Yangzi Evening News Network 65438+1October 24 (correspondent Ni Chunhua Dai Wu Zuoyou reporter Yang Yan) The incidence of colorectal cancer in China is increasing day by day, comparable to that in Europe and America. In colorectal cancer, about 70% is rectal cancer. If the tumor is in a low position in the rectum, it can only be "across the board", otherwise it will face open surgery and be very traumatic. Recently, Shaw Hospital affiliated to Nanjing Medical University successfully held the 2nd Nanjing Colorectal Surgery Salon and the 1st Laparoscopic Anal Preservation Seminar for Rectal Cancer. At the meeting, the reporter learned that Ping Huang, director of the Anorectal Center of Shaw Hospital affiliated to Nanjing Medical University, improved the anus-preserving operation for low or ultra-low rectal cancer, so that the operation that was originally difficult to perform under an open incision could be easily completed under laparoscopy, and the low or ultra-low rectal cancer might also be preserved.

Patients with ultra-low rectal cancer stay in Nanjing.

Mr. Liu, a 40-year-old from Zhejiang, found that rectal cancer was in its advanced stage, and the distance between tumors was only 3 cm. He went to a well-known hospital in the country, and the answer was "one size fits all". He is the backbone of the company's business, and he is desperate to live with a "dung bag" in the future. Hearing the patient say that the director of Shaw Hospital affiliated to South Medical University can do a difficult anus-preserving operation, Mr. Liu made a special trip. The chief physician of Ping Huang performed laparoscopic surgery for Mr. Liu, which not only removed the tumor, but also preserved it.

The director told the reporter that they have successfully performed operations like Mr. Liu's 100 cases, including patients who could not save their anus in the traditional sense, and patients who failed to save their anus in situ and underwent another operation to save their anus.

Inventing instruments and improving surgical procedures to reverse the "impossible"

"The length of the rectum is about 12 cm. Tumors below *** 8 cm are low rectal cancer, and those below *** 5 cm are ultra-low rectal cancer. Anus-preserving surgery has always been a difficult point. " Chief physician Ping Huang said that if * * * can't be preserved, patients must have an ostomy, that is, excreting feces and urine from the opening of the abdomen, which has a great impact on the quality of life. Anal-preserving surgery for patients with low and ultra-low rectal cancer has been explored at home and abroad. At present, the method adopted by foreign doctors is to operate on the lower abdomen and pelvic cavity of the patient, and directly anastomose the colon with the rectal stump or anal canal after tumor resection. However, because the "interface" is in the human body, once it grows badly, intestinal fistula will occur, and feces or intestinal fluid will leak into the abdominal cavity, causing infection and even death. The lower the "interface", the easier it is to leak.