Endoscopic removal of a "time bomb" near the aorta.

VTV.vn - Duc Giang General Hospital (Hanoi) recently performed endoscopic surgery on a patient with a giant pulmonary cyst that was tightly adhered to the aorta and many large blood vessels in the chest cavity.

Photo: BVCC

Patient NVB (59 years old) was admitted to the hospital with severe chest pain and acute shortness of breath due to rupture of multiple giant pulmonary cysts. According to doctors at Duc Giang General Hospital, this was a dangerous situation that could be life-threatening if not treated promptly.

Due to multiple previous recurrent pneumothorax episodes, the large air cysts had become severely inflamed and adhered, almost completely occupying the upper lobe of the left lung and firmly attaching to the thoracic aorta, subclavian artery, pericardium, and phrenic nerve.

Doctors considered this a complex surgery because even a single inaccurate dissection could cause massive bleeding and be life-threatening.

The anesthesia team, led by Dr. Do Van Khue, performed the Carlens tube placement technique, which completely collapsed the lung on the operating side, creating optimal space for endoscopic surgery.

The surgical team, consisting of Specialist Doctor II Nguyen Van Lam and Doctor Nguyen Tuan Hung, meticulously dissected the area of ​​the lung that was tightly adhered to large blood vessels, and completely removed the air cyst using endoscopic stapler.

After surgery, the patient was treated with the modern PCA pain management method, experienced almost no pain, and was able to move around and practice breathing exercises early.

The patient is currently recovering well, with good lung expansion, no more shortness of breath, and is expected to be discharged after about 5 days of treatment.

According to the doctors, the success of the surgery demonstrates the effectiveness of modern endoscopic surgical techniques in managing complex, high-risk thoracic diseases, contributing to reduced pain and shorter recovery time for patients.

Source: https://vtv.vn/noi-soi-go-bom-no-cham-sat-dong-mach-chu-100260521214450647.htm