Recently, the Department of Thoracic Surgery of Shizhong District People's Hospital of Neijiang City successfully completed thoracoscopic left upper lobe wedge resection + lymphatic sampling for Mr. Xu, and he was discharged from the hospital soon after surgery. When Mr. Xu removed the stitches, he specially sent a pennant with "noble medical ethics and excellent medical skills, caring for patients and warming people's hearts" for the doctors in the department.
When Mr. Xu first learned that he was going to have surgery, he was very nervous and did not think about tea and dinner, which seriously affected his life, he said: "If you don't have surgery, you will worry about deterioration, and if you have surgery, you will worry about accidents." Considering that Mr. Xu is older and has a heavy psychological burden, the Department of Thoracic Surgery has formulated a detailed diagnosis and treatment plan and risk plan for him by jointly carrying out MDT with multiple departments before surgery.
The head of the department and the full-time missionary ** comforted Mr. Xu again and again, and used the same kind of cases in the department to say. Dr. Zhong Bo told Mr. Xu: "Thoracoscopy is a minimally invasive surgery, which can reduce postoperative pain, reduce postoperative complications, and shorten the operation time, and the youngest patient I have ever done is 23 years old, and he works and lives like a normal person after surgery, so you don't need to be nervous." Gradually, Mr. Xu became emotionally stable, and after careful consideration and weighing, he accepted the reality and agreed to choose thoracoscopic surgery.
Doctor Zhong Bo communicates with the patient before surgery.
In fact, Mr. Xu is not alone. Xu Yuanda, chief physician of thoracic surgery, said that in recent years, more and more people have found pulmonary nodules in physical examinations, some of whom do not take it seriously, and some people are worried. Xu Yuanda suggested that such patients should go to the Department of Thoracic Surgery first, and the professional doctor will give constructive opinions or suggestions based on the imaging conditions such as the density and size of the nodules, and then combined with comprehensive factors such as the age of the patient, such as: 0Nodules above 8 cm do not exclude malignant tumors, and surgical indications are indicated.
Ma Zhigang, director of the Department of Respiratory and Critical Care Medicine, added that pulmonary nodules can be caused by a variety of reasons, such as inflammatory lesions, benign and malignant tumors. Some inflammatory nodules may resolve with anti-infective**; Chronic inflammatory lesions and benign tumors cause small lung nodules that do not compress the surrounding normal tissues and do not require special treatment.
Zhang Dehua, director of the radiology department, introduced that the hospital has 128-layer spiral CT, and has automatic detection and analysis software for lung nodules in chest CT images, which can automatically identify suspicious nodule lesions and display VR images of pulmonary nodules (2mm).
According to the needs of diagnosis and treatment, the hospital set up a pulmonary nodule MDT team in March 2023 to discuss once a week, and by the end of December 2023, a total of 983 people were discussed, and 20 people were operated on in the hospital after being recommended, and the postoperative examination showed that 1 person was a cyst and 19 people were malignant tumors, with a positive rate of 95%.
I hope that everyone cherishes life, early examination, early prevention, early detection, and early **.
Wentu Xu Chunhua.
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