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

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.