like!Chen Jingyu led the chest surgery team to the dawn of hope for patients with seventy -year lung cancer patients

Author:Emergency Hospital Time:2022.07.25

"Our whole family is very grateful to Professor Chen and Director Yang. Thank you for your careful care for your father's chest medical care staff. It is so lucky that my father can meet you. A few days ago, Uncle Duan's daughter sent a banner to Deputy Director Yang Longhai, a thoracic surgeon.

gratitude

"Unfortunately" comes, seeking medical treatment everywhere

Uncle Duan, 70, has always been tough and has never been in the hospital. However, "Unfortunately" started 6 months ago. Uncle Duan had cough and breathing after activity. He was diagnosed with "lung cancer" by local hospitals. Concerns, the family decided to conservative treatment after discussion.

In the past 1 month, Uncle Duan became thinner, and the symptoms of cough and asthma after activity gradually increased. Then he went to the hospital to review the chest CT to indicate the progress of the tumor. The mass has reached 8.8cm*7.6cm. "Tumors have invaded the right pulmonary blood vessels. This surgery is difficult, high risk, and high technical requirements, and the old man has the history of old lung tuberculosis and chronic obstructive pulmonary disease. Poor lung function has also increased the difficulty and risk of surgery. ... "Uncle Duan's family ran back to all local hospitals, and the family was anxious. After inquiring from various parties, Professor Chen Jingyu, director of the Department of Chestning of the Emergency General Hospital, was not only the "first person in China", but also experienced experience in local advanced lung cancer surgery. Therefore, Uncle Duan's daughter brought his father to Beijing's hometown in Shandong.

Multi -disciplinary consultation, protect escort

Deputy Director Yang Longhai at the Department of Emergency Hospital of Emergency Hospital found that when he saw the patient's examination form, he found that although the tumor was large and had invaded the large blood vessels of the pulmonary, there was no metastasis in the distance. Greatly improve the quality of survival of patients and extend the life of patients. After looking at the patient's case, Professor Chen Jingyu said: "Our technology can help Uncle Duan, although the risk is high, there is still hope!"

Multi -disciplinary consultation

Deputy Director Yang Longhai quickly organized more than a dozen departments such as anesthesiology, operating room, respiratory and critical medicine department, ICU, and cardiologics to conduct consultation discussions. Difficulty and risks have been comprehensively analyzed to select the best surgical solution for patients, and make good surgery preparations, and also detailed the treatment plan and precautions for perioperative surgery.

Team collaboration, overcome difficulties

Teamwork

After careful preparation before surgery, with the close cooperation of multidisciplinary science, operating room and other disciplines, Professor Chen Jingyu guided the thoracic surgery team on the spot to successfully complete the middle and lower lungs in the pericardial lung and part of the leaf leaf removal+ Part of the right atrium removal+systemic hypotonic lymph node scanning. The amount of bleeding during the operation is very small, which is basically no bloodless surgery. This surgery removes the tumor to maximize the cure of patients and successfully preserves the upper lung leaves, which in turn protects the good quality of life after surgery.

Careful surgery

Overcome difficulties

After the surgery, the tracheal intubation was successfully removed. The patient entered the ICU ward. The ICU team actively performed the close monitoring and refined treatment of the perioperative surgery. Individualized lung rehabilitation training, patients recovered well after surgery.

Pulmonary rehabilitation training

Expert reminder

Local advanced lung cancer generally refers to stage III, that is, the tumor is relatively large, invading the surrounding organs, large blood vessels around the nearby, or hypotonoplasty metastasis. Local advanced stage does not equal advanced lung cancer. The basic treatment strategy is comprehensive treatment based on surgery. Some surgery should be treated as possible. With the advancement of medical technology, many surgery that could not be performed before can be carried out, allowing patients to restore the quality of life. But still remind friends here that in daily life, we must pay attention to improving their awareness of health checkups. If there are diseases, early discovery and early treatment to avoid delaying the disease.

Profile

Emergency General Hospital's thoracic surgery is one of the key departments of the hospital. The hospital hires a famous thoracic surgery expert "China's first person" Professor Chen Jingyu as the leader of the discipline. Essence The department's talent has strong talents, complete hardware equipment, mature technology, and reasonable talent echelon. It is always based on the service concept of "people -oriented, serving first", implemented individualized and standardized treatment, and is proficient in minimally invasive surgery of chest diseases, such as whole thoracoscopy Lung cancer root treatment, single -hole thoracoscopic pulmonary lobe and sub -lobe slicing, whole thoracosausal laparoscopic esophageal cancer root treatment, whole thoracoscopic longitizure tumor sketching, etc.; Surgery, especially for local advanced non -small cell lung cancer, has unique insights in comprehensive therapy for surgery; has accumulated rich clinical experience in the fields of complex, severe chest trauma, thymical adenoma combined with intensive muscle weakness. At the same time, actively carry out the overall medical service model of the integrated medical care, and provide patients with high -quality rapid rehabilitation services for patients perimage treatment.

Expert introduction

Chen Jingyu, chief physician, professor. Director of the Department of Chestning of Emergency General Hospital, Deputy Director of the National Emergency Medical Research Center, Dean of Wuxi Organ Transplant Research Institute, director of the Jiangsu Provincial Lung Transplantation Center, and Deputy Dean of the Second Hospital of Zhejiang University. Professor Chen Jingyu is an advanced person in the country, a representative of the National People's Congress, and a winner of the National May Day Labor Medal, and enjoys special allowances of the State Council. After 30 years of clinical work in thoracic surgery, it is good at local advanced lung cancer root treatment, lung transplantation, thoracoscopy surgery, lung cancer expansion, comprehensive treatment of lung cancer, and ECMO applications, especially in local advanced lung cancer surgery and lung transplantation. Hundreds of local advanced lung cancer treatment and lung transplantation can be completed each year, and most of them are complex and difficult surgery. In recent years, it has promoted the green channel of Chinese organs and promoting brain death legislation. Yang Longhai, deputy director and deputy chief physician of the General Hospital of Emergency Hospital, has been engaged in diagnosis and surgical treatment of common diseases in the chest for a long time. Such as the surgical treatment of lung cancer, esophageal cancer, and hypertrophy tumors, especially in local advanced lung cancer surgery treatment; with solid surgical skills, participating in more than 4,000 cases of thoracic surgery, more than 1,500 examples of thoracic surgery, clinical experience in clinical experience, clinical experience Rich.

Source: chest surgery

Author: Wang Jingjing

Photography: Xu Jiazi

Review: Yang Longhai

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