Medical center experts use salvage surgery to give lung cancer patients new life

Recently, the Department of Thoracic Surgery of the Sixth Medical Center of the PLA General Hospital successfully performed salvage radical lung cancer surgery for a patient with advanced lung cancer, rekindling the fire for the patient.

In the early stage, the patient received 6 cycles of systemic chemotherapy and targeted therapy in a foreign hospital due to adenocarcinoma of the left upper lobe with bone metastases for 18 months. The tumor volume was significantly reduced, but PET-CT showed that active metabolic foci still existed, and severe liver function damage occurred. , unable to continue to tolerate drug treatment, and the residual lung lesions rapidly increased and recurred after drug withdrawal.

She was extremely anxious, and was referred by a friend to the Sixth Medical Center of the People's Liberation Army General Hospital for treatment.

"Since the patient pinned her hopes on us, we must do our best to protect her health!" After the patient completed the examination, Song Weian, deputy director of the Department of Thoracic Surgery, quickly convened a multidisciplinary preoperative consultation. Under the comprehensive protection of the Department of Oncology, Department of Respiratory Medicine, Department of Radiology, Department of Pathology and other disciplines of the Sixth Medical Center, the operation was carried out quickly.

During the operation, in view of the medical problems such as severe hilar inflammatory reaction, unclear anatomical level, and heavy lymph node adhesion caused by the residual cancer in the patient's lungs due to chemotherapy, Song Weian, deputy director of the Department of Thoracic Surgery, led the surgical team to use a one-way operation to fuse the bronchial and pulmonary arteries. The dry-plasty plan uses single-port thoracoscopy to visualize and accurately locate the residual lesions in the upper lobe of the patient's left lung. At the same time, systematic lymph node dissection was performed. The operation lasted 2 hours, and all the residual lesions in the patient's lungs were successfully removed. The "nails" in the lungs were uprooted.

After the operation, the patient could go to the ground to exercise and eat on the same day, and the closed thoracic drainage tube was removed the next day. When she was discharged from the hospital on the third day, the patient was deeply grateful to the medical staff who treated her and said from the bottom of her heart: "I really don't dare. Believe it! It took only three days to completely remove such a serious root cause in my lungs, allowing me to regain my health again."

It is reported that under the leadership of Director Gong Taigan, the Department of Thoracic Surgery of the Sixth Medical Center has carried out a special study on the comprehensive treatment of advanced lung cancer. All patients who underwent salvage surgery have recovered, and the longest one patient survived disease-free for 8 years after surgery. Patients have established a one-stop, personalized, full-process "diagnosis and treatment center". Song Weian, deputy director of the Department of Thoracic Surgery, applied the concept that "tumor-free survival" is better than "tumor-bearing survival" in clinical practice, and adhered to the "surgery-based comprehensive treatment plan for non-small cell lung cancer" in clinical practice. Medical Achievement Third Prize. The research that neoadjuvant therapy can improve the survival rate of lung cancer patients has been cited by the international "NCCN Guidelines for the Diagnosis and Treatment of Non-Small Cell Lung Cancer" since 2018.


 


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