Chang Jiawei estimated that the people from other departments sitting there, including his old classmate Fu Xinheng, might not be able to explain the contents of their orthopedics more fluently than what classmate Xie had just said.
Doctor Liu curiously leaned down and looked at Xie Wanying, then gave her another question: "Tell him about en bloc resection again."
This was because the senior was aroused by her and wanted to discuss the matter in depth. Anyway, after her speech, they could continue to help them explain the situation to the family members, killing two birds with one stone.
"En-bloc section is a surgical concept. It is not specific and can be widely applied to any surgical operation, not just spinal surgery." Xie Wanying said while trying to help Geng recall relevant medical knowledge points. "For example, the radical hysterectomy for cervical cancer that we discussed in the gynecology class this afternoon can be said to be an interpretation of en-bloc section."
This analogy is easy to understand. Others nodded frequently as they listened.
En-bloc section is directly translated as: complete removal. This term does not have a specific prefix, and it does not refer to any specific surgery. Just like what Xie Wanying said, it is just a concept and principle that applies to any surgical operation in any department. In a simple sentence, it is called complete removal. No matter how much area the tumor occupies, as long as the tumor occupies the entire anatomical area involved, it will be completely removed.
The biggest benefit of total resection is self-evident, which is to minimize the spread of tumors during surgery. However, for patients and their families, hearing the words "complete resection" will inevitably be a source of shock, and it is difficult for them to accept the result of removing a whole piece of the tumor.
Whether or not a doctor chooses to perform a total resection cannot be determined based on the mood of the patient and family members. First of all, the doctor must look at the specific case and discuss it separately.
Thinking of his stepmother's disease, he didn't advocate for complete removal. Now his brother's surgery said that he had to remove the entire vertebra of his brother. It's the spine. He studied medicine and knew very well what it meant to lose a vertebra. Geng Yongzhe's face turned green and his heart ached. He said, "Didn't they say it was benign? Why do you have to remove the entire vertebra? Isn't there any other surgical method?"
...
...
Spinal surgery is certainly like other surgeries, with many surgical methods. For example, we often hear about palliative decompression surgery that only removes the lamina for advanced patients, early tumor curettage surgery that only removes the visible tumor part, and WBB staged resection surgery developed on this basis, which focuses on the scope of tumor invasion and expands the resection to a limited extent to preserve tissue as much as possible. However, clinical practice later proved that staged resection in spinal surgery cannot always achieve good results like breast-conserving and uterus-conserving surgery. Bones are hard masses and are not as easy to distinguish and cut pathologically as soft tissues.
"This part of the spine is quite special. For example, in cases of spinal tuberculosis, the whole spine will be removed. The doctor mainly looks at the degree of bone destruction. If the bone destruction is severe, it doesn't matter whether you remove the whole spine or not. On the other hand, whether it is benign or malignant, this part involves the spinal cord and it is difficult for doctors to partially peel and remove it completely. Many tumors are prone to recurrence. It is not that a benign tumor will not recur after removal, such as the benign uterine fibroids we see in gynecology. Your brother is young, so the doctor should consider the possibility of recurrence more. Removing the whole spine is the best, even if it is a malignant metastatic tumor, the possibility of recurrence of the whole spine can be minimized." Xie Wanying explained to Geng.
Continue read on readnovelmtl.com
