94-year-old cancer patient successfully accepting difficult surgery is no longer an obstacle

Release date: 2016-08-24

According to the "Labor" report, the largest documented pancreaticoduodenectomy in the domestic literature was successfully announced in Renji Hospital a beneficiary, a 94-year-old cancer elderly. In recent years, difficult medical surgery has repeatedly broken the age taboo in Shanghai. This phenomenon deserves attention. Experts pointed out that the overall health status of Shanghai senior citizens is showing a younger trend. Coupled with the help of precision medicine, age is no longer an obstacle to surgery, which will become the norm in the future.

94-year-old man is free to move after surgery

   In May of this year, 94-year-old Mr. Yang Lao suddenly had yellow skin and bad appetite, and there were symptoms of weight loss and fatigue.

In the Department of Biliary and Pancreatic Surgery of Renji Hospital, Dr. Sun Yongwei found that the head of the duodenum has a large-scale cancer of the broad bean, which has already affected part of the pancreas, common bile duct and gallbladder. If left unchecked, the life expectancy of the elderly may be only 3 months. However, if surgery, the tumor is located at the junction of the biliary tract, duodenum and pancreas, not only to remove multiple sites, but also to do three functional reconstructions, it is easy to occur anastomotic leakage or major bleeding, each type of leakage may be fatal.

After five hours of multi-disciplinary cooperation, the elderly successfully passed the barriers of anesthesia, infection and nutrition. Although he had undergone a major operation, he had a normal meal and talked a few days after the operation, and he quickly took a walk from the bed. Today, Mr. Yang will be officially discharged.

Nearly half of the major biliary tract surgery

"In the past, such an age to open a major surgery, I can't even think about it." Wang Jian, director of the Department of Biliary and Pancreatic Surgery at Renji Hospital, admitted that more than 10 years ago, if the patient over 80 years old had a successful operation, it would be a medical miracle. 90-year-olds generally advise them not to have surgery. In fact, at that time, elderly patients were generally less tolerant of large-scale surgery, and it was more common for patients to die from sudden cardiac arrest or major bleeding before the surgery.

In the last three years, the situation has changed significantly. According to the statistics of biliary and pancreatic surgery in Renji Hospital, more than 300 patients with biliary and pancreatic tumors have been cured each year, and more than 40% of them are over 65 years old. Among them, nearly 20 patients are successfully cured by surgery over 85 years old.

Last year, 47% of patients with biliary cancer surgery were over 70 years old, and 35% of those with successful pancreatic cancer surgery were over 70 years old.

Sun Yongwei said that a 90-year-old man with pancreatic cancer who was operated by him two years ago has been living like a normal old man for two years. Recently, he has undergone a second operation because of intestinal obstruction, and he has recovered very quickly. "It is normal for elderly people to do general gastrointestinal cancer surgery. It is a common trend to accept complicated and complicated biliary and pancreatic surgery," Wang Jian said.

90-year-old 60-year-old organ

This trend is a positive for Shanghai, a city that is gradually entering a deep-aged society. This means that more senior citizens will win a new life turn.

“As long as the postoperative management is in place, the elderly can recover quickly.” Wang Jian said that he observed an interesting phenomenon. The physical fitness of the elderly nowadays is obviously younger and younger, and their organ function and status are The past is very different, "90-year-old, 60-year-old organs, this is very common." He believes that the improvement of life expectancy, the popularity of health knowledge, and the improvement of exercise and medication levels have raised the health status of the elderly to a new level, which is an important reason to ensure that they can undergo major surgery.

Another reason is the promotion of precision medicine. Wang Jian believes that surgery is only a link, accurate to the assessment of organ tolerance and physical index before surgery, intraoperative anesthesia, postoperative infection control, and now every process is increasingly accurate, which ensures the scientific nature of surgery for the elderly And accuracy.

Source: "Labor"

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