Li Hecheng's team innovatively used a robotic surgical system to perform tracheal reconstruction anastomosis on patients. All pictures in this article are . Photo provided by
. Tracheal tumor . Because of its rare disease, hidden symptoms and special location, the operation is extremely difficult. It can be said to be one of the most difficult surgeries in thoracic surgery at present. If this disease occurs in elderly people, the situation will be more complicated and severe.
htmlOn October 25, a reporter from The Paper (www.thepaper.cn) learned from Ruijin Hospital Affiliated to the School of Medicine of Shanghai Jiaotong University that 85-year-old Grandma Wang (pseudonym), an 85-year-old man from Nantong, Jiangsu Province, suffers from tracheal malignant tumors, accounting for nearly 3/4 of the "ventilating fortress". She came to the hospital for a "three-high surgery" of "high difficulty + advanced age + high complications". She was able to walk on her own 5 days after the operation, and was able to take care of herself in life. She has now recovered and discharged from the hospital.family members said that the old man first started to have an illness a year ago and always had asthma after the activity. The family thought he was old and did not pay attention to it. In August 2022, the old man began to get worse and coughed. Only after checking in the hospital did he find a "grape-shaped" tumor in the trachea. Zhang Yajie, the attending physician who received
, said that tracheal tumors generally grow slowly, with no specific symptoms or signs in the early stage, which is very easy to misdiagnose and misdiagnosis, and are often in the advanced or advanced stage when diagnosed. When the tumor body accounts for 2/3 to 3/4 of the lumen, it will cause severe respiratory obstruction and threaten life, and have a poor prognosis. The old man is an elderly patient, and the situation is even more serious. After being admitted to the hospital with
, the doctor conducted a series of detailed examinations for Grandma Wang and conducted a more detailed assessment of the condition. Experts from multiple disciplines such as thoracic surgery, respiratory department, anesthesia , critical care medicine and other critical care medicine
to consult the elderly, to improve the formulation of surgical plans, predict surgical risks and formulate relevant plans. htmlOn September 23, a robot hybrid surgery tracheal tumor resection and tracheal reconstruction surgery began. The operation was carried out by the team of Director Li Hecheng of the Department of Thoracic Surgery of Ruijin Hospital. First, we must split the sternum at the incision of the middle of the sternum, free the upper mediastinal thymic adipose tissue, dissect and free important and thick blood vessels such as the left unnamed vein, superior vena cava , and the right arm trunk trunk, expose and free the deep trachea, and remove all the lesion of the trachea.Subsequently, Li Hecheng's team innovatively used a robotic surgical system to perform tracheal reconstruction anastomosis on the patient. Because the robot surgical system has a high-resolution three-dimensional image processing system, it can make the field of view clearer and simulated wrists with 7 degrees of freedom of movement, it is more flexible and slender than human hands, and can penetrate deep into the tracheal tissue for more precise anastomosis, improving the accuracy and stability of anastomosis.
after 3 hours, the operation was successfully completed. Grandma Wang was then sent to the intensive care medicine department. In intensive care unit , medical staff protect the elderly’s airway anastomosis on the one hand, and help the elderly to drain sputum to prevent infection. At the same time, they provide nutritional support for the elderly as soon as possible to help her recover as soon as possible.
Because Grandma Wang could not understand Mandarin at all, in order to smooth communication and allow Grandma Wang to cooperate with treatment and recovery smoothly, Dr. Zhang Yajie, who knows Nan call , also acted as a "translator" and traveled back and forth to and from the intensive care medicine department every day.
The patient's family sent a banner to the medical staff as thanks.
After a period of recovery, the old man has been successfully discharged from the hospital and has given her a banner to the medical staff who have treated her as thanks. "We are all ordinary farmers. We know that our mother has this difficult disease, and the brother and sister feel that the sky is about to collapse. We are very lucky to come to Ruijin Hospital and meet a group of good medical staff. We must take good care of our mother and hope that she will live to 100 years old." said Grandma Wang's son.
