口腔科和胃肠外科同台手术，共除病魔

80岁的高级工程师林老，口腔癌放疗后，并发下颌骨放射性骨坏死，腮部创口溃烂流脓不止。盛夏天气闷热，生理心理都倍受煎熬的他不得不在家人的搀扶下，来到了中山大学孙逸仙纪念医院口腔科治疗。口腔科主任陈伟良教授详细检查后，告诉他必须及早做骨坏死切除，再用邻近下颌骨进行修补。听了陈教授的建议后，林老即刻同意接受手术治疗。然后起身，离去……

看着林老缓缓离去的背影和蹒跚的步履，陈伟良教授马上叫住了患者，关切地问了一句，“你的肚子不舒服吗？”。“老毛病了，以前下面有个包块，时有时无，无疼痛感，但最近时不时觉得有点痛。”林老羞涩地指了指左侧大腿根部。陈教授给林老再做一次检查，发现大腿根部有一肿块，上端狭小，下端宽大，状似梨形。陈教授微微皱了皱眉头，立即拨通了胃肠外科陈双教授的电话。约10分钟左右，陈双教授来了。在了解病情后，检查证实了林老还患了腹股沟斜疝……

面对着眼前这位曾在战争年代经历过枪林弹雨的老同志——现被下颌骨放射性骨坏死和腹股沟斜疝这两个病魔折磨，口腔科主任陈伟良教授和胃肠外科陈双教授断然决定，优化和简化医疗流程，提高医疗效率，一次同台手术为病人解除病痛。

在手术室的无影灯下，两台手术同时进行，工作有条不紊。在两位教授完美的配合下，手术仅用了80分钟就告结束。同台手术不仅减轻了病人痛苦，还节省费用30%，缩短住院时间50%。

One-stage surgery resulted in two healings

Mr. Lin, an 80 years old senior engineer, had a mandibular osteonecrosis with ulceration and purulence at the region of his cheek as complication due to radiotherapy treatment given against his oral cancer.

After being traumatized both physiologically and psychologically, Mr. Lin was finally accompanied by his family to the Stomatology Department of the Sun Yat-Sen Memorial Hospital (SYSMH), Zhongshan University for treatment.

After careful examination, Prof. Wei Liang Chen, the director of the Stomatology Department advised Mr. Lin that the necrotic bone must be removed as soon as possible and have his mandible reconstructed. Mr. Lin accepted Prof. Chen’s treatment plan immediately.

However, Prof. Chen looked carefully back to Mr. Lin and to the way by which he was walking, and then asked Mr. Lin: “Have you ever felt any discomfort at your abdomen?”, then he replied: “That is my problem! I have been feeling this swelling here which sometimes appears and disappears. It wasn’t painful before, but now I am feeling a little pain these last days”.

Mr. Lin bashfully then pointed to his left groin region. Prof. Chen examined and found a pear-shaped lump, narrow at the top and wide at the bottom. Prof. Chen slightly squint his eyes and phoned Prof. Shuang Chen of the GI Surgery Department. Soon, Prof. Shuang Chen came and confirmed that Mr. Lin had indeed an indirect inguinal hernia.

This old fellow, who experienced a lot in his life and suffered a great deal with an unexpected osteonecrosis and an unnoticed hernia, will finally receive a proper treatment by Dr Wei Liang Chen and Dr. Shuang Chen. They agreed to proceed an one-stage surgery to release Mr. Lin longtime suffering and optimize the whole process as well as to improve the prognostic of the whole situation.

The perfect cooperation between two professors resulted in two surgeries done in 80 minutes. This one-stage surgery not only resolved the patient suffering but also saved 30% in financial costs and 50% in reducing days of stay in hospital.