The new national disease of lung cancer: every year10.3 million people get cancer.
According to the statistics of the Ministry of Health and Welfare, more than 13000 people suffer from lung cancer every year in Taiwan Province Province, and more than 9000 people die of lung cancer, which is like a new national disease. Chen Jinxing pointed out that with the discovery of more and more early-stage lung cancer by low-dose computed tomography, traditional lung cancer surgery requires the use of a double-tube trachea (with the risk of infection), anesthesia requires only one lung breath (at least one hour), the chest must be opened to 20-30 cm, and 2-3 ribs must be removed before surgery. "Not only the wound is long, the resection range is wide, and the recovery is slow, but also the proportion of surgical complications and long-term pain is high. In this regard, the new trend of lung cancer surgery is "single hole without tube and accurate positioning", and its advantages are "smaller chest wall incision (single hole)", "faster anesthesia recovery (without tube)" and "less and more accurate lung resection".
Single-port tubeless thoracoscopic surgery is suitable for early small lung cancer
Chen Jinxing explained that "single hole" is the progress of thoracoscopic surgery at present. From the original three-hole wound to single hole, the incision is getting smaller and smaller; "No tube" is a faster recovery from anesthesia, avoiding a lot of muscle relaxants, realizing no trachea, chest tube and urinary tube, and the anesthesia is shallow, belonging to intravenous anesthesia. You can get out of bed and eat after waking up. "More accurate" is because lung resection will not regenerate, and the less resection, the better. However, if the resection is not enough or accurate, the tumor is easy to recur. Therefore, through image-guided localization, low-dose computed tomography found the tumor, and then removed it.
In addition to publishing many papers and writing teaching materials, the lung cancer surgery team of National Taiwan University Hospital has completed more than 500 cases of thoracoscopic surgery without tracheal intubation 1.500 cases of video-guided thoracoscopic surgery 1.500 cases, and single-hole tubeless thoracoscopic surgery 1.000 cases. Chen Jinxing added that this operation is suitable for the elderly and emaciated patients with tumors smaller than 1 and 2 cm, but not for patients with large tumors, surgical adhesions and obesity.
Early screening has a good prognosis, and low-dose tomography screening is urged.
In addition, the earlier lung cancer is found, the better the treatment effect. Clinical trials in the United States have confirmed that low-dose computerized tomography screening reduces mortality by 20%; European clinical trials show that low-dose computed tomography screening reduces mortality by 26%. Chen Jinxing reminded that people over the age of 45 can have low-dose computed tomography screening regularly to diagnose early lung cancer and reduce mortality.
The lung cancer team of National Taiwan University developed "single-hole tubeless thoracoscopic surgery", which avoids trachea, chest tube and urinary tube, combined with image-guided positioning, with less trauma and quick recovery. Chen Jinxing, director of the Department of Thoracic Surgery at National Taiwan University Hospital, said that the operation is suitable for lung cancer tumors smaller than 1 and 2 cm, which is helpful for the elderly and patients with poor lung function to recover.
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