Tribute to Chinese Physician's Day · Health China You and I. ㊸ | | | | | | Deputy Dean of the Second Hospital of Zhejiang University: For the prevention and control of colorectal tumors, I am willing to work hard

Author:Medical newspaper Time:2022.08.31

On the day of the interview with the "Medical Daily", Ding Fengfeng, deputy dean of the Second Affiliated Hospital of the Medical College of Zhejiang University (hereinafter referred to as "Zhejiang Medical Second Hospital"), and the intestinal cancer tumor expert Ding Fengfeng just at 2 am, and urology surgery, with urology surgery Colleagues jointly completed a complex tumor root treatment for patients with kidney cancer+colorectal cancer: take 7 hours, the whole process of Da Vinci robot operation, the cut tumor tissue and lymph nodes are cleverly removed from the rectum, and the patient There is no obvious incision in the body, just like his surgical style: Beautiful!

His slightly tired face was difficult to hide his excitement: "This combined operation can cut off two lesions at a time, but more importantly, this type of surgery can greatly reduce the recovery time of the patient. But I have a sense of accomplishment! "

This case is actually the vivid practice of further advocated organ function protection and fast rehabilitation concept based on the surgical led multidisciplinary comprehensive treatment system advocated by Dinkfeng and its team. For a long time, the Circin Cancer Diagnosis and Treatment Center of Zhejiang Medical Second Hospital under his leadership has been in the leading position of the national team in clinical and scientific research. In this diagnosis and treatment center, the most advanced surgical equipment, the most comprehensive surgical technology, the concept of fast rehabilitation concept of nervousness, protection organs, and functional function, and the support of strong scientific research teams make countless doubts, age, complex, complicated, complicated, complicated, complicated, complicated, and complicated at home and abroad. Patients with metastatic intestinal cancer have changed the trajectory of life here.

To remove it, it is more protected! Just to make tumor patients the most benefit

Dinkfeng is known as one of the "five golden knives" of the Tonic Surgery of the East Hospital of Zhejiang Medical Second Hospital. What is an excellent tumor surgeon and how to bring to the greatest benefit to tumor patients, Dinkfeng has his own opinion.

"Destruction" and "protection" are always contradictory in oppositional unity. Colorectal cancer is China's second largest high -hair tumor. At present, surgery combined with assisted chemotherapy is the most effective way to get cure for patients with colorectal cancer. With the widespread and deepening of laparoscopic applications, while achieving tumor root treatment, it retains anal, and the blind parts such as an important physiological role to accurately protect the digestion, absorption, defecation, and stool control of the intestine. The quality of life after surgery is very important, so in terms of surgical methods, in addition to precise minimally invasive surgery, combined with organs resection robots to ensure surgery, Dinkfeng led the team to focus on the retention function, level priority, and nerve protection. Functional surgery, such as back -back blind petal retention.

Blind blind petals are located at the end of the 端, which is very close to everyone's familiar appendix. Because the wound is more convenient after cutting it off, the previous surgery is "everything." For patients with right half colon cancer, after the root cause of the traditional right half colon cancer was removed, up to 30%of patients with up to 30%of patients have the consequences of postoperative abdominal distension, diarrhea, indigestion, and increased incidence of colonic adenoma. "Back blind petals are the door to the small intestine into the large intestine, so it can separate the bacteria of the large intestine and the small intestine. With the improvement of the level of laparoscopic technology, we have the ability to protect the backbone blood vessels well. Cleaning. "In recent years, Dinkfeng led the team through the original retaining back to the blind part of the right half colon cancer root cancer (Lishh) to achieve the recovery of the rhythm of gastrointestinal rhythm and regulating the gastrointestinal immune environmental function of the blindness of the blind part and its immune environmental function. The retaining of blind petals, the patient's left colon, pelvic nerves, bladder and other functions can be retained, which can improve the quality of the patient's postoperative life without affecting the prognosis of the tumor.

While reducing the postoperative complications while reducing, reducing pain, enabling patients to recover quickly, is also an important concept that Ding Kefeng has advocated rapidly in recent years. In 2009, Dinkfeng led the team to conduct research and promotion of rapid rehabilitation (ERAS). A number of hospitals were united in Zhejiang, and clinical random control of clinical rehabilitation under laparoscopy and rapid recovery were registered. Value and significance in bowel cancer surgery. Nowadays, the value and significance of laparoscopic surgery in rapid rehabilitation have been fully recognized and affirmed. The more than 20 experiences and measures in the field of colorectal cancer in colorectal cancer have also been applied and promoted in many hospitals across the country. Through the advancement of Era, the number of patients in patients has declined sharply, and it also saves a large number of medical resources. This is a very important new idea for the reform of the medical system and the development of modern hospitals. Do the operation that others can't do!

Explore the diagnosis and treatment of colorectal cancer with Chinese characteristics

"As a large public hospital, the church grass -roots hospital for simple operations, vigorously developing and improving the difficult and complicated diseases, which I think is more meaningful. Especially for regional medical centers and large public institutions Surgery! "

As early as two or three decades ago, Dinkfeng asked for every doctor in the department to have its own sub -specialty direction. "In our center, there is no shortcomings. In the field of colorectal cancer, everyone is interested or needed to break through. In the direction, some people are doing it, especially in the comprehensive treatment of comprehensive, complicated, and metastatic colorectal cancer. "

With my country's economic development and the continuous extension of Chinese life span, there are more and more patients with elderly patients. More than 10 years ago, Dinkfeng successfully performed rectal cancer surgery for a 98 -year -old grandmother in Taizhou. Two years later, the centenarians also sent him a birthday wedding invitation card. In October last year, Ding Kefeng went to CCTV to do it. The program, one of his 95 -year -old postoperative old man, actively requested the on -mirror connection ... Thanks to the strong comprehensive strength of the Second Hospital of Zhejiang Medicine, and the team's careful and meticulous preparations, he used to be more than three 90 in a week. The old man performed surgery and continued to sum up experience after surgery to optimize the entire process, which greatly improved the safety factor. He frankly said: "The surgery of the elderly, I dare not think about it before. But the times are different. As a doctor, we must never give up for the elderly; their pursuit of life and the desire for a better life, we must fully maintain and support it to support and support ","

Patients with polyps of genetic family have always carried him. This is a problem that there is no overcome in the world. The polyps kept growing, and the doctor kept cutting until the cancer was cancer ... Some of his patients had only a teenager, and no adults had to carry urine bags. "There are many successful cases in our career. There are also some tangles. Many times, it is helpless and helpless, and it is these patients, which is the meaning of our scientific research. "He hopes that for such patients, in addition to destructive surgery, he can find out intervention methods and delay cancer changes. , Reduce the risk of cancer and make mothers no longer cry.

The combination of clinical and scientific research has always been one of the highlights and most important advantages of the diagnosis and treatment of colorectal cancer in the second hospital of Zhejiang Medical Medicine. The team has been responsible for the various scientific research tasks of the country and the major national research projects of colorectal cancer since the 1970s. As the deputy director of the Institute of Cancer Research and the National 13th Five -Year Special Scientist of Zhejiang University, Dinkfeng hosted and participated in a number of major national and provincial and ministerial major projects. In 2017, the 13th Five -Year State Research Project "Research on Colorectal Cancer Specialty" project was launched. We made more Chinese people's own voices, taking a new step in the era of precision medicine and big data.

Inheritance

Looking for early cancer screening plans suitable for Chinese people

Speaking of China's colorectal cancer prevention and control, since the 1970s, Zhejiang Medical Second Hospital has written a strong stroke for the history of Chinese cancer screening. At that time, Professor Zheng Shu led the team to eliminate all difficulties. In the high incidence and high mortality region of Haining and Jiashan, Zhejiang Haining and Jiashan, the first large -scale colorectal cancer screening was started, allowing the two places to colorectal cancer. The incidence and mortality have been greatly reduced.

Professor Zheng Shu is the teacher of Ding Kefeng. He recalled that in the early 1990s, when he did screening work in rural and grass -roots doctors every day, it was really hard. Hundreds of colonoscopy was done every day, and there was no place to take a bath. Here, from a little bit of the possible cause of the pathogenic, to the high -risk factor table through screening, to establish a research queue of tens of thousands of people, to continuously improve and optimize the screening method ... Due to their work, these two, these two, these two, these two, these two, these two, these two, these two, these two, these two, these two, these two, these two these two The incidence and mortality of colorectal cancer in region have decreased by about 30%. The screening plan has also been promoted to more than 20 provinces and more than 90 screening points across the country. Even due to their work, as an important government project, directly Promoting the transformation of local tap water, "Although it is hard, it is good to have a sense of accomplishment!" Through the in -depth investment and work of each project, he learned valuable work experience.

Nowadays, the incidence of colorectal cancer is still increasing at a rate of 3%to 5%per year. The screening plan of "whether feces are hidden blood+colonoscopy" have been recognized by everyone. However, Dinkfeng and team members found that the common people's compliance with this screening plan was not good. Even in Shanghai, this proportion did not exceed 40%. "If you want to improve the efficiency of bowel cancer testing, the colonoscopy detection rate of high-risk groups (40-74 years old) needs to be improved." He led 8 units across the country to complete the foresight clinical research of China's first tumor screening In November 2020, based on the above clinical study, the first domestic early screening product innovation was born in China, which was approved by the National Drug Administration (NMPA). Because the product is mainly designed for the genetic sites of Chinese people, it is called the most suitable screening plan for Chinese people. In 2020, he took the lead in completing the "Consensus Expert of Early Treatment of Early Intestinal Cancer Cancer" and conducted various forms of tour lectures across the country. On the other hand, considering the convenience of blood tests, he led the team to focus on research and development and The possibility of conducting early screening of colorectal cancer through the blood test. "In the future, if it can be used in clinical application, early screening and diagnosis methods will be richer and comprehensive, and the incidence and mortality of Chinese bowel cancer can form an inflection point and decrease."

The mortality rate of colorectal cancer in the United States has appeared in 2018, so when will China's inflection point be available? As the chairman of the Chinese Cancer Cancer Specialty Committee, Dinkfeng said that the treatment of colorectal cancer is currently a field that needs to be greatly improved in China. Highly high, not even an inflection point. This is a huge pressure and responsibility for scientific workers in our scientific workers who do colorectal cancer. " He is full of confidence in the future. "I personally think that the inflection point of colorectal cancer in China will definitely appear in the next 15 to 20 years. My goal is to hope that the incidence and mortality of colorectal cancer in China can be witnessed before the end of my career. I am willing to give my own efforts and dedication. "

On August 19, 2022, the fifth Chinese Physician's Day arrived as expected. The theme of this year's festival is "‘ medical ’heart and forge ahead!

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In order to further promote the implementation of the relevant work of health China, the Health China Action Promotion Committee has formulated the "Key Points for the Work of Healthy China 2022", and proposed that hospitals and medical workers as the main position and main army of medical care must play a good demonstration role -do it Go to "Healthy Chinese Medical Doctors". The Health China Action Promotion Committee, the National Health and Health Commission, the Ministry of Education, and the Ministry of Transport and other 13 departments jointly issued the "Notice on Carrying out the" Caring for Life Salvation "activity" and advocating the "Caring for Life Salvation" activity, speeding up to speed up Promote the high -quality development of the masses.

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As a result, under the guidance of the Office of the Health China Action Promotion Committee, the Medical News Agency and China Medical and Health Culture Association, China Medical and Health Development Foundation, China Health Promotion and Education Association, when the Fifth China Medical Day is coming, linkage North, Shang, Guang, Hangzhou-four cities subway, carry out the theme public welfare tour of the theme of "Healthy China and I Caring for Life 'Save".

8 special lines in the north, Guangzhou -Hangzhou 4 places have been launched! The train will be equipped with 22 academicians including Academician Zhong Nanshan/Master of Chinese Medicine/National Medical Medicine, 145 Hospital Management Experts, and 1,582 medical elites of 1,220 public welfare tour posters. Passengers "intimate contact"! At the same time, the general poster video will cover 13,000 TVs on the subway and platforms on the 1st, 5th, 5th, 8th, 13th and Batong lines in Beijing, and the platform will be played many times a day. It is expected that the number of viewing will exceed 100 million!

Wonderful video retrospective of public welfare tour exhibition:

Public Welfare Tour Exhibition Wonderful Articles Review:

Tribute to Chinese Physician's Day · Healthy China, you and me, Professor Cui Chaobo: Shuli He's heart, clinical, scientific research, and teaching must not be less

Tribute to Chinese Physician Day · Health China You and I.

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Edit: Jing Bing

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