[Perioperative Crew Resource Management: an Example of Interdisciplinary Collaboration]

Emergency interdisciplinary surgeries present major challenges for healthcare teams. We report a case of successful collaboration during emergency resection of a giant solitary fibrous tumor in a 36-year-old woman.Six years after refusing elective surgery for a large right-sided thoracic tumor, the patient presented with dyspnea, facial edema, and signs of venous congestion. Imaging showed a massive tumor displacing the heart and compressing both venae cavae. An open hemiclamshell tumorectomy was performed under veno-arterial ECMO support with a balloon catheter positioned for potential hemostatic control. The surgical intervention was uneventful, and the patient was discharged to rehabilitation 11 days later.This case highlights the importance of structured interdisciplinary collaboration and crisis resource management (CRM) principles in complex, high-risk surgeries. Preoperative joint planning, clear communication, and continuous intraoperative evaluation were the key to achieve a favorable outcome.Interdisciplinary planning and CRM-based communication are essential for the safe and successful management of major emergency surgeries.