Beijing Chaoyang Hospital General Surgery Center: Successful Laparoscopic Radical Resection for a 93-Year-Old

📊 Clinical Case Analysis
Beijing Chaoyang Hospital admitted a 93-year-old patient with locally advanced rectal cancer.
Ultra-elderly patients exhibit multi-organ decline, making traditional open surgery highly risky due to severe trauma.

⚖️ Multidisciplinary Strategic Decision
The geriatric MDT, led by Deputy Director Jiagang Han, comprehensively evaluated the patient's cardiopulmonary reserves.
Rejecting a palliative colostomy to preserve long-term quality of life, the panel reached a consensus for a curative R0 resection.
A tailored, laparoscopic-assisted radical resection was formulated to balance oncological clearance with minimal surgical stress.

🛠️ Precision Surgical Execution
Navigating a bulky tumor and a restricted pelvic space, the surgical team executed a precise Total Mesorectal Excision (TME).
They meticulously dissected along avascular planes, ensuring complete tumor clearance while preserving pelvic autonomic nerves.
Simultaneously, the anesthesiology team utilized Goal-Directed Fluid Therapy (GDFT) to manage the profound physiological shifts of pneumoperitoneum.
Flawless hemodynamic stability was maintained from induction to emergence.

🌟 Exceptional Prognosis & Recovery
Postoperative management fully integrated ERAS protocols, including multimodal analgesia and early ambulation.
The patient successfully walked on postoperative day 3, validating Beijing Chaoyang Hospital's expertise in geriatric oncology.