START WITH
BREATH
Specialized Excellence
Trusted Thoracic Care
Dedicated specialists and a trusted team for superior care.
Personalized Surgical Plans
Tailored strategies to minimize functional loss.
Advanced Surgical Skills
Mastery in single-port and robotic thoracic procedures.
Extensive Clinical Expertise
Skilled in treating lung and mediastinal conditions.
Patient-Centered Safety
Tailored care to minimize risks and surgical impact.
Postoperative Monitoring
Ongoing care to ensure no recurrence.
Thoracic Surgeon
DR. CHING-YANG WU
Lung surgery is complex, demanding advanced techniques and a skilled thoracic surgeon for the best results.
Single-Port Lung Tumor Surgery｜Single-Port Robotic Lung Surgery｜Single-Port Mediastinal Surgery｜Injection Port Placement｜Ground-Glass Opacity Management
About DR. CHING-YANG WU
- Thoracic Surgeon, Linkou Chang Gung
- Associate Professor, Chang Gung University
- Associate Professor, Chang Gung Hospital
- Instructor, Thoracic & Cardiovascular Surgery Association
- Instructor, Thoracic Surgery Association
手術過程4
手術過程3
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手術過程1
Thoracic Booking
Chang GungTaoyuan
- Address：No. 123, Dinghu Rd., Guishan Dist., Taoyuan City
- Call to Book：03-3196200
- Clinic Hours：Thu. 8:30 AM – 12:00 PM
- Book Now：Taoyuan Chang Gung Thoracic Surgery
Chang GungLinkou
- Address：No. 5, Fuxing St., Guishan Dist., Taoyuan City
- Call to Book：03-3281200
- Clinic Hours：Fri. 1:00 PM – 5:00 PM
- Book Now：Linkou Chang Gung Thoracic Surgery
Thoracic Surgeries
SERVICE
Lung Cancer Surgery3D imaging
3D imaging aids tumor resection planning, with CT localization and...
MediastinumHolistic Evaluation
Considers tumor size, location, and involvement of vital organs, followed...
Port Placement SurgeryPort A
Considers the patient's treatment needs and vascular involvement of...
Lung GGOImaging Evaluation
Evaluate size, density changes, and initial imaging...
Timing for Thoracic Care
Thoracic symptoms are often non-specific, making diagnosis challenging.
Here’s a quick guide to common signs.
Lung Tumors
Small lung tumors often go unnoticed, as they typically do not cause symptoms unless they affect critical thoracic structures or spread to other parts of the body.
If a lung tumor compresses vital thoracic structures or spreads to other areas, symptoms may include shortness of breath, wheezing, or coughing up blood.
If these symptoms occur, seek prompt medical attention to confirm the tumor’s nature and plan treatment.
Esophageal Tumors
Symptoms depend on tumor compression, causing difficulty swallowing and weight loss as it worsens.
If these symptoms occur, further evaluation with chest CT, upper gastrointestinal endoscopy, or esophagography is recommended to determine whether the tumor is benign or malignant and to plan appropriate treatment.
Esophageal Disorders
If you experience difficulty swallowing, a sensation of food being stuck, pain when swallowing, weight loss, or frequent regurgitation of undigested food, seek immediate evaluation at a thoracic surgery clinic.
Mediastinal Tumors
When mediastinal tumors cause compression or severe local invasion, symptoms like wheezing, limb swelling, drooping eyelids, coughing, or anemia may occur.
Consult a thoracic surgeon promptly for further evaluation.
Pneumothorax
Air leaks from the lungs, causing pressure buildup and lung collapse.
Symptoms include chest tightness, shortness of breath, low blood pressure, and rapid heartbeat.
It is common in tall, thin young men or patients with COPD. High-risk patients should seek evaluation promptly.
Empyema
Empyema is pus in the chest cavity, often due to untreated lung infections.
Symptoms include fever, chest tightness, and pain. Seek medical attention if symptoms follow a recent respiratory infection.
Lung Abscess
A lung abscess is caused by infection leading to tissue necrosis and pus buildup.
Symptoms include productive cough, blood in sputum, and fever. If it ruptures into the pleural cavity causing empyema, chest tightness and pain may occur.
Seek medical evaluation for diagnosis and treatment.
Pleural and Pericardial Effusion
Pleural effusion compresses the lungs, causing collapse and shortness of breath.
Pericardial effusion can obstruct blood flow, causing shortness of breath, low blood pressure, and rapid heart rate. Seek medical attention if symptoms occur.
Thoracic Surgery Process
-
1Disease Evaluation
Assess disease severity with imaging tests.
-
2Preoperative Assessment
Confirm tumor location and plan surgery.
-
3Thoracic Surgery
Perform surgery with minimal tissue damage.
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4Post-Surgical Care
Monitor recovery and pathology results.
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5Follow-up Care
Plan and compare follow-up care based on imaging.
Lung Tumor Surgery Q&A
Thoracic surgery covers the treatment of lung, trachea, esophagus, pleural cavity, mediastinum, and chest wall conditions.
What do you need to know?
What are the surgical options for lung cancer?
Most are performed via single-port thoracoscopy, with robotic assistance for precision.
Surgeons can also perform these procedures using robotic arms through a single incision.
Clinical vs. Pathological Staging
Clinical staging uses imaging, but may underestimate small or low-metabolism tumors.
Pathological staging is based on tissue examination, offering a more accurate assessment.
Around 10% of patients may receive a different treatment plan due to more severe pathological findings.
How is lung cancer treated?
Treatment depends on tumor staging.
For tumors limited to one lung lobe or nearby lymph nodes, surgery with preoperative therapy is recommended.
If the tumor has spread beyond the same side of the chest, systemic treatments like targeted therapy, immunotherapy, and chemotherapy are used.
Lung tumor surgery risks? Any other options?
Surgery is the best option for malignant tumors with good heart and lung function.
If the tumor is benign or biopsy results are unclear, further biopsy or regular imaging follow-up for 2-3 years may be considered.
Is a ground-glass opacity always malignant?
Ground-glass opacity (GGO) is a neutral term, indicating tissue density higher than surrounding lung tissue.
It does not necessarily mean malignancy. "Ground-glass" refers to the foggy appearance on CT, caused by varying radiation penetration in GGO and normal lung tissue.
What is an implantable injection port?
An implantable injection port provides easy vascular access for repeated treatments, reducing puncture frequency and improving comfort, especially for chemotherapy patients.
It is placed in the superior vena cava to minimize clot risk.
What are implantable injection ports and their limits?
Implantable injection ports are classified into high-pressure and standard types.
High-pressure ports are used for tumor treatment and imaging contrast injections, while standard ports are used only for tumor treatments.
Non-traumatic needles must be used to avoid damaging the port. After procedures like blood draws, blood transfusions, or IV nutrition, thorough flushing is necessary to prevent blockage or infection. Long-term infusions require close monitoring of the puncture site to avoid infection.
Is implantable injection port placement surgery safe?
The procedure is a safe outpatient surgery with minimal complications.
Dr. Wu's protocol reduces pneumothorax risks and the need for neck vein puncture. Mobile X-ray and ultrasound guidance ensure accurate placement and reduce infection and displacement risks.
PressCoverage
自由健康網
嘉大攜手林口長庚 突破大細胞肺癌治療困境
林口長庚醫院胸腔外科醫師吳青峰、吳青陽團隊，攜手投入大細胞肺癌治療研究，經2年多實驗成果，顯著發現1種花青素Cyanidin 3-O-glucoside可有效抑制大細胞肺癌腫瘤增長...
醫學論文與寫作工作坊
吳青陽醫師獲 ASCVTS 2016 的 AATS Graham Award
吳青陽醫師在大會規定的 12 分鐘內（10 分鐘論文研究報告 + 2 分鐘 Q&A），在 Originality、Future Application、Contents、Logicality、Presentation 等 5 項評比項目表現優異，獲得 AATS Graham Award...
醫學論文與寫作工作坊
吳青陽醫師團隊，比較三種 CT 引導技術應用於肺部病灶定位之研究，獲 European Journal of Radiology 刊登！
吳青陽醫師團隊展開研究，收集 2019 年 9 月至 2021 年 8 月期間，共 418 位肺部病變的患者，並對電腦斷層掃描（CT）引導的肺部病灶定位技術：金屬線定位、染料紋身定位...
醫學論文與寫作工作坊
吳青陽醫師團隊，關於腫瘤護理人員透過 3D 模擬訓練以提升使用植入式靜脈導管意願之研究，獲 Seminars in Oncology Nursing 刊登！
植入式靜脈導管無法直接被護理人員肉眼辨識，只能透過手動觸摸來識別。這種缺乏可視性的狀況，可能導致臨床流程操作不當。為了減少這些操作風險，吳青陽醫師團隊設計了一個互動視覺訓練課程和 3D 模擬器供參與者使用，並給予問卷評估課程的效果...
臨床研究與發表工作坊
吳青陽醫師植入式注射座研究文章，獲 medicine 刊登！
吳醫師根據文獻、自己的臨床經驗，制訂了一個「標準流程 (standard algorithm)」來評估「最佳進入血管 (best entry vessel)」，並長時間根據這方法來協助患者...
臨床研究與發表工作坊
吳青陽醫師之肺癌研究文章，獲 medicine 刊登！
在吳青陽醫師的經驗中，還是有不少的患者復發非小細胞肺癌。於是，吳醫師與其團隊，回顧 2005 到 2011 年共 356 位第一期肺癌患者，其五年復發率為 41.1%，收集其特性...
臨床研究與發表工作坊
吳青陽醫師團隊，關於小於兩公分的肺腺癌預後研究，獲 Journal of the Formosan Medical Association 刊登！
吳致瑩與吳青陽醫師團隊，預計使用回溯性研究，看看是否有獨特的預後因子，在臨床上有應用價值。研究回溯了台中榮總與長庚醫院 2007 到 2015 的病例，診斷為 2 公分以下的肺腺癌...
臨床研究與發表工作坊
吳青陽醫師團隊，以手術後血液中的循環腫瘤細胞，預測肺癌復發之研究，獲 Diagnostics 刊登！
吳青陽醫師團隊，經常作肺癌手術，於是他們思考到，如果能利用 CTC 的變化（而非絕對數目），去預測患者手術後會不會復發，或許能對患者...
臨床研究與發表工作坊
吳青陽醫師關於中央靜脈導管之尖端置放位置的研究，獲 medicine 刊登！
吳醫師研究 346 個案例後發現，有 221 例 (63.9%) 為 nonmigration group、有 67 例 (19.4%) 為 peripheral movement group、有 58 例 (16.8%) 為 central movement group...
臨床研究與發表工作坊
吳青陽醫師研發新型「植入式人工注射座」之論文，獲 Journal of Biomedical Materials Research Part B: Applied Biomaterials 刊登！
吳青陽醫師對植入式人工注射座 (intravenous port) 有深入的系列研究與豐富的臨床經驗，除了探討相關合併症、提出改善策略，在本篇論文中吳醫師進一步研發新的注射座設計，希望從源頭解決...
Dr. Wu’s Expertise
- 2011 Taiwan Thoracic & Cardiovascular Surgery New Scholar Award
- 2012 Taiwan Thoracic & Cardiovascular Surgery President’s Award
- 2014 Taiwan Vascular Surgery Smart Award
- 2015 Taiwan Vascular Surgery Smart Award
- 2016 AATS Graham Award
- 2020 Taiwan Thoracic & Critical Care Medicine Best Paper
- 2021 Taiwan Thoracic & Cardiovascular Surgery President’s Award
- 2023 Global Injection Port Consensus Conference
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