吳明和教授

氣管病變可分為良性氣管腫瘤，惡性氣管腫瘤，氣管外惡性腫瘤侵襲氣管，先天性氣管狹窄，氣管插管或腐蝕性損傷引起的氣管狹窄。手術方法包括切除一段氣管，擴大形氣管成型術，螺旋氣管成型術，聲門下雙瓣膜分割和望遠鏡式吻合。影像學仔細評估氣管病變，正確選擇手術方法，可以為氣管病變的手術提供良好的效果。麻醉時利用小插管有助於氣管成型術。氣管吻合術最好使用單絲可吸收縫合線。 氣管狹窄患者的平均氣管切除長度為3厘米，最常我切6.5厘米。氣管疾病應仔細評估，通常在切除患病組織後考慮在正常氣管的組織進行吻合。如果在吻合口處存在張力，吻合口可能會撕裂並分離，導致疤痕組織形成並發生狹窄。通常氣管成型術，為了緩解吻合張力，宜固定頭頸部，防止吻合口漏。針對良性氣管腫瘤與惡性侵襲氣管的病人，我在2009年首次發表螺旋氣管成型術。這手術適用於氣管病變位於頸胸交界處時。為了防止術後食道彎曲，通常在氣管吻合之前將氣管兩端的1.5-2 cm與食道分開。聲門下狹​​窄手術通常涉及聲帶和喉返神經受傷的風險。為了解決聲門下狹窄，我在2011年首次發表了一種新技術，該技術涉及在甲狀腺-環形軟骨的中裂之後進行的伸縮式吻合術。與環狀氣管切除術相比，該手術可以保留環狀軟骨和周圍組織，以確保牢固，安全地進行喉氣管吻合，並減少對喉返神經的傷害。歷經數十年的手術，我很有外科成就感。

胸腔引流袋研發之心歷路程

我告訴自己，終於研發了一種輕巧實用的胸腔引流袋！不忍再看到我的病人，胸腔手術後，提個又大又重，使用前先裝入500西西水的胸瓶！

英國醫師Playfair於1871年首先應用水下引流，治療一個膿胸病人，而後150年來，水下引流成為胸腔手術或者是胸部的其他疾病治療的重要傳統輔助利器。54年前(1967)我當見習醫師的時候，看到胸腔外科手術的病人，必須要用一個玻璃瓶做為水下引流，瓶子連接到一個很龐大的抽吸機器。46年前（1975）我開始當胸腔外科住院醫師，因為醫學進步，胸瓶連結一個比較精巧的機器抽吸。胸瓶連結機器限制病人的活動。1988年我到成大醫院，因為台灣醫工進步，開始使用塑膠胸瓶。五年前，我開始思索，想打破傳統，用比較輕巧的引流袋來替代胸瓶。人體實驗委員會的同意下，經過多次的實驗研究，我發覺引流袋非常管用，容易排出胸腔引流液及空氣，而且抗逆流。最初，我把引流袋右上角剪一個小洞，以利排氣，但是所剪的小洞，當病人把引流袋放在床上，會讓液體流出來，粘污床單。而後尋求一片不織布，替代引流袋的右上角，可以透氣且防滲漏。有這個概念，我找量產的廠商，但是似乎技術上或價格等各方面未能如願。皇天不負苦心人，終於找到一廠商願意合作量產。但是原來的不織布比較不容易鎔合，我們應用另種不織布，同時增加一隻輔助管。胸腔引流袋終於定型。人體實驗委員會的同意下，自始引流袋我親自應用在將近六百個病人，而且經過審慎的觀察與測試。歷經多年的思考研發，終於有了成果，期望這胸腔引流袋讓台灣所有的胸腔外科醫師賞識。回想四、五十年來我使用胸瓶，歷經很多挫折，因此獲取很多心得。在醫學院我要經常教醫學生，有關胸瓶的原理，包括單個胸瓶、兩個瓶子、甚至三個瓶子的引流裝置作用與學理。胸瓶使用不當，造成的問題屢見不鮮。我多麼希望水下引流的胸瓶裝置，以後能夠走入歷史。花了數年心血，終於有了輕巧實用的胸腔引流袋，讓胸腔手術病人更加安全及方便。

漏斗胸之手術

漏斗胸是前胸壁之肋骨、 胸骨及肋軟骨生長異常，造成胸廓向內凹陷。因此減少了胸腔容量，心臟及肺受壓迫，導致心瓣膜異常，降低心臟血流及肺容量。之前手術方式是整型肋軟骨，目前用納氏手術(Nuss procedure)。在全身麻醉下，在兩側腋中線附近以2-3公分傷口，在胸腔鏡引導下將薄鋼板放置胸骨後方，使凹下的胸骨及肋骨頂起。手術時間約1至2小時，但是曾手術過的病人，手術困難度增加，手術時間長。較嚴重之漏斗成年人，視情況，需要兩支鋼板，才能有預期效果。術後引留出胸腔內之殘存空氣及術中滲血。

目的

矯正胸廓之凹陷，增加胸腔容量，減少胸廓異常壓迫心臟及肺。

矯正時機

Haller index大於3.25或心肺功能障礙或嚴重影響外觀都會建議手術矯正胸廓畸形。在任何年齡均可進行手術，但在兒童早期開刀可讓心肺及骨骼正常發育並減少對小孩的心理影響，效果較成年後為佳。理想的年齡是在6至12歲左右進行，術後的疼痛與恢復較快，年紀小的病人，手術可以改成較小鋼板放在肋骨胸骨前之皮下，往後易於拔除。年齡較大手術後疼痛越大，矯正效果較差。

術前評估

包括病史及理學檢查以了解家族史及活動受限狀況。正面及側面胸部X光攝影評估胸骨內凹程度。心電圖、肺功能測定、心臟超音波以評估心肺功能。胸部電腦斷層可以計算Haller index，通常 Haller index 大於3.25 會建議手術，也是健保給付的標準。

手術合併症及風險：

1. 疼痛造成不敢深呼吸、咳痰，而肺炎、發燒，嚴重者可能呼吸衰竭。

2. 傷口感染：輕者換藥即可慢慢改善；嚴重者，必要時可能要取出矯正板及抗生素治療。

3. 由於微創手術傷口小，置放矯正板通道窄，因此在器械穿過時也可能傷及心臟，影響生命。

4. 術後活動或復原期因姿態不良偶見矯正板位移，需重新手術固定。

漏斗胸出院衛教：

1. 術後第一天臥床休息，第二天床邊活動，第三天下床走動。

2. 撿拾物體時避免大彎腰，宜蹲下再緩慢站起來。

3. 避免側身壓床起身，可雙手抱膝蓋後起身或躺下，以防矯正板位移。術後一個月內避免劇烈運動及彎曲胸腰，一個月後可以正常活動。

4. 三個月內勿提重物與劇烈運動，像跑步、打球之類碰撞性運動以免植入物移位。

◦

聲帶麻痺

前言

左右返喉神經有如細絲，出自兩側迷走神經，主掌聲帶功能。左側迷走神經到達主動脈弓之前分出返喉神經，跨越主動脈弓下方後環繞主動脈弓向上返回氣管，最後進入喉部。而右返喉神經由迷走神經分出,環繞右鎖骨下動脈後再返回喉部。返喉神經緊貼氣管、食道、及甲狀腺，因此氣管、食道、及甲狀腺之病變都有機會侵及返喉神經而影響發音。主動脈、心臟、氣管、食道、及甲狀腺的手術皆有機會牽連返喉神經而影響發音。

聲帶麻痺的原因

發生原因包括特發性麻痺（31.11％），腫瘤（31.11％），手術（28.89％），外傷，腦部疾病，全身性疾病和其他原因（2.2％）[1]。全甲狀腺切除術是甲狀腺癌的治療方式，沿返喉神經進行剝離，即使沒有犧牲神經也可導致聲帶麻痺和聲音嘶啞[2]。

發生率

在2020年一篇文章，甲狀腺切除術有1764條返喉神目測完整，仍然有 18條神經的信號完全消失，另97條神經的信號部份消失，術後11例（61.1％）聲帶完全麻痺和16例（16.5％）出現了暫時性聲帶麻痺[3]。在2019年一篇文章， 920例手術中有53例（5.8％）和1296例神經中有55例（4.2％）發現術後聲帶麻痺， 12個月後，14例完全恢復聲帶功能和8例接近完全恢復[4]。美國密歇根大學安娜堡分校進行了甲狀腺切除術430例， 整個系列中6.2％發生短暫性返喉神經損傷， 2.5％永久性單側聲帶麻痺[5]。韓國一篇文章，共有2636名因甲狀腺手術患者發生了聲帶麻痺（0.7％短暫性和0.2％永久性）[6]。意大利一篇文章，術後喉鏡檢查434名患者，返喉神經永久麻痺佔0.7％，暫時麻痺佔6.7％， 6個月後87.5％和12個月後89％聲帶功能完全恢復[7]。另一篇文章152例甲狀腺切除術，返喉神經麻痺麻痺率為11.2％。這些神經中66.7％的聲帶麻痺完全恢復， 永久性返喉神經麻痺的發生率為3.9％。 平均恢復時間為9.6個月[2]。

單側聲帶麻痺

甲狀腺切除術後單側聲帶麻痺至少六個月才須矯正，因為到時會改善，除非手術過程中神經明確切斷。

神經監測

預防性甲狀腺切除術中，神經監測的現狀迄今為止，進行的分析所示，尚未達到顯著減輕返喉神經損傷  [8]。術中神經監測的不良影響：一名39歲因多結節性甲狀腺腫接受全甲狀腺切除術的婦女出現了需要插管的喘鳴。雙側聲帶麻痺原因是術中使用神經監測儀，在整個手術過程中高單位測試[9]。

文獻

1.         Toutounchi, S.J.S., et al., Vocal cord paralysis and its etiologies: a prospective study. Journal of cardiovascular and thoracic research, 2014. 6(1): p. 47.

2.         Pantvaidya, G., et al., Does the recurrent laryngeal nerve recover function after initial dysfunction in patients undergoing thyroidectomy? Laryngoscope Investigative Otolaryngology, 2018. 3(3): p. 249-252.

3.         Yuan, Q., et al., Correlation Between Electrophysiological Changes and Outcomes of Vocal Cord Function in 1764 Recurrent Laryngeal Nerves with Visual Integrity During Thyroidectomy. Thyroid, 2020.

4.         Heikkinen, M., et al., Incidence, Risk Factors, and Natural Outcome of Vocal Fold Paresis in 920 Thyroid Operations with Routine Pre- and Postoperative Laryngoscopic Evaluation. World Journal of Surgery, 2019. 43(9): p. 2228-2234.

5.         Harness, J.K., et al., Total thyroidectomy: complications and technique. World journal of surgery, 1986. 10(5): p. 781-785.

6.         Lee, Y.S., et al., Postoperative complications of thyroid cancer in a single center experience. J Korean Med Sci, 2010. 25(4): p. 541-5.

7.         Dionigi, G., et al., Postoperative laryngoscopy in thyroid surgery: proper timing to detect recurrent laryngeal nerve injury. Langenbeck's archives of surgery, 2010. 395(4): p. 327-331.

8.         Henry, B.M., et al., The current state of intermittent intraoperative neural monitoring for prevention of recurrent laryngeal nerve injury during thyroidectomy: a PRISMA-compliant systematic review of overlapping meta-analyses. Langenbecks Arch Surg, 2017. 402(4): p. 663-673.

9.         Misron, K., et al., Bilateral vocal cord palsy post thyroidectomy: lessons learnt. Case Reports, 2014. 2014: p. bcr2013201033.

Youtube 影音報導連結 https://youtu.be/_zifYX8QlbU
 

文字報導  https://n.yam.com/Article/20191126233986
 

【大成報記者于郁金/連凱斐/臺南報導】臺灣醫療技術進步，但現今許多醫師卻感慨醫療環境惡劣，醫護人才流失與短缺，多少與醫療工作條件、環境不佳和醫療糾紛壓力脫不了關係。台南市立醫院名譽院長暨胸腔外科醫師吳明和行醫至今50年，在胸腔外科領域已耕耘45年。吳明和醫師表示，能成為一位外科專科醫師，是一種擔當，也是一種榮幸，他喜愛這個專業，40幾年來未曾懊悔當外科醫師。

吳明和醫師，1969年畢業不久後就投入外科行列，並選擇胸腔外科，在胸腔外科領域中深入鑽研，為他帶來挑戰與成就感。吳明和醫師認為，外科醫師擁有的是辛酸、衝擊、與成就，但即使從新來過，他仍會選擇外科作為他的專業。

吳明和分享外科醫師的養成過程，至少要20多年的時間才成熟，包含面臨各種國、內外考試，教育訓練年限；此外，也要不斷進修包含教科書、期刊、病例報告、寫作以及外科技術的演練；他時常自我期許，一個外科醫師必須有藝術家、宗教家、哲學家、科學家4種內涵，把手術視為藝術創作；創作前需要週詳規劃，完成的藝術品，不希望它有絲毫瑕疵，即使有瑕疵，也知道如何補救；在創作之際，需要相當專心，也需要有條有理，面對病人，需有悲天憫人的胸懷。一位醫師必須在心境、體能、學識上有良好的培養，才能負擔此重責大任。

吳明和醫師執刀48年，於12個縣市包含3個院轄市及澎湖離島，共37個醫院的手術室留下主持手術的記錄，在成大醫院留下數千個手術案例；最長一次手術時間長達10多小時；病人年齡，小者剛出生，年長者逾9旬；手術種類以胸腔為大宗，一般及小兒次之；包括氣管成型手術、小兒胸腔手術、食道重建手術、肺移植、胸腺腫瘤手術、肺結核手術、以及胸腔鏡微創手術，都是吳明和醫師的專長。

在如今醫病關係較趨緊張的環境中，吳明和醫師仍把醫療擺在第1位，以救人為先；回想職涯裡很多患者之後和他成為好友，也有曾經邀請他去參加婚禮的，這幾年還有遠在海外透過Facebook找到吳明和，感謝他30年前救命之恩。

吳明和醫師勉勵年輕醫師，要成為外科醫師，必須先肯定自己，選擇自己興趣的次專科，撐住堅苦的嚴格訓練，腳踏實地，並自我要求，在訓練期間決不放棄所有的學習機會，終有一天能「享受」自己的外科生活。院方表示，外科醫師必須經常運動，保持體力及腦力，讓外科生命更長久，吳明和醫師至今仍然每週執行好幾個手術與他熱愛的網球運動，享受他的外科人生。

吳明和醫師，為國防醫學院醫學系畢業，經歷：台南市立醫院院長、成大醫學院教授、成大醫院斗六分院院長、成大醫院胸腔外科、急診部、門診部主任、中華民國急救加護醫學會理事長、臺灣胸腔心臟外科學會專科指導醫師、美國胸腔學會院士、肺結核病診療醫師、外科專科、胸心外科、急診醫學專科醫師、加拿大蒙特簍總醫院研究、日本國立癌症中心研究、三軍總醫院胸腔外科主治醫師等；主治疾病：胸腔外科(肺癌、肺腫瘤、食道癌、縱隔腫瘤)、胸腔內視鏡(微創)手術、食道重建及氣管支氣管成型手術、小兒胸腔手術；專科執照：外科專科醫師、胸腔外科專科醫師、急診專科醫師。(于郁金攝)

南市醫吳明和行醫50年 當醫師就是要救病人
https://youtu.be/_zifYX8QlbU

行醫50年歷經胸外45載

吳明和 November 18, 2019

民國五十八年畢業後，不久就投入外科行列。能成為一位外科專科醫師，是一種擔當，也是一種榮幸。外科醫師擁有的是辛酸、衝擊、與成就。要是從新來過，我仍然會選擇外科當做我的專業。我一貫喜愛這個專業，四十幾年來未曾懊悔當外科醫師。我在外科行列中堅定的深入胸腔外科，令我更加挑戰及成就感。

外科醫師的養成教育

就養成教育來說，外科專科醫師面臨各種國、內外考試，教育訓練年限，自小學到成為一位外科細專科醫師，至少花上二十幾年的時間。就繼續教育來說，外科專科醫師須隨時隨地進修，包括教科書、期刊、病例報告、寫作以及外科技術的演練。自我期許，必須有藝術家、宗教家、哲學家、科學家四種內涵。尤其是一位外科專科醫師，必須把每一項手術，當做一種藝術創作。藝術品創作前，需要週詳規劃，完成的藝術品，不希望它有絲毫瑕疵。既使有瑕疵，也知道如何補救。在藝術品創作之際，需要相當專心，也需要有條有理。面對病人，需有悲天憫人的胸懷。

外科醫師的成就感

一位醫師必須在心境、體能、學識上有良好的培養，才能負擔此重責大任。外科醫師的工作舞台選擇，不得不講究，在大型醫院由於整個團隊成員的合作, 外科醫師可充分發揮他的實力，甚至表現出來的，遠超出他的實力。然而在規模小的醫院，因受限於人力與設備不足，表現出來的成果遠低於外科醫師他原有的實力。由於這個道理，我曾經把外科工作的感受，劃分為「負擔」、「工作」、「享受」等三種情境。設備不足、配合度不夠，易生合併症，即所謂「外科負擔」。設備及配合度差強人意的醫療環境，外科的感受，僅僅是為「工作」而工作。設備充足，配合度又高的醫療環境，會讓外科醫師，在進行手術的整個過程中，都覺得外科手術是一種「享受」。

挑戰的胸腔外科手術

     我喜愛的胸外手術包括氣管成型手術、小兒胸腔手術、食道重建手術、肺移植、胸腺腫瘤手術、肺結核手術、以及胸腔鏡微創手術。

持手術刀逾四十八載

歷經四十八年，在全省12個縣市，包括三個院轄市及澎湖離島，總共37個醫院的手術室，留下我主持手術的記錄。手術次數最多者，是在我整個外科生涯中最讓我發揮的成大醫院，手術達數千個案。單次手術時間，長者達十多小時。病人年齡，小者剛出生，年長者逾九旬。手術種類以胸腔為大宗，一般及小兒次之。現今我仍然每週執行好幾個手術並例行網球運動。

結語

要成為外科醫師，必須先肯定自己，選擇自己興趣的次專科，撐住堅苦的嚴格訓練，腳踏實地，並自我要求，在訓練期間決不放棄所有的學習機會，終有一天能「享受」自己的外科生活。外科醫師必須經常運動，保持體力及腦力，讓外科生命更長久。

一位99歲老先生罹患下咽癌，感覺吞嚥困難、咳血、聲音沙啞、及呼吸困難等症狀，確診為下咽癌侵犯喉部。近兩個月進食困難，內視鏡及電腦斷層檢查，發現惡性腫瘤位於下咽部，且侵犯喉部右側。因為癌症病灶侵犯到喉部，除了吞嚥困難，甚至呼吸窘迫，須接受全喉切除及食道重建手術。身為胸腔外科資深醫師，決定以不同之手術方式。手術後，所有醫護及照顧者，盡心盡力照護，也因為這位百歲長者相當配合，順利恢復並愉快出院。

發表Slide Pharyngo-Esophagostomy Following Ablation of Hypopharyngeal Cancer於 https://doi.org/10.4236/ss.2017.89043)

(手術方式如下圖)

吳明和186篇醫學期刊文章

Ming-Ho Wu,陳政隆 (Chen CL),姜希錚 (Chiang SC), 1977. 胸部挫傷引起氣管和支氣管的破裂(Rupture of Trachea and brobchus caused by blunt chest injury) 中華醫誌 (Chinese M J),Vol.24, pp.142-146.

李世俊,姜希錚,杜炎昌,陳政隆, Ming-Ho Wu,胡念華, 1977. Primary malignant tumor of trachea. 中華醫誌. Vol.24, pp.245-251.

Ming-Ho Wu,姜希錚,陳政隆,李世俊, 1978. 食道內硬幣之簡易摘除法,中華醫誌, Vol.25, pp.46-46.

Ming-Ho Wu, 1987. 口腔至空腸嚴重化學腐蝕食性灼傷,中華外科醫誌. Vol.20, No.6, pp.524-528.

Ming-Ho Wu, 1988. 外傷性心包破裂合併心臟崁頓,中華外科醫誌. Vol.21. No.2, pp.235-237.

薛榮海,曾貴海,黃宗信,楊家福, Ming-Ho Wu, 1988. 胸腔鏡對肋膜積液之診斷價值.中華醫誌. Vol.41, No.3, pp.233-236.

Ming-Ho Wu, 1988. 頸動脈突發性破裂引發上呼吸道阻塞,胸腔醫訊. Vol.3(1), pp.29-30.

Ming-Ho Wu, 1988,Delayed Recognition of hemothorax and hemopneumothorax in blunt chest injury, J. Surg Assoc ROC, 21,pp.604-609.

Ming-Ho Wu, Hsiue RH,Tseng KH,1989, Thoracoscopy in the diagnosis of pleural effusion. Jpn. J. Clin. Oncol. 19, pp.116-119. (SCI)

Ming-Ho Wu,蔡宗學, 1990, Intrathoracic meningocele. Thorac Med 5, pp.34-38.

Ming-Ho Wu, Wu-Wei Lai, 1990, Tracheoinnominate artery fistula. Thorac Med 5, pp.66-68.

Ming-Ho Wu, Wu-Wei Lai, 1990, Sleeve resection of congenital tracheal stenosis associated with pulmonary artery sling, J. Formosan Med Assoc 89, pp.724-726. (SCI)

Ming-Ho Wu, Wu-Wei Lai, 1990, Tracheobronchoplasty. J. Surg Assoc ROC 23, pp.144-149.

Chang-Chuan Su, Ching-Cherng Tzeng, Kang Fan, Chin-Yin Yu,Ying-Tai Jin, Nan-Haw Chow, Ming-Ho Wu, Wu-Wei Lai, Hong-Ming Tsai,1990, Active Paragonimiasis, Chin Med J,46, pp.377-80.

阮明昆,黃建鐘,張漢煜,陳冠文,鐘應欽,周楠樺,吳明和, 1991,肺癌病腎病徵候群,中華民國腎病醫學會雜誌, Vol.5, pp.158-163.

Ming-Ho Wu, Wu-Wei Lai, 1992, Modified Left Thoracoabdominal Approach for Surgical Treatment of Esophageal Carcinoma,J. Surg Assoc ROC 25, pp.988-992.

賴吾為, Ming-Ho Wu,周楠松,林木源, 1992, Surgery for Malignant Involvement of the Superior Vena Cava, J Formosan Med Assoc, 91, pp.991-995. (SCI)

Ming-Ho Wu,蔡明哲,張財旺, 1992, Trauma outcome analysis by a medical center using the TRISS method, J. Surg Assoc ROC, 25, pp.1418-1424.

Ming-Ho Wu, Wu-Wei Lai, 1992, Esophageal Reconstruction for Esophageal Strictures or Resection After Corrosive Injury, Ann Thorac Surg 53, pp.798-802.(SCI)

Ming-Ho Wu, Wu-Wei Lai, 1992, Aortoesophageal Fistula Induced by Foreign Bodies, Ann Thorac Surg 54, pp.155-156. (SCI)

張財旺, Ming-Ho Wu,楊友任, 1992, Blood Levels of Platelet-Activating Factor in Endotoxin-Sensitive and Endotoxin-Resistant Mice During Endotoxemia, J Formosan Med Assoc Vol.91, pp.1133-1137. (SCI)

Ming-Ho Wu, Wu-Wei Lai,林木源,周楠松, 1993, Massive Hemoptysis Caused by a Ruptured Subclavian Artery Aneurysm, Chest, August,104, PP612-3. (SCI)

Ming-Ho Wu,賴吾為,林木源,周楠松, 1993, Surgical treatment of acquired esophagorespiratory fistula, J. Surg Assoc ROC,26, pp.1563-1567.

Ming-Ho Wu,賴吾為,林木源,周楠松, 1993. Experience with Surgical Treatment of Pulmonary Tuberculosis. J. Surg Assoc ROCVol.26, No.2, pp.1683-1690.

鄭莉莉,蔡明哲, Ming-Ho Wu,俞芹英, 1993. Pitfalls in CT Evaluation of Blunt Abdominal Injury, J. Surg Assoc ROC,26, No.4, pp.1879-1885.

Ming-Ho Wu, Wu-Wei Lai, 1993. Surgical Management of Extensive Corrosive Injuries of Alimentary Tract, Surgery, Gynecology & Obstetrics. July,177, pp.12-16. (SCI)

蔡明哲,詹世煌,張財旺, Ming-Ho Wu, 1993. Comparison of Two Different Trauma Assessment Scores in Predicting, J. Formos Med Assoc, 92, pp.463-7. (SCI)

曾堯麟,蔡明哲, Ming-Ho Wu, 1993. Lightning injury:  report of a case. J. Formos Med Assoc, 92, pp.759-61. (SCI)

Chang HY, Chen Cw, Vhen Cy, Hsuie TR, Chen CR, Lei WW, Wu MH, Jin YT. 1993, Sep, Thorax. 48 (9), PP.947-8. (SCI)

陳冠文,黃建鐘, Ming-Ho Wu,林錫璋,陳炯瑜,阮明昆, 1994 Gas in Hepatic Veins: A Rare & Critical Presentation of Emphysematous Pyelyonephritits, J Urol, 151 pp125-6. (SCI)

陳冠文, Ming-Ho Wu,黃建鐘,俞芹英, 1994, Bilateral spontaneous Pneumothoraces, Pneumopericardium, Pneumomediastinum and Subcutaneous Emphysema- a rare presentation of paraquat intoxication. Ann Emerg Med, may 23(5) pp 1132-4. (SCI)

蔡明哲,楊琳煦, Ming-Ho Wu, 1994. Value of emergency room computed tomographic brain scan in mild head injury patients. J Surg Assoc ROC, 27, No.2, pp.2278-82

Ming-Ho Wu, Wu-Wei Lai, Nan-Tsing Chiu, Mu-Yen Lin.1994, Prevention and Management of Strictures after Hypopharyngocolostomy or Esophagocolostomy. Ann. Thorac. Surg 58:108-111. (SCI)

蔡明哲, Ming-Ho Wu, 1994. Application of global positioning system in emergency medical services. J Emerg Crit Care Med  5 (4), PP.22-30

周楠松, Ming-Ho Wu,詹啟賢,賴吾為,林木源.1994. Intrathoracic migration of Kirschner wires J. Formos Med Assoc, 93, pp.974-6. (SCI)

林木源, Ming-Ho Wu (correspondence author),賴吾為,周楠松,詹啟賢,曾堯麟. 1995, March, Bronchial rupture caused by blunt chest injury. Ann Emerg Med 25(3), PP.412-5. (SCI)

何 濤,謝俊民,鄭高珍, Ming-Ho Wu 1995. Bronchial rupture: Emphasis on radiological presentations. J Emerg Crit Care Med  6 (1), PP.26-31

Ming-Ho Wu,詹啟賢,周楠松,林木源,賴吾為 1995. Blood pH change and base deficit as severity indices of acid corrosive injury: observation in an experimental study. J. Surg Assoc ROC, 28, No.2, pp.89-94.

紀志賢,蔡明哲,林淑敏,葉又菁,陳冠文, Ming-Ho Wu A study of emergency ambulance non-transport in Tainan city 1995. J Emerg Crit Care Med. 6(1) pp.14~ 21

Shih-Min Wang, Ching-Chuan Liu, Chun-Ta Chen, An-Chyi Chen, Ming-Ho Wu. 1995. Pulmonary nocardiosis in a child with systemic lupus erythematous: report of a case. J Formos Med Assoc, 94, pp.506-8. (SCI)

Chih-Hsien Chi, Kuan-Wen Chen, Jeng-Jong Huang, Yin-Ching Chuang, Ming-Ho Wu. 1995. Gas composition in clostridium septicum gas gangrene. J Formos Med Assoc, 94, pp.757-9. (SCI)

Te-Chao Fang, Kuan-Wen Chen, Ming-Ho Wu, Junne-Ming Sung, Jeng-Jong Huang. 1995. Coumaphos intoxication mimic food poisoning. Clin Toxicology, 33, pp.699-703 (SCI)

Chih-Hsien Chi, Kuan-Wen Chen, Jeng-Shiann Shin, Ming-Ho Wu. 1995. Spontaneous rectus sheath hematoma: ED diagnosis and management, American J Emerg Med 13, pp.671-3. (SCI)

Ming-He Tasi, Chih-Hsien Chi, Yu-Ching Yeh, Shu-Min Lin, Yuan-Lung Yen, Kuan-Wen Chen, Ming-Ho Wu. 1995. Public Satisfaction of Prehospital Care Provided by 119 Personnel: A pilot Study from Tainan Area. J Emerg Crit Med. vol.6, No.3.pp.98-104

Yau- Lin Tseng, Ming-Ho Wu, Mu-Yen Lin, Wu-Wei Lai. Spontaneous Pneumothorax: Treated by transaxillary Minithoracotmy under Video-Thoracoscopic Guidance. Thorac Med 1995;10:231-235

Chin-Hsein Chi, Kuan-Wen Chen, Jeng-Jong Huang, Yin-Ching Cuang, Ming-Ho Wu. 1995 . Gas Composition in Clostridum septicum Gas Gangerene. J Formos Med Assoc 94: 757-9.(SCI)

Wu-Wei Lai, Ming-Ho Wu, Jing-Jou Yan, Feng-Feng Chen. 1996. Immunohistochemical Analysis of nm23-H1 in stage I Non-small Cell Lung Caner: A useful Marker in Prediction of Metastases. Ann Thorac Surg, 62: 1500-4. (SCI)

Wei-Chuan Tasi, Li-Jen Lin, Jyh-Hong, Ming-Ho Wu. 1996. Afebrile spontaneous pneumopyopericardium. International Journal of Cardiology: 54: 69-72. (SCI)

Ming-Ho Wu, TL Kao, 1996. Distribution of thymic hormones in thymic tumors and myasthenic thymus. Proceedings of the National Science Council. ROC. vol.20, No.1, pp.1-5.(NSC-79-0412-B006-35 and NSC-80-0412-B006-57).國科會計劃編號﹕NSC-79-0412-B006-35

Ming-Ho Wu, Mu-Yen Lin, Yau-Lin Tseng, Wu-Wei Lai. 1996 Surgical treatment of bronchiectasis. J Surg Association, ROC, 29: 145-61.

Ming-Ho Wu, Wu-Wei Lai, Tsann-Long Hwang, Shih-Chun Lee, Hon-Ki Hsu, Torng-Sen Lin. 1996. Surgical results of corrosive injuries involving esophagus to jejunum. Hepatogastroenterology, 43, 846-850. (SCI)

Ming-Ho Wu, Nan-Tsing Chiu, Mu-Yen Lin, Yau-Lin Tseng. 1996. Functional evaluation of esophageal substitutes. Chinese Med ROC. 58: 223-9.

Ming-Ho Wu, Mu-Yen Lin, Yau-Lin Tseng, Wu-Wei Lai. 1996.  Results of surgical treatment of 107 patients with complications of pulmonary tuberculosis. Respirology, I, 283-289.

Chih-Hsien Chi, Shu-Chu Shiesh, Kuan-Wen Chen, Ming-Ho Wu, Xi-Zhang Lin, 1996. C-reactive protein fir the evaluation of acute abdominal pain. Am J Emerg Med 14: 254-256. (SCI)

Chih-Hsien Chi, Ming-Che Tasi, Kuan-Wen Chen, Ming-Ho Wu.1996.  119 Emergency Medical Transport of the Elderly, Kaohsiung J Med Sci 12: 699-706.

Chih-Hsien Chi, Kuan-Wen Chen, Shih-Huang Chan, Ming-Ho Wu, Jeng-Jeng Huang. 1996. Clinical Presention and Prognostic Factors in Sodium Monofluoroacetate Intoxication, Clinical Toxicology, 34(6), 707-712. (SCI)

Chang-Hua Chou, Jeng-Shian Shin, Ming-Ho Wu, Nan-Haw Chow, Xi-Zhang Lin. 1996. Eosinophilic Gastroenteritis with Esophageal Involvement. J Formos Med Assoc 95: 403-5. (SCI)

Ting-Tsung Chang, Kung- Chia Young, Tu-Jen Yang, Kuo-An Lai, Hua-Lin Wu, Ming-Ho Wu, Mao-Yuan Chen, Xi-Zhang Lin, Ching-Yih Lin, Jeng-Shiannn Shin. 1996 Incidence of post-transfusion hepatitis in Taiwan before and after introduction of anti-HCV testing. Liver. 16(3):201-6. (SCI)

Jih-Neng Wang, Chyi-Her Lin, Ming-Ho Wu, Jenn-Dong Lian. 1996. Infantile Hypertrophic pyloric stenosis after surgery for esophageal atresia with tracheoesophageal fistula. J Formos Med Assoc, 95, No.8. pp 642-3. (SCI)

Wu JM, Chen CT, Wang JN, Wu MH, Lin CH, Yang YJ. Upper airway obstruction caused by vascular anomalies in children. Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1996 Mar-Apr;37(2):122-7.

Ming-Ho Wu, Yau-Lin Tseng, Mu-Yen Lin, Wu-Wei Lai. 1997. Surgical results of 23 patients with tracheobronchial injuries. Respirology 2: 127-130.

Ming-Ho Wu, Yau-Lin Tseng, Mu-Yen Lin, Wu-Wei Lai. 1997. Surgical results of 29 patients with benign tracheobronchial lesions. Respirology 2 : 179-184 .

Ming-Ho Wu, Yau-Lin Tseng, Mu-Yen Lin, Wu-Wei Lai. 1997. Surgical results of 40 patients with malignant tracheobronchial lesions. Respirology  2:255-259.

Chia-Chin Tseng, Ming-Ho Wu, Yen-Bin Ray, Chuan-Lin Chang. 1997. Clinical application of transorotracheal tube tracheal insufflation of oxygen in patients undergoing simple video. assisted thoracscopic surgery. Anesthesia & analgesia 84, pp20-5 (SCI)

S-M Wang, C-H Lin, H-B Yang, M-H Wu. 1997, Congenital bilateral agenesis of diaphragm: report of a case. Eur J pediatr. 156: 572-4. (SCI)

H-Y Chang, C-S Chan, J-H Chen, M-C Tsai, Ming-Ho Wu. 1997, Evaluation of the Number of Laser-Doppler Measurements in Assessing Regional Diaphragmatic Microcirculation. Int. Microcirc 17: 123-9. (SCI)

Ming-Ho Wu, Yau-Lin Tseng, Mu-Yen Lin, Wu-Wei Lai. 1997. Surgical treatment of pediatric lung abscess. Pediatric Surg Int.12, pp293-5 (SCI)

Tsai-Wang Chang, Ming-Ho Wu, 1997, Pathogenetic Role of Gut in Irreversible Hemorrhagic shock. J Emerg Crit Care Med 8(4): 103-112.

Chung- Dann Kan, Jing- Ming Wu, Ming-Ho Wu, Yu-Jen Yang. Tracheal Stenosis Associated with Ventricular Septal Defect in a Down Syndrome Baby- A case Report. Reprinted from Acta Cardiolgica Sinica, Vol. 14/No. 1, pp.46-51 January - March 1998.

Chung-Lin Chen, Jing-Wei Lee, Yau-Lin Tseng, Ming-Ho Wu, Haw-Yen Chiu. Primary Costochondritis or Osteomyelitis of the Ribs. J Plast & Reconstr Surg Asso ROC 1998;7:129-34

Ming-Ho Wu, Chao-Ming Chuang, Yau-Lin Tseng. Giant Intraluminal Firbovascular Polyp of the Esophagus. Hepatogastroenterology 1998;45:2115-6 (SCI)

Ming-Ho Wu, Yung-Nien Sun, Ssu-Tao Huang, Han-Yu Chang. Blood Supply of Esophageal Stumps. Hepatogastroenterology 1998;45:2055-9 (SCI)

Hsin-Ling Lee, Kuan-Wen Chen, Ming-Ho Wu 1999. Acute Poisoning with a Herbicide Containing Imazapyr (Arsenal): A Report of Six Cases, Clinical Toxicology, 37(1), 83-9. (SCI)

Wu-Wei Lai, Ming-Ho Wu, Jen-Shiann Shin. Submucosal Esophageal Dissection-A rare Case Report. Hepatogastroenterology 1999;46:2419-21(SCI)

紀志賢,蔡明哲,莊佳璋,吳明和,蔡良敏.1999. A Simple Method for Pre-hospital Dispatcher-aided Consciousness Assessment in Trauma Patients. J Emerg Crit Care Med 10(2): 55-60

Jou IM, Tsai YT, Tsai,CL, Wu MH, Chang HY, Wang NS. Simplified rat intubation using a new oropharyngeal intubation wedge. J Applied Physiol. 2000:89:1766-70 (SCI)

Wu-Wei Lai, Ming-Ho Wu, Mu-Yan Lin, Yau-Lin Tseng, *Nan-Tsing Chiu. Treatment of Spontaneous Esophageal Rupture : II Years of Experience. Formosan J Surg 2000:33:14-20.

Yau-Lin Tseng , Ming-Ho Wu, Mu-Yan Lin, Fen-Fen Chen. Congenital Cystic Adenomatoid malformation: Report of Four Cases. Formosan J Surg 2000:33:77-84.

Y.-W. Cheng" C.-Y. Chen , P. Lin, C.-P. Chen , K.H. Huanga, T.-S. Lin , M.-H. Wu , H. Lee DNA adduct level in lung tissue may act as a risk biomarker of lung cancer. Euro J Cancer 36:1381-8,2000 (SCI)

S Landen, M.H.Wu, L.B. Jen, V.Delugeau, B.Launois. Pancreaticoduodenal necrosis due to caustic burns. Acta Chir Belg 100:205-9,2000 (SCI)

Yau-Lin Tseng, Ming-Ho Wu (corresponding), Mu-Yen Lin, and Wu-Wei Lai. Intrathoracic muscle flap transposition in the treatment of fibrocavernous tuberculosis Eur J Cardiothorac Surg 2000 18: 666-670(SCI)

Yau-Lin Tseng, Ming-Ho Wu (corresponding), Mu-Yen Lin, Wu-Wei Lai. Re-doing Reconstruction of the Esophagus Using Remnant of the Ileo-left Colon Aided by Microvascular Anastomosis. Ann Thorac Surg 2001;71;1695-7(SCI)

Yau-Lin Tseng, Ming-Ho Wu (corresponding), Mu-Yen Lin, Wu-Wei Lai. Surgery for lung abscess in immunocompetent and immunocompromised children. J Pediatr Surg 2001;36(3);470-3(SCI)

Ming-Ho Wu, Yau-Lin Tseng, Mu-Yen Lin, Wu-Wei Lai. Esophageal Reconstruction for Hypopharyngoesophageal Strictures After Corrosive Injury. Euro J Cardiothorac Surg 2001:19: 400-5(SCI)

Sy ED. Lin CH. Shan YS. Wu MH. Chyloperitoneum: a postoperative complication after repair of tracheoesophageal fistula. Journal of Pediatric Surgery. 36(6):E1, 2001 Jun. 21275790 (SCI)

Wu-Wei Lai, Fen-Fen Chen, Ming-Ho Wu, Nan-Haw Chow, Wu-Chou Su, Mi-Chia Ma, Pei-Fang Su, Helen Chen, Mu-Yan Lin, Yau-Lin Tseng. Immunohistochemical Analysis of Epidermal Growth Factor Receptor Family Members in Stage 1 Non-small Cell Lung Cancer. Ann Thorac Surg 2001;721868-76 (SCI)

Yau-Lin Tseng, Shan-Tair Wang, Ming-Ho Wu (corresponding), Mu-Yen Lin, Wu-Wei Lai. Predictors of Associated Intra-abdominal Visceral Injuries in Patients with Extensive Acid Corrosive Ingestion and the Surgical Outcomes. Formosan J Surg 2002;35:14-22

Yau-Lin Tseng, Ming-Ho Wu (corresponding), Mu-Yen Lin, Wu-Wei Lai. Outcome of Acid Ingestion Related Aspiration Pneumonia. Euro J Cardiothorac Surg 2002;21:638-43 (SCI)

Yau-Lin Tseng, Ming-Ho Wu (corresponding), Mu-Yen Lin, Wu-Wei Lai. Early Surgical Correction for Isolated Gastric Stricture following Acid Corrosive Injury. Digest Surg 2002;19:276-80(SCI)

Ming-Ho Wu. Primary repair and correction of anastomotic stenosis in congenital esophageal atresia . Formosan J Surg 2003;36:120-4

Yau-Lin Tseng, Shan-Tair Wang, Ming-Ho Wu (corresponding author), Mu-Yen Lin, Wu-Wei Lai, Fen-Fen Cheng. Thymic carcinoma: involvement of great vessels indicating poor prognosis. Ann Thorac Surg 2003 76: 1041-5 (SCI)

Yueh-Feng Tsai, Ming-Ho Wu (corresponding author), Wu-Wei Lai; Yau-Lin Tseng; Mu-Yen Lin, Jia-Ming Chang. Clinical presentation, radiological features, and surgical treatment of bronchogenic cysts. Thorac Med 2003;18:214-21

Ming-Ho Wu, Jia-Ming Chang, Tsung-Mao Haung, Li-Li Cheng, Yau-Lin Tseng, Mu-Yen Lin, Wu-Wei Lai. Evaluation of the surgical risks of fibrocavernous pulmonary tuberculosis by using computed tomography. Today Surg 2004;34:204-8 (SCI)

Ming-Ho Wu, Yueh-Feng Tsai, Mu-Yen Lin, I-Lin Hsu, Yaou Fong. Complete laryngotracheal disruption caused by blunt Injury. Ann Thorac Surg 2004 ;77:1211-5 (SCI)

Chih-Ta Yao, Jing-Ming Wu, Ching-Chuan Liu, Ming-Ho Wu, Jieh-Neng Wang. Intrapleural fibrinolytic treatment of complicated parapneumonic pleural effusion in children. Chest 2004;125:566-71 (SCI)

Ming-Ho Wu, Yau-Lin Tseng, Fen-Fen Cheng, Thy-Sheng Lin. Thymic carcinoid combined with myasthenia gravis. J Thorac Cardiovasc Surg 2004 Feb;127:584-5 (SCI)

Yau-Lin Tseng, Ming-Ho Wu (corresponding), Mu-Yen Lin, Wu-Wei Lai. Massive Upper Gastrointestinal Bleeding after Acid-corrosive Injury. World Surg 2004 ;28:50-4 (SCI)

Yao CT, Wang JN, Lin CH, Yeh CN, Tai YT, Wu MH, Wu JM. Prediction of outcome in infants with congenital diaphragmatic or severe diaphragmatic eventration. Acta Paediatr Tw 2004;45:131-5

Shi-Ping Luh, Ming-Ho Wu, Jia-Yuh Chen, Ming-Jen Chou. Double Cancers- A case of Adenocarcinoma Developing in the Transposed Gastric Tube Six years after Esophagectomy and Review of Literature. Chung Shan Med J 2005;16:79-86

Tsai YF, Tseng YL, Wu MH (corresponding), Hung CJ, Lai WW, Lin MY. Aggressive resection of the airway invaded by thyroid carcinoma. Br J Surg. 2005; 25; 1382-7 (SCI)

Jia-Ming Chang, Yueh-Feng Tsai, Ming-Ho Wu (corresponding), Yau-Lin Tseng^a, Wu-Wei Lai, Mu-Yen Lin, I-Ling Hsu .Subclavian Arterio-Esophageal Fistula Caused by Foreign Body Penetration: Report of A Case .Formosan J Surg 2006;39;19-23

Jia-Ming Chang , Ming-Ho Wu (corresponding), Yau-Lin Tseng, Wu-Wei Lai, Mu-Yen Lin, Yueh-Feng Tsai I-Ling Hsu .Thoracoscopic Resection of Paraesophageal Bronchogenic cyst: Report of 4 cases. Thorac Med 2006;21;218-24

Lin Hsu, Wu-Wei Lai, Wen-Chau Chen*, Ming-Ho Wu. Rupture of a Mediastinal Schwannoma in a Type II Neurofibromatosis Patient Presenting with Traumatic Hemothorax .Formosan J Surg (Impress)

SP Luh, MH Wu. Pulmonary carcinosarcoma: report of a case with review of the literature. Int Surg 2006;91(1):28-32. (SCI)

JM Chang, YL Tseng, MH Wu, WW Lai, MY Lin, IL Shu. Chest bottle "foam" problem caused by persistent air leak: an alternative solution. Ann Thorac Surg 2006;81:2335-6. (SCI)

YL Tseng, JM Chang, IL Shu, MH Wu., Myasthenia gravis developed 30 months after resection of recurrent thymoma..Eur J Cardiothorac Surg. 2006;29:268 (SCI).

Kung-Chao Chang, Ming-Ho Wu, Dan Jones, Fen-Fen Chen, Yau-Lin Tseng. Activation of STAT3 in Thymic Epithelial Tumors Correlates with Tumor Type and Clinical Behavior. J Pathol 2006;210:224-33 (SCI)

Wang JN, Yao CT, Yeh CN, Liu CC, Wu MH, Chuang HY, Wu JM. Once-daily Vs twice-daily intrapleural urokinase treatment of complicated parapneumonic effusion in paediatric patients: a randomized prospective study. Int J Clin Pract.2006;60:1225-30 (SCI)

Wu MH. Working Ethics of Surgeon. Tzu Chi Med J.2007;19;44-6

Hsu IL, Wu MH, Lai WW, Lin MY, Chang JM, Yen YT, Tseng YL Cervical ectopic thymoma.J Thorac Cardiovasc Surg. 2007;133:1658-9.(SCI)

Jia-Ming Chang, Ming-Ho Wu, Wu-Wei Lai, Mu-Yen Lin, Yueh-Feng Tsai,I-Ling Hsu, Yi-Ting Yen, Yau-Lin Tseng. Acid Corrosive Injury in Patients with a History of Partial Gastrectomy: Outcome Analysis Dig Surg 2007;24:202–207 (SCI)

Liu YC, Tseng YL, Wu MH, Lai WW, Hsu IL, Yen YT, Chang JM. Ileocolon graft pedicled on ileocolic artery: an alternative esophageal substitute for corrosive injury. Ann Thorac Surg. 2007 ;84:295-6 (SCI)

Yi-Ting Yen, Ming-Ho Wu, Wu-Wei Lai, Mu-Yuan Lin, Chia-Ming Chang, Yau-Lin Tseng “Isolated Intermediate Bronchus Disruption Following Blunt Thoracic Injury: Report of a Case” Thorac Med 2008; 23: 278-283

Ming-Ho Wu (corresponding). Spiral Tracheoplasty following Tangential Resection of Trachea. Ann Thorac Surg. 2009;88: 2042-3 (SCI)

Ming-Ho Wu (corresponding). A Simple Myocutaneous Flap for Short-Stump Mediastinal Tracheostomy. Ann Thorac Surg. 2009 Sep;88(3):1032-3 (SCI)

Wu MH, Wu HY. A simple Devise for closure of a colocutaneous fistula within the laparotomy wound: a case report. Ostomy Wound Manage 2009;55:24-6 (SCI)

Wu HY, Wu MH (corresponding). Vascular Changes in Agenesis of Pulmonary Artery. Annal Thoracic Surg. 2010;90:671 (SCI)

Roan JN, Wu MH (corresponding). Esophageal perforation caused by external air-blast injury J Cardiothorac Surg. 2010;5:130 (SCI)

Wu HH, Wu MH (corresponding), Wu HY, Chen CF. Formation of a tracheoesophageal common channel after alkaline injury. Ann Thorac Surg. 2010;90:1709-11 (SCI)

Ming-Ho Wu, Han-Yun Wu (corresponding). Chylothorax Following Esophagectomy: Report of Two Cases J Emerg Crit Care Med. 2010; 21, 203-4

Tseng YL, Wu MH, Yang HC, Wang CY, Lin CF. Autocrine IL-6 regulates GRO-alpha production in thymic epithelial cells.Cytokine. 2010 Aug;51(2):195-201. doi: 10.1016/j.cyto.2010.05.002.

Yen YT, Lai WW, Wu MH, Lin MY, Chang JM, Hsu IL, Tseng YL. Thymic neuroendocrine carcinoma and thymoma are both associated with increased risk of extrathymic malignancy: a 20-year review of a single institution. Ann Thorac Surg. 2011;91:219-25 (SCI)

Yen YT, Wu MH, Cheng L, Liu YS, Lin SH, Wang JD, Tseng YL. Image characteristics as predictors for thoracoscopic anatomic lung resection in patients with pulmonary tuberculosis. Ann Thorac Surg. 2011 Jul;92(1):290-5. doi: 10.1016/j.athoracsur.2011.02.039. Epub 2011 May 6 (SCI)

Chen TC, Wu MH, Cheng YJ, Chang PC. Spontaneous pharyngoesophageal perforations Eur J Cardiothorac Surg. 2011;40:1250-2

Wu MH (corresponding), Wu HH. Simple pyloroplasty using a linear stapler in surgery for esophageal cancer. Surg Today. 2012 Aug 5 (SCI)

Yen YT, Wu MH, Lai WW, Chang JM, Hsu IL, Chen YY, Huang WL, Lee WC, Chang KW, Tseng YL. The Role of Video-Assisted Thoracoscopic Surgery in Therapeutic Lung Resection for Pulmonary Tuberculosis. Ann Thorac Surg. 2012 Nov 28. doi:pii: S0003-4975(12)02124-8. 10.1016/

Ming-Ho Wu, Han-Yun Wu. Patient Selection for Chest Wall Reconstruction Using Bone Plates after Resection of Chest Wall Malignancies Show–Chwan Med J 2012; 11(1,2): 11-18

Ming-Ho Wu, Han-Yun Wu. External Fixation of Silicone Stent in Treatment of Cervical Esophagogastrostomy Leaks Show–Chwan Med J 2012; 11(1,2): 29-32

Ming-Ho Wu, Han-Yun Wu. Surgical Approaches to Non-caustic Benign Esophageal Stenosis in the Elderly Show–Chwan Med J 2012; 11(3,4): 69-73

Yen YT¹, Wu MH, Lai WW, Chang JM, Hsu IL, Chen YY, Huang WL, Lee WC, Chang KW, Tseng YL. The role of video-assisted thoracoscopic surgery in therapeutic lung resection for pulmonary tuberculosis. Ann Thorac Surg. 2013 Jan;95(1):257-63

Ming-Ho Wu & Hsing-Hsien Wu Simple pyloroplasty using a linear stapler in surgery for esophageal cancer Surg Today 2013;43:583-585

Ming-Ho Wu, Han-Yun Wu Perioperative Images of Cricopharyngeal AchalasiaAnn Thorac Surg 2013;96:703

Chen-Yuan Kuo, Horng-Ming Yeh, and Ming-Ho Wu Delayed Presentation with Incarceration of the Colon of Diaphragmatic Hernia 36 Years after Stabbing Injury: A Case Report 內科學誌　　2013：24：71-75

Yen YT, Lai WW, Chang KW, Chang KC, Lee SC, Lin SH, Wu MH, Tseng YL Factors predicting recurrence and postrecurrence survival in completely resected thymic carcinoma.Ann Thorac Surg. 2014 Apr;97(4):1169-75.

Ming-Ho Wu, Han-Yun Wu. Incremental change in acute esophageal necrosis: report of two cases. Surg Today 2014; 44:363–365

Hsing-Hsien Wu, Yeun Tarl Fresner NG Jao, Ming-Ho Wu. Glomus Tumor of the Trachea Managed by Spiral Tracheoplasty. Am J Case Rep, 2014; 15: 459-465

Ming-Ho Wu, MD* and Han-Yun Wu, NP .Perioperative Images of Extralobar Sequestration in a Newborn Boy. J Pulm Respir Med 2014, 4:4

Jia-Ming Chang, Wu-Wei Lai, Yi-Ting Yen, Yau-Lin Tseng, Ying-Yuan Chen, Ming-Ho Wu, Wei Chen, Richard W. Apex-to-Cupola Distance Following VATS Predicts Recurrence in Patients With Primary Spontaneous Pneumothorax Light Medicine (Baltimore) 2015 September; 94(37): e1509. Published online 2015 September 18.

Ming-HoWu and Han-YunWu. Perioperative Evaluation of Patient Outcomes after Severe Acid Corrosive Injury. Surg. Reserch. Practice.2015, 545262

Ming-HoWu and Han-YunWu.Thyroid carcinoma showing thymus-like differentiation with tracheal invasion. Asian Cardiovascular & Thoracic Annals. 2015 Jul 22. pii: 0218492315596659

Yau-Lin Tseng, Jia-Ming Chang, Yi-Sheng Liu, Lili Cheng, Ying-Yuan Chen, Ming-Ho Wu, Chung-Lan Lu, Yi-Ting Yen The Role of Video-Assisted Thoracoscopic Therapeutic Resection for Medically Failed Pulmonary Tuberculosis Medicine (Baltimore) 2016 May; 95(18): e3511. Published online 2016 May 6. doi: 10.1097/MD.0000000000003511

Jia-Ming Chang, Wu-Wei Lai, Yi-Ting Yen, Yau-Lin Tseng, Ying-Yuan Chen, Ming-Ho Wu, Wei Chen, Richard W. Light Apex-to-Cupola Distance Following VATS Predicts Recurrence in Patients With Primary Spontaneous Pneumothorax Medicine (Baltimore) 2015 September; 94(37): e1509. Published online 2015 September 18. doi: 10.1097/MD.0000000000001509

Deng-Wei Chou• Ming-Ho Wu. Early detection of recent onset achalasia from a chest radiograph. Intern Emerg Med DOI 10.1007/s11739-016-1485-8

Ming-Ho Wu, and Han-Yun Wu, Tracheobronchial Stenosis Caused by Complex Sling of Left Pulmonary Artery and Aorta Ann Thorac Surg 2016;102:e59

Ming-HoWu and Han-YunWu. Sequential correction of caustic stricture of trachea and esophageal orifice. Clin Case Rep Rev 2016,2:484-485

Chang JM, Kam KH, Yen YT, Huang WL, Chen W, Tseng YL, Wu MH, Lai WW, Gonzalez-Rivas D. From biportal to uniportal video-assisted thoracoscopic anatomical lung resection: A single-institute experience Medicine (Baltimore). 2016 Oct;95(40):e5097

Ming-HoWu and Han-YunWu. Long-Segment Tracheobronchial Stenosis in a 44-Year-Old Woman. Austin J Surg. 2017; 4(1): 109

Ming-HoWu and Han-YunWu. Thoracoscopic Enucleation of Esophageal Submucosal Tumor. Austin J Surg. 2017; 4(1): 1096.

Ming-Ho Wu and Han-Yun Wu. Surgical relief of esophageal compression by thoracic aorta Glob Surg, 2017; 3: 1-2

Ming-HoWu and Han-YunWu. Lately Recognized Left Main Bronchial Rupture and Fail Chest. Clinics in Surgery - Thorac Surg 2017: 2: 1412

Ming-HoWu and Han-YunWu.Slide Pharyngo-Esophagostomy Following Ablation of Hypopharyngeal Cancer. Surg Scien, 2017, 8, 403-406 http://www.scirp.org/journal/ss

Han-YunWu and Ming-HoWu a.Asphyxia Following Complete Thyrodiectomy in a Patient with Relapsed Grave’s Dis Thyro Dis Ther 2017, 6:3 DOI: 10.4172/2167-7948.1000220

Ming-HoWu and Han-YunWu . Resection of metastatic hepatoma of the thorax or near-diaphragm. Show–Chwan Med J 2017;16(2):80 – 87

Wu MH. Resection of metastatic hepatoma of thorax or near-diaphragm. J Thorac Dis 2017;9 (Suppl 14):AB015. doi: 10.21037/jtd.2017.s015

Ming-HoWu and Han-YunWu Laparoscopic Appendectomy as Main Therapeutic Option of Appendicitis ARC J Surg 2018,4,;1: 1-5

Ming-HoWu and Han-YunWu. Pleural drainage using drainage bag for thoracoscopic lobectomy Asian Cardiovas & Thorac Annal 2018, 26: 212–217

Wu MH and Wu HY. Lethal Surgical Outcome of A Large Pulmonary AVM with Severe Right to Left Shunt. Austin J Surg. 2018; 5(4): 1135.

Wu MH and Wu HY. Aggressive Surgery of Hiatal Hernia. Int J Surg Proced.2018 Aug;1(3):115

Wu HY and Wu MH. Awareness and Successful Surgical Treatment of Postoperative Chyle Leaks- Report of Two Cases秀傳醫學雜誌Show–Chwan Med J 2018; 17(2): 102-106

Wu MH, Wu HY. Distended neoesophagus in a man with congenital esophageal atresia. Ann Esophagus 2018;1:16.

Wu M-H, Wu H-Y. Late Malignant Change of Caustic Injured Esophagus. Clin Oncol. 2018; 3: 1541

Wu MH, Wu HY. Surgical treatment of noncaustic benign esophageal stenosis. Formos J Surg 2019;52:1-5.

Wu M-H, Wu H-Y. A Huge Mediastinal Liposarcoma and Its Recurrence. Clin Oncol. 2019; 4: 1648.

Wu M-H, Wu H-Y. Seven Metachronous Primary Cancers within 27 Years in a Woman. Clin Oncol. 2019; 4: 1651

Wu M-H, Wu H-Y. Gastric conduit perforation induced by massive beer drinking. Ann Esophagus 2019 | http://dx.doi.org/10.21037/aoe.2019.08.01

Wu M-H, Wu H-Y. Late Malignant Change of Cervical Esophageal Stump Following Caustic Injury. Clin Oncol. 2019; 4: 1661

 Wu M-H, Wu H-Y, Huang S-M. Sequelae of Advanced Recurrent Thyroid Cancer. Clin Oncol. 2019; 4: 1678 

Wu MH, Wu HY. Treatment and prevention of esophagogastrostomy leaks using anchoring silicone stent. Ann Esophagus 2019. doi: 10.21037/aoe.2019.12.05

Wu MH. Different results of tracheoplasty for various tracheal diseases. Formos J Surg 2020;53:14-9

Yang HC, Wu HY, Wu MH Hemoptysis Resulting from Pseudomonas aeruginosa Pneumonia- Case Report. Show–Chwan Med J 2020; 19 (1): 99-104

Ming-Ho Wu, Han-Yun Wu. Series images of endotracheal cuff hyperinflation inducing tracheal stenosis. Resuscitation & Intensive Care Med 2020;5:71-73

  Liao F-T, Hung G-U, Wu M-H, Huang S-M. Solitary Sternal Metastasis – A Uncommon Presentation of Thyroid Papillary Carcinoma. Clin Surg. 2021;6: 3076.

 Ming-Ho Wu, Han-Yun Wu. On-stage thoracoscopic resection of bilateral bronchiectasis. Asian Cardiovasc Thorac Ann 2022;30(2):190-194, doi: 10.1177/02184923211044399

 Ming-Ho Wu, Han-Yun Wu. Innominate Arterial Barrier Blocked a 25-Year Substernal Neoesophagus. Ann Thorac Surg. 2022 Feb;113(2):e83-e85.

Yang HC, Wu HY, Wu MH. 食道裂孔疝氣－不容忽視的老年人疾病 Show–Chwan Med J 2022; 21(1): 43-48 DOI 10.53106/156104972022062101006

 Ming-Ho Wu, Han-Yun Wu. Development and Application of Chest Drainage Bags. Show–Chwan Med J 2022; 21(2): 23-29

 Ming-Ho Wu, Han-Yun Wu. Huge thymic hyperplasia in a thyroid follicular cancer patient. Show–Chwan Med J 2022; 21(2):100-103

 Ming-Ho Wu, Han-Yun Wu. One-stage Bilateral Thoracoscopic Pulmonary Resections for Various Lung Diseases. Show–Chwan Med J 2023; 22(1):25-31

Liu YW, Wu MH, Kao CN, Chiang HH, Lee JY, Li HP, Chang PC, Chou A, Chou SH. Lobectomy Versus Sub-lobar Resection in Simultaneous Bilateral Thoracoscopic Lung Resection. World J Surg. 2023 Jun 2. doi: 10.1007/s00268-023-07081-7. Online ahead of print. PMID: 37266699

 Ming-Ho Wu, Han-Yun Wu. The Outcome of Bilateral Lung Cancer Patients Who Underwent One-stage Thoracoscopic Surgery. Show Chwan Med J 2023; 22(2):175-184

Ming-Ho Wu, Han-Yun Wu, Li-Hsum Chen. Extending Goiter Accompanied by Ectopic Hyperparathyroidism. Show Chwan Med J 2023; 22(2):196-201

Ming-Ho Wu, Han-Yun Wu. Jejunal varices and lung cancer in a patient with cirrhosis of liver. Show Chwan Med J 2023; 22(2):207-210

Mng-Ho Wu, Han-Yun Wu. Development and Application of Chest Drainage Bags. Show Chwan Med J 2022; 21(2): 23-29.

 Wei-Li Huang , Shun-Tien Chien, Ming-Chih Yu,Bee-Song Chang , Yi-Ting Yen, Ming-Ho Wu, Yau-Lin Tseng. Risk factor analysis of postoperative complications after adjunctive pulmonary resection in patients with multidrugresistant tuberculosis: A multi-institutional study. J Microbiol Immunol Infect2023 Oct;56(5):1064-1072.

 Ming-Ho Wu, Han-Yun Wu. Thoracoscopic Resection of Recurrent Hepatoma Near-Diaphragm. Show Chwan Med J 2024; 23 (1): 44-50

https://drive.google.com/file/d/1E7CZljCil9MJwEqWxZVTTwWGyh1iEr5H/view?usp=drivesdk

另一位來自高雄的33歲年輕人，瘦瘦的，有一天與他太太帶著一些檢查資料，來到我們胸腔外科門診。年輕人告訴我們，最近兩年，胸悶、腹脹、飲食不順暢，體重減輕。他出生幾天，被診斷先天性食道閉鎖症，由屏東被帶到台北求醫，前後經過幾次手術以後，在兩歲時接受過食道重建手術，才能進食。兩年來愈趨嚴重的症狀，他在高雄已經找過幾家醫院，未達到治療效果，經過網路的搜尋以後，他找到我們醫院來。他拿的資料，包括胃鏡檢查及動脈攝影，在門診我們與他們夫婦詳細詢問、討論與溝通。告訴他們，為了幫他解決問題，手術之前需要先住院，並安排電腦斷層檢查。電腦斷層檢查檢查結果出來後，再次與他們夫婦詳細溝通，包括手術詳細步驟及腸胃道需要休息的天數。手術前一天、他父親來到醫院，我們再詳細問他的父親，這年輕人小時候的整個醫療過程。他父親述說；剛出生幾天，就發現先天性食道閉鎖症，從屏東南州鄉下跑到台北某醫學中心，前後總共做過六次手術。兩歲時最後一次手術，用大腸做食道重建手術。當時候沒有健保，所以必須要賣房子才能清醫藥債務。這次到我們台南市立醫院來接受手術，術前我們跟病人以及他的太太溝通，因為他曾經接受過六次手術，腸嚴重沾黏，手術後至少要十一、二天無法進食，僅能靠打點滴，必須忍耐。手術後，他想吃東西但是又不被允許，所以他就請他太太去樓下7-11買一些東西，他看太太吃，滿足口慾，蠻辛苦的，我們會心的微笑。第12天後，開始飲水、流質、後改半流質、正常進食，他非常合作。出院後，回診時再度檢查腸胃道，非常通順、體重慢慢增加。整個治療過程、醫療人員與病人及家屬詳細溝通，雖然過程比較長，但是非常順利，醫病皆高興。https://drive.google.com/file/d/1E7CZljCil9MJwEqWxZVTTwWGyh1iEr5H/view?usp=drivesdk