Cardio-Thoracic Surgery

【Growth Process】

1985: Gao Yiyi was appointed director of the general surgery department. The construction of the general surgery department of the former Fuyang People's Hospital continued to develop, and the business volume increased sharply. At the same time, it was no longer limited to general surgical operations, and began to carry out thoracic surgery and urological surgery, which made the department more diverse. From then on, thoracic surgery was really born in Fuyang. In 1999, Jiang Zhengke was appointed as the Director of the Second Department of Surgery of Fuyang People's Hospital. The true specialty development of thoracic surgery began. He independently performed surgeries for esophageal cancer, lung cancer and mediastinum, and was the first to use thoracoscopy to perform bullous resection. In 2011, Yu Xiaojun was appointed as the deputy director of the first department of general thoracic surgery, focusing on thoracic surgery. From then on, the field of thoracic surgery started in an all-round way, covering almost all general thoracic surgery operations, especially the widespread use of thoracoscopy. In 2017, cardiothoracic surgery became a separate department, with Yu Xiaojun as director, leading the rapid development of thoracic surgery. In 1996, he independently performed the first radical operation for lung cancer (performed by: Jiang Zhengke). In 1997, he independently performed the first radical operation for esophageal cancer (performed by: Jiang Zhengke). In 1998, he performed the first mediastinal tumor resection in Fuyang District (lateral). Square approach) (performed by: Jiang Zhengke) In 2000, the first thoracoscopic bullous surgery in Fuyang (performed by: Jiang Zhengke) In 2007, the first thoracoscopic lung volume reduction surgery in Fuyang (performed by: Yu Xiaojun) In 2007, Fuyang The first thoracoscopic pericardial fenestration (performed by: Yu Xiaojun). In 2007, the first thoracoscopic pulmonary wedge resection in Fuyang (performed by: Yu Xiaojun). In 2008, the first median thoracotomy mediastinal tumor resection was performed independently (performed by: Yu Xiaojun). : Yu Xiaojun) In 2008, the first case of thoracoscopic mediastinal tumor resection in Fuyang (conducted by: Yu Xiaojun) In 2009, the first case of thoracoscopic traumatic hemothorax treatment in Fuyang (conducted by: Yu Xiaojun) In 2009, the first case of absorbable rib surgery in Fuyang Nail rib internal fixation. (Developed by: Yu Xiaojun) In 2009, the first thoracoscopic-assisted rib fracture fixation was performed in Fuyang. (Promoter: Yu Xiaojun) In 2010, the first case of thoracoscopic thoracic sympathetic denervation to treat hand hyperhidrosis in Fuyang (Promoter: Yu Xiaojun) In 2010, the first case of thoracoscopic-assisted small incision lobectomy in Fuyang (Promoter: Yu Xiaojun) 2010 In 2011, the first case of memory combined rib internal fixation in Fuyang (conducted by: Yu Xiaojun). In 2011, the first case of thoracoscopic radical lung cancer surgery in Fuyang (conducted by: Yu Xiaojun). In 2017, the first case of radiofrequency ablation of lung tumors was performed in Fuyang. (Promoted by: Feng Kan) In 2017, the first total thoracoscopic laparoscopic combined with radical esophagectomy was performed in Fuyang (Promoted by: Yu Xiaojun) In 2018, the first thoracoscopic anatomical segmentectomy was performed in Fuyang. (Developed by: Yu Xiaojun)

[Successively served as diagnosis and treatment team leader, director, and head nurse]

Beginning in 1999, Jiang Zhengke served as the department director, and Huang Jinlian and Jin Xuhua served as the head nurses; starting in 2011, Yu Xiaojun served as the department director, and Xia Jiaying, Lu Xinyan, and Zhang Ming served as the head nurses.

【Current status of subject】

The department currently has 31 beds, treats more than 800 patients annually, and performs more than 300 surgeries annually, 90% of which are medium and large surgeries. It has a thoracic surgery clinic and a pulmonary nodule specialist clinic, with an annual outpatient volume of 5,000. The department has strong technical strength and advanced medical equipment. The operating room is equipped with 3 German Snake TV endoscopes, 2 German STORZ three-chip high-definition TV endoscopes, 2 American Johnson & Johnson ultrasonic scalpels, and Olympus ultrasound. A knife. At present, the department has carried out routine open surgery and thoracoscopic minimally invasive surgery for tumors of the lung, esophagus, and mediastinum, thoracoscopic thoracic sympathetic nerve block for the treatment of hand hyperhidrosis, thoracoscopic surgery for pneumothorax, hiatal hernia, diaphragmatic hernia surgery, various Internal fixation of rib fractures, thoracoscopic treatment of traumatic hemopneumothorax, and needle biopsy and radiofrequency treatment of pulmonary nodules. Among them, the treatment of chest trauma, especially the surgical treatment of rib fractures, is in a leading position in the province. Cardiothoracic surgery is currently a key discipline under construction in Fuyang District. It is responsible for the "medical, teaching, research" and clinical quality control tasks related to the district and Zhejiang University of Traditional Chinese Medicine. It has established a clinical research work site for doctoral students in thoracic surgery. The project has been established and completed in the province. There are many municipal-level projects, and the city-level continuing education project class was successfully hosted, as well as the first Pulmonary Friends Association in Fuyang District. Published more than 30 academic papers, including 6 SCI papers. It is now a core member unit of the National Key Research and Development Plan of the Ministry of Science and Technology during the 13th Five-Year Plan (2017YFC0113500), a cooperative unit of the Zhejiang Provincial Lung Tumor Diagnosis and Treatment Technology Research Center, and is establishing a Zhejiang Provincial Thoracic Surgery Accelerated Recovery Surgery Demonstration Ward.

【Diagnosis and treatment scope】

At present, the department has carried out routine open surgery and thoracoscopic minimally invasive surgery for tumors of the lung, esophagus, and mediastinum, thoracoscopic thoracic sympathetic nerve block for the treatment of hand hyperhidrosis, thoracoscopic surgery for pneumothorax, hiatal hernia, diaphragmatic hernia surgery, various Internal fixation of rib fractures, thoracoscopic treatment of traumatic hemopneumothorax, and needle biopsy and radiofrequency treatment of pulmonary nodules. Among them, the treatment of chest trauma, especially the surgical treatment of rib fractures, is in a leading position in the province. A thoracic surgery clinic and a pulmonary nodule clinic are also opened.

【Technical Features】

At present, the main features of the department are thoracic tumors and thoracic trauma. Lung tumors, esophageal tumors, and mediastinal tumors are almost all operated on under minimally invasive endoscopic surgery, with a laparoscopic rate of over 90%. Currently, there are about 250 cases of thoracoscopic surgeries per year. We have accumulated rich experience in the treatment of chest trauma, and our surgery for rib and sternum fractures is among the best in the province. It is currently a member unit of the Chest Trauma Group of the China Medical Promotion Association and a member unit of the Chest Trauma Group of the Zhejiang Provincial Medical Association.

【Scientific research results】

The department now has 1 doctoral clinical research work site, completed one Hangzhou Municipal-level continuing education project, completed 3 projects of Fuyang District Science and Technology Bureau, approved one project of the Provincial Central Administration Bureau, and established one project of Hangzhou Municipal Science and Technology Bureau, and approved one project of Fuyang District Science and Technology Bureau. A project of the District Science and Technology Bureau won the second prize of the Fuyang District Science and Technology Progress Award. He published more than 30 papers in various first- and second-level magazines, including 6 SCI papers.