Patient P.T. D (95 years old, Thanh Oai, Hanoi) was admitted to the hospital in a state of abdominal pain, digestive disorders and prolonged difficulty with bowel movements.
Through examination and colonoscopy, doctors recorded: The tumor was infiltrated at the liver corner of the colon, almost occupying the entire circumference of the intestinal lumen, making it impossible to insert the endoscopic tube through the lesion. Diagnostic results determined: Stage III right colon cancer, the tumor has invaded the intestinal wall and has local lymph node metastasis but has not metastasized far away. This is a very difficult situation because of the very high age (95 years old), high risk of anesthesia-surgery complications. But if surgery is not performed, the disease will progress rapidly, seriously affecting the quality of life.
After a multi-specialized consultation, the doctors agreed to indicate endoscopic colectomy of the right colon accompanied by lymph node dissection.
In elderly patients, especially over 90 years old, anesthesia and resuscitation play a decisive role in the success of the surgery. Before surgery, the anesthesia and resuscitation team comprehensively assessed cardiovascular and respiratory functions, prepared carefully before surgery, closely monitored during surgery and actively resuscitated after surgery. The smooth coordination between surgeons and anesthesiologists has helped minimize the risk of complications and ensure safety for patients.
Assoc. Prof. Dr. Pham Van Binh - Deputy Professional Director, Head of Department of Gastrointestinal Surgery 1, K Hospital, who also directly performed the surgery for the 95-year-old patient, said: The patient's tumor located in the liver corner of the colon has an infiltrating nature and occupies almost the entire circumference of the colon, creating a significant challenge in access.
Putting endoscopic instruments in a necessary position not only requires skill but also technical adjustments to minimize damage and minimize risks for patients.
The surgical team needs the support of optimal endoscopic techniques and specialized equipment, coordinating smoothly and adapting quickly to all situations in actual surgery. Throughout the surgery process, there is no significant blood loss and little damage to the surrounding structure. Limiting invasion helps reduce postoperative pain and shorten recovery time compared to open surgery, which is especially positive for elderly patients.
After surgery, the patient received comprehensive post-operative care. The recovery process after surgery is taking place actively.
