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¡¾1907¡¿Insurance or not

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    Du Haiwei turned to look at other doctors.

    The other doctors present nodded in agreement with Xie¡¯s opinion.

    In this case, there is no need to wait for the results of the colonoscopy, but to seize the time to complete the pre-operative discussion, and the operation can be performed as soon as the colonoscopy is completed.  For this reason, what we now want to discuss is the patient¡¯s surgical procedure.

    "The patient is older and has a child. He should not be too obsessed with fertility and can undergo total resection." Zuo Liang was the first to propose a tentative plan for surgery for everyone to discuss.

    Total resection for cervical cancer refers to radical hysterectomy, which involves complete removal of the uterus and appendages plus pelvic lymph node dissection and para-aortic lymph node sampling.  In this way, it is equivalent to abandoning the patient's reproductive function, and the harm to female patients can be imagined.

    When clinicians consider whether to perform total resection, as Dr. Zuo Liang said, they not only consider staging, but also first consider whether the patient needs to preserve fertility.  It should be said here that domestic surgeons are far more cautious than foreign surgeons.

    Many foreign surgical research documents believe that early-stage cancer does not require total resection, which will not affect the patient's survival. Pathological staging is more important, and surgery can try to preserve organs.  Breast-conserving and uterine-conserving surgery is of great significance to female patients with breast cancer and cervical cancer. Therefore, if you ask the patients themselves, they would definitely prefer to preserve the surgery as long as they have the opportunity.

    After this advanced surgical concept was introduced into the country, most doctors in the country actually did not like to perform such conservative surgeries except for taking the opportunity to publicize it.  .  Only a few top doctors at top hospitals are willing to take the risk.  The main reason is that organ-preserving surgery requires doctors to have higher technical skills, and it also requires the hospital to have a pathology department that can cooperate with precise surgical operations.

    Think about it, even if everything goes wrong, it may relapse very quickly.  Breast-conserving and uterine-conserving surgery will inevitably cause the disease to relapse faster. If you want to regret not doing all the surgery to save your life, I'm afraid it will be too late.  Domestic doctors are too afraid of patients and their families causing trouble after surgery.  Ordinary people only know that as long as it is a malignant tumor, if you want to save your life, doctors must cut out all the cancer cells.  As long as the patient relapses quickly after surgery, he or she will say that the doctor did not perform the surgery well.  Some family members and patients were dissatisfied with the complete resection because the doctor did not do it well, let alone only cut out a small part.

    It seems that no doctor would object to the surgical plan proposed by Dr. Zuo Liang.  Especially since everyone knows that this patient is afraid of making trouble, he can do as much surgery as possible without thinking too much to avoid endless troubles.

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

    Geng Yongzhe seemed to be thinking, tapping the pen in his hand on his notebook.

    Others were a little curious about his hesitation at this time.

    "Say your opinion." Seeing that he had become mute, Zuo Liang asked Xie to speak and hurry up.

    "I think this patient pays more attention to her physical condition on weekdays. She seeks medical treatment in the capital as soon as possible after learning about her condition. She tends to want to save her uterus." Xie Wanying said, "Her current stage is tentatively scheduled to be in  In stage ia, you can try cervical conization. If the pathological results are not good, it may indicate that you need to expand the surgery to stage ib, and you can do radical trachelectomy plus pelvic lymph node dissection and para-aortic lymph node sampling. "

    ¡°When Mr. Xie said these words, he was really focused on technology and didn¡¯t worry about whether the patient¡¯s family members would come and make trouble.  (Remember the website address: www.hlnovel.com
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