90歲蔡老太太因為腸造口皮膚糜爛，每天換便袋、貼便袋時都痛到哀嚎，家屬不忍，向醫師求助。醫師評估患者身體狀況，決定幫她施做微創腹腔鏡手術，在腹部開 3個小傷口切除腫瘤，同時接通大、小腸、關閉腸造口，也就是人工肛門，讓患者重拾生活品質。
光田綜合醫院大腸直腸外科主任吳喬森指出，老太太的腸造口，也就是人工肛門，是因為升結腸有顆 4到 5公分的惡性腫瘤，造成無法排便，嚴重腹水，當時為了救命，外科醫師先幫她開了腸造口。老太太的兒子形容，母親每更換一次便袋就得忍受撕皮痛楚，腸造口四周都破皮。
吳喬森表示，隨著年齡增長，銀髮族身體機能逐漸退化，對藥物的承受能力較低，接受手術及麻醉風險也相對高，加上通常會伴隨慢性病及心肺功能退化、器官老化等，因此在選擇手術治療上的風險更難以掌握。
他說，台灣進入高齡社會，銀髮醫療越顯重要，另一方面高齡者常擔憂會連累家人而忍痛，通常就醫時可能都已經很嚴重，提醒照顧者要留意家中長輩有無異狀。
吳喬森指出，比起傳統剖腹手術，腹腔鏡手術只需在患者腹部打幾個小洞，經過腹腔鏡的放大效果及超高解析影像，可幫助外科醫師對病灶部位有更清楚的視野，腹腔鏡手術對患者的創傷小，術後復原更快、效果更好，對高齡者來說更為安全。
吳喬森建議，飲食不規律，嗜吃燒烤、油炸或醃漬類食物的民眾，慢性大腸發炎性疾病的患者，有大腸直腸癌或是大腸息肉家族史的民眾，為大腸癌好發族群，最好的預防方式就是定期接受大腸鏡檢查。
The 90-year-old Mrs. Cai’s wife was sore because of her skin in the intestines. When she changed her bag and put it on her bag every day, she was saddened. The family could not bear it and asked the doctor for help. The physician assessed the patient's physical condition and decided to help her with minima
長崎蛋糕lly invasive laparoscopic surgery. Three small wounds were removed from the abdomen to remove the tumor. At the same time, the large and small intestines were closed, and the intestinal stoma was closed, which is the artificial anus, allowing the patient to regain the quality of life. .
Wu Qiaosen, director of the colorectal and rectal surgery at Guangtian General Hospital, pointed out that the old woman's intestine stoma, which is the artificial anus, is because the ascending colon has a malignant tumor of 4 to 5 cm, which causes inability to defecate and severe ascites. At that time, in order to save lives, the surgeon first Help her open her mouth. The old lady’s son described that the mother had to endure the pain of tearing every time she changed her pocket, and the intestines were broken around.
Wu Qiaosen said that with the increase of age, the physical function of the silver-haired people is gradually degraded, the ability to withstand drugs is low, the risk of surgery and anesthesia is relatively high, and it is usually accompanied by chronic diseases, degeneration of cardiopulmonary function, organ aging, etc. The risk of surgical treatment is more difficult to grasp.
He said that when Taiwan enters a senior society, silver-haired medical care becomes more and more important. On the other hand, elderly people often worry that they will suffer from family problems. They may be very serious when they go to hospital, reminding caregivers to pay attention to whether there are any abnormalities in their elders.
Wu Qiaosen pointed out that compared with traditional laparotomy, laparoscopic surgery only needs to make a few small holes in the patient's abdomen. After laparoscopic enlargement and ultra-high resolution images, the surgeon can help the surgeon to have a clearer view of the lesion. Laparoscopy Surgery has less trauma to the patient, faster recovery and better results, and is safer for the elderly.
Wu Qiaosen suggested that people with irregular diet, people who eat barbecue, fried or pickled foods, patients with chronic large intestine inflammatory diseases, people with colorectal cancer or family history of colorectal polyps, are the best for colorectal cancer. The prevention method is to receive colonoscopy regularly.
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