Step into the 4th year of working in Thailand. Dr. Padungkiat, MD. Tang Phiruntham Thoracic surgeon endoscopy Doctor of Thoracic Lung Surgery from Harvard Medical School and work experience from Brigham and Women’s Hospital, Massachusetts. USA He has now joined the Bangkok Heart Hospital. Along with the work of a special lecturer at the Faculty of Medicine Siriraj Hospital
Dr. Padungkiat, MD. Back on the path of being a doctor who specializes in lung and chest surgery that While studying in the final year of medicine At Faculty of Medicine Siriraj Hospital Mahidol University He lost his mother to lung cancer. While father died of myocardial ischemia. It is an important reason for choosing to study in the breast specialty. “A key factor in my decision-making is my family. We think we understand the people who are faced with these diseases. The concern of the patient or the patient’s relative Examination, treatment, surgery, I want to make it better and better. I want to find innovative treatments that make patients more comfortable. Less painful As well as having a greater chance of being cured “
“When it comes to choosing to study in a specialty at Siriraj I chose heart and lung surgery. And had the opportunity to work at Brigham and Women’s Hospital, a hospital affiliated with Harvard Medical School, the number one medical university in the United States, for two years. Working in Harvard hospitals is quite pressured because of the competition. But the advantage is that we have cases of patients from all over the world to receive treatment. There is a lot of medical research to study. Makes us not stop developing ourselves There are also new technology matters. To learn a lot Causing it to be reused to help take care of the sick fully “
After returning from the United States Dr. Padungkiat, MD. Use expertise in treating diseases in the chest area. Focused on the surgical path to treat lung cancer mainly and chose to work with Bangkok Heart Hospital. Because they are ready for technology, treatment and personnel
“Lung cancer is a disease that rarely shows symptoms early. It can be said that it is a hideous disaster. If the disease shows symptoms, it is already advanced and in the final stages of the disease, so when I came back I started a lung cancer screening program. With the use of low radiation computer x-ray So that we can screen the patient in stage 1 to increase the chances of surgery and a higher cure. I bring new technologies such as Uniportal VATS (Uniportal VATS) surgery to reduce postoperative pain. So that patients recover faster And less hospitalization And develop laparoscopic surgery techniques with electromagnetic guidance system (Electromagnetic Navigation Bronchoscopy – ENB) by using GPS technology to locate the nodules in the lungs smaller than 1 cm, making the surgery more accurate and faster.
“VATS is an endoscopic endoscopic surgery that is the result of more developed camera technology and surgical devices. This causes from the need for open surgery, which makes the patient painful after surgery. Then switched to surgery for several small incisions, which have no different results. But less painful than open surgery And nowadays, single incision surgery can be treated just like a large open wound or multiple laparoscopy, but has the advantage of less pain. And recover faster Positively affects the quality of life of the patient ”
Thoracic surgeon, vigorous endoscopy explains that the single incision endoscopic technique, the entire device has a special length, passing into the incision, the back edge of the breast, approximately 3 to 4 centimeters in size, which the surgeon must have the surgical expertise Camera type 2 and 3 incision before by endoscopic surgery can be done in the following diseases. Stage 1-2 primary lung cancer, recurrent intrathoracic epilepsy, thymus gland disease, MG myasthenia, esophageal cyst disease, bronchospasm, infectious disease. Infection in the chest cavity, waterlogging disease in the heart and chest cavity from cancer, esophageal cancer. This includes almost all diseases treated with open chest surgery. But even so Endoscopic surgery is limited in some diseases, such as advanced lung cancer. Cancer of the chest cavity Chronic chest infection, etc.
Even a single incision laparoscopic technique can help make surgical incisions smaller and more effective. The best thing is to be aware of the importance of early risk detection. Because the cure of lung cancer does not depend on surgical techniques. But depends on the stage of the disease
“More than 80% of the patients I have endoscopic surgery have had lung cancer. Nearly half of early-stage patients have a 90% chance of being healed, so what I emphasize is finding early-stage patients. In order to keep up Which currently there is no way to prevent the occurrence of lung cancer. But what helps is computed tomography screening on at-risk people.
“For people who are at high risk of lung cancer. This is people who smoke more than 30 pack-year, for example, have smoked an average of 1 pack of cigarettes per day for more than 30 years and still smoke or stop smoking for less than 15 years, including other risks, such as having a family member with lung cancer. Emphysema or an illness with other types of cancer should be examined by a doctor who will diagnose individually. If abnormalities are found, treatment can be started. A patient or a relative of a patient diagnosed with lung cancer Some people think that having lung cancer is the end of life, and doctors really don’t want it. Because there are still methods of treatment that can be cured Whether surgery And there are also many types of drugs including chemotherapy, targeted drugs, etc., it’s important to see a specialist. And received treatment according to the stage of the disease, “said Dr. Padungkiat.
The ultimate goal of Dr. Padungkiat, MD. Not just a surgical tool But including improving the quality of treatment for lung cancer patients With accurate and effective disease screening methods Because if more diseases can be detected in the early stages Losses will be reduced. At the same time, as a medical professor Would like to develop surgical skills for young doctors And introducing technology to help patients experience the least amount of pain With the safety of patients being the number one priority More than that, it is the psychological care of both the patients and their relatives.
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