Recently, the experts introduced by Yankuang Xinlicheng General Hospital, Zhang Zhiyong, Chief Physician of Cardiology and Thoracic Surgery, and Gu Chuanlei, successfully performed single-operated thoracoscopic segmental resection and lobectomy for a patient with premature lung cancer. , which is the first such minimally invasive external thoracic surgery independently completed by the hospital.
thoracoscopic lung segment and lobectomy are minimally invasive surgeries, which have the advantages of low surgical trauma, fast postoperative recovery, less pulmonary function damage, and low incidence of postoperative complications. However, this type of surgery has high technical requirements and is difficult to operate. The operation technical requirements of , especially single-operated thoracoscopy, are higher. Therefore, the successful implementation of this surgery, marks the entry of a new stage of minimally invasive treatment in the hospital's thoracic surgery department. Mr. Li (pseudonym), 47 years old, was found in the posterior segment of the right lung nodule, combined with the patient's medical history, imaging examination, etc., and the possibility of early lung cancer is considered.
After sufficient preoperative discussion, Chief Physician Zhang Zhiyong and Deputy Chief Physicians Gu Chuanlei performed "single-operation thoracoscopic surgery" on August 31. During the operation, the lesion was located on the fissure surface of the posterior segment of the right lung, and it was difficult to determine the nature of the lesion by the naked eye. Taking into account the patient's age, location, and nature of the disease, it is not advisable to undergo pulmonary wedge resection.
△ Zhang Zhiyong's team
anatomical segment resection Minimally invasive
Thoracic surgery team decided to to perform anatomical segment resection first, clarify the rapid pathological diagnosis of during the operation, so as to achieve the surgical purpose of complete removal of the lesions if benign or micro-invasive adenocarcinoma. If it is invasive adenocarcinoma, the scope of resection can be continued to be expanded.
"Anatomical segmentectomy is minimally invasive among minimally invasive. It ensures that the tumor is completely and completely removed while retaining more lung functions to the maximum extent, and can better ensure the quality of life of patients after surgery." Chief physician Zhang Zhiyong introduced.
Anatomical segmentectomy is a new technical high in the field of thoracic surgery, fully demonstrating the technical strength of the thoracic surgery team of Yanzhou Xinlicheng General Hospital.
Personalized and precise surgical concept
△ Resection
anatomical segmental resection pathological results were invasive adenocarcinoma. The thoracic surgery team immediately performed the patient with the upper lobectomy of the right lung + mediastinal lymph node dissection. This surgery reflects the concept of personalized and precise surgery, which takes into account the patient's postoperative quality of life to the greatest extent, and also reflects the level of thoracoscopic lung surgery in the General Hospital.
The surgery process went smoothly, the lesion was removed intact, and the intraoperative bleeding volume was only 30ml.
According to the associate chief physician of Thoracic Surgery, thoracoscopy surgery was four-hole and three-hole in the early stages. With the continuous progress and development of technology, it is currently mostly two-hole thoracoscopy surgery, and single-operated holes are more minimally invasive, because single-operated hole thoracoscopy surgery has less trauma, and of course, the technical requirements are higher and the operation is more difficult.
At present, the patient has recovered smoothly and was discharged from the hospital on the 5th day after the operation.
Zhang Zhiyong Introduction
Zhang Zhiyong, director of cardiac surgery, chief physician, chief physician. Shandong University Master's degree, has been engaged in the clinical work of cardiothoracic surgery in a large tertiary comprehensive hospital for more than 30 years, and has served as the leader of cardiothoracic surgery for more than 20 years.
Concurrently position
former Standing Committee Member of the Cardiothoracic Surgery Professional Committee of the All-Armed Military Science and Technology Committee
Former Deputy Chairman of the Cardiothoracic Surgery Professional Committee of the Jinan Military Region Science and Technology Committee
Member of the Chest Surgery Professional Committee of Shandong Medical Association Medical Branch Member of the Medical Branch
Deputy Chairman of the Cardiothoracic Surgery Professional Committee of the Tai'an Medical Association
Specializes in the field
❖ Proficient in cardiac surgery congenital heart surgery
❖ Proficient in cardiac surgery heart valve replacement and bypass surgery
❖ ❖ Proficient in various lung surgery: thoracoscopic lobe and lung segment resection, minimally invasive surgery for lung sub-segment and combined lung sub-segment resection and various open surgery for lung
❖ Proficient in esophageal surgery: esophageal tumor Various surgeries and minimally invasive surgery under thoracic surgery
❖ Proficient in thoracic microscopic microscopic microscopic Invasive surgery
❖ Various Chest trauma surgery
Personal honor
2005 awarded third-class merit for outstanding work 1st
200 The third prize of the army's scientific and technological progress in 4 years (the first person completed)
The third prize of the army's scientific and technological progress in 2012 (the third person completed)
has been awarded and commended by hospitals and superior units many times
Completed the operation of Shandong TV Congenital heart disease live broadcast
In December 2008, Tai'an TV station's live surgery for heart valve replacement
Gu Chuanlei's introduction
Gu Chuanlei, deputy director of the Department of Thoracic Surgery and deputy chief physician, has been engaged in the clinical work of thoracic surgery in a large Grade A comprehensive hospital for nearly 20 years. In , Fuwai Hospital of Chinese Academy of Medical Sciences, and , Zhengda First Affiliated Hospital, , cardiac interventional surgery.
also serves as a post
Member of the Thoracic Surgery Branch of Shandong Medical Association;
Member of the Society of Tumor Molecular Targeted Therapy of Shandong Research Hospital Association;
Member of the Humanities Professional Committee of Liaocheng Medical Association.
is good at field
is good at thoracoscopic lung, mediastinal disease, thoracoscopic rib fracture reduction and internal fixation, and can skillfully complete thoracic esophageal cancer surgery, heart coronary artery bypass and valve replacement surgery.
Personal Honor
Published two medical monographs, obtained 2 national patents, and published several papers.
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