健康 · 教皇康复持续报道 · 第 4 篇，共 4 篇

教皇良离开医院，但癌症相关问题仍未解决

肺部手术后，医生同意教皇回梵蒂冈康复。癌症分期、进一步治疗以及是否批准他完成11月的全部行程，仍未确定。

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持续报道第 14 天

4 篇报道91 家媒体245 个来源110 个视频

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  1. 第 1 次更新教皇利奥十四世同意接受肺结节手术；康复时间表仍不明确
  2. 第 2 次更新教宗良十四世入院接受肺部手术，诊断结果仍待确认
  3. 第 3 次更新教皇利奥十四世早期康复进展令人鼓舞，但他的癌症评估尚未完成。
  4. 第 4 次更新教皇良离开医院，但癌症相关问题仍未解决当前位置

自上次报道以来的变化

3 天后

当时

教皇利奥十四世早期康复进展令人鼓舞，但他的癌症评估尚未完成。

我们当时说尚无定论的问题

  1. 这次更新未能确定手术是否完成及其结果、组织检查结果、实际康复时间表，以及他是否适合11月出行。

    尚无定论

    手术已完成，没有报告并发症；手术中检查的组织确认了腺癌。更全面的评估、个人康复时间表以及是否批准11月行程，仍未确定。 2002354

  2. 最终分期、淋巴结是否受累、显微镜下切缘情况、追加治疗、出院时间以及是否适合11月行程，均仍未确定。

    尚无定论

    良十四世于10月17日出院，出院时间已确定。癌症最终分期、淋巴结和切缘检查结果、追加治疗，以及是否获准完成全部行程，均尚未公布。 22674

  3. 医生公告，以及此后的诊断结果和康复进展，将决定公开日程之外还会有哪些变化。

    尚无定论

    医生评估后同意他出院，在医院外继续康复。全面恢复职责的时间表以及任何进一步的诊断结果，仍未得到确认。 2263

  4. 关注完整的癌症评估和针对个人的医疗建议，同时留意截至10月20日的活动取消时段结束后日程安排的更新。

    尚无定论

    完整的癌症评估和针对个人的医疗建议仍有待公布。无论是截至10月20日的活动取消时段，还是外科医生对出行的乐观判断，都不能证明他可以不受限制地恢复活动。 7235

现在

肺部手术后，医生同意教皇回梵蒂冈康复。癌症分期、进一步治疗以及是否批准他完成11月的全部行程，仍未确定。

教皇良十四世的身体状况已好到可以出院。但这并不意味着人们已经知道他的癌症扩散到什么程度，也不代表他能否应付日程表上等待着的一切。

这位71岁的教皇于10月17日星期六返回梵蒂冈，距离手术切除其右肺整个下叶已过去4天。医生查看了最新血液检测、胸部X光片和他的临床状况后，认为他符合出院条件。癌症最终分期、是否可能扩散以及是否需要进一步治疗，目前仍未公开确定。226 7 1

据EWTN的离院报道，良十四世于当地时间下午3:30刚过离开罗马杰梅利医院。他说自己感觉好多了。他回家是继梵蒂冈称手术成功且没有并发症后，一个实实在在的进展；但这意味着他将在医院外继续康复，而不是宣告康复已经完成。232 239 8

在10月15日的播报中，我们报道了手术完成、肺腺癌确诊以及他开始康复训练的情况。如今的变化是他实际出院了。这解决了他何时离开医院的问题，也取代了他可能住院至10月20日的早前预期：他比这一预测早了3个日历日出院。但癌症治疗和11月出行是另外两个问题，仍未得到解决。13 1

根据今天上午进行的血液检测和胸部X光检查，并在评估其临床状况后，教宗被认为符合出院条件。

路易吉·卡博内医生和斯特凡诺·马尔加里托拉教授 226

10月17日声明的措辞很重要。良十四世的私人医生卡博内，以及领导手术团队的外科医生马尔加里托拉，同意他离开医院。但他们在该声明中并未批准他不受限制地工作、参加所有公开活动或完成整个国际行程。226

关于住院天数的报道采用了不同算法：BBC新闻称手术后4天出院，NPR和美联社则称住院5天或在第5个住院日出院。可以确定的日期是10月13日手术、10月17日出院——经过了4天，跨越5个日历日期。这些说法并不代表出院日期不同。1 7 4

康复情况不是癌症结论

出院前，良十四世已能在病房内行走、正常饮食，并继续进行呼吸理疗。医生称他能够独立完成日常活动。此前的术后血液检测和胸部X光曾被描述为正常；后续检查显示情况持续好转，手术肺叶恢复良好。这些都是术后恢复过程令人鼓舞的发现，但并未确定癌症的扩散程度。13 6 8

10月16日，术后发布的首批照片显示他在杰梅利医院主持弥撒。医生、护士和梵蒂冈宪兵在场，地点是医院10楼的一间病房。他还探望了正在接受癌症治疗的儿童；孩子们送给他图画和信件，其中一名孩子表达了希望他们都能康复的心愿。这些互动显示，教皇在康复期间仍有活动，并与他人保持联系，但并未回答仍待解决的临床问题。8 242 6

手术采用了视频辅助技术。圣座10月13日的公告称，手术中检查的组织确认了肺腺癌，正如术前检测所怀疑的那样。公告明确指出，切除的是右肺下叶，而非按肺部数量计算的三分之一。约90分钟的手术时间与手术室内约3小时的时间指的是不同时间段，并非出现并发症的证据。200 7

手术公告称，手术目的是确保采取「根治性手术」。这表达了彻底切除癌症的努力；但仅凭这一点，无法证明显微镜下切缘清晰、淋巴结未受累，或癌症没有扩散到其他部位。待出炉的组织检查结果也不会推翻手术中已经确认的诊断。确认癌症类型与完成更全面的评估是不同步骤。200 4

接受美国全国公共广播电台（NPR）采访的外部肺科医生维恩·古普塔（Vin Gupta）认为，团队首先采取手术治疗，可能说明他们认为良十四世的病情处于早期阶段。这仍是外部人士的解读，并非主治医生确定的分期。目前尚未宣布进一步治疗方案，这意味着相关决定尚未公开，并不意味着已排除追加治疗的可能。7

康复也没有固定期限。梵蒂冈发言人马泰奥·布鲁尼此前估计，术后康复约需一周；马尔加里托拉之后估计，还要大约10天才能完全康复。这些估计是在不同背景下作出的，均未承诺何时恢复不受限制的职责。一名外部医生提出分期可能需要数周，同样不是良十四世医疗团队给出的期限。7 235 9

日程表不等于医疗许可

良十四世的公开活动和约见已取消至至少10月20日。这个日期是已公布的取消时段的终点，并不意味着他届时一定恢复全部工作量。他在住院期间继续工作；公开日程减少，也不能证明他停止执政或移交了教皇权力。7 244

已宣布他将于10月18日罗马时间中午在周日《三钟经》祈祷活动中短暂露面。报道对露面地点的预期不同：WRAL在10月17日的报道提到医院的窗户；美联社当天稍晚的报道则提到宗座宫的窗户。他已确认返回梵蒂冈，这支持了较晚公布的宗座宫安排，也取代了医院露面的预测。但两篇报道都不能证实露面实际发生了。6 4 227

截至本报道10月18日10:16 UTC的截稿时间，原定的罗马时间中午（10:00 UTC）已经过去，但活动是否举行以及实际地点仍未得到证实。这一时间差并不能证明活动取消；它提醒我们，不应把一项宣布说成已经发生且亲眼观察到的事件。3 4

更大的考验是11月6日至17日对乌拉圭、阿根廷和秘鲁的访问。已公布的行程仍在日程表上；据ABC新闻报道，此行包括10座城市。出发时间距离手术将有24天。据报道，良十四世不愿推迟行程，但行程已排定、本人也希望出行，都不等于获得医疗许可。234 11 1

据NBC新闻10月14日报道，秘鲁总统曾警告，康复所需时间可能比预期长数周，或会影响此次访问。这是她的理解，并非良十四世主治团队公布的预后；也没有证据表明圣座对此予以认可。马尔加里托拉之后给出了更乐观的临床预期，称手术属于常规手术。17 18 235

谈及这次行程时，外科医生对梵蒂冈新闻网说：「我认为，没有临床理由阻止这次访问成行。」这份乐观应与其中的限定条件一同理解。他的评估具有参考价值，但尚未宣布是否最终批准完整行程。235 4

出院为这段病程画上了一个重要篇章的句号。接下来的决定需要不同证据：完整的癌症评估、任何治疗建议，以及针对个人活动强度和旅行的意见。日程表显示良十四世希望做什么；出院只能确定他可以在哪里康复，尚未说明他能承担多少事务。

播出原貌 23 行
  1. On October 15 we reported Pope Leo’s surgery and rehabilitation. He’s now returned from hospital. Doctors discharged the 71-year-old on October 17, four days after surgeons removed a cancerous lung lobe.
  2. His doctors describe steady improvement, while the full cancer assessment is still unfinished. How far does that recovery take him toward public duties and his planned South America journey?
  3. Leo left Gemelli shortly after three thirty Saturday afternoon and returned to the Vatican. He said he felt much better. His departure came three calendar days before an earlier forecast that he might stay until October 20.
  4. The operation took place October 13. Discharge followed October 17. That’s four elapsed days across five calendar dates, which explains descriptions of a four-day recovery interval or departure on his fifth hospital day.
  5. Doctors reviewed fresh blood tests, a chest X-ray and Leo’s overall condition before allowing him home. His personal physician, Luigi Carbone, and lead surgeon, Stefano Margaritora, signed the assessment. Their decision allows his recovery to continue outside hospital.
  6. Earlier blood tests and a chest X-ray had been described as normal after surgery. Later checks showed steady improvement, and imaging showed good recovery of the operated lung. Those encouraging findings describe his recovery from the operation. The fuller cancer assessment will guide what comes next.
  7. Surgeons removed the whole lower lobe of Leo’s right lung using a video-assisted technique. Tissue examined during the operation confirmed adenocarcinoma, a form of lung cancer. Tests before surgery had already raised suspicion.
  8. The lower lobe is the precise anatomical description of what surgeons removed. The Vatican described the operation as successful, completed as planned and without complications. Leo woke normally afterward and returned to his room.
  9. The operation lasted about ninety minutes. Leo spent about three hours in the operating theatre altogether. Those figures measure different intervals, so both can describe the same uncomplicated operation.
  10. Doctors found the growth during routine checks, with no symptoms reported. Leo had described it as small and well contained. Outside pulmonologist Vin Gupta suggested that choosing surgery first might mean the treating team thought the cancer was at an early stage. That remains his interpretation.
  11. Leo’s doctors haven’t announced a final cancer stage or whether it has spread. They also haven’t announced whether he’ll need further treatment. The confirmed diagnosis can stand while more detailed examination of the removed tissue continues.
  12. The surgical aim of a radical procedure describes an effort to remove the cancer thoroughly. Only the fuller assessment can show microscopic margins and lymph-node involvement. Estimates for completing that assessment have ranged from several days to a few weeks, without a deadline from Leo’s treating team.
  13. Leo was walking in his room, eating a regular diet and doing respiratory physiotherapy before discharge. Doctors said he could manage ordinary daily activities independently. He slept well and was described as being in good spirits.
  14. On October 16, the first pictures released after surgery showed him celebrating Mass in a room on Gemelli’s tenth floor. Doctors, nurses and Vatican gendarmes were present. He also visited children receiving cancer care. They gave him drawings and letters, including one child’s hope that they would both recover.
  15. Vatican spokesperson Matteo Bruni had estimated about one week for postoperative recovery. Margaritora later estimated about another ten days to recover fully. The estimates came in different contexts, and neither supplies a fixed date for unrestricted work.
  16. Leo continued working during his hospital stay. His public engagements and appointments had been canceled through at least October 20, but that date carries no promise that his full workload will resume then.
  17. The announced Sunday Angelus offered a possible limited return to public view. Forecasts differed over its setting, naming a hospital window or the Apostolic Palace window. Leo’s return to the Vatican supports the palace plan.
  18. The plan placed Leo at the Apostolic Palace window, addressing people in St Peter’s Square at noon Sunday, October 18. That scheduled time has passed, but whether the appearance went ahead is still unclear.
  19. The longer test of his recovery is the November journey. Leo is keen to avoid postponing it, and the itinerary remains on the calendar.
  20. The planned November 6 to 17 trip covers Uruguay, Argentina and Peru, with ten cities on the itinerary. Departure would come twenty-four days after surgery. The dates span twelve calendar dates, or eleven days between departure and return.
  21. Peru’s president earlier warned that recovery might take several weeks longer than expected and could alter the visit. She was describing her understanding of Leo’s condition. His surgeon subsequently offered a more favorable clinical outlook.
  22. Margaritora described the operation as routine. On the planned journey, he said, “I would say there are no clinical reasons why this visit should not take place.” Final medical approval for the full itinerary still hasn’t been announced.
  23. Leo has left hospital after an uncomplicated operation and an improving recovery. His doctors still have to complete the cancer assessment, decide whether he needs more treatment, and determine how much public activity and international travel he can undertake.

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