Women's lung+sternum grows "twin" tumors!The doctor only opened the hole 3cm perfectly "bullet"

shock! Due to diarrhea admission, the doctor will find two tumors

Ms. Ding had a medical examination at a three -way hospital outside the province and found that there was about 1.2cm lung nodules in the right lower lung back section. Experts from foreign hospitals suggested to observe the clinic. Recently, he stayed at the infection department of Wangwang Hospital, Hunan, and attached great importance to the infection physician after understanding the situation. He immediately invited Director Hu Bang, Hunan Wangwang Cardiac Surgery Hu Bang for consultation.

Director Hu Bang found the two abnormalities according to Ms. Ding's CT result:

1. The lung nodule of the right lower lung segment, the edges can be seen, the density is uneven, a small amount of leaves, a typical lung cancer manifestation, considering the possibility of early lung cancer;

2. There is always a diameter of about 3cm in front of the front and the position of the left. In summary, both lesions need surgery.

Disaster! As soon as I go up, the doctor's minimally invasive single operating hole performed two different tumor slicing techniques during the same period

Ms. Ding's two tumors positions one by one, and usually need to be carried out in portions or one incision, or the incision needs to be extended to complete. Director Hu Bang, a heart chest surgery in Hunan Wantwang Hospital, learned that Ms. Ding was worried about the beautiful surgery and incision, and gave suggestions for two different tumor resection surgery under the same micro -incision. After fully understanding the surgery, Ms. Ding accepted it.

Single minimally invasive single incision at the same time, the upper part of the upper and upper tumors and the right lower lung section resection surgery. One incision, the equipment is difficult to take care of the two tumors upper and lower, the incision is too high, too low, and it is easy to cause the upper and lower to the middle and the upper and lower. risks of.

At the same time, the resection of the patient's lung segment can retain more lung tissue, relatively small lung function loss for patients, the quality of life after surgery, and the effect of early lung cancer with a diameter of about 1cm can also achieve the effect of lung lobe resection. Essence However, compared to wedge resection and lobe resection, the requirements and difficulty of lung segmentation surgery are more difficult.

Hunan Wangwang Hospital's cardiac surgery team adopted a 3cm minimally invasive incision to complete the resection of Ms. Ding's right lower lung back section+lymphatic node cleansing and the resection of the front upper vertical tumor. The entire surgery bleeding is less than 20ml. During the surgery, the anesthesiology department used the "tracheal balloon sealing surgery" to perfectly solve the problem of difficulty in single lung ventilation. It was better than the two -cavity tracheal intubation, less trauma, and better lung ventilation effect.

In the end, Ms. Ding's pathological results were early lung adenocarcinoma. I realized that the sub -nodules that did not care before were "invisible bombs". "".

One week after surgery, Ms. Ding and her family sent them to Jinqi thanked Hunan Wangwang Hospital Cardilateral Surgery Medical Care Team

So, how to treat lung nodules correctly?

Director Hu Bang, a heart chest surgery in Hunan Wangwang Hospital, reminded: As people's living standards improve, more and more people participate in health checkups. And the pulmonary medical examination was changed from the past X -ray film to a low -dose lung CT, and more and more people found the lung nodules.

Once many people are panicked when they find the lung nodules, they suddenly feel a shadow of their hearts. However, some people don't take it for granted that the regular review in the medical examination report derived, and when the "small nodules" grew up, it became a "mass" often missed the best time to surgery.

If there is a summary of the lungs in the medical examination, don't worry first, 80%-90%of the lung nodules found in the first CT examination are benign lesions. It is not necessarily cancer. Most of them are extremely early cancer. As long as timely and appropriate treatment is passed, many people can even be cured.

Doctors will comprehensively analyze and judge based on the growth methods of nodules, marginal forms, internal density, and peripheral vascular structures, and the growth rate, structure or edge changes discovered by "regular review" are important judgment basis. When the doctor judges that the possibility of malignant is more likely, surgery should be performed early.

At present, minimally invasive thoracoscopy is the main method of treating lung nodules and early lung cancer. A minimally invasive surgical method of thoracoscopy or single-incision, only 1cm thoracoscopy observation holes and a 2-3cm operating hole, or a minimally invasive small incision rosit or pulmonary segment resection. The trauma is very small, the pain is mild, and the postoperative recovery is fast. You can get out of bed on the first day, and you can be discharged from the first three to five days. For early patients with lung cancer, surgical resection treatment is obvious. Hunan Wangwang Hospital has performed thoracoscopic surgery in 2005.

It should be noted that people with a history of smoking are high -risk groups of lung cancer, away from cigarettes, dust, balanced diet, appropriate exercise, and regularly check the low -dose lung CT examination of the body every year. Do not panic when you find lung nodules, believe in science, standardize diagnosis and treatment to maintain health.

(Edit ZS.)

Special Author of Hunan Medical Chat: Heart chest surgery in Wangwang Hospital, Hunan/Wang Rui

Follow@关 关 关 关@@关 关 关 关 关!

- END -