In just one week, the Department of Thoracic Surgery of Qingdao Third People's Hospital, with the cooperation of radiology, interventional vascular surgery, oncology, cardiology, ultrasound medicine, anesthesiology and other disciplines, successfully carried out CT-guided microwave ablation of lung lesions for two elderly patients with early-stage lung cancer.
In recent years, microwave ablation therapy has been rapidly developed in clinical practice, and the treatment effect on early lung cancer is particularly significant, for lesions with a diameter of less than 3cm, a treatment can make the tumor completely necrosis, and the development of this minimally invasive technology has brought "gospel" to patients with early lung cancer. Relying on the strong support of the multidisciplinary expert group, the Third People's Hospital of Qingdao has established an ablation MDT team composed of thoracic surgery, oncology, interventional vascular surgery, ultrasound medicine and other professional disciplines. Recently, the hospital has cooperated with Professor Chi Jiachang, a lung ablation expert from Renji Hospital affiliated to Shanghai Jiao Tong University, to enrich the clinical experience in the diagnosis and treatment of pulmonary nodules and lung tumors, so that the people of the island city can receive vigorous diagnosis and treatment from national-level famous doctors without leaving home.
Ms. Wang (pseudonym), 72 years old this year, has a history of hypertrophic cardiomyopathy, coronary arteriosclerotic heart disease, atrial fibrillation and other medical conditions in the past, and has been treated in the cardiology department of the city's three doctors many times. Some time ago, during a regular chest CT examination, it was found that the nodule in the upper lobe of the patient's right lung was progressively enlarged. Aunt Wang heard that the thoracic surgery department had pulmonary nodule ablation technology, so she took the initiative to come to the thoracic surgery clinic for treatment. Based on the patient's condition and examination results, the diagnosis of early-stage lung cancer was considered, because Ms. Wang had many underlying diseases, and after multidisciplinary consultation with the hospital, the thoracic surgery team unanimously agreed that it was more prudent to adopt CT-guided microwave ablation of pulmonary nodules for local treatment. The multidisciplinary team of the Joint Hospital of Thoracic Surgery performed CT-guided microwave ablation of lung lesions under local anesthesia for patients. The operation was completed in 40 minutes, and Ms. Wang walked back to the ward, where Ms. Wang's family praised the thoracic surgery team's excellent professional skills.
Coincidentally, 80-year-old Ms. Zhang (pseudonym) had obstructive emphysema, hypertension, After a comprehensive evaluation, the thoracic surgery team decided to perform microwave ablation treatment of lung lesions under local anesthesia under CT guidance, and Ms. Zhang recovered well after treatment and was discharged from the hospital two days after surgery。
Dr. Guo Lei of the Department of Thoracic Surgery introduced that compared with minimally invasive thoracoscopic surgery, microwave ablation is a "pinhole" level treatment method, and its principle is to accurately puncture the microwave needle into the lung lesion area under the guidance of CT scanning, destroy the lesion through microwave heating, and make tumor cells necrotic and apoptosis, so as to achieve the purpose of curing the disease. This technology provides a more accurate ultra-minimally invasive treatment method for patients with lung tumors, and is one of the effective measures to realize the individualized treatment of tumors.
Microwave ablation technology can not only avoid the damage caused by traditional thoracotomy surgery, but also has obvious advantages in many aspects such as the applicable population, operation time, and complications. Especially for the elderly, patients with poor cardiopulmonary function and patients who are afraid of surgery and refuse surgical treatment, it provides a radical treatment for early lung cancer, which can avoid the removal of lung lobes, preserve lung tissue as effectively as possible, and have little impact on lung function, which can achieve a good radical effect and greatly improve the quality of life of patients.
The Department of Thoracic Surgery of Qingdao Third People's Hospital is characterized by minimally invasive diagnosis and treatment of thoracic tumors. Minimally invasive surgeries such as thoracoscopic lobectomy, compound lobectomy, segmental resection, combined subsegmental resection, pneumonectomy, mediastinal tumor resection, esophageal cancer resection, CT-guided puncture biopsy of lung and mediastinal lesions, microwave ablation of lung lesions, and preoperative localization techniques for small nodules such as hooked wires, microcoils, bioglue, and biological stains are routinely carried out. In addition, the department can also carry out routine general chest surgery, including esophageal surgery, chest wall trauma surgery, gastroesophageal reflux disease, diaphragmatic hernia, pneumothorax and other surgical treatments.
The department actively advocates the standardized treatment of malignant tumors. At the same time, for locally advanced thoracic tumors, a multidisciplinary comprehensive diagnosis and treatment team has been established in conjunction with the Department of Anesthesiology, Respiratory and Critical Care Medicine, Ultrasound Medicine, Interventional Vascular Medicine, Radiology and Pathology to provide personalized guidance for patients on the basis of standard treatment and have outstanding efficacy.
[Source: Xinwang-Business News]
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