90歲蔡姓阿嬤因升結腸有一顆腫瘤堵住腸道,就醫時嚴重腹水,有腸穿孔危險,醫師開了腸造口讓排泄正常,再施作微創腹腔鏡手術,切除腫瘤,關閉腸造口,讓阿嬤恢復正常生活。
光田綜合醫院大腸直腸外科主任吳喬森今天指出,蔡姓阿嬤日前被檢查出升結腸有一顆4至5公分的惡性腫瘤,因腫瘤堵住腸道,阿嬤無法正常排便,引起嚴重腹脹、嘔吐、食慾不佳。
因阿嬤拼命忍痛,家人發現不對勁送醫檢查時,阿嬤已有嚴重腹水,因長期吃不下東西,嚴重營養不良。若不緊急治療可能有腸穿孔或缺血壞死的風險,病況嚴重可能引發致命敗血症。
外科醫師為搶救阿嬤性命,緊急幫她開了腸造口,讓排泄正常,阿嬤在家人的照顧下,精神逐漸恢復,但腸造口併發皮膚糜爛,讓阿嬤每次更換便袋時,忍受撕皮痛楚,讓兒子相當不忍。
吳喬森評估阿嬤的體力經調理後,身體狀況很好,決定幫阿嬤施作微創腹腔鏡手術,在腹部開3個小傷口切除腫瘤,同時接通大、小腸、關閉腸造口,阿嬤目前只要口服化療藥物,且定期追蹤即可,恢復生活品質。
吳喬森指出,比起傳統剖腹手術,腹腔鏡手術只需在患者腹部打幾個小洞,經過腹腔鏡的放大效果及超高解析影像,可幫助外科醫師對病灶部位有更清楚的視野,腹腔鏡手術對患者的創傷小,術後復原更快、效果更好,對高齡者來說更為安全。
吳喬森建議,飲食不規律,嗜吃燒烤、油炸或醃漬類食物的民眾,慢性大腸發炎性疾病的患者,有大腸直腸癌或是大腸息肉家族史的民眾,為大腸癌好發族群,最好的預防方式就是定期接受大腸鏡檢查。
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A 90-year-old Aunt Cai surnamed a tumor blocked the intestine, and she was severely ascites at the time of medical treatment. There was a risk of intestinal perforation. The doctor opened the intestine to make the excretion normal, and then applied minimally invasive laparoscopic surgery to remove the tumor and close the intestine. Mouth, let aunt return to normal life.
Wu Qiaosen, director of the large intestine and rectal surgery at Guangtian General Hospital, pointed out today that Aunt Cai was examined for a 4 to 5 cm malignant tumor in the ascending colon. Because the tumor blocked the intestine, the aunt could not defecate normally, causing severe abdominal distension and vomiting. Poor appetite.
Because the aunt tried hard to endure the pain, the family found that the aunt had a serious ascites when he was not sent to the doctor for medical examination. Because he could not eat anything for a long time, he was seriously malnourished. If there is no risk of intestinal perforation or ischemic necrosis if not treated urgently, severe conditions may cause fatal sepsis.
In order to rescue the aunt's life, the surgeon urgently helped her to open the intestines and make the excretion normal. Under the care of the family, the aunt gradually recovered the spirit, but the intestinal stoma was accompanied by skin erosion, so that the aunt changed the pouch every time. I endured the pain of tearing and made my son quite intolerable.
Wu Qiaosen assessed that Aunt’s physical strength was well-conditioned and decided to help Auntie to perform minimally invasive laparoscopic surgery. Three small wounds were removed from the abdomen to remove the tumor. At the same time, the large and small intestines were closed, and the intestinal stoma was closed. As long as oral chemotherapy drugs, and regular tracking can restore the quality of life.
Wu Qiaosen pointed out that compared with traditional laparotomy, laparoscopic surgery only needs to make a few small holes in the patient's abdomen. After laparoscopic enlargement and ultra-high resolution images, the surgeon can help the surgeon to have a clearer view of the lesion. Laparoscopy Surgery has less trauma to the patient, faster recovery and better results, and is safer for the elderly.
Wu Qiaosen suggested that people with irregular diet, people who eat barbecue, fried or pickled foods, patients with chronic large intestine inflammatory diseases, people with colorectal cancer or family history of colorectal polyps, are the best for colorectal cancer. The prevention method is to receive colonoscopy regularly.