Venous cancer thrombus threatens the life of the 80-year-old man, the doctor breaks through the "old age restricted zone" to "de-bomb" him

Zheng Bo, 80 years old, was diagnosed with left renal cancer, and multiple tumor thrombi formed in the left renal vein and inferior vena cava, and he was unable to undergo surgery when he went to many hospitals in Guangzhou
.

diagnosis

Finally, Zheng Bo came to Sun Yat-sen Memorial Hospital of Sun Yat-sen University for medical treatment.
The team of Professor Jiang Chun of the Department of Urology broke through the "old age restricted zone" and performed "laparoscopic radical resection of the left kidney + removal of multiple tumor thrombi in the left renal vein and inferior vena cava" for him.

.

Only one week after the operation, Uncle Zheng recovered and was discharged from the hospital

The shedding of cancer thrombus can cause pulmonary embolism and myocardial infarction, making the operation more difficult at advanced age

The shedding of cancer thrombus can cause pulmonary embolism and myocardial infarction, making the operation more difficult at advanced age

According to Zheng Bo recalled, one month before the diagnosis, he always felt exhausted, unwell, mentally weak, and often felt weak in his lower limbs for no reason
.

After going to a nearby hospital, the abdominal MR examination considered "left kidney cancer", and there were multiple tumor thrombi in the left renal vein and inferior vena cava

Professor Jiang Chun introduced that Zheng Bo has a history of hypertension for more than 20 years and a history of coronary heart disease for more than 8 years.
He usually takes amlodipine, clopidogrel and other antihypertensive drugs and anticoagulants, and he has a great risk of bleeding
.

Moreover, Uncle Zheng's kidney cancer is relatively advanced, with multiple tumor thrombi in the left renal vein and inferior vena cava, making the operation extremely difficult

The kidney cancer suffered by Zheng Bo is a common urinary system malignant tumor, accounting for 2%-3% of adult malignant tumors
.

When kidney cancer develops to an advanced stage, the tumor may grow into the kidney vein, or even the larger inferior vena cava.

“Surgery for kidney cancer combined with cancer embolus is one of the most complicated operations in urology.
The risk of surgery is huge.
It may face heavy bleeding, tumor embolism and pulmonary embolism
.

The mortality rate is extremely high .

Multi-disciplinary cooperation to formulate the best plan, doctors finely operate to remove tumor thrombi

Multi-disciplinary cooperation to formulate the best plan, doctors finely operate to remove tumor thrombi

Bor in order to provide the most appropriate treatment, urology invited anesthesiology, cardiac vascular experts in many disciplines of medicine, Department of Radiology and other multidisciplinary and comprehensive consultation, combined with the treatment of domestic and international experience, jointly developed perioperative Treatment and care plan
.

Finally, "laparoscopic radical resection of the left kidney + removal of multiple tumor thrombi in the left renal vein and inferior vena cava" was performed for Zheng Bo, which challenged the difficult operation

Heart blood vessels

During the operation, the surgical team fully exposed the renal artery, renal vein, inferior vena cava, abdominal aorta and other important vascular structures.
After blocking and incising the inferior vena cava, the thrombus was removed
.

Fortunately, all the tumor thrombi of the renal vein and inferior vena cava were successfully removed during the operation, and no tumor thrombi fell off

Under the guidance of the concept of rapid recovery in surgery, patients are encouraged to eat and move early, so Zheng Bo resumed his diet and activities the next day after surgery
.

Under the meticulous care of medical staff, Zheng Bo recovered and was discharged from the hospital within a week after the operation

"The successful implementation of this difficult operation fully demonstrates our hospital's ultra-high skills in the field of minimally invasive urinary tumors.
It also highlights our hospital as a large comprehensive teaching hospital in dealing with difficult and complicated operations.
Superiority and importance
.
" Professor Jiang Chun said
.

Professor Jiang Chun (first from the right) team performs surgery on the patient

The team of Professor Jiang Chun (first from the right) performed surgery on the patient The team of Professor Chun Jiang (first from the right) performed surgery on the patient

Professor Jiang Chun (first from left in the front row) leads the team to round the patients

Professor Jiang Chun (first left in the front row) led the team to round the patients.
Professor Chun Jiang (first left in the front row) led the team to round the patients' ward.
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