健康 · 教皇确诊癌症持续报道 · 第 3 篇，共 4 篇

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。

切除肺叶后能够走动、进食和主持弥撒，是令人鼓舞的迹象。但这些情况尚不能确定癌症分期，也不能说明手术是否足够。

播出 文字 阅读需 7 分钟199 个来源HeyDay News Desk · About usWatch report
与 HeyDex 一起探索

通过 RSS 关注

原语言视频

文字实录 · 正在加载

译自英文原文。

持续报道第 10 天

4 篇报道91 家媒体245 个来源110 个视频

完整报道
6 天无进展
  • 暂无标注日期的事件
  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。当前位置
  4. 第 4 次更新教皇良离开医院，但癌症相关问题仍未解决较新

自上次报道以来的变化

35 小时后

当时

教宗良十四世入院接受肺部手术，诊断结果仍待确认

我们当时说尚无定论的问题

  1. 此次更新尚未确定手术是否完成及其结果、组织检查发现、实际康复时间表以及能否参加11月的行程。

    尚无定论

    手术已完成，腺癌已获确诊，早期康复进程符合预期。完整的康复时间表、是否需要进一步治疗以及能否参加11月的行程，仍未确定。 1741822

  2. 医生公告，以及随后发布的诊断结果和康复情况更新，将决定公开日程之外还会有哪些变化。

    尚无定论

    医疗公告和康复情况更新现已确认手术、诊断和术后初期进展。仍需进一步的病理检查和个人康复评估，以确定治疗方案以及已宣布暂停公开活动安排之外的变化。 17418217

现在

切除肺叶后能够走动、进食和主持弥撒，是令人鼓舞的迹象。但这些情况尚不能确定癌症分期，也不能说明手术是否足够。

现已确认

  • 腺癌已获确诊，右肺下叶已切除，10月14日的康复情况更新称，他的术后恢复过程符合预期。

教皇利奥十四世正在病房里走动、做呼吸练习并按时进餐。他因手术切除了右肺下叶。对于一位71岁的患者来说，这些都是重大手术后恢复过程中令人鼓舞的进展。但它们还无法回答如今笼罩在他康复进程上的问题：这次手术是否足以治疗他的癌症？5

梵蒂冈已确认，利奥十四世患有肺腺癌，这是一种非小细胞肺癌。外科医生于2026年10月13日（周二）在罗马阿戈斯蒂诺·杰梅利大学医院切除了他的右肺下叶。手术被描述为成功，且未出现并发症，但癌症分期、是否可能扩散以及是否需要进一步治疗，仍未确定。174 12

10月13日，HeyDay News报道他入院时，手术是否完成以及肺结节的性质，在我们的报道截稿时仍未得到确认。如今这两项不确定性都已消除：手术已经进行，术中组织检查也确认了癌症。此前关于一个尚未确诊结节的报道已被新的信息取代——这并非因为完整预后已经明确，而是因为诊断已经确定，并有了首批康复情况更新。

手术实际确认了什么

最清晰的说法来自10月13日圣座医疗声明，声明由路易吉·卡尔博内医生和斯特凡诺·马尔加里托拉教授署名。卡尔博内主管梵蒂冈城国总督府卫生部门，媒体报道称他是教皇的医生；马尔加里托拉领导胸外科医疗团队。174 182 196

为确保彻底切除，医生采用视频辅助技术切除了右肺下叶。术中组织学检查确认了肺腺癌诊断，与术前检查的怀疑一致。

圣座医疗声明，10月13日 174

这说明医生切除的是一个肺叶，而非整个右肺。声明还确认，术前检查已经引发了癌症疑虑。但声明没有提供最终术后病理报告，也未说明显微镜下切缘、淋巴结检查结果或正式分期。声明中所说的彻底切除意图，是手术目的，并不能证明所有癌细胞都已清除。174

有两处时间差异值得注意。CTV News在10月14日的报道中称手术在当天进行，而Scripps News当天稍晚的报道则称手术是在10月13日（周二）进行的。圣座日期为10月13日的公告确认了手术日期。另据《The Hill》10月14日报道，手术历时约三小时；美联社后来报道区分了约90分钟的手术时间和约三小时的手术室停留时间。梵蒂冈的说法支持这一区分；现有报道没有公开说明额外时间的具体构成。4 2 174 11 7 176

更重要的差异在于是否已完全切除。路透社10月14日报道称，肿瘤是否已完全切除以及是否扩散到淋巴结，尚无相关信息。BBC News当天稍晚的报道称癌变组织已被完全切除，但同时表示仍在等待进一步检查结果。后来的这一说法并未提供缺失的病理检查结果。可以确定的是，含有癌性结节的肺叶已被切除，而不是利奥十四世已被宣布无癌。19 15 174

手术前，利奥十四世曾称该结节是局部病变，且发现得非常早，并于10月11日宣布医生建议将其切除。这一令人安心的过往信息很重要，但并非正式的癌症分期。肿瘤尺寸尚未公布，现有报道也无法确认显微镜下切缘清晰、其他部位没有病灶，或淋巴结未受累。20 10

康复有不止一个时间尺度

利奥十四世术后正常醒来，在接受观察后回到病房。到10月14日，按计划进行的血液检查和胸部X光检查结果均在预期的术后范围内。他完成了呼吸康复训练，开始在病房里走动，并吃了早餐和午餐。梵蒂冈发言人马泰奥·布鲁尼说，他精神状态非常好。当天下午，他在杰梅利医院十楼一间专门布置的房间内共同主持了弥撒。26 182

这些是他从手术中康复的具体迹象，但不是癌症扩散情况的衡量指标。令人安心的术后X光和血液检查，不能替代指导下一步治疗决策所需的组织评估。NBC医学撰稿人娜塔莉·阿扎尔医生解释说，进一步评估，包括淋巴结评估和癌症分期，有助于判断手术是否足够。5

目前尚未公布后续治疗方案。Scripps和CTV于10月14日报道，医生目前没有讨论化疗或其他疗法。这并不意味着已经决定永远不需要额外治疗。路透社引述的医学专家表示，如果癌症发现得早、已被完全切除且未扩散至淋巴结，手术可能达到治愈效果。但这些条件尚未被证实适用于利奥十四世。2 3 8

预计住院约一周，公开活动和会面已取消至10月20日。但这两项信息都不是确定的出院日期，也不代表他承诺会在10月21日全面恢复公开活动。ABC News Australia在10月14日的采访中表示，他可能在几天内出院；这一预期短于FRANCE 24报道的一周住院估计。目前没有得到确认的出院安排来确定这些预期。17 9

一般性的康复估计也各自指向不同的阶段。阿扎尔估计，明显好转大约需要六至八周，恢复到术前状态则需要四至六个月。这些是一般性的时间节点，并非对利奥十四世个人预后的判断。既不应将其压缩成一周住院，也不应将其视为他出现倒退的证据。5

他暂时不公开露面，并不意味着教皇的治理工作已经停止。NBC报道称，他在病房里处理工作。路易斯·安东尼奥·塔格莱枢机被指定代为主持10月14日在圣彼得广场举行的弥撒；现有证据并不能证明他代替利奥十四世主持了公开接见活动。教皇公开接见活动已取消。由他人代为主持弥撒，并不意味着教皇权力发生转移。5 184 187

仍待医疗答复的行程

现实中的压力来自一项定于11月6日至17日进行的南美行程，目的地依次为乌拉圭、阿根廷和秘鲁。官方行程安排显示，11月6日当地时间07:00从罗马/菲乌米奇诺机场出发前往蒙得维的亚，当晚参加欢迎活动。出发时间距手术仅24天。但日历上的间隔并不能证明他适合乘机或完成全部行程。139

这并非轻松回归公众生活。《National Catholic Reporter》9月22日的标题预计行程将涉及14趟航班、约19,000英里。NBC还报道称，行程包括近40场演讲、近50项活动，以及一项海拔约两英里的库斯科活动。这些都是媒体报道的行程估算：完整行程未提供，因此无法独立重新统计演讲和活动数量，也无法核实所引述的海拔。即便不把这些数字视为精确数据，频繁乘机和跨国公开行程仍代表着相当大的工作量。190 35 56

对这趟行程的评估变得更乐观了，但仍未有定论。美联社10月14日报道称，利奥十四世能否出行仍不明朗。Scripps当天稍晚报道称，梵蒂冈认为，根据当时医生掌握的信息，此行是有可能的。利奥十四世希望出行的意愿没有改变；目前尚无最终医疗许可、梵蒂冈推迟行程或取消行程的消息。行程仍列在日程上，不等于患者已获准出行。7 2 186

已知

  • 腺癌已获确诊，右肺下叶已切除，10月14日的康复情况更新称，他的术后恢复过程符合预期。 174182

未知

  • 最终分期、淋巴结受累情况、显微镜下切缘情况、是否需要额外治疗、出院时间以及能否参加11月行程，均尚未确定。

后续

  • 关注完整的癌症评估和针对个人的医疗建议，同时留意10月20日公开活动取消期限结束后的日程更新。

目前，能够走动、进食和主持弥撒，本身就是令人安心的进展。下一步的癌症检查结果将回答另一个问题：这次成功的手术是否就是全部治疗，还是治疗的第一步。

播出原貌 23 行
  1. On October 13 we reported Leo awaiting surgery. The operation is complete, and doctors have confirmed lung cancer. His public engagements are canceled through October 20, and a major South American journey is approaching.
  2. Will surgery be enough, and can he recover in time to make that journey?
  3. Surgeons removed the lower lobe of the Pope’s right lung at Rome’s Gemelli Hospital. Leo is 71. The diagnosis is pulmonary adenocarcinoma, a type of non-small-cell lung cancer. The Vatican says the operation went as planned, without complications.
  4. Tests before surgery had already raised suspicion of cancer. Doctors confirmed it by examining tissue during the operation. They used a video-assisted technique to remove the lobe containing the nodule. Their stated aim was a thorough removal of the affected tissue.
  5. The statement carries the names of papal physician Luigi Carbone and thoracic-surgery team leader Stefano Margaritora. The procedure removed one section of the right lung. Leo retains the rest of that lung.
  6. The surgery took place on Tuesday, October 13. An October 14 date also circulated, but the medical statement explicitly places the operation the previous day. The recovery updates followed on October 14.
  7. The operation itself lasted about 90 minutes. Leo spent about three hours in the operating room altogether. Those figures measure different intervals. The longer figure has sometimes been described as the surgical duration, but the medical updates separate the two.
  8. Leo began walking in his room the following day. He also completed respiratory physiotherapy, exercises that support breathing after surgery, and resumed his regular diet. Blood tests and a chest X-ray showed findings within the expected range after this operation.
  9. He had awakened normally, returned to his room and eaten dinner after surgery. The Vatican described a peaceful night, followed by breakfast and lunch. Spokesman Matteo Bruni said his spirits were very good. That afternoon, Leo concelebrated Mass in a specially prepared room on Gemelli’s tenth floor.
  10. Leo’s immediate recovery is proceeding as expected. His cancer assessment still has to determine the stage and whether he needs more treatment. Walking, eating and reassuring postoperative tests tell doctors about recovery from surgery. The tissue findings will guide the next cancer decisions.
  11. Descriptions of complete removal have differed. The lower lobe containing the cancerous nodule was removed. Whether microscopic cancer remains, or disease has reached lymph nodes or elsewhere, still needs assessment. Those findings will help determine whether surgery was sufficient.
  12. Before the operation, Leo had called the nodule localized and detected very early. He announced on October 11 that doctors had advised removal. His doctors still have to determine a formal cancer stage. Examination of the removed tissue and further tests can take days.
  13. Surgery can sometimes be sufficient when cancer is early, completely removed and hasn’t reached lymph nodes. Other findings can lead to additional treatment. Doctors haven’t announced a follow-up regimen for Leo. The Vatican’s description that therapies weren’t currently being discussed leaves that decision open.
  14. The Vatican expects about a week in hospital. That’s an estimate, with no firm discharge date. Some earlier expectations suggested only a couple of days. Leaving hospital, taking on selected work and regaining full physical capacity are separate milestones.
  15. General medical estimates include six to eight weeks for significant improvement, and four to six months to regain the presurgical baseline. Those describe different recovery endpoints. They’re general estimates, and Leo’s treating team hasn’t given him that individual timetable.
  16. Cardinal Luis Antonio Tagle celebrated Mass in St. Peter’s Square in Leo’s place on October 14. The Pope’s audiences were canceled. Leo has also been working from his hospital room and making papal decisions while his public appearances are suspended.
  17. Catholics have prayed and sent well wishes in St. Peter’s Square and in Peru, where Leo served as a missionary and bishop. Canadian Catholic communities have also rallied in support. About 1.4 billion Catholics worldwide are following his recovery.
  18. Bishop Thomas Dowd says Canadian bishops are preparing for their regular pilgrimage to Rome and a meeting with Leo in January 2027. The nearer scheduling pressure is the Pope’s South American journey, which is due to begin on November 6.
  19. November 6 falls 24 days after the operation. Public engagements are canceled through October 20, without a promised return to a full workload the next day. The journey remains scheduled for November 6 through November 17, subject to Leo’s recovery.
  20. The official programme takes him to Uruguay, then Argentina, then Peru. It begins with a flight from Rome to Montevideo and welcome engagements that evening. Uruguay is scheduled for November 6 through November 8, before the journey continues.
  21. The tour is commonly called an eleven-day journey. Its start and end dates are eleven days apart, while the schedule touches twelve calendar dates. The projected journey covers about 19,000 miles on 14 flights.
  22. The planned workload reportedly approaches forty speeches and fifty events, including a Cusco engagement about two miles above sea level. Repeated flights and a demanding public programme make the travel decision larger than whether Leo can leave hospital.
  23. The Vatican says the journey could proceed on the information then available to doctors, and Leo still wants to go. Peru’s president has allowed for dates to change. The Vatican hasn’t announced a postponement or cancellation, or final medical clearance. Further tissue findings and staging will guide whether Leo needs another treatment, while his recovery will determine how much of the planned workload he can safely undertake.

来源

199 个来源84 家媒体87 个视频2 篇通稿

来源地图

追溯本篇报道的依据。图谱展示其关联；下方链接可打开本文引用的来源。

来源图谱将在您阅读时加载。

探索完整的新闻编辑室图谱 ↗

译文更新于

修订记录

  1. r1首次发布。