
63歲黃姓男子5年前發現十二指腸胃腸道基質瘤,嘉基團隊以進階內視鏡技術完整切除並縫合,追蹤4年無復發。
63歲黃姓男子5年前檢出十二指腸胃腸道基質瘤,嘉義基督教醫院醫療團隊以進階內視鏡技術完成全層切除與縫合,免除傳統大刀風險,術後4年無復發。
AI-generated summary
黃姓男子5年前檢查發現十二指腸約2公分胃腸道基質瘤,於2022年在嘉義基督教醫院接受內視鏡治療。
黃先生(右)手術後當天就可下床活動,經追蹤4年沒有復發。(嘉義基督教醫院提供)
〔記者王善嬿/嘉義報導〕63歲黃姓男子5年前檢查發現十二指腸有約2公分的胃腸道基質瘤,2022年在嘉義基督教醫院接受「十二指腸全層切除合併內視鏡縫合」,免除原需切除部分十二指腸、合併胰臟切除的大刀,病人術後就能下床活動,且經追蹤4年,至今無復發。
嘉基今(10)舉行記者會,黃姓男子現身分享心路歷程。嘉基內科部副部長周莒光說,十二指腸位置深、腸壁薄,且緊鄰胰臟及膽管開口,是消化道內視鏡治療公認最困難的區域之一。國際文獻顯示,即使只切除表淺病灶,十二指腸內視鏡黏膜下剝離術的術中穿孔率仍約1成5,若以傳統外科切除部分十二指腸,甚至牽涉胰臟切除,對病人身體負擔大,尤其腫瘤長在肌肉層,必須完整切穿腸壁才能取出腫瘤;切開後,還必須將整層腸壁確實關閉,否則可能造成嚴重併發症。
嘉基團隊此術用進階內視鏡技術完成高難度治療,透過內視鏡黏膜下剝離術、內視鏡全層切除術完整切除腫瘤,最後利用內視鏡縫合系統,從腸道內將全層腸壁缺口縫合,「剝離、全層切除,到完整縫合」在腸道內一氣呵成,相關成果已發表在國際期刊《Endoscopy》及《台灣醫學會雜誌》。
周莒光表示,「不只要切得掉,更重要是要縫得回去,且不復發」,部分過去必須透過外科手術處理的消化道腫瘤,未來在符合適應症與安全條件下,有機會改以內視鏡治療,減少身體傷口與手術負擔。
嘉基發布首例十二指腸全層切除合併內視鏡縫合,免除病人開大刀風險。(嘉義基督教醫院提供)
透過內視鏡縫線系統在腸道內進行縫合。(嘉義基督教醫院提供)

Changsha City held a press conference to announce the results of the construction of Healthy Changsha. In recent years, the number of medical institutions in the city has reached 6,635, and the average life expectancy has increased to 81.1 years. A "15-minute medical treatment circle" and a childcare service circle have been established, and the reform of public hospitals has been deepened and the first aid system has been improved.

The Ministry of Health and Welfare held a presentation conference on the results of the Optimizing Children's Medical Care Plan, and Tainan City Daan Maternity and Children's Hospital was awarded the "Seedling Growth Award". Only 5 hospitals in the country received this award. Five other hospitals in Tainan were commended for their outstanding performance in promoting the system of dedicated pediatricians.

The Qinghai Provincial Government press conference revealed that as of the end of 2025, Qinghai had a total of 6,544 primary medical and health institutions, and the proportion of primary medical care increased to 44.8%. 99.5% of primary medical institutions in the province meet national service capacity standards, and it is becoming the norm for farmers and herdsmen to not travel far for medical treatment.

On November 10, World Neuroendocrine Tumor Day, Chongqing University Cancer Hospital held science popularization and charity clinic activities. Experts pointed out that the disease is highly heterogeneous and easily misdiagnosed, and called on the public to improve scientific understanding and achieve early screening, early diagnosis and standardized diagnosis and treatment.

A new study from Mahidol University in Thailand points out that after transgender men used the hair-growing ingredient minoxidil for 12 weeks, the density of their beards and upper lip beards increased significantly. However, experts warn that it has not been approved by the FDA for use on the face and has potential side effects. You should consult a physician before use.

The Centers for Disease Control and Prevention announced that this year the pneumococcal vaccination completion rate for people over 65 years old has increased to 40.9%, and the cumulative number of invasive pneumococcal infection cases has dropped by about 20% compared with the same period last year. Although this year's 40% target has been reached, there are still about 2.9 million people who have not been fully vaccinated. We call on those who are eligible for public funding to get vaccinated as soon as possible.