Patient D. V. L (64 years old) was admitted to the hospital in a state of subtle abdominal pain accompanied by jaundice. Through clinical examination and in-depth tests, doctors discovered that the patient had two malignant diseases at the same time: bladder cancer and aortic tube cancer. Notably, before that, the patient had almost no specific symptoms.
Endoscopic images showed a bladder tumor about 2cm in size, located close to the left ureteral opening, with indications for early endoscopic tumor removal surgery to diagnose cytology and remove lesions. At the same time, the results of computed tomography recorded lesions in the bile duct area, posing a requirement for radical surgical intervention.
Faced with a complex medical condition, patients and their families cannot help but wonder when choosing a treatment facility. After being specifically consulted by experts at Viet Duc Friendship Hospital about the treatment plan and the possibility of performing laparoscopic surgery at the same time, the patient decided to be treated here.
After inter-specialized consultation, experts agreed to perform endoscopic surgery simultaneously in both cancer sites. This is considered a particularly complex case because simultaneous intervention in two different organs requires high professional qualifications and close coordination between many specialties.
The treatment team includes specialists in Urology, Hepatobiliary and Pancreatic Surgery, Imaging Diagnosis and Pathopathology. The patient was indicated for bladder tumor removal via retroscopic endoscopy and pancreatic tumor removal surgery by abdominal endoscopy.
According to Dr. Nguyen Thi Lan - Deputy Head of the Department of Hepatobiliary Surgery: "Pancreasectomy is one of the most complex surgeries in the abdominal cavity, especially when performed by endoscopy. The surgery time lasts about 6 hours, requiring smooth coordination and experience from surgeons.
Thanks to the coordination according to the teamwork model, unifying a treatment strategy suitable for the situation where two cancers must be treated simultaneously, the surgery was safe. After surgery, the patient recovered well, and could sit up and walk again after only 24 hours.
Experts believe that laparoscopic surgery is becoming a trend in modern surgical treatment, especially for complex cancer cases. This method helps reduce invasion, limit blood loss, reduce postoperative pain, shorten hospital stay and soon bring patients back to normal life.
From the case of simultaneously detecting two cancers almost coincidentally, doctors recommend that people maintain the habit of periodic health check-ups. Detecting the disease at an early stage not only helps increase the chances of successful treatment but also significantly reduces the burden of costs and treatment time.
