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 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.