30厘米巨大肿瘤“占据”八旬老人腹腔！盐城市一院成功“拆弹”

Core Insights - The successful removal of a 30-centimeter tumor from an 82-year-old patient by the expert team at Yancheng First People's Hospital marks a significant breakthrough in the hospital's ability to manage complex cases in elderly patients [1][5]. Group 1: Patient Background and Initial Diagnosis - The patient, referred to as Grandma Tang, initially did not take her abdominal swelling seriously, believing it to be a digestive issue or natural weight gain [3]. - As symptoms worsened, including abdominal distension and difficulty breathing, local hospital examinations revealed a massive tumor in the abdominal cavity [3][5]. - Due to the patient's age and the tumor's size and proximity to vital blood vessels, local hospitals recommended transfer to a higher-level facility for surgery [3]. Group 2: Surgical Challenges and Multidisciplinary Approach - The tumor was found to occupy most of the abdominal cavity, causing displacement of the stomach and intestines, and leading to digestive obstruction [5][7]. - The surgical team faced significant challenges due to the patient's age, organ function decline, and the risks associated with anesthesia and surgery [5][7]. - A multidisciplinary consultation was initiated, involving various departments to create a comprehensive treatment plan aimed at ensuring surgical safety and improving outcomes [7]. Group 3: Surgical Procedure and Outcome - The surgery lasted two hours, during which the team successfully separated the tumor from surrounding tissues, preserving critical anatomical structures [7]. - The estimated blood loss during the procedure was approximately 50 milliliters, and the patient received careful postoperative care [7]. - Following the surgery, Grandma Tang had a good recovery and was discharged one week later, highlighting the effectiveness of the hospital's approach to complex cases in elderly patients [7]. Group 4: Implications for Elderly Surgical Care - The increasing number of elderly patients with complex diseases necessitates a rigorous, individualized preoperative assessment and perioperative management [7]. - Advances in surgical techniques, anesthesia management, and critical care have made it feasible to perform high-difficulty surgeries on elderly patients [7]. - The successful surgery exemplifies the hospital's commitment to addressing medical challenges and safeguarding patient health [7].