Myths of surgical oncology treatment

To date, radical surgery is still one of the main treatments to cure tumors, and the success of the first surgery is often closely related to the final outcome. Therefore, when you or your relatives are unfortunately suffering from tumor, how to choose the right time (timing of surgery), place (hospital), person (surgeon) and surgical method will become an important factor to determine the success or failure of treatment, and it is not too much to say that it will determine the final fate. However, in reality, I found that many people tend to have some misconceptions due to the limitations of professional knowledge. Here I will list and analyze them one by one, hoping that they will be beneficial and help you or your family to make a relatively reasonable choice. Misconception: I would like to be diagnosed with tumor today and have surgery tomorrow Although it is a bit exaggerated, there is no shortage of such anxious cases in real life. If you or your relatives are diagnosed with tumor, it is just like a bolt from the blue. The concern due to the affection and the fear and misunderstanding about tumor (such as tumor is growing rapidly every second, tumor growth will be accelerated after biopsy, etc.) will lead you to have extreme emotional fluctuation and the idea that the sooner the surgery is done, the better, and whoever admits you today and operates on you tomorrow is a life-saver. In reality, this impulse may lead to a wrong choice for both the doctor and the patient. I once heard of a regrettable incident: a relative of an internist was admitted to the surgery department of his own hospital with stomach cancer, and the family was very anxious. The patient’s treatment was ultimately very unsatisfactory, and the “success” of the surgery became irrelevant. As a result, the family regretted and the doctor regretted that the good intentions did not work out well! As a family member of a medical worker, let alone the common people, there are numerous examples of those who had surgery but could not be removed due to extensive metastasis or could not be removed due to technical level and could only close the incision, most of them are caused by anxiety! Clinically, according to the urgency of surgical operation, surgery is divided into three categories: one is emergency surgery, mainly for very urgent diseases that need immediate surgery to save life, such as traumatic spleen rupture, liver rupture, etc.; the second is deadline surgery, mainly for all kinds of malignant tumors, meaning that the surgery needs to be completed within a certain period of time and cannot be delayed indefinitely; the third is elective surgery, mainly for all kinds of benign diseases. The third is elective surgery, which is mainly for benign diseases. Therefore, unless the tumor is accompanied by serious comorbidities such as hemorrhage and intestinal obstruction that require emergency surgery, radical surgery for tumors can be performed at an elective stage after adequate evaluation of the patient’s general and tumor conditions, and generally no fundamental changes in the condition will occur because of 1-2 weeks of examination. The importance of adequate assessment lies in the following two points: 1. The assessment of the whole body condition helps to determine the patient’s ability to tolerate the surgery and to ensure the safety of the surgery to the maximum extent. These assessments include age, physical condition, combined medical diseases (the number of elderly patients is increasing, and cardiovascular diseases and diabetes mellitus are diseases that have a significant impact on the safety of surgery), etc. to avoid the embarrassing situation of “successful surgery but the patient dies”. The main purpose of preoperative evaluation of tumor is to carry out preoperative staging, and deciding treatment strategy according to preoperative staging is a very important concept in modern comprehensive tumor treatment. Some conditions may require chemotherapy or radiotherapy before surgery, some conditions may require strong technical level for combined organ resection, and some conditions may not be suitable for surgical treatment, and even the blow of surgery may promote the progression of tumor and shorten the survival time of patients. Remember not to let your mood affect the final treatment choice and the final treatment effect!