The patient, Ms. Wang (a pseudonym), experienced a sudden spike in blood pressure, dizziness, palpitations, and profuse sweating before the surgery. These symptoms, though not severe, made her initially believe they were just common hypertension and she didn't take them seriously. It wasn't until a routine physical examination that the doctor noticed something abnormal - she had a tumor in her adrenal gland, and it was highly suspected to be a pheochromocytoma. Although this type of tumor is mostly benign, it releases large amounts of hormones irregularly, causing blood pressure fluctuations and, in severe cases, potentially triggering cardiovascular and cerebrovascular problems. Surgical removal is the preferred treatment for a cure. 
However, Ms. Wang's condition was far more complicated than that of ordinary patients. Her blood type is Rh-negative, which is also known as "panda blood". This means that the blood supply is scarce and in case of severe bleeding during the operation, the consequences would be extremely serious. After assessment by the local hospital, it was deemed that the surgical risk was too high and they suggested that she be transferred to a higher-level hospital. After coming to our hospital for examination, the patient was diagnosed with pheochromocytoma. The urology team immediately coordinated with the anesthesiology department, cardiology department, neurology department, pulmonology department, and blood transfusion department to organize a multidisciplinary consultation. The core issue of the consultation was clear: How to remove the tumor from this "panda blood" patient while ensuring safety?

It is worth noting that Ms. Wang's symptoms of pheochromocytoma were not typical. Usually, patients with this condition would have their blood pressure rise sharply to above 200 mmHg, but her blood pressure fluctuated only between 140 and 150 mmHg. This atypical manifestation actually makes people less vigilant! 
After a detailed discussion, the team formulated a meticulous preoperative plan, including measures such as drug-induced blood pressure reduction, volume expansion, and fluid replacement. At the same time, due to the scarcity of Rh-negative blood sources, the blood transfusion department urgently coordinated with the blood bank and used O-type blood to replace Rh-negative blood through the process of washing red blood cells, preparing for compatible blood transfusion for the patient, thus ensuring the safety of blood supply for the surgery.

During the operation, Dr. Yu Jianyong, the director of the Urology Department, performed the minimally invasive laparoscopic surgery for the adrenal tumor of Ms. Wang. When the tumor was touched, the patient's blood pressure suddenly rose to 200 mmHg, and the situation was critical. The anesthesiologist quickly administered antihypertensive drugs to the patient. After the tumor was removed, pressor drugs were promptly injected to ensure the patient's blood pressure remained stable. With the close collaboration of the multidisciplinary team, through precise operations, the tumor was completely removed and the surgery was successfully completed. 
"I just kept waiting outside until the doctor came out and told me the surgery was a success. Only then did my heart finally relax completely!" The family members always felt moved whenever they recalled this.

After the surgery, the medical team closely monitored Ms. Wang's vital signs and adjusted the medication and care plan in real time according to her recovery progress. From wound care, dietary guidance, early activity rehabilitation to psychological counseling, every aspect was meticulous. The medical staff would also have a brief chat with her during the rounds to alleviate her anxiety. After the surgery, under the professional care of the medical staff, Ms. Wang did not experience any complications. Her blood pressure gradually returned to normal, and the symptoms that had repeatedly occurred, such as dizziness, palpitations, and profuse sweating, completely disappeared. "It was truly thanks to our medical staff who have been caring for and looking after me all along that I could recover so well," Ms. Wang said, holding the head nurse's hand and smiling.

Behind this highly challenging surgery, the concerted efforts of the medical team and the close cooperation of the multidisciplinary team are indispensable. From the thorough preparations before the operation, to the precise operations during the procedure, and to the meticulous care after the operation, this is the solemn commitment of our hospital to life with professionalism. Yantai Traditional Chinese Medicine Hospital will continue to uphold the development principle of "reputation and trustworthiness among the people", making the exquisite techniques take root in warmth and elevating rigorous medicine in care, and fully safeguarding the health and peace of the residents of the port city.