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    Area of Science:

    • Cardiothoracic Surgery
    • Surgical Oncology
    • Emergency Medicine

    Background:

    • Giant solitary fibrous tumors pose significant surgical challenges due to their size and potential for vascular compression.
    • Delayed treatment of large thoracic tumors can lead to severe symptoms like dyspnea and venous congestion.

    Purpose of the Study:

    • To report a successful emergency surgical resection of a giant thoracic tumor.
    • To emphasize the role of interdisciplinary collaboration and crisis resource management (CRM) in high-risk emergency surgeries.

    Main Methods:

    • A 36-year-old female patient with a massive right-sided thoracic tumor underwent emergency open hemiclamshell tumorectomy.
    • Veno-arterial extracorporeal membrane oxygenation (ECMO) and intraoperative hemostatic control measures were employed.
    • Structured interdisciplinary planning and adherence to CRM principles were implemented.

    Main Results:

    • The emergency tumorectomy was successfully completed without complications.
    • The patient experienced an uneventful postoperative recovery and was discharged within 11 days.
    • The case demonstrated the efficacy of collaborative surgical management in complex emergency scenarios.

    Conclusions:

    • Structured interdisciplinary collaboration and CRM are vital for managing complex, high-risk emergency surgeries.
    • Effective preoperative planning, clear communication, and continuous intraoperative assessment are key to favorable outcomes.
    • This case underscores the importance of these principles in achieving successful surgical resection of challenging thoracic tumors.