Renji Hospital performed the first thoracoscopic surgery for tracheal tumor without endotracheal intubation and with spontaneous breathing


Under the prevention and control of the epidemic, Doctors in Shanghai continue to explore the treatment of difficult technologies and difficult cases.”The patient was able to eat and breathe well this morning.”On the morning of April 5, Zhao Xiaojing, director of the department of thoracic Surgery at Renji Hospital affiliated to Shanghai Jiao Tong University School of Medicine, was very happy during her ward round.A day earlier, zhao xiaojing’s thoracic surgery team, in collaboration with the department of anesthesiology, completed the hospital’s first thoracoscopic tracheal tumor surgery without endotracheal intubation and with spontaneous breathing.It is understood that such cases and surgical techniques are very rare in the country at present.Ms. Shen, 45 years old, suffered from tracheal tumor, which was diagnosed as tracheal malignant tumor by pathology.Recently, under the tracheoscope in the local hospital has been palliative resection of part of the tumor, Ms. Shen was attracted to the thoracic department of Renji Hospital Zhao Xiaojing team.Director Zhao Xiaojing told reporters, according to the traditional thoracotomy to remove the tumor, relatively high safety, but the postoperative recovery period is longer, patients have a strong sense of pain.”The patient is also a doctor and wants to return to work as soon as possible after surgery. We decided to remove the tumor through thoracoscopic tracheal tumor surgery with non-tracheal intubation and spontaneous breathing (Tubeless technology) in full consideration of the patient’s life safety.”Zhao Xiaojing revealed.Thoracoscopic tracheal tumor surgery with non-tracheal intubation and spontaneous breathing is known as the “crown jewel” in the field of thoracic surgery.Self-breathing thoracoscopic surgery puts forward higher requirements for surgeons and anesthesiologists on the technical level. It requires tacit teamwork, precise operation by the surgeon, rapid removal of lesions and suturing of wounds, and adequate oxygen supply for patients during surgery by anesthesiologists.”It’s like walking a tightrope on a cliff.”That’s how Zhao xiaojing describes the operation.The department of thoracic surgery and the department of anesthesiology at Inji Hospital spent one and a half days designing the surgical plan and preparing multiple plans before the surgery.”Nationally, the number of cases and surgical experience is very limited.However, what we need to do is to design a set of safe and feasible plans to minimize the pain of patients based on our limited experience.On the afternoon of April 4, the medical team of Inji Hospital started the first thoracoscopic tracheal tumor surgery without endotracheal intubation and with spontaneous breathing in the operating room after thorough preparation.The thoracic surgery department of Inje Hospital is known to be one of the earliest esophageal and lung surgery centers in Korea.This operation is the first time in the history of Renji Hospital that endotracheal tumor surgery was performed without endotracheal intubation.The operation was performed by two experts, Zhao Xiaojing and Pan Wenbiao.Meanwhile, Dr. Lin Haiping and Dr. Wang Yanlei assisted.Anesthesiology Department Pan Zhiying, Liu Yaling, Zhu Huichen three physicians in charge of surgical anesthesia.The operation lasted more than two hours and was completed successfully.”After the operation, the wound was very small, only three centimeters.Not only do patients get better sooner, but they also feel less pain and can return to normal work and life sooner.”Zhao Xiaojing pointed out that the whole operation without endotracheal intubation and muscle relaxants, intravenous anesthesia dosage is small, so that patients fully sedation and analgesia, while the whole operation of self-breathing.At the same time, it can greatly reduce postoperative throat and chest discomfort, speed up postoperative recovery, shorten hospitalization time, reduce hospitalization costs, and achieve the goal of “overall minimally invasive” chest surgery.Xinmin Evening News reporter Zuo Yan

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