Bowel cancer surgery does not need to “open up”, the first successful use of colonoscopy to peel off bowel cancer in Zhejiang Medical Second Hospital. Morning Post – In case of unfortunate colorectal cancer, the most direct treatment method is to remove the cancerous intestinal segment and then join the two remaining healthy segments of the large intestine. The reporter learned from the Department of Gastroenterology of Zhejiang Medical Second Hospital that mucosal dissection is not only non-invasive but also very effective in removing early colorectal cancer under colonoscopy. Recently, Lao Qian from Xiaoshan was successfully removed from intestinal cancer through this method, becoming the first beneficiary of non-invasive removal of colorectal cancer by colonoscopic peeling in the province. Three days after the operation, he was able to eat and move. “If I cut open my stomach and cut my intestines, I guess I would still be lying in the ICU now. Now I can eat and move again, just like I never had the surgery.” The day before yesterday, Lao Qian came to the Department of Gastroenterology of Zhejiang Medical Second Hospital for a review, and it was hard to imagine that he was a patient with intestinal cancer three days ago. Old Qian, 56 years old, often feels abdominal pain, and his condition worsened last week with more than diarrhea. When he went to a local hospital in Xiaoshan for a checkup, doctors found a tumor of nearly 4 cm at the junction of his rectum and sigmoid colon. Subsequently, Mr. Qian was transferred to the Department of Gastroenterology of Zhejiang Medical Second Hospital. Pan Wensheng, chief physician of the Department of Gastroenterology of Zhejiang Medical Second Hospital, introduced that Lao Qian’s tumor was flat and occupied half of the intestinal lumen. Although most of them are benign, there is a cancer in the middle part, which belongs to early colorectal cancer. Old Qian’s flat tumor is rare and the old method of surgery is not helpful. Old Qian could only choose to remove the tumor intestinal segment. However, considering the old age of the old man, it was difficult for the doctors to control the postoperative complications as well as the physical stamina. The flat stomach tumor is also flat, similar to the tumor of Old Qian. Only the area of flat stomach tumor is smaller.” Pan Wensheng had done more than 20 cases of mucosal resection of flat gastric tumors, and when everyone was worried about the surgery of old money, he suddenly thought of borrowing mucosal peeling to remove the large intestine tumor of old money. Pan Wensheng told the reporter that the mucosal peeling surgery is usually performed by applying medicine to the place where the tumor grows in the large intestine, so that the mucosa rises up, and then using a 2mm electric knife on the colonoscope to carefully cut off the whole layer of the tumor from the edge along the lower layer of the mucosa. He said that the wall of large intestine is like wearing 5 layers of clothes, and the surgery is to peel off the clothes layer by layer, peeling off two layers and leaving three layers. On November 25, with the patient’s consent, Pan Wensheng and his team used this method to successfully peel off and remove Lao Qian’s tumor. The surgery took place right in the outpatient clinic and lasted for a total of 3 and a half hours. ”During the operation, I was able to go to the bathroom to urinate by myself, and after I was done I walked off the operating table by myself and went home the next day.” Old Qian was happy to say that the operation not only did not require an incision or hospitalization, but also did not require any anesthetic or pain during the operation, and only cost 4,000 to 5,000 yuan in total. The peeling method to remove intestinal cancer will become a trend, but old money this surgery did not save doctors’ efforts. Because it is the first time to try a new method, if the surgery is not successful, the patient is likely to perforate the digestive tract and die of shock due to haemorrhage. Before operating on Lao Qian, Pan Wensheng carefully judged the location of his cancerous tumor and carefully studied the removal method. He also asked the surgeon to prepare both hands. If the colonoscopic resection was not successful, the patient would have to undergo surgical resection of the intestinal segment immediately. Fortunately, the high medical technology made the operation alarming and the whole process was very successful. At present, all of Lao Qian’s cancerous cells have been removed, and he can live freely as a normal person again in the future. Pan Wensheng introduced that at present, mucosal dissection to remove early colorectal cancer is the first case in the province. It has the same effect as surgical resection of intestinal segments, and also has the advantages of non-invasive, less complications, less recurrence and low cost. This method is especially suitable for frail patients and elderly patients, and saves the pain of trauma of surgery, which is the trend of treating colorectal cancer in the future.