"Please help me remove the tumor!" The 88-year-old uncle was determined. This operation made his wish come true.

Can I still have surgery when I am old? This is a problem that many patients and their families often encounter.

This year, during a physical examination, 88-year-old Uncle Lang was found to have a prostate-specific antigen (PSA) level in his tumor that reached 11.5ng/ml, nearly twice the normal value.

He had always been in good health, and his urination was smooth, with normal urine color and volume. How could he be related to a tumor? It happened that Uncle Lang saw a health science article about prostate tumors by Professor Zhang Dahong, Vice President of Zhejiang Provincial People's Hospital and leader of the Urology Department, in the Express, and he immediately came to Zhang Dahong's clinic.

This test is very "sensitive"

"Uncle, your prostate still needs further examination and treatment!" After performing a rectal examination on Uncle Lang and palpating a nodule on the right lobe of the prostate, Zhang Dahong came to a conclusion in his mind.

"Do we need to do a puncture? I heard there is a possibility of missed diagnosis?" Uncle Lang and his family were worried.

Zhang Dahong comforted Uncle Lang, saying, "Our hospital is the first in China to carry out prostate cancer imaging tests such as PSMA-PET/CT. It is very sensitive for detecting prostate tumors and is also a non-invasive test. Combining the results of PSA and rectal examination, we can accurately and comprehensively assess your condition."

The next day, Uncle Lang completed a PSMA-PET/CT examination, the results of which indicated that the tumor metabolism of the nodule in the right lobe of the prostate was increased, highly suggesting prostate cancer.

Please help me eradicate the tumor

The attending doctor immediately informed Uncle Lang and his family of the situation: "At your age, you can consider conservative treatment. Medication and injections can control the progression of the tumor for a certain period of time."

Uncle Lang was extremely confident: "Although I am not young, my physical condition has always been very good. I don't want to just receive conservative treatment. I hope that Director Zhang can eradicate my tumor and cure me completely!"

After a comprehensive evaluation by the Department of Cardiology and the Department of Anesthesiology, it was determined that Uncle Lang's physical functions were good in all aspects and the risk of surgery was low. With the careful cooperation of the medical team in the operating room, Zhang Dahong's team completed the da Vinci robot-assisted radical prostatectomy for Uncle Lang in just 1.5 hours.

With the help of the da Vinci robotic surgical system's three-dimensional high-definition magnified field of view, rotatable wrist surgical instruments and intuitive motion control system, Zhang Dahong adopted a full cold knife resection plan that retains important structures related to urinary control to avoid thermal damage to nerves and blood vessels during surgery. While achieving radical cure of the tumor, he tried his best to preserve the important nerves and blood vessels around Lang's prostate, thereby ensuring the postoperative urination function to the greatest extent and avoiding the occurrence of urinary incontinence.

The next morning after the operation, Uncle Lang was able to walk and resume his normal diet. Two weeks after the operation, Uncle Lang was completely free of diapers, had good urination control, and his quality of life was not affected at all.

At the same time, the pathology report showed that Uncle Lang had early-stage prostate cancer. Six weeks after the operation, the PSA index was already "0", indicating that the prostate tumor had been truly eradicated.

Prostate cancer is one of the most common tumors that threaten the health of middle-aged and elderly men. Early, non-invasive and dynamic detection of prostate cancer is of great significance for accurate clinical staging, prognosis and treatment.

Zhang Dahong said that traditional medicine, with the help of advanced diagnostic technology of modern medicine, can more quickly and accurately assess the patient's tumor condition. The da Vinci surgical system has opened a new era of surgery, truly achieving rapid and accurate tumor removal, which is conducive to the early recovery of patients.

Zhang Dahong emphasized that prostate tumors are not scary, and recommended that men over 50 years old undergo routine PSA screening during physical examinations to ensure early detection and treatment!

Orange Interactive reporter Lin Lin and correspondent Lin Yangqing