Qilu Evening News Qilu One-point reporter Guo Jixuan correspondent Zhu Guotao
A few days ago, the cardiothoracic surgery expert team of the Second People's Hospital of Jining City successfully treated a rare patient with macrosclaves of the giant lung, and through thoracoscopic minimally invasive resection, the "time bomb" in the patient's body was removed in time, and the respiratory function of the left lung after surgery was restored, and it has been successfully discharged from the hospital.
From the diagnosis and treatment of common diseases to intractable diseases in cardiothoracic surgery, from open surgical treatment to minimally invasive treatment, from single disease to multi-disease comprehensive treatment, founded in 1984, the Department of Cardiothoracic Surgery of jining Second People's Hospital constantly explores new concepts and new technologies in the professional field, adhering to the rigorous and realistic scientific attitude and the purpose of practicing medicine in good faith, providing patients with high-quality diagnosis and treatment services for cardiothoracic surgical diseases in an all-round way, and improving the satisfaction of the masses with medical treatment.
Ninety percent of the left lung becomes a "balloon"
Rare risk of bullae is enormous
"Before, I only felt that I couldn't do heavy work, it was easy to fatigue and asthma, and I never thought that there would be such a big 'balloon' in my lungs." Fortunately, when I came to the second hospital of the city, I found the time bomb in my body. On January 15, Mr. Li of Nanzhang Street in Rencheng District was successfully discharged from the hospital after diagnosis and treatment in the Department of Cardiothoracic Surgery of the Second People's Hospital of Jining City.
Mr. Li, 53, was previously suffering from pain due to lumbar disc herniation and had been recuperating at home for a long time. At the end of December 2021, Mr. Li came to the Second People's Hospital of Jining City for treatment, and during the preoperative examination, the huge shadow of his chest CT that occupied almost the entire left lung surprised everyone.
"After multi-disciplinary consultation, we found that there was a giant bullae in Mr. Li's left lung, which was very rare and needed to be removed as soon as possible. If not diagnosed and treated in time, the bullae will further increase over time, and once ruptured, it will lead to spontaneous pneumothorax, hemopsyothorax, lung infection and other problems, and when severe, there may be breathing difficulties, which is life-threatening. Zhang Xin, director of the Department of Cardiothoracic Surgery of the Second People's Hospital of Jining City, introduced.
Bullae refers to the increase in pressure in the alveolar cavity due to various reasons, the rupture of the alveolar wall, the fusion of each other, and the formation of an air-containing cyst cavity with a diameter greater than 1 cm in the lung tissue. Generally speaking, most of the patients' lung bullae are only about three or four centimeters in diameter, but the case of a huge lung bullae like Mr. Li, which occupies 90% of the left lung, is rare, so it brings a greater risk.
On January 2, Mr. Li was transferred to the cardiothoracic surgery ward of the hospital, "the patient only had symptoms of wheezing after work, and had no concept of the relevant knowledge of pulmonary bullexuals." In preoperative nursing, the nurse explained the nursing knowledge of the disease in detail to the patient, and gave psychological counseling to help the patient eliminate anxiety and guide the breathing function exercise. Wang Jin, head nurse of cardiothoracic surgery at the hospital, said.
After many preoperative discussions, the team of experts in the department formulated a detailed and thorough surgical plan for Mr. Li, and after informing the patients and their families of the relevant surgical content and obtaining consent, on the morning of the 4th, Zhang Xin led the medical staff of the department Chen Mingming, Zhao Xiao, Ma Chi, Li Jing and other medical staff to complete the thoracoscopic bull bullcular resection operation for one hour.
Features minimally invasive diagnostic and therapeutic techniques
Small incisions solve big problems
During the operation, Mr. Li's lesions have formed multiple adhesions with normal lung tissue due to the large area and long illness time, which tests the experience and skills of the surgeon. After the resection, the surgical team also re-opened the lobes and lung segments of Mr. Li's left lung for the first time and restored his original respiratory function.
"We only opened three incisions of about one centimeter in the patient's chest, minimizing the trauma with tiny operating holes, minimizing the impact of surgery on the intercostal nerves, lighter postoperative pain, and more delicate lung segment resection also preserved the patient's healthy lung tissue to the greatest extent, resulting in less loss of lung function and less surgical trauma." Zhang Xin said.
After the operation, the nursing team of the department carefully observed the fluctuations of the water column, gas overflow, subcutaneous emphysema and other conditions of the patient's chest closed drainage to avoid the occurrence of related complications. Medical and nursing jointly carry out scientific pain management for patients, so that patients can exercise without pain and recover without pain, which has been well received by patients and their families.
Under the meticulous treatment and care, Mr. Li's left lung recovery is very good, and he can go up and down the stairs independently before discharge, and his cardiopulmonary function has been improved compared with before surgery. In the next step, the staff of the department will continue to follow up on Mr. Li's rehabilitation and provide relevant guidance for him.
The Department of Cardiothoracic Surgery of the Second People's Hospital of Jining City is a key clinical specialty in Jining City, and the Department of Thoracic Surgery of Peking University People's Hospital has jointly established jining minimally invasive chest disease treatment center. The department is equipped with advanced TV thoracoscopic system, fiber bronchoscopy and microwave radio frequency ablation machine and other advanced equipment, has a strong technical force, exquisite business expert team, characterized by minimally invasive treatment, routinely carry out the diagnosis and treatment of various thoracic surgical diseases, in recent years in SCI and national magazines published more than 30 articles, published more than 10 monographs, completed 4 provincial and municipal scientific research projects, won more than 10 national invention patents.
【Source: Qilu Evening News】
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