Surgical Resection of Lung Tumors 肺部腫瘤切除手術說明(英文)

Surgical Resection of Lung Tumors 肺部腫瘤切除手術說明(英文). 2022/5/9. Reason for Surgery. Where the patient's lung tumors are diagnosed as malignant lung ... 衛教單張 HealthEducation 首頁 衛教單張 SurgicalResectionofLungTumors肺部腫瘤切除手術說明(英文) 衛教資訊 衛教單張 醫病共享決策(SDM) 衛教影片 衛教海報 衛教諮詢 正確用藥教育中心 衛教講座 衛教講座報名 爸媽教室 哺乳聚會 孕產課程 健康城市 中醫講座 正確用藥 SurgicalResectionofLungTumors肺部腫瘤切除手術說明(英文) 文章分享 首頁 分享至FaceBook 分享至Line Qrcode 列印 A- A+ SurgicalResectionofLungTumors肺部腫瘤切除手術說明(英文) 2022/5/9 ReasonforSurgery Wherethepatient'slungtumorsarediagnosedasmalignantlungtumorsbysputumcytology,fiberopticendoscopy,thoracicultrasoundpunctureandcomputedtomography,completeorpartiallobectomycombinedwithmediastinallymphnodeclearanceisrecommendedinordertoobtainthebestchanceofcuringthedisease. Theimagingexaminationofthechestshowsthatthereisasuspectedpulmonarylobetumor,soasurgicalbiopsyisrecommended,andappropriatesurgicalordrugtreatmentstepsshouldbetakenafterthecorrectpathologicaldiagnosistofundamentallytreatthedisease. PhysicalEvaluationbeforeSurgery Adetailedgeneralscanofthetumorrevealsnoevidenceofmetastasisinanyotherorgansexceptthechest. Thephysiologicalfunctionsofthepatient'smainorgans,includinglung,heart,liverandkidneyfunctions,areallwithintheacceptablerangeofanesthesiaandoperation. Acomprehensiveexaminationofthepatient'spulmonaryfunctionshowsthattheexpectedresidualpulmonaryfunctionaftersurgicalresectioniswithinanacceptablerange(FEV1>0.8-1.0L). StepsandScopeofSurgery Theoperationisperformedundergeneralanesthesiaandexcisioniscarriedoutwhenunilaterallungbreathingiscontrolledunderaspecialdouble-tubeendotrachealtube. Thethoracoscopicsurgeryshouldbeperformedwith2to3incisionslessthan1cmontheipsilateralsideofthechestwall. Thehumanlunglobesaretwoontheleftandthreeontheright,andareconnectedbythearteries,veins,andbronchi. Radicalresectionoflungtumorsincludeslobectomyandlymphadenectomyintheipsilateralmediastinum. Afterlobectomy,adrainagetubemustbeinsertedintothepleuralcavityforaspiration,whichwillfacilitatethedischargeofexcessthinbloodandair. ExpectedSurgerySuccessRatesandRisks Accordingtoliteraturerecordsandrecentreports,althoughlungtumorresectionisamajorsurgery,theriskbeforeandaftersurgeryhasbeengreatlyreducedduetotheimprovementofanesthesiatechnologyandpostoperativeintensivecare.Excludingconcomitantunderlyingsystemicdiseasessuchashypertension,diabetes,coronaryarterydisease,orotherorganfailure,themortalityrateafterresectionoflungtumorsisgenerallylessthan5%. Ingeneral,thetreatmenteffectoflungcancerpatientsisstillbetterwhenthetumorcanbecompletelyresected.Thefive-yearsurvivalrateaftersurgeryisrelatedtotheearlyandlatestagesofthedisease.IfitisstageIofnon-smallcelllungcancer,thefive-yearsurvivalrateaftersurgeryismorethan80%. PossibleSymptomsExpectedafterSurgery Aftersurgery,dependingonthepatient'srecovery,he/sheisusuallytransferredtothegeneralthoracicsurgerywardtofacilitatethesmoothrecoveryofrespiratoryfunction. Aftertheoperation,afewpatientsmaytemporarilyusemechanicalventilationinintensivecareunitstohelpsmoothexpansionoftheresectedpulmonarylobesandpreventcomorbiditiessuchassputumobstruction,feverandpneumoniacausedbylungcollapse.Duringwhich,thepatientisnotfittospeakforthetimebeingandmustreceivetreatmentatease. Respiratoryrehabilitationaftersurgeryisveryimportant.Inadditiontoproperpaincontrol,steaminhalationtoreducephlegm,repeatedslappingofthebacktoremovephlegm,andcontinuousdeepbreathingexercises,thecooperationfrompatients,familymembersandallmedicalstaffisthebestguaranteeforsmoothpostoperativerecovery. PossibleComplications,RisksandManagement Postoperativecomplicationsandrisksarelinkedtothescopeofsurgicalresection.Forexample,theriskofpneumonectomyistheoreticallyhigherbyabout10%thanthatoflobectomyalone. Becausethebloodsupplytothelungscomesdirectlyfromtherightventricleandpulmonaryartery,thelocation,size,ageandprevioushistoryoftumorgrowthareusedtoevaluatepostoperativecomplications.Arrhythmias,pulmonaryedema,orexcessivebleedingmayoccurinafewcaseswherebloodtransfusionisrequired. Respiratoryrehabilitationaftertheoperationisveryimportant,especiallyforheavysmokers,theelderlywithemphysema,thosewithpoornutritionanddifficultybreathing,andthosewhosufferfromsputumobstructionduetointolerablewoundpain.Asaresult,theymayneedtoreceiveventilatorsupporttreatmentintheintensivecareunitduetoinsufficientalveolarventilationleadingtolungcollapse,bronchialobstruction,fever,pneumoniaandevenrespiratoryfailure. Afewpatientsneedanextendedperiodoftimeforthoracicdrainageafteroperation,andmayhaveempyema,pneumothorax,subcutaneousemphysemaandrespiratoryfailure,andneedfurthertreatment. Complicationssuchaswoundinfection,aspirationpneumonia,pressureulcer,uppergastrointestinalbleedingandsepticaemiamayoccurinafewpatientswithdifferenthealthconditionsbeforesurgeryandoperationsreceived. Veryfewpatientsarereportedtohaveothercomplicationssuchas stroke,heartfailure,pulmonaryedemaormyocardialinfarctionduringgeneralanesthesiasurgerybecauseoftheirolderageorvascularsclerosis,arrhythmia. PossibleConsequencesifSurgeryisnotPerformed Lungcancerisahighlymalignanttumor,whichispronetometastasis,localinvasionandrecurrenceattheearlystage.Surgicalremovalisrecommendedasearlyaspossibletoeradicatethedisease. Whenlungcancerisassociatedwithdistalmetastasis,thepossibleclinicaldiscomfortvarieswiththeorgansinvolved,includingpainfromskeletalmetastasis,liverfailureandswellingfromlivermetastasis,pulmonaryinterstitialedemafromlymphaticmetastasis,consciousstateofbrainmetastasisorlimbparalysissimilartocerebralapoplexy. Iflungcancerisnotactivelytreated,inadditiontothepossibilityofdistalmetastasis,localinvasionofthetumoritselfcanalsocausenecrosis,suppuration,hydrops,hemorrhage,pain,feveranddyspnea. AlternativestoSurgery Forasmallnumberofradiographicatypicallesions,intervaltracingcanbeconsidered,buttheappropriatenessoftracingshouldstillbedeterminedafterdiscussionwithathoracicsurgeon. Underthemedicalconsiderationsofoncology,ifthepatientdecidesnottoundergosurgicalresection,orifthephysicalfunctionandtumorconditionarenolongersuitableforsurgicaltreatment,itisadvisedtochoosechemotherapy,cobalt60therapyorcombinationoftheaboveaccordingtotheindividualconditionofthepatient. Accordingtothecurrentstatistics,first-linechemotherapyhasatumorshrinkageresponserateofabout15-35%,andcansignificantlyreducethepatients'cancercomorbiditiesandimprovethequalityoflife. 若有任何疑問，請不吝與我們聯絡 電話：(04)22052121分機7274 HE-20147-E 中國醫藥大學附設醫院暨體系院所 回上頁 Qrcode × } 為了您我們持續進步 對於本院有任何的疑問歡迎您將您的想法告訴我們，您的寶貴意見將成為我們繼續努力改進的動力，歡迎您寫信與我們聯絡。

您的批評是我們進步的原動力，而您的讚美是我們最大的鼓勵。

院長信箱 ; 網站意見箱 × ※提醒您，此功能是用來提出網站建議及內容、系統功能錯誤反應，所以此處留言不會有專人回覆。

若對於本院有任何讚美、抱怨及建議請至「院長信箱」，如有健康問題諮詢請至「民眾發問」，會有專人回覆您，謝謝您的配合。

網站的建議及錯誤反應，歡迎您透過「網站意見箱」反映意見。

您的批評是我們進步的原動力，而您的讚美是我們最大的鼓勵。

*分類 請選擇意見分類 讚美 建議 *網站評分 請選擇 ★ ★★ ★★★ ★★★★ ★★★★★ *請輸入內容 送出 關閉