Simply put, not only doctors, but also other nursing staff, including operating room nurses, anesthesiologists, operating room staff, etc., should have good professional quality and cooperative spirit in the operation. In other words, the whole operating room is a team, not just one person.
In addition, academically speaking, surgery is not suitable for all patients, and surgery is not omnipotent. Only when there is no local or distant metastasis, the tumor is small and suitable for surgery; If the focus has been removed, the metastatic focus is single and the body is in good condition, surgery can also be performed on the metastatic focus. If there are more than two metastatic lesions, in principle, no surgery will be performed. There is also a saying that thymoma must be surgically removed once it is diagnosed. The reason is that the tumor continues to grow and increase, oppressing adjacent tissues and organs to produce obvious clinical symptoms; It is difficult to judge whether the tumor is benign or malignant simply from the clinical and X-ray manifestations. Moreover, benign tumors may also become malignant. Therefore, both benign and malignant thymomas should be removed as soon as possible. For resectable malignant thymoma, postoperative treatment can be guided by pathological biopsy, and postoperative radiotherapy for some resected patients can relieve symptoms and prolong the survival time of patients. Relationship between resection rate and tumor size. Generally speaking, the larger the tumor, the lower the resection rate, which is consistent with the general conclusion of tumor surgery, but the tumor size is not the only indicator of surgical resection. Sometimes large tumors can be removed. Smaller tumors cannot be removed. Therefore, in addition to the size of the tumor, whether the tumor invades, especially the severity of the invasion of peripheral blood vessels, such as superior vena cava, innominate vein, aorta, etc., greatly affects the surgical resection rate. When tumors grow around blood vessels and are frozen, even medium-sized tumors sometimes cannot be completely removed. Surgery is generally not dangerous. This part of minimally invasive surgery is of little significance, and ordinary surgery is enough.
Of course, these two views are academic issues, so please listen to the doctor's specific treatment plan, so I don't need to repeat it.
Of course, there is no need to make a fuss when the landlord sees it. Maintaining a good medical attitude is not only helpful for the illness, but also the basic guarantee for normal communication with doctors before operation.
I can recommend some mature attending doctors in Shanda Hospital (only thoracic surgery, of course), but for reference only!
1, Lin, male, 19, born in February 2008, director of thoracic surgery, chief physician, professor, tutor for master students.
197, graduated from Shandong Medical College in. Nearly 30 years of clinical practice in thoracic surgery has accumulated rich clinical experience. He is good at surgical treatment of various chest diseases, with more than 200 operations every year. He has completed rare and difficult operations such as tracheoplasty and bronchoplasty to treat lung tumors 150 times. For those more complicated lung cancers that invade the pulmonary artery ... One-stage surgery plus lung volume reduction surgery is the first treatment for COPD in the province. The treatment of middle esophageal cancer through right thoracic incision fills the gap in Qingdao and achieves satisfactory clinical results.
As the head of the department, he also served as the editorial board of Shandong Medicine and deputy director of three professional committees of thoracic surgery, tumor and electrochemistry in Qingdao. It has played its due role in professional technology and dealing with people, and has given strong support and help to senior doctors, young doctors and senior doctors in clinical practice and scientific research. He has participated in many international conferences and made key speeches, and many medical works have been published in various journals, the first of which was published in Chinese Journal of Thoracic and Cardiac Surgery. "Tracheobronchial Bronchoplasty for Lung Tumors" won the ministerial prize and participated in two monographs.
2. Luo Yiren, male, born in June, 1962, deputy chief physician.
1986 after graduating from the medical department of Shandong medical university, I have been engaged in thoracic surgery, mastering the diagnosis and surgical treatment of various diseases in thoracic surgery, especially being good at minimally invasive surgery in thoracic surgery. From 1995, video-assisted thoracoscopic surgery was first carried out in the whole province to treat chest diseases, which had certain influence in China and was rated as a member of the "Sixth National Video-assisted Thoracoscopic Surgery Academic Conference".
3. Shen Yi, male, born in September, 1955, deputy director of thoracic surgery, deputy chief physician, and master tutor. 1983 graduated from Qingdao Medical College. After graduation, he worked hard in the field of thoracic surgery for nearly 20 years. He has a solid clinical foundation in thoracic surgery. He has participated in the series research of clinical and immunopathological comprehensive indexes of lung cancer and the series research of clinical and surgical treatment of tracheal carina bronchial tumor, and won the provincial scientific and technological achievement award. The surgical treatment of tracheal carina was carried out earlier in the province, and the frozen allogeneic sternum transplantation was carried out for the first time in China to treat sternal tumors. Early surgical treatment of thoracic outlet tumors and extrapleural resection of some mediastinal tumors were carried out in the province. In the comprehensive treatment of esophageal cancer, a variety of surgical methods and methods have achieved good results; In China, the treatment of repairing cervical anastomotic leakage with free jejunal fragments was carried out earlier, and satisfactory results were obtained.
In recent years, we have mainly carried out interventional therapy and post-radiotherapy surgery for patients with stage Ⅲ and Ⅳ lung cancer, lung transplantation research, research on the influence of minimally invasive thoracoscopic surgery on lung function, and research on microvascular formation in the immune mechanism of lung cancer. Participated in the editor-in-chief of the book Thoracic Surgery published by Qingdao Publishing House, which focused on the characteristics and research results of thoracic surgery in Shandong Province in the decades after liberation, and won the book award issued by the Provincial Education Commission. Published more than 20 papers in magazines at all levels.
Other doctors in the same department
Xunv
Gao Hongbo female
Wei Huangcheng's daughter
Dong Lengguang Girl
Wang Yongjie, female.
Liu Yuhong's daughter.
If thymoma complications occur during or after operation, multi-disciplinary consultation may be needed. For example, the two situations with the highest postoperative crisis are myasthenia gravis (mg) crisis and cholinergic crisis, and a small number of patients will have postoperative ascites due to thymoma. After the operation, the patient should be placed in a single ward and closely monitored until the patient is awake.
In nursing, preoperative, intraoperative and postoperative care and prevention of complications are equally important (nursing). Personal living habits, overall living environment, postoperative mood, diet structure, and cooperation with doctors for symptomatic treatment are also very important (health guidance).
For postoperative diet, it depends on your specific thymoma type. For example, thymoma B3 has no special requirements on diet, so you can avoid alcohol and tobacco. Please follow the doctor's advice for details.
I wish you a speedy recovery!