Pancreatic tumors are now in the pancreas. The malignant degree is the highest among the common tumors, and the mortality rate is also the highest. Therefore, it is also called the "king of cancer". Apple founder Steve Jobs and Hong Kong famous movie star Shen Dianxia are suffering from pancreas. The tumor died. However, not all "cancer kings" have no treatment opportunities. The reporter recently learned from the Ruijin Hospital affiliated to Shanghai Jiaotong University School of Medicine that as of July, the hospital has treated more than 130 cases of pancreatic tumors, reaching the world's largest sample size. Robotic surgery brings "small incisions, micro-trauma" and gives patients more treatment opportunities in the future.
Re-set the patient's life clock
"Pancreatic cancer has no good treatment to date, even if the surgical treatment, the survival rate is very poor - the best report in the country is that 20% of patients can live for 5 years after surgery; the difference is that the 5-year survival rate is not To 5%." He has been dealing with pancreatic tumors for more than ten years. Peng Chenghong, a professor of general surgery at Ruijin Hospital, has no contempt for the fear of "cancer king." He told reporters that the survival time of patients with pancreatic cancer is usually about one year after diagnosis.
The danger of "Cancer King" is not limited to this. Because the blood vessels around the pancreas are dense, it is extremely difficult for surgery. Therefore, pancreatic tumor surgery is also called one of the most difficult surgical operations. The multi-factor interweaving makes the survival rate not always high.
However, some cases have broken through the medical pre-judgment. Peng Chenghong has treated a patient with pancreatic body cancer, and the tumor has invaded the blood vessels. When most people think that the patient's life will be calculated as "month", the patient has survived for nearly 7 years after surgery. This is the longest survival period for pancreatic cancer after surgery at Ruijin Hospital.
Early detection of a tumor, timely surgical removal of a benign tumor or a low-grade tumor is equivalent to resetting the life clock to the patient. In 2010, after the introduction of Da Vinci robots, Ruijin Hospital reduced “destructive treatment†to a minimum.
The world's largest machine surgery sample size
In recent years, robotic pancreas surgery has flourished around the world. As of July, the number of operations in Ruijin Hospital has reached more than 130 cases, which is the same as the largest case reported in the world, and the operation time, blood loss, blood transfusion number, postoperative hospital stay, and complication rate are all in the world advanced level.
Peng Chenghong introduced that the current robotic pancreatic surgery is mainly applied to benign tumors or tumors at the junction of benign and malignant. Benign tumors of the pancreas include serous cystadenoma, mucinous cystadenoma, intraductal papillary mucinous adenoma, and pseudopapillary solid tumor.
In this world's largest surgical sample size, Ruijin Hospital explores many “firstsâ€: the first implementation of robot-assisted retention of duodenal pancreatic head resection (Beger surgery), which has long been treated with open surgery, trauma Large; using the "end side pancreaticogastric anastomosis technique" to complete the robot-assisted mid-pancreaticectomy to achieve maximum preservation of normal pancreatic tissue. In the pancreatic body resection, the spleen preservation rate of robotic surgery reached 66%, and the laparoscopic surgery was 19%. In benign tumors, the spleen preservation rate of robotic surgery reached 89%. Not only that, patients who have undergone robotic surgery can also receive secondary robotic surgery, or laparoscopic surgery, open surgery.
The arrival of robots is not tolerant
"The operation interface of the robotic surgery is 3D, which restores the true sense of space; 10 times the magnification clearly shows the blood vessel lines in the body, making up for the limitations of the doctor's vision; the mechanical arm can rotate 360 ​​degrees, which can reach the parts that the doctor's hands are difficult to reach. In addition, it can filter out the doctor's hand shake." In Peng Chenghong's view, because the doctor is sitting at the operating computer as if the operation of the game handle to complete the surgery, it can even extend the doctor's career for the benefit of more patients.
But this also gave him a hint of worry. Some patients have traveled from Beijing to Shanghai. The patient had undergone laparoscopic gallbladder surgery. As a result, the bile duct was damaged and needed to be temporarily changed to open surgery. "But this doctor has not had an open surgery for ten years, and will not do it." In the case of Peng Chenghong, the patient came up with this sentence.
Laparoscopic and robotic surgery also inevitably have a certain "transfer rate" - turn to open surgery, "this requires doctors to master a variety of surgical methods."
Peng Chenghong said that even in the era of robots, the doctor's surgical basis can not be neglected. "There are certain barriers between different surgical methods and there is a learning process. This requires continuous training for surgeons so that they are ready to accept new technologies," said Peng Chenghong.
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