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保持传统优势手术 微创介入“双管齐下”

2017-08-23 10:02:34   中国青年网

肝胆外科团队

“尽可能小的创伤,以最理想的瘢痕愈合,手术并发症少。”有着深厚学术传统和百姓口碑的武汉市第六医院(江汉大学附属医院)肝胆外科在近年的发展中,在保持传统手术优势领跑的同时,在外科主任刘文教授和肝胆外科病区主任袁林教授带领下,一年内完成70余台高难度系数的肝胆胰脾手术,团队在微创手术、肝癌综合诊疗、血管介入三大领域精益求精,赢得了市民的交口称赞。

针对肝癌,肝胆外科团队开展了规范化肝部肿瘤切除、经肝动脉插管化疗栓塞(TACE介入)、射频消融等综合疗法。袁林之前曾在广西柳州人民医院工作,广西是我国肝癌高发区,每年由他亲自参与完成的规范化肝癌手术近两百台。

微创助力 胰体尾肿瘤保脾切除

58岁的马师傅家住汉阳琴断口,今年大年初一开始高烧不退,并伴有肾绞痛,一直当做肾结石治疗。5月初,马师傅转到武汉市第六医院治疗,增强CT检查发现他的胰腺上有个囊肿。袁林怀疑马师傅患上了胰腺瘤,并尽快为他安排了手术。

“手术难度非常大!”袁林回忆,由于肿瘤位置特殊,手术如同在“刀尖上跳舞”,稍有差池就可能损伤到周围大血管和神经。病理检查结果出来,证实了袁林的术前判断:胰腺假性乳头状瘤。术后仅一个星期,马师傅就出了院。前几天他来复诊,没有发现复发和转移。

袁林介绍,胰腺血管十分丰富,后方有脾动静脉通过,手术中极易损伤及出血。腔镜仅有两个小洞孔,一旦遇到术中大出血很难处理,需要医生有精细化的解剖经验。在微创腔镜下保脾切除胰体尾肿瘤,对于整个市属医院普外科来说,都是一个难度大风险高的手术。据了解,今年以来,该科室已经成功完成此类高难度手术近二十台。

“只有把手术做好,才对得起患者这份信任。”袁林指出,精准微创保脾切除胰体尾肿瘤主要适用于胰体尾良性肿瘤的患者,如果是恶性,建议切除脾脏。

早诊早治 肝癌不等于“死刑”

半年前,袁林接诊了一位56岁因持续腹疼来就医的李先生。B超探查后发现,李先生的肝脏上有一个鸭蛋大小的肿瘤占位,甲胎蛋白检查也大大超标。在医生的追问下,李先生坦承自己有乙肝,经过增强CT复查,被诊断为原发性肝癌,当即被收治入院。

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