Recently, the Lung Cancer Center, based on the successful implementation of “minimally invasive small incision and radical lung cancer surgery”, has taken a new step forward.
The Lung Cancer Center has successfully challenged the challenge of “lung cancer surgery for elderly patients with multiple organ diseases, chronic cardiopulmonary diseases and low cardiopulmonary function” by using “minimally invasive small incision surgery”.
successfully operated on a patient with
A long-term smoker with cough and asthma for 15 years, asthma for 3 years, low pulmonary function, coronary artery disease and angina pectoris for 10 years.
a patient with coronary artery disease, angina pectoris for more than 10 years, after stent treatment, and
large gastric ulcer and
rectal multiple polyps polyp surgery for 2 years.
64 years old elderly patient.
radical surgery for lung cancer was performed.
The patient had a radical lung cancer operation, i.e. lobectomy and complete clearance of mediastinal lymphatic fatty tissue.
The operation was successful, and the patient recovered well, with routine postoperative follow-up.
Because of the small size, low density (maximum diameter less than 1 cm, no CT mediastinal window), and deep location of the lesion, it was difficult to obtain a pathological diagnosis before surgery, and it was difficult to perform local resection first, but lobectomy had to be performed directly, so the surgeon had to face this problem and take this professional risk, that is, what if the lesion could not be palpated intraoperatively? What if the lesion is not found after lobectomy? Even if the family agrees to the surgery, there will still be people who say, “The professor at the medical university cut off a good lung”.
The more serious situation is that any surgery may have life risks, once the patient has serious complications, or even life-threatening intra-operative, plus the patient’s low lung function and combined with long-term chronic cardiopulmonary disease and other multi-organ disease, the risk is multiplied; once the life-threatening, or even rescue failed, and no lesion can be found after surgery, it becomes “no disease at all, but the medical university Even if the disease is benign, once life-threatening, or even rescue is not effective, it becomes “a benign lung disease, a small lesion, the professor of the University of Medicine cut off the good lung, but also sacrificed; do not do surgery, benign small lesions, will live well, how can not be sacrificed ah? ” At this time, how much to sign informed consent before surgery, how serious the disease, is to account for the great risk, even if the law to get by, the emotion and reason are very sad.
This is the embarrassment of surgeons.
Your good judgment, boldness and courage may have saved and cured a patient with early stage lung cancer, but you have to risk your career termination, or even death.
Wouldn’t it be better to wait until the tumor is larger and then operate without these risks?
Indeed.
but, if so, the doctor is safe.
But, but.
During this waiting period, the tiny lung cancer lesions, may start to metastasize to distant places during this period.
There are too many cases of small primary lung cancer lesions that have metastasized distantly.
This requires doctors to improve their preoperative qualitative judgment, improve their ability to read films, develop a “golden eye”, develop a “rock-steady mentality” before, during and after surgery, and a “strong will not to bend under the pressure of a mountain”. The “strong will”, how difficult it is also.
And in time for the New Year’s Eve.
First, it was the New Year’s Eve.
Then came the biggest Chinese New Year’s Eve, the Spring Festival.
Patients and their families, doctors and their families all need to have a good New Year’s Eve.
Departments, hospitals, a year of hard work, safe production, the satisfaction of the practice of medicine, all levels of government, departments of the inspection, evaluation, assessment, the whole department, the hospital’s year-end summary, recognition.
mountain-like pressure down.
The pressure is enormous.
We are required, required, required and ordered to pass the year properly.
At the end of the year, at the end of 2012, we started preoperative preparations to improve lung function.
At the beginning of 2013, there was little room for further improvement, and the plateau period was too late to allow us to wait any longer for lung cancer.
I was prepared to use a minimally invasive small incision, which would cause less overall damage and increase the safety factor and have a good chance of success.
I made up my mind to
to do it.
The surgery will be done before Spring Festival.
If it goes well, I will go home happily for the New Year.
How beautiful to think.
But if it doesn’t go well…
But if it doesn’t go well, then we have to celebrate the New Year too.
Professor Zhang Jun overcame the difficulties, withstood the visible and invisible psychological pressure, and took the risk to insist on his opinion despite the recommendation of many hospitals to continue observation, and determined that the possibility of lung cancer was very high.
He successfully performed a “minimally invasive, small incision, radical lung cancer surgery” to remove the lower lobe of the left lung and clear the mediastinal lymphatic fatty tissue for this elderly, multi-morbid, post-stenting patient with chronic lung disease and low lung function with a small lung lesion, precisely a hairy lung lesion.
The surgery was performed with small incisions, no muscles and no ribs, resulting in less damage and faster recovery, and smooth postoperative recovery. He was able to move around and get out of bed early after surgery without any complications.
Postoperative pathology diagnosed squamous lung cancer, the lesion was dissected about 0.8X0.5X0.3 cm, and there was no metastasis of lymph nodes. Relatively early stage cancer.
The postoperative pathological diagnosis proved that the preoperative judgment was correct, and the decision of surgical resection was even more correct.
The patient and his family were very satisfied with the surgery, its success and complete resection.
They were very grateful for the quick recovery, good recovery and smooth recovery after the operation with “minimally invasive small incision”.