The woman's belly is as big as "pregnancy". After 5 hours of removing peritoneal, the doctor is 24 pounds of huge "strange will"

"Thank you for giving me a second life." The woman decreased due to the increasing weight of her belly. After checking the left peritoneal, a giant "strange baby" weighing 12 kilograms was checked. If the tumor rupture is not surgery in time, the tumor rupture will lead to severe bleeding and life -threatening. Multi -disciplinary teams such as Hunan Provincial People's Hospital and other disciplinary teams have successfully removed the "strange illness" and were discharged on July 14.

Pre -surgery image shows: huge tumors after peritoneal (in the red circle)

Ms. Hu, 48 -year -old in Zhuzhou, Hunan, found that her belly was getting bigger and bigger two months ago. I thought it was gaining weight and did not attract much attention. It was still 3.5 kg until I found that the weight did not increase. Then I came to the Hunan Provincial People's Hospital's urology department for treatment. After inquiring the medical history and physical examination in detail, the chief physician Li Yuanwei was diagnosed with a huge tumor after the peritoneum, and she took her to hold the urology area.

After admission, the relevant examination found that the tumor after the peritoneal was huge, almost occupying the entire abdominal cavity of Ms. Hu, which had affected her actions and eating. Urgent need surgery is needed. However, due to the unclear tumor and pancreas, spleen, and colon boundaries, the left kidneys have been completely wrapped in tumors. How to completely remove the tumor and protect the neighboring tissue organs as the key to the success of surgery.

On June 26, multiple disciplines such as urology, oncology, hepatobiliary surgery, endocrinology, anesthesiology, and intensive medical department were diagnosed. The corresponding plan was formulated in various emergencies during the operation, and they were jointly formulated. Surgical plan: Tumor resection + left renal treatment + postcard lymphadenopathy + partial muscle forming repair surgery after the general anesthesia is opened.

Li Yuanwei, Director of the Department of Urology of Hunan Provincial People's Hospital, and the chief team of Shen Xianbo, the two heads of hepatobiliary, jointly performed surgery for Ms. Hu.

After preparing sufficient preparation before, on the morning of June 30, the operation was composed of the team of the chief team of the hepatobiliary Shen Xianbo, the chief team of Li Yuanwei and Liu Zhe, the deputy chief physician of Lu Qiang, the attending physician of Yang Yongjun, and the anesthesiologist team. Multi -disciplinary surgery team is jointly implemented.

During the operation, huge tumors were found to occupy the entire abdominal cavity, close to the liver, gallbladder, kidney, pancreas, spleen, and colon, and the outer envelope of the mass was combined with the main anotal ancestatic arteries and lower cavity veins. It is necessary to ensure that the surrounding organs and blood vessels are not damaged, but the patient's safety is needed, and the operation is huge.

The cut tumor is about 40 × 24 × 12cm size, weighing 12kg.

After nearly 5 hours of unremitting efforts through the surgery team, finally successfully removed a giant tumor of about 40 × 25 × 12cm, weighing 12 kg, and removed the left kidneys to retain the pancreas, spleen, and colon to meet the expectations Surgical goals. The bleeding during the operation was only 50ml, and the results of the postoperative medical examination were prompted as "de -differentiated lipous sarcoma".

Postoperative review shows that tumor resection is clean.

After the surgery, Captain Jiang Xia led the nursing team to implement personalized and fast rehabilitation care for the patient. Ms. Hu resumed well, and the physical indicators were close to normal. The CT was reviewed one week after the operation: tumor resection was clean. After the urinary tumor MDT team formulated a follow -up treatment and follow -up plan for them, the patient was successfully discharged from the hospital on July 14.

Deputy Chief Physician Lu Qiang in the Department of Urology, Hunan Provincial People's Hospital, etc. to check the postoperative recovery of the patient.

"Devarialatone sarcoma is a highly malignant tumor, and surgery is the main treatment method." Director Li Yuanwei, Department of Urology, Hunan Provincial People's Hospital, reminded that there can be no symptoms and manifestations in the early stage of peritoneal tumor, so regular medical examinations are important. Once abdominal pain, bloating, nausea and vomiting, weight loss, and weakness should be treated in time in order to detect and treat early.

(Edit ZS.)

Hunan Medical Chat Special Author: Hunan Provincial People's Hospital Urology Chen Songlin

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