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Thoracic Surgery

Division of Thoracic Surgery

The treatments of our division including lung,esophagus,trachea,mediastinum, diaphragm,pleural and chest wall,cardiac portion of stomach etc.We also perform thoracoscope,mediastinoscope,bronchoscope,esophago-gastroscope for disease evaluation and assessment.

The treatments will be described detairely as below:

  • Lung:including lung cancer, benign lung nodule, tuberculoma, sequestration of lung, metastatic lung nodules.
  • Trachea:including tumors of trachea , tracheal benign stricture ,tracheal malacia, tuberculosis of tracheo-bronchial trees,bronchietasis.
  • Esophagus:including carcinoma of esophagus, esophageal achalacia, esophageal diverticulum, reflux esophagitis, gastro-esophageal reflux disease ,caustic injury of esophagus, esophageal benign stricture.
  • Mediastinum:including thymoma, myasthenia gravis, teratoma , neurogenic tumors, bronchogenic cyst, lymphoma, intrathoracic goiter.
  • Diaphragm:including paralysis of diaphragm, hiatal hernia, congenital defect of diaphragm, gastro-esophageal reflux disease.
  • Pleura:including spontaneous pneumothorax, thoracic empyema, chylothorax, fibrothorax, pleural effusion.
  • Chest wall:including tumors of chest wall, funnel chest, pigeon chest, metastatic chest wall tumors.

Members of Thoracic Surgery Division

Introduction:Thoracic Surgery
Name Comment
Jane-Yi Hsu Chief of Thoracic Surgery division
Nan-Jing Wu Chief Resident of Thoracic Surgery division
Chu-Chun Huang Nurse Practitioner of Thoracic Surgery division

Thoracotomy:The Procedure

During a thoracotomy, your surgeon directly views a lung and the area around it. Additional procedures may be done, such as removing part or all of a lung if a mass is present. Your surgeon will give you instructions on how to get ready for the procedure and explain what the surgery can do to help treat your condition.

Preparing for Your Surgery

  • Have blood tests or other routine tests that your doctor recommends.
  • If you smoke, stop immediately.
  • Ask your doctor about donating your own blood before surgery.
  • Tell your doctor about any medications you are taking(including over-the-counter medications such as aspirin), and ask if you should stop taking them. Also mention any vitamins , herbs, or teas you take..
  • Do not eat or drink anything after midnight the night before your surgery, or as directed.

Anesthesia
The anesthesiologist can discuss the type of medications you will be given during the procedure and answer your questions. General anesthesia lets you sleep and keeps you free from pain during surgery, You may also receive an epidural, a thin, flexible tube, in your lower back. Medication flows through the tube to help relieve pain. Epidural medications can interfere with the muscle control in your lower body. So you may receive a bladder catheter to help drain your urine while the epidural is in place. Other pain-relieving procedures, such as a nerve block, may be done during the surgery.

Risks and Complications

  • Risks of general anesthesia
  • Wound infection
  • Bleeding
  • Inflammation of the lungs (pneumonia)
  • Air leak from the lung, requiring a longer hospital stay
  • Worsening of a blood vessel in the leg (deep vein thrombosis) with potential for blood clots in the lung (pulmonary embolism)

Thoracotomy:Hospital Recovery

After surgery, you will be moved to a recovery area where you can be closely monitored. From there, you may go to a special care unit and then to a regular room. During your recovery, you will be given pain medications to help make you more comfortable. You may also be taught exercises to improve your breathing and your range of motion while you heal. The hospital stay after a thoracotomy varies from patient to patient, but it is often a week or longer.

Immediately After Surgery
When you first wake up from the anesthesia, you may feel groggy, thirsty, or cold. If the breathing tube given to you during surgery remains in place, you will not be able to talk. Flexible tubes in your chest drain air, blood, and fluid. IV (intravenous)lines give you fluid and medications. Monitors record your heartbeat and the amount of oxygen in your blood. You may spend one or more days in the ICU (intensive care unit) for special care and monitoring. Then you will be moved to a regular hospital room.

Managing Your Pain
As soon as possible, you will begin to move around to improve your muscle strength and blood flow. Your nurse or a physical therapist will help you as you start to sit up and walk. Pain medications help make activity more comfortable. These medications may be given to you by a nurse, or a special pump may allow you to give yourself medication as you need it. If you received an epidural before surgery, it may remain in place for a few days to continue incision.

Respiratory Therapy
Soon after your surgery, a nurse or therapist will teach you exercises to keep your lungs clear, strengthen your breathing muscles, and help prevent complications. The exercises include incentive spirometry, where you put your mouth around a plastic device and inhale as much air as you can. You will also be taught coughing and deep-breathing exercises and other breathing techniques. You will be asked to perform these regularly on your own.

Respiratory Therapy

Respiratory Therapy

Range-of Motion Exercises
While you are in the hospital, your nurse or a physical therapist may teach you some range-of-motion exercises. These exercises help stretch and strengthen the muscles on the side of surgery to keep your shoulder moving freely. You may also be taught exercises you can continue to do at home while you heel.

Range-of Motion Exercises

Respiratory Therapy