Recently, a live broadcast of anterior mediastinal lesion resection surgery was conducted on a professional medical platform. Wang Juzheng, a newly introduced talent in thoracic surgery in the Department of , Xianyang First People's Hospital, performed minimally invasive surgery on patients with rare thymoma , combined with myasthenia gravis , and anterior mediastinal nodules, completing a interpretation of "the surgery is difficult, the technology is high, and the medical skills are warm."
With a little curiosity, the reporter went to the Department of Thoracic Surgery of Xianyang First People's Hospital to interview Wang Juzheng, to learn about his experience of coexisting legendary colors and hard accumulation, and to explore the growth path of an excellent thoracic surgeon.
01
"Other people's children" are also rebellious
Wangju is a typical northerner, from a city with a profound history Qiqihar . His name carries the blessings and expectations of his elders and grows up unrestrainedly in a relatively relaxed family atmosphere.
Wang Juzheng studied well from elementary school to college entrance examination, but he has always been considered to be some rebellious . Like most young people, they will also be confused about what major they study during the college entrance examination. "But at that time I had a better choice in my heart, and I wanted to be an engineer. Of course, I did not reject medicine, but I was rebellious since I was a child and had my own opinions. The TV series " Red Cross Team " was very popular in that era. Many people in my family were engaged in medical-related majors, so I really hoped that I would grow and transform at the Military Medical University. It happened that the Military Medical University recruited students in advance, and I also submitted my volunteers and was soon admitted." In this way, Wang Juzheng walked out of the Northeast and began his medical study.
"Being a doctor is a job of conscience!" Wang Juzheng said that this was one of the few requests his father made to him. In fact, this is also his profound experience in contact with a large number of patients from the grassroots level. High-quality medical care and high-quality doctors are what every patient who enters the hospital desires, and it also forms his work principle: to be a doctor, you must do things with your conscience.
After graduation, Wang Juzheng was transferred from orthopedic major to thoracic surgery. This turning point is the actual need of the department's development, and it also allows him to find his own direction of specialization. "When I was intern in the operating room, I admired the person who could do the surgery well." Although I forgot what the surgery was, Wang Juzheng still remembered that he had a shiny admiration because of a beautiful paired surgical teacher. The challenge and sense of accomplishment brought by thoracic surgery are also very consistent with his personality.
02
strength hardcore! Make thoracic surgery no longer "hard" ~
For many people, thoracic surgery is "hard" surgery. Its professionalism itself will give a great knowledge barrier between doctors and patients. Most of the patients admitted here are old, have many comorbidities, and have high treatment risks, especially for patients with esophageal cancer and lung cancer.
2009-2017, Wang Juzheng spent both in the Department of Thoracic Surgery of Tangdu Hospital Affiliated to the Fourth Military Medical University. In this country's largest thoracic surgery center, he sheds passion and sweat, and his path to progress in his professional field has never ended. "The sun is often gone at both ends. It's too early to go out in the morning, and there's even more time to get off work at night!" Wang Juzheng said.
html In March, Wang Juzheng joined Xianyang First People's Hospital
. In clinical practice, with the improvement of living standards, minimally invasive or even non-invasive has become the wish of many patients. As a doctor, Wang Juzheng has also used his own efforts to study repeatedly and never stopped the pace of innovation. During this period, as a main participant in Professor Zhou Yongan's team of the Department of Thoracic Surgery of Tangdu Hospital, he witnessed every step of the world's first "three-hole" anterior mediastinal lesion resection from ideas to reality. The project "Innovative Application of the Poststernal Interstitial Approach in Thoracic Surgery" with this procedure as the main body was rated as The Fourth Military Medical University 2014 Clinical Superb Medical Skills (ranked 4th) . He has spoken and exchanged many times at the top domestic thoracic surgery conference such as the "National Annual Meeting of Thoracic and Cardiovascular Surgery"; he has given on-site surgical demonstrations at the top national academic conferences such as the Shanghai Zhongshan Hospital Chest Minimally Invasive Forum and the Tangdu Hospital Eagle Forum; he has given a poster display at the 2016 International Thoracic Tumor Assistance Group Annual Meeting ITMIG.
03
"Take what you learn and do your best!"
Life experience, long-term clinical struggle, breaking the shackles of development many times to gain learning opportunities for yourself. Even if you have the joys and sorrows, you have also practiced your superb skills and won widespread trust. You have become an experienced "craftsman". You have also established a belief that you must fight for your life as long as you can fight for the patient, even when you face risks.
Full efforts to treat
Recently, a patient diagnosed with lung cancer in Xianyang found a thoracic surgery expert in Tangdu Hospital, hoping that he would complete the radical lung cancer surgery for himself. Unexpectedly, this expert recommended Wang Juzheng to operate on him. "Wang Juzheng is in the first hospital of the city, I will help you contact us!" After "engaging", the patient successfully completed the operation in the first hospital of the city and continued to undergo chemotherapy.
At present, the thoracic surgery department of the First Hospital of the City can perform most thoracic surgery with a thoracoscopy. Ordinary ones such as pneumothorax are as complex as radical cure for lung cancer, and high-difficulty ones such as mediastinal tumor are bringing good news to more patients.
55-year-old Aunt Sun has sagging eyelids on the right in the past year. No matter how hard she tried, she couldn't open it. It was mainly manifested as weakness in raising her head and sagging eyelids. Accompanied by her family, she was admitted to the hospital for examination and was diagnosed with: myasthenia gravis (eye muscle type), thymoma, and a variety of underlying diseases. Chest enhancement CT shows: Anterior superior mediastinum (right side) lesions, considering the possibility of thymoma. Director Wang Juzheng immediately admitted him to the hospital after receiving the treatment. After careful evaluation, the patient was subjected to thoracoscopic transxixiphoid inferior mediastinal lesions resection. After the operation, the patient recovered well and his symptoms of muscle weakness had disappeared.
"Since I have been studying medicine for so many years, the sweetness and bitterness are all in it, the sense of accomplishment brought by the patient's recovery is incomparable to nothing. In the future, we will continue to promote new technologies to serve patients better."
04
Assist the development of thoracic surgery technology and seek welfare for patients' health
8 On August 26, Director Wang Juzheng performed a thoracoscopic anterior mediastinal lesion resection of the patient through the xiphoid process.
has become a member of Xianyang First People's Hospital and the director of thoracic surgery. Wang Juzheng is determined to quickly improve the discipline development level of thoracic surgery in terms of difficulty of surgery, surgical innovation, precision medicine, etc., and better serve the general public. "40 years old is the golden age of a thoracic surgeon. I hope that it will not only bring cutting-edge professional diagnosis and treatment information, but also gather the strength of the thoracic surgery team, build a technical brand, and promote the development of the thoracic surgery department." Regarding the future, Wang Juzheng firmly believes that the team will be rejuvenated.
72-year-old Lao Zhang, who is experiencing eating obstruction, gradually worsening. Gastroscopy confirmed that Lao Zhang suffered from esophageal tumor . Lao Zhang and his family came to the expert clinic of Wang Juzheng, the thoracic surgery department. Director Wang learned about the patient's condition in detail and patiently explained the relevant knowledge and treatment of esophageal tumors to the patient and his family. The patient was admitted to the hospital on the same day. After being admitted to the hospital, Director Wang Juzheng's team conducted a careful and detailed discussion on the detailed examination results of Lao Zhang's admission and actual condition based on the actual condition. They agreed that the patient's lesions were discovered relatively early, and the scope of lesions was still controllable, and it could be cured through minimally invasive pure laparoscopic surgery. After sufficient preparation before the operation, thoracoscopic + laparoscopic radical esophageal carcinoma + esophageal gastronephrodisiac anastomosis were successfully performed on the patient with close cooperation between anesthesia department and the operating room. The day after the operation, Lao Zhang got out of bed and moved. About a week after the operation, he checked upper gastrointestinal tract . The esophageal and gastric anastomosis healed well, and there was no choking feeling at all when eating. The patient and his family were very satisfied with the effect of the surgery. The patient can eat normally and has been discharged from the hospital and returned home to recuperate. Wang Juzheng not only did his best to diagnose and treat patients, but also always put himself in his shoes and considered the patients from the perspective of financial affordability, and put his heart in mind to understand the difficulties of the patients, winning praise from the patients' families.
"A good doctor, in addition to his professionalism, has a conscience."Wang Juzheng said, I hope to achieve the ultimate operation and treat more patients with smaller trauma. At the same time, he also hopes to bring more scientific treatment to patients while bringing more humanistic care to patients.
Expert profile
Wang Juzheng
Director of Thoracic Surgery
0 Associate Chief Physician
Both undergraduate and master's degree students studied at the Fourth Military Medical University. They have studied in the thoracic surgery department of in the 22nd Hospital of the People's Liberation Army, Tangdu Hospital affiliated to the Fourth Military Medical University, and Jilin University First Hospital and other tertiary A hospitals.
specializes in: focuses on minimally invasive lung surgery; surgical treatment of lung cancer and esophageal cancer; myasthenia gravis surgical treatment; surgical treatment for mediastinal tumors, pneumothorax and bullae.
Other specialized in surgery: Other routine and thoracoscopic surgery, including lung (lobe, segment) resection (radical lung cancer), total laparoscopic radical esophageal carcinoma, thoracoscopic total thymusectomy, thoracoscopic bulla, tuberculosis bulb, mediastinal tumor, mediastinal cyst, pericardial cyst, bronchoscopic biopsy, and biopsy , soft thoracoscopic pleural biopsy (microscopic treatment of malignant pleural effusion ), percutaneous puncture intrapulmonary mass radiofrequency ablation.
Featured surgery: hyphaeal process anterior mediastinal lesion resection, participated in and took the lead in this type of surgery at Tangdu Hospital (the world's first).
Source: Xianyang First People's Hospital
Editor: ZMY
