Recently, with the close cooperation of the Department of Anesthesiology, the operating room and other teams, the Department of Thoracic Surgery of the Emergency General Hospital successfully completed the resection of a huge lung tumor in more than 3 hours.
Ms. Yang, a 69-year-old patient with locally advanced lung cancer, was found to have a huge tumor in the left lung by CT examination, which had invaded the left hilum, the root of the left pulmonary artery, Mediastinum and chest wall. The local hospital advised Ms. Yang to go to a large hospital in Beijing for treatment.
With the last ray of hope, Ms. Yang and her family came to the Department of Thoracic Surgery of Emergency General Hospital for consultation. Yang Longhai, deputy director of the Department of Thoracic Surgery, combined with the results of external hospital examinations, ruled out distant metastasis, and judged that the patient has a chance of surgery, and the long-term effect of radical surgery for lung cancer is relatively good, and there is a possibility of cure.
However, when the tumor was found, it was locally advanced, the mass was huge, and it invaded the large blood vessels of the left hilar, mediastinum and chest wall. In addition, the patient had a history of bronchiectasis for more than 20 years, resulting in severe symptoms. Shortness of breath after activity. These factors lead to the need to remove the entire left lung during surgery, which is extremely difficult and risky. During the resection process, there will be difficulties in separating the tumor from the hilum, mediastinum, pericardium, and pleura. Serious situation, life-threatening at any time.
The Thoracic Surgery Department of Emergency General Hospital believes that the patient has the possibility of radical surgery after comprehensive evaluation. Although the surgery is difficult and risky, the thoracic surgery team has enough The strength to complete this difficult operation. In order to ensure the safety of the patients and the smooth operation of the operation, Yang Longhai invited the medical department, the department of respiratory and critical care medicine, the department of cardiology, the department of anesthesiology, the department of thoracic oncology, the department of rehabilitation, etc. Create an individualized treatment plan.
After careful preparation, the patient successfully completed the radical resection on the 5th day of admission. Although during the operation, the patient suffered from hypotension and other emergencies due to the large tumor compressing the heart. Thanks to the joint efforts of multidisciplinary teams such as anesthesiology and thoracic surgery, the crisis was turned around and the operation was successfully completed. The patient recovered well after the operation, was able to get out of bed the next day, and was discharged from the hospital one week after the operation.
This operation is a huge challenge for the newly established thoracic surgery team. All links are seamlessly connected. After the joint efforts of all the medical staff, the patient was very satisfied with the treatment effect. Before leaving the hospital, he sent a pennant to the department to express his gratitude to the medical staff for their meticulous care during the hospitalization.