Cancer patients were successfully operated on, why did they pass away soon after? The reason is worth pondering

It was obviously a "zero-risk" operation, but the patient died suddenly after the operation? Such things actually happened.

01. Passed away after undergoing "zero-risk" surgery before school started

Yang Chaoyu, a 26-year-old doctoral student, rushed back to his hometown in Shanxi from Xi'an, planning to have chronic rhinitis surgery before school started. Previously, Yang Chaoyu had an examination at the Shaanxi Provincial People's Hospital and was diagnosed with a deviated nasal septum. But because I had no time, I postponed the operation.

Due to the rush of the schedule, Yang Chaoyu's father took Yang Chaoyu to Jinzhong Second People's Hospital the next day after returning home. After examination, Yang Chaoyu had a deviated nasal septum and chronic rhinitis, and needed surgery.

Judging from the hospital's surgical risk assessment form, this is only a minor operation with an NNIS grade of 0 . All preoperative examinations were normal, and there were no obvious surgical contraindications. After the examination, Yang Chaoyu went home and did not return to the hospital until the day of the operation.

The operation was quick and was completed in less than half an hour. Yang Chaoyu's father recalled that after the operation, his son was in good condition.

However, in the early morning of the first day after the operation, Yang Chaoyu had symptoms of weakness and difficulty breathing. After reporting to the doctor, the doctor said that it might be because he did not eat after the operation, which made his body weaker. Then he arranged for a nurse to give Yang Chaoyu an injection. out of glucose.

Unexpectedly, a few hours later, Yang Chaoyu's condition became more serious, and the hospital issued a critical illness notice. In the end, Yang Chaoyu died of hypokalemia .

02. Major first, I planned to get married next year

A "zero-risk" minor operation took away his son's life, and Yang Chaoyu's father could not accept it anyway. Yang Chaoyu's grandmother also fell ill after learning the news of her grandson's death.

In 1992, Yang Chaoyu was born in Nanzheng Township, Pingyao, Shanxi. When I was young, my parents worked outside, so I lived with my grandmother in my hometown. In elementary school, junior high school, and high school, Yang Chaoyu's grades were mediocre, and he only got into a second-tier college in college.

After going to college, Yang Chaoyu seemed to be a different person. He studied hard. After graduation, he was the first in his major and was admitted to the master’s degree of the Institute of Chinese Thought and Culture of Northwest University . Later , he was admitted to the Northwest University Ph.D. from the University's Institute of Chinese Thought and Culture.

At the reading club, Yang Chaoyu met Han Yiwei. Because of the same hobbies, the two soon got together and planned to get married. Yang Chaoyu has always wanted to reduce the burden on his family, but he did not want to give up his studies.

Under the introduction of a friend, Yang Chaoyu started to write novels on the website, with 3 million code words a year, earning 130,000 yuan.

It was such a young man who worked hard and had a bright future, but died of a minor operation, and the ending was embarrassing.

1. Does "zero risk" surgery really exist?

In this regard, many doctors said that "zero risk" surgery is completely nonsense.

First of all, let's understand what is NNIS.

In the international medical quality index system, according to the Surgical Risk Grading Standard (NNIS) in the US "Hospital Infection Surveillance Manual", surgery can be divided into the following four grades, namely: NNIS0, NNIS1, NNIS2 and NNIS3.

The grading standard is based on the degree of cleanliness of the surgical incision, the grading of anesthesia and the duration of the operation . In the case of Yang Chaoyu, his surgical risk assessment showed NNIS level 0, which is "zero risk" as reported by the media.

However, Wang Hua, a Shanghai urologist, said that surgical risk assessment and postoperative complications are not the same thing. Even if the risk of the operation is low and the process is smooth, it does not mean that there will be no complications after the operation, leading to accidents.

Therefore, the media actually misunderstood the meaning of NNIS level 0. What it really means is " the risk of postoperative incision infection is low ", that is to say, it does not mean "zero risk".

According to the analysis of more than 10,000 surgical patients by Shihezi University School of Medicine in China, the incidence of postoperative infection in NNIS grade 0 patients is 1.77%.

2. Why do some patients pass away after a successful operation?

Therefore, there are risks before and after the operation, and sometimes even if the operation is successful, many patients die soon after.

A netizen once shared the story of two relatives who were close to him who clearly had a successful operation but still passed away shortly after the operation.

Why is it that the cancer operation is successful, but the person dies soon? First of all, the success of cancer surgery depends on 3 points.

First, whether to remove the complete primary tumor . Taking breast cancer as an example, the tumor cannot be removed in pieces, otherwise it may cause detachment and cause the cancer to spread.

Second, whether to remove lymph nodes . Lymph nodes are one of the important ways for breast cancer, gastric cancer and other cancers to metastasize. Therefore, in addition to resecting the primary tumor, nearby lymph nodes should also be removed to reduce the risk of cancer metastasis.

Third, whether the margins are negative and there is a sufficient distance between the margins . Cancer cells are not static and may be lurking at the margins. It may lead to unclean tumor resection and accelerated recurrence.

In addition, even if the cancer clinical operation is successful, it does not mean that the cancer is cured. Because the physical condition of cancer patients is poor and the body's immunity is low, even if the tumor in the body has been removed, the possibility of other cells being diseased cannot be ruled out .

In addition, the chance of infection in cancer surgery is relatively high, and infection may occur during and after surgery, leading to aggravation of the condition. Therefore, even if the operation is successful, it does not mean that the cure is successful, and there is still the possibility of recurrence.

3. Diet is the key to recovery after cancer surgery

Huang Rui, a professor of colorectal tumor surgery at the Second Affiliated Hospital of Harbin Medical University, said that some patients died soon after surgery. One of the important factors is whether the postoperative recovery is scientific and how much attention is paid to it. Diet is the key step.

So, for patients, how to eat after surgery to recover faster and better?

1. A few days after surgery

For 3-4 days after the operation, fasting is generally required, and nutrients are infused intravenously. If your mouth feels dry, moisten a cotton swab and apply to your lips to avoid dehydration. You can also eat some liquid food, such as rice soup, vegetable juice, etc., but don't eat too much at one time, and eat in 6-8 times a day.

2. One week after surgery

One week after the operation, you can eat small amounts of easy-to-digest foods, such as noodles, boiled eggs, and minced meat. You should still eat small meals frequently. If you feel unwell after eating, please report to the doctor in time.

3. Two weeks after surgery

Two weeks after the operation, the diet can return to normal, but don't eat and drink all at once, but transition slowly. The daily diet should be based on easy-to-digest foods, and you should closely observe your digestion after meals.

4. Recovery period

Nutrition during the recovery period is very important. You should master scientific dietary principles.

Finally, I would like to remind you that postoperative taboos are very important and play a key role in the recovery of wounds and illnesses. It is recommended to avoid eating spicy, greasy, cold, and hard food after the operation, and to quit smoking and alcohol, and avoid overeating.

Eat more low-fat, low-cholesterol, high-quality protein-rich foods , and fresh vegetables and fruits can also be eaten in moderation. Excessive eating after surgery must be done step by step, and it is not advisable to act too hastily, so as not to backfire and affect physical recovery.

Therefore, any surgery is risky. For us, to reduce the risk of surgery, we must follow the doctor's guidance, do a good job of pre-operative and post-operative preparation and nursing, and be responsible for our own body and life!

References

[1] "The 26-year-old doctor passed away after surgery. He once wrote online novels and earned 130,000 yuan. He plans to get married next year." Red Star News. 2019-09-05

[2] "The 27-year-old doctor died 8 hours after the operation. Is there any risk in nasal septum deviation surgery?" ". Tencent Medical Code. 2019-09-04

[3] "Cancer surgery is successful, does it mean that the cancer is completely cured?" Don’t be too happy yet.” Family Doctor Online. 2018-01-20

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