3 kg of malignant tumor filled the left chest cavity, the full excision of less than 100 ml of bleeding.

(Health Times web reporter Yan Wei Shanghai Jiaotong University Medical School affiliated Renji Hospital South Hospital Yang Jialin)
. Ms. Jiang, 45, went to the South Hospital of Renji Hospital, affiliated with Shanghai Jiaotong University Medical College, due to chest tightness. The doctor was surprised when he saw the chest tablets. Chest-enhanced CT examination tips: left front vertical partition and left chest cavity large position. The huge tumor has occupied almost all of its left chest cavity, the left lung has been flattened by the tumor, the heart is squeezed to the right side of the chest cavity, and the left bronchial tube is severely squeezed. The current respiratory system has been affected to some extent, and if the condition continues to progress, the consequences are unimaginable.
after thoracic surgery, radiology discussion, consider the septum or thoracic source of tumor lesions, suspected to be thymosis. Given the size of the tumor, choosing a reasonable surgical entry is the key. After the department research and discussion, the use of minimally invasive or side incision can not completely remove the tumor, thoracic surgery Ye Qing director of the doctor decided to use the positive chest open for the patient "bounce." Prior to the operation, the team had a detailed communication with Ms. Jiang and her family to carefully design the details that might be encountered during each operation.director
Ye Qing introduced: "Clinically, thymus tumor syllabra swells can be very malignant." In case the tumor rupture will cause the intra-chest cavity dispersal, so the course of surgery in particular need to pay attention to: one to completely remove the tumor, two to avoid tumor rupture, tumor cell metastasis. On the day of the
surgery, he Zhenzhou, the Executive Director of the Department of Anesthesiology and The Chief Physician, personally administered anesthesia. In close cooperation with the operating room, Director Ye Qing performed a large tumor removal of the chest cavity under the full hemp double cavity trachea intubation for Ms. Jiang.director of
Ye Qing underwent the removal surgery, respondents provided
in the process of separating such a large tumor, the risk of hemorrhage during surgery is high, a slight loss will endanger the patient's life. During the operation, the thoracic surgical team gradually separated the tumor. The blood supply around the tumor is extremely rich, blood seepage is serious, each nourishing blood vessels are mass circulation of large blood vessels, a little careless will cause a large haemorrhage. Under the leadership of Director Ye Qing, the surgical team worked closely together to carefully dissect each nourishing blood vessel one by one and tie off to avoid injury to the surrounding large blood vessels.
at the same time, the intraoperative investigation found that the tumor root is located in the front of the thymus, so considering the thymus source tumor may be large, further validated the team preoperative speculation, which is also in line with the later malignant tumor pathological results.The
lasted 3 hours and the operation was successfully completed. The tumor tissue was completely removed and removed from the incision of the chest cavity, the tumor's overall weight of 3 kg, about 20 cm in diameter. The operation ended with less than 100 ml of bleeding during the operation.
tumor was removed, Ms. Jiang's left lung was completely re-opened, heart and lung function greatly improved, and finally can breathe freely and smoothly, and is now recovering well.
previously large tumors in the chest cavity were considered "no-go areas" for chest surgery. Because its surgical technique is more complex and difficult, it puts forward high demands on the operator's operating technique and clinical experience. Based on the previous surgical experience, the team of thoracic surgery at Renji Hospital, through tireless clinical practice and research, continuously optimizes the technique of chest cavity difficult and complex case diagnosis and treatment to provide patients with high-quality diagnosis and treatment services.
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