Special report of Wuhan Evening News on May 29, 3013 (Reporter Yu Le, correspondent Zhang Qiong Yuqian)
1. When the stomach meets endoscopy: currently it can only solve early and mid-stage gastric cancer
At present, laparoscopic surgery covers almost all operating departments. Among the municipal hospitals in Wuhan, the first hospital in Wuhan carried out laparoscopic gastric cancer surgery, and the number of operations currently ranks first.
Not only that, laparoscopic surgery is still invincible for gastric perforation, gastric stromal tumors, leiomyomas, etc., and has the potential to replace open surgery.
2. Anorectal Surgery: Without endoscopy, it is minimally invasive
But this does not mean that anorectal surgery is not minimally invasive. Jiang Jinxiang believes that endoscopy is not the only representative of minimally invasive surgery. As long as the trauma is small and the patient's pain is small, it belongs to the category of minimally invasive surgery, such as PPH surgery for hemorrhoids, band ligation, etc.
Anal fistula caused by perianal abscess is easy to recur and is a worldwide surgical problem. The usual surgical method is resection. Jiang Jinxiang said that in the past two years, a micro-innovative method has emerged to fill and treat fistulas.
During the operation, the necrotic tissues of the outer and inner mouths are cleaned, and then an acellular matrix is filled into the fistula to form a frame. When it grows and fills the fistula, the diseased fistula will heal.
The acellular matrix is derived from human skin and is a collagen supporting tissue that is non-antigenic and avoids rejection reactions after implantation in the human body. After the operation, the patient can be discharged from the hospital within a week, while the traditional operation requires a hospital stay of 1 month, the longest being 2 months. However, this minimally invasive surgery is very "picky" and is limited to patients with simple fistulas.