Pre-operative pancreatic tumor consultation instructions

Pancreatic cancer is known in the industry as a stubborn bastion of the 21st century and is now recognized as the king of cancers. Due to its unique anatomical location, only about 20% of patients have a chance of surgical resection. For patients who are fortunate enough to have a chance of surgical resection, the following preparations are needed before preparing for the consultation: 1. imaging data: enhanced CT scan of the abdomen is recommended as a priority, especially the thin layer CT of the pancreas, which can clearly show the relationship between the tumor and the surrounding blood vessels; 2. tumor indicators: such as CA19-9, CA125, CEA, etc.; 3. recent medications: many medications have certain influence on the surgery For example, hypertensive patients taking oral antihypertensive drugs containing rifampicin are very sensitive to the cardiovascular inhibitory effect of anesthetics, and the drop of blood pressure and slowdown of heart rate can easily occur during the operation, so it is generally recommended to stop the drugs for about one week. Many patients are admitted to the hospital with all tests already completed, and after a history of taking reserpine is found, the drug needs to be stopped, thus delaying the surgery. Therefore, it is recommended that hypertensive patients using blood pressure lowering drugs containing reserpine go to the cardiology department to adjust their antihypertensive medication prior to their visit. Oral aspirin does not usually need to be discontinued, but patients preparing for major abdominal surgery such as pancreaticoduodenectomy or pancreatic tail resection need to explain this to their doctor. Many patients will take oral Chinese medicine on their own to regulate, not knowing that many Chinese medicines contain blood activating ingredients and have a certain impact on liver function, which also needs to be explained to the doctor. If you are taking some special drugs, you need to inform the doctor and prepare the drugs in advance because the cancer hospital is a specialized hospital and there are not all kinds of drugs. 4.Patients with previous history of abdominal surgery: Especially for patients with history of gastrointestinal surgery, they need to go to the local hospital to make copies of the surgery records, pathology reports, discharge summaries and other medical history information to help doctors judge. 5. Psychological preparation: Both the patients themselves and their families should communicate with each other and maintain good communication with the doctors. Be fully prepared and choose the best doctor to get the best treatment results!