Du Haiwei turned to look at the other doctors.
The other doctors present nodded in agreement with Xie's opinion.
In this case, there is no need to wait for the colonoscopy results to come out, but to seize the time to complete the preoperative discussion, and the surgery can be performed immediately after the colonoscopy is completed. For this reason, we are now discussing the patient's surgical procedure.
"The patient is old and has a son. She should not be too concerned about her fertility function, so a total resection can be performed." Zuo Liang took the lead in proposing a tentative surgical plan for everyone to discuss.
The radical hysterectomy for cervical cancer refers to the complete removal of the uterus and its appendages, followed by pelvic lymph node dissection and para-aortic lymph node sampling. This is equivalent to completely abandoning the patient's reproductive function, and the harm to female patients can be imagined.
When clinicians consider whether to perform a total resection, as Dr. Zuo Liang said, they not only consider the stage, but also whether the patient needs to retain fertility. It should be said that domestic surgeons are much more cautious than foreign surgeons.
Many foreign surgical research papers believe that early-stage cancer does not require total resection, 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 of great significance to female patients with breast cancer and cervical cancer. Therefore, if you ask the patient herself, she will definitely prefer to preserve it if there is a chance.
After this advanced surgical concept was introduced to China, most doctors in China did not like to perform such conservative surgeries except to take the opportunity to promote it. Only a few top doctors in top hospitals were willing to take the risk. The main reason is that organ-preserving surgery requires doctors to have higher technical skills and requires a pathology department in the hospital to cooperate with surgical precision surgery.
Think about it, even if the whole thing is removed, it is likely to relapse soon. Preserving the breast and uterus will inevitably lead to a faster relapse. By then, it will be too late to regret not removing the whole thing to save your life. Domestic doctors are too afraid of patients and their families making trouble after the operation. Ordinary people only know that if it is a malignant tumor, the doctor must remove all the cancer cells to save their lives. If the patient relapses soon after the operation, they will say that the doctor did not do the operation well. Some family members and patients complain that the doctor did not remove the whole thing well, let alone only a small part.
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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 causing trouble, they didn't need to think too much about it and cut as much as possible to avoid endless trouble.
"What do you think?" Du Haiwei asked another student, Geng.
Geng Yongzhe seemed to be in deep thought, tapping on the notebook with the pen in his hand.
Others were a little puzzled as to why he was hesitating at this time.
"Tell me your opinion." Seeing that he had become mute, Zuo Liang pointed at Xie and told him to hurry up and speak.
"I think this patient usually pays more attention to her physical condition. After learning about her condition, she immediately sought medical treatment in the capital, which shows that she tends to want to save her uterus." Xie Wanying said, "Her current stage is tentatively determined to be stage IA, and cervical conization can be tried. If the pathological results are not good, it may show that she has reached stage IB and needs further surgery. Radical cervical resection plus pelvic lymph node dissection plus para-aortic lymph node sampling can be performed."
When classmate Xie said these words, he was really only concerned about the technology and didn't care at all whether the patient's family would come to make trouble.
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