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【1907】Guaranteed or not

Du Haiwei turned to see other doctors.

Other doctors present nodded in agreement with Xie’s opinions.

Since this is the case, there is no need to wait for the colonoscopy to come out before talking about it. Instead, we should hurry up and finish the preoperative discussion, and the operation can be performed immediately after the colonoscopy is completed. For this reason, we are going to discuss the patient's surgery.

"The patient is old and has a son, so he should not be too obsessed with fertility functions and can undergo a full resection." Zuo Liang took the lead in proposing a tentative plan for everyone to discuss.

The complete resection of cervical cancer refers to radical hysterectomy that removes the uterus and attachments, and then pelvic lymph node dissection and abdominal paraora lymph node sampling. In this way, it is equivalent to abandoning the patient's fertility function, and the harm to female patients can be imagined.

Clinicians consider whether to have a complete resection, just like what Dr. Zuo Liang said, not only considering staging, but first considering whether the patient needs to retain the fertility function. Here we should talk about domestic surgeons being far more cautious than foreign surgeons.

Many surgical research literature abroad believes that for early stage cancer, it does not require a complete resection, and will not affect the patient's survival. Pathological stage is more important, and surgery can try to retain organs. Breast-conserving uterine surgery is of great significance for female patients with breast cancer and cervical cancer. Therefore, if you ask the patient, the patient will definitely be more inclined to take care of him as long as he has the chance.

After this advanced surgical concept was introduced to China, most domestic doctors did not actually like to perform such conservative surgery except for taking the opportunity to engage in publicity. Only a few top doctors in top hospitals were willing to take risks. The main reason is that organ-saving surgery has higher technical requirements for doctors, and at the same time, it is required that the hospitals have a pathology department that can cooperate with precision surgical operations.

Think about it, even if the total cervical is fully removed, it may recur quickly. It is inevitable that the uterus will recur faster when doing breast-conserving insurance. At that time, I regret not having a full cervical discharge to save my life. Domestic doctors are too afraid that the patient and his family will make trouble later. People only know that as long as it is a malignant tumor to save their lives, the doctor must cut the cancer cells cleanly. As long as the patient recurs quickly after the operation, the doctor will not complete the operation. Some families and patients dislike the doctor for not cutting it properly, let alone cut a small part.

No doctor would object to the surgical plan proposed by Dr. Zuo Liang. Especially everyone knows that this patient is afraid of causing trouble. He doesn’t have to think too much, so he can cut more and avoid endless troubles.

"What do you think?" Du Haiwei asked another student, Geng.

Geng Yongzhe seemed to be thinking, and the pen in his hand was dotted on the notebook.

Others were a little surprised at what was going on with his hesitation at this time.

"You tell me your opinion." Seeing that he turned into a mute, Zuo Liang stopped and spoke, and he wanted to hurry up.

"I think this patient pays more attention to his physical condition on weekdays. After learning about his condition, he wants to find the capital to seek medical treatment. He tends to want to protect his uterus." Xie Wanying said, "Her current stage is tentatively in stage IA, and she can try a cervical cone. If the pathological results are not good, it may be that the IB stage needs to be expanded surgery, which can be performed radical cervicectomy plus pelvic lymph node dissection and abdominal paraora lymph node sampling."
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