2024-01-22 23:35:00
Recently, doctors from the Department of General Surgery, Bai Chay Hospital successfully performed laparoscopic surgery to remove the entire left kidney, left ureter and part of the bladder for a 73-year-old male patient in Tan Yen district, Bac Giang province. Urothelial carcinoma side (T).
Accordingly, for nearly 1 year, patient TVX (73 years old) had intermittent hematuria, however 10 days before admission to the hospital, the patient had hematuria, bright red blood, no blood clots, continuously accompanied by Weight loss 10kg/month. His family took him to Bac Giang Provincial General Hospital for 3 days of treatment, then asked to be transferred to Bai Chay Hospital for further treatment.
Patients entering Bai Chay Hospital were examined, had paraclinical tests and were diagnosed with: left-sided urothelial carcinoma, diabetes, hypertension, cirrhosis, and pneumonia. Doctors from the Department of General Surgery conducted a consultation and prescribed laparoscopic surgery to remove the entire kidney (T), ureter (T) and part of the bladder.
After nearly 3 hours, the surgical team led by Doctor II Duong Xuan Hiep, Head of General Surgery Department – Bai Chay Hospital and the team performed laparoscopic surgery. nephrectomy (T), ureters (T) and part of the bladder successfully for the patient. One week following surgery, the patient’s health was stable.
Doctor II Duong Xuan Hiep, Head of General Surgery Department, Bai Chay Hospital said: For this patient, we chose laparoscopic surgery because the patient has many chronic diseases. If you have open surgery, the incision is very large, longer than 40 cm, which will cause difficulty in postoperative care. We placed 4 trocart holes, 2 trocart holes of 1cm size, 2 trocart holes of 5mm size, removed the entire kidney (T), ureter (T) and part of the bladder for the patient.
Doctor II Duong Xuan Hiep examines patients following surgery.
According to Doctor Duong Xuan Hiep, urothelial cancer is one of two common types of urothelial cancer: renal cell cancer and urothelial cancer. Cancer will metastasize and invade along the path of the urinary tract.
Common signs for patients to see a doctor are pain when urinating and hematuria. The probability of hematuria in urothelial carcinoma is regarding 75% to 95%. If there are these signs, the patient needs to go to a medical facility to be examined and tested to find the cause of urothelial cancer, infection, stones or other causes for advice and treatment. timely treatment.
Laparoscopic surgery to remove the kidney, ureter and part of the bladder in the treatment of kidney and urinary diseases is a difficult technique, requiring highly skilled expertise as well as modern equipment.
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