.
Peritoneal cancer can be divided into two types: primary peritoneal cancer is rare, and most peritoneal cancers are secondary cancers, that is, cancer cells colonize after falling off from the primary lesion and grow in the peritoneum.
What are the common symptoms of peritoneal cancer?
There are two main types of peritoneal cancer symptoms: local symptoms and systemic symptoms.
Local symptoms are caused by ascites and intestinal obstruction, manifested as abdominal distention, abdominal pain, decreased or even stopped gas and bowel movements, and in severe cases, they cannot eat or even vomit, resulting in the loss of a large amount of body fluids.
Systemic symptoms are caused by the increasing tumor burden and the progressive consumption of nutrients, which are manifested as obvious emaciation, weakness, fatigue, anorexia, anemia, and in severe cases, inability to get out of bed, sleepless night, shortness of breath, difficulty in lying down, and complete inability to take care of themselves. As a result, patients with advanced peritoneal cancer often suffer greatly from physical and mental distress.