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Center for International Health

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Interventional pulmonology
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Interventional pulmonology is a new field in chest medicine. At our hospital, pulmonologists and chest surgeons collaborate to perform advanced diagnostic and treatment techniques for lung diseases. We use a combination of bronchoscopic, transthoracic, and surgical methods.

Our procedures include bronchoscopy-guided lung biopsy, transbronchial needle aspiration, pleuroscopy, and various ablation techniques. We offer a “one-stop” procedure for lung nodules, combining tumor localization and surgical resection in one session, reducing time lag and complications.

Many procedures are guided by augmented fluoroscopy, improving tissue yield, especially for peripheral lung lesions. We also perform transthoracic biopsies and ablations with iGuide assistance, often under general anesthesia. This multimodal approach enhances precision in diagnosis and treatment.

Benefits of the procedure:
Thoracic surgery can remove the lesions within the chest. The benefits and likelihood of successful treatment vary depending on the type of surgery, and some examples are as follows:
Thoracic surgery for pneumothorax is expected to reduce recurrence rate by 20%.;
Thoracic surgery for early-stage lung cancer can achieve a 5-year survival rate of up to 90%.;
Esophageal cancer surgery performed with thoracoscopy can increase the postoperative extubation success rate to 90%.

 

 

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Risks of the procedure:
Surgical Risks: Complications and unexpected situations that may occur during or after surgery.
Anesthesia:
General anesthesia will be administered during the surgery, and postoperative pain management will involve self-controlled analgesia or oral and injectable pain medication. Common anesthesia-related issues include nausea, vomiting, generalized soreness, throat discomfort, and hoarseness. Occasionally, dental and lip injuries may occur. Severe complications such as respiratory distress, stroke, or myocardial infarction are rare and typically occur in patients with poor preoperative lung function, advanced age, obesity, smoking, heart disease, diabetes, kidney disease, hypertension, and other significant medical conditions.
General surgical risks:
Some complications can occur in all types of surgeries, including thoracic surgery. These complications may include lung infections, deep vein thrombosis with a small risk of pulmonary embolism, and insufficient blood flow leading to stroke or cardiac ischemia.
Specific risks associated with thoracic surgery may include:

  1. Bleeding
  2. Impaired respiratory function
  3. Persistent air leak and subcutaneous emphysema
  4. Chylothorax (leakage of lymphatic fluid into the chest)
  5. Pulmonary edema and pulmonary hypertension
  6. Gastrointestinal injury and leakage
  7. Pleural effusion and empyema (accumulation of pus in the chest cavity)
  8. Poor wound healing or infection, among others.
According to our experience, the occurrence rates of the those mentioned complications are approximately 5-20%, and the mortality rate within thirty days is around 1-2%. Pre-existing poor lung function, other organ diseases, smoking, and advanced age increase the chances of experiencing complications. Some severe complications can potentially lead to death.

Postoperative Care Instructions:
The primary concern is to maintain a clear airway. Based on the principle that early postoperative activity helps reduce postoperative complications, we will encourage patients to actively practice deep breathing, perform effective coughing, and even engage in early ambulation to prevent lower limb venous thrombosis, pulmonary complications, and muscle adhesions. If you experience any breathing difficulties, excessive drowsiness, abnormal sounds, or any discomfort, please notify the healthcare staff.
 

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