[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-418546-105":59,"doc-detail-418546-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","anesthesia-management-of-thoracic-giant-tumor-resection-two-case-reports","Anesthesia management of thoracic giant tumor resection - two case reports","","Surgical excision remains the primary therapeutic approach for giant tumors located within the thoracic cavity. However, these tumors frequently compress critical structures such as the airways, lungs, heart, and vena cava, creating major perioperative challenges for respiratory and hemodynamic management. The report describes anesthetic management in two patients undergoing resection of thoracic giant tumors: one with dwarfism and one with severe respiratory and circulatory insufficiency. The cases provide strategies for airway management during general anesthesia, prevention of recruitment pulmonary edema, and support for rapid postoperative recovery.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/anesthesia-management-of-thoracic-giant-tumor-resection-two-case-reports/418546/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/anesthesia-management-of-thoracic-giant-tumor-resection-two-case-reports/418546.png","ImageObject",300,407,{"name":92,"@type":93},"Kyle","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why is anesthesia management challenging for giant tumors in the thoracic cavity?","Question",{"text":113,"@type":114},"The tumors often compress critical structures including the airways, lungs, heart, and vena cava, making perioperative respiratory and hemodynamic management difficult.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What airway-management strategy is emphasized during general anesthesia?",{"text":118,"@type":114},"The report highlights techniques for airway management, including careful positioning and fiberoptic guidance to optimize tube placement and bronchoscope-based verification.",{"name":120,"@type":111,"acceptedAnswer":121},"How does the report address the prevention of recruitment pulmonary edema?",{"text":122,"@type":114},"It includes specific perioperative approaches, such as lung recruitment maneuvers and monitoring for airway secretions to reduce the risk of recruitment pulmonary edema.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},418546,1790766353,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":39,"preview_page_count":4},3985741905716,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Journal of Surgical Case Reports, 2026, 1, rjaf842  \n[https://doi.org/10.1093/jscr/rjaf842](https://doi.org/10.1093/jscr/rjaf842)  \nCase Report  \nCase Report  \nAnesthesia management of thoracic giant tumor resection: two case reports  \nJinfeng Nie1 , Xiaoping Wang1 , Tinghong Chen1 , Bing Chen 1 , *, Yunfei Zhang2 , *  \n1 Department of Anesthesia, Liangjiang Hospital of Chongqing Medical University (People’s Hospital of Chongqing Liangjiang New Area), 2 Jin Kai Da Dao, Liangjiang New Area, Chongqing 401121, China  \n2 Department of Anesthesia, The Third Affiliated Hospital of Zunyi Medical University (The First People’s Hospital of Zunyi), 106 Feng Huang Bei Lu, Zunyi 563000, Guizhou, China  \n*Corresponding authors. Bing Chen, Department of Anesthesia, Liangjiang Hospital of Chongqing Medical University (People’s Hospital of Chongqing Liangjiang New Area), 2 Jin Kai Da Dao, Liangjiang New Area, Chongqing 401121, China. E-mail: [chenbing@cqmu.edu.cn](chenbing@cqmu.edu.cn); Yunfei Zhang, Department of Anesthesia, The Third Affiliated Hospital of Zunyi Medical University (The First People’s Hospital of Zunyi), 106 Feng Huang Bei Lu, Zunyi 563000, Guizhou, China.  \nE-mail: [zhangyf9229@163.com](zhangyf9229@163.com)  \nAbstract  \nSurgical excision remains the primary therapeutic approach for giant tumors located within the thoracic cavity. However, these tumors frequently induce compression of critical structures such as the airways, lungs, heart, and vena cava, thereby posing significant challenges for perioperative respiratory and hemodynamic management. This report details the anesthetic management strategies employed in two patients undergoing resection of giant thoracic tumors: one patient with dwarfism and another with severe respiratory and circulatory insufficiency. These cases offer important strategies for airway management during general anesthesia, the prevention of recruitment pulmonary edema, and the facilitation of rapid postoperative recovery in this complex patient population.  \nKeywords: anesthesia; thoracic tumor; resection  \nIntroduction  \nSurgical intervention is considered the most effective modality to enhance quality of life in patients presenting with large thoracic tumors characterized by prolonged growth duration and indolent progression [1] . Nevertheless, the rarity of such cases and the complexity of perioperative respiratory and circulatory management render anesthetic care particularly challenging [2] . This article presents the anesthetic management of two successful resections of giant thoracic tumors.  \nCase 1  \nA 48-year-old female patient with 140 cm and 41 kg was admitted with a 1-month history of cough, sputum production, and wheezing. Computed tomography (CT) revealed a solid mass measuring 10.7 × 16.0 × 20. 5 cm within the left thoracic cavity (Fig. 1a and b) . Bronchial angiography and embolization were performed 2 weeks prior to surgery. Pulmonary rehabilitation exercises were initiated.  \nAirway evaluation indicated no anticipated difficulty withintubation before anesthesia. Ventilation and hemodynamics remained stable in the right lateral decubitus position. Ultrasound-guided radial artery cannulation was performed for invasive blood pressure monitoring, and right internal jugular  \nvenous access was established for fluid administration and central venous pressure monitoring. Anesthesia induction was conducted in the supine position using midazolam, etomidate, fentanyl, and vecuronium. Postinduction, fiberoptic bronchoscopy was utilized to measure the distance from the tracheal carina to the incisors (19 cm), guiding the insertion of a 28 French right-sided double-lumen bronchial tube initially advanced to 21 cm . Auscultation of the right upper and lower lung fields guided incremental withdrawal to optimize right main bronchus alignment. Concurrently, the ability to smoothly advance a suction catheter beyond the length of the main tube was used to confirm alignment with the left bronchial","cbCaiverd0pHD0fv","https://ap.wps.com/l/cbCaiverd0pHD0fv","pdf",518542,"English","# Introduction\n# Case 1\n# Case 2\n# Discussion\n# Conclusion","[{\"question\":\"Why is anesthesia management challenging for giant tumors in the thoracic cavity?\",\"answer\":\"The tumors often compress critical structures including the airways, lungs, heart, and vena cava, making perioperative respiratory and hemodynamic management difficult.\"},{\"question\":\"What airway-management strategy is emphasized during general anesthesia?\",\"answer\":\"The report highlights techniques for airway management, including careful positioning and fiberoptic guidance to optimize tube placement and bronchoscope-based verification.\"},{\"question\":\"How does the report address the prevention of recruitment pulmonary edema?\",\"answer\":\"It includes specific perioperative approaches, such as lung recruitment maneuvers and monitoring for airway secretions to reduce the risk of recruitment pulmonary edema.\"}]","Anesthesia management of thoracic giant tumor resection - two case reports | PDF",1790613539]