Mr. Deng Fibrosarcoma from Jiangmen City

he 44 year-old Mr. Deng from Jiangmen City has a hard lump on his right frontal for a collision in his youth. For more than 20 years, the lump has become bigger and bigger from the size of a pimple. Though having surgery twice, the lump developed as an anchor-sized giant tumor eventually. Mr. Deng yesterday morning accepted surgery at Guangzhou Fuda Cancer Hospital, and the resected tumor weighed 3.08 kilogram.

1 Patient from tense state to steady state

In the morning of August 3, Mr. Deng got up and washed up early. What awaited him was a surgery that would change his fate. 

Half past eight, Mr. Deng’s door was open. He smiled lightly at media reporters waited for a long time outside in a wheelchair. Pushed by nurse, he was into operation room in front of reporters.

After entering operation room, Mr. Deng was nervous apparently. His eyes couldn’t stop blinking, and the detector showed his heartbeat was fast. Prof. Zeng Zongyuan smiled and said, “Relax, everything will be fine after a sleep.” Mr. Deng was into steady state gradually under anesthesia.

 

Half past nine, the surgery started formally. Headed by Prof. Zeng Zongyuan, honorary president of Fuda Cancer Hospital, leading expert of Head & Neck Cancer Center, a team consisted of attending physician Xu Jiongyuan, resident Liu Shupeng and anesthetist Fang Gang started to remove the fibrosarcoma on Mr. Deng’s head.

2 Reveal difficult points of the surgery

For Mr. Deng’s tumor was giant and spread into muscles, it’s difficult to operate. Problems included postoperative large wound, recurrence prevention and massive bleeding. Before surgery, the tumor of patient’s head suddenly bled. Prof. Zeng immediately stopped bleeding and kept the wound clean for him. In order to prevent rebleeding, doctors kept patient lying on his side.

 

Zeng Zongyuan explained, “The greatest difficulty of this surgery is that the tumor was on head. There are more than 10 great vessels around the tumor, which is easy to cause massive bleeding. Therefore, doctors must be very discreet and try to reduce bleeding during the surgery.”

 

At 9:35 am, doctors started remove the tumor. At first, medical staff in the operation room disinfected patient’s right frontal. Then, Prof. Zeng Zongyuan conducted continuous suture of sculpt skin on the margin to the tumor about one centimeter, which aimed to make a circum to stop most vascular in the sculp. Then doctor cut sculpt skin to the edge of tumor about 0.5cm, and used hemoclip and high frequency electrocoagulator to stop bleeding once confronted with bleeding.

 

Medical staff on and off the operating plat cooperated very well. Anesthetist watched the screen and observed patient’s vital signs. Blood and liquid were supplemented in time for keeping patient’s condition stable. The surgery was performed in good order.

 

At 10:40 am, Prof. Zeng succeeded in removing the biggest tumor of patient’s head. Nurse used stainless steel basin to catch at once.

So far, Prof. Zeng has never slackened his effort. He continued to remove the rest cancerous tissues adhered in patient’s frontal and skin. During resection, he used hemoclip to stop bleeding when confronted with more bleeding. It could be said that Prof. Zeng was resecting the tumor as stoping bleeding during the surgery.

 

After whole layer suturing the rest of scalp skin and subcutaneous tissues, there was still a 6*6 centimeter wide scalp skin tissues lost. Therefore, Prof. Zeng decided to take a skin from patient’s right chest for suture right away.

 

At 1 pm, skin grafting was finished successfully. And doctors conducted pressure dressing.

 

Five-hour operation was plain sailing. The surgical team headed by Prof. Zeng Zongyuan succeeded in removing the complete tumor, and the amount of bleeding during surgery was just 200ml.

 

After surgery, Prof. Zeng Zongyuan took steel basin and trotted over to the door of operation room at once. He told anxious patient’s family, “The surgery is very successful. Mr. Deng’s tumor has been removed. You can relax.” Hanging hearts of Mr. Deng’s family could finally smooth down, they repeated “thank you” to Prof. Zeng excited.