Our Summary

This research paper looks at the history and current status of lung cancer surgery. In the past, the entire lung was removed to treat cancer, but this approach has evolved over time. Nowadays, doctors prefer to remove only the part of the lung (lobectomy) that contains the tumor and some nearby lymph nodes to check for possible spread of the cancer.

However, with advances in imaging technology and CT scans, doctors are now able to detect smaller lung cancers earlier. This raises questions about whether removing a whole lobe of the lung is still necessary for these smaller tumors, or if a lesser surgery (like removing just a segment or wedge of the lung) might be enough.

Currently, several trials are being conducted to compare these methods of surgery. Until we have the results, the standard procedure will remain lobectomy. The paper concludes that for now, lung cancer should still be treated by removing a lobe of the lung rather than a smaller part.

FAQs

  1. What is the current standard procedure for lung cancer surgery?
  2. How have advances in imaging technology and CT scans impacted the approach to lung cancer surgery?
  3. Are there any ongoing trials comparing different methods of lung cancer surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about lung resection is to follow the post-operative care instructions closely, including taking prescribed medications, attending follow-up appointments, and participating in pulmonary rehabilitation if recommended. It is important to avoid smoking and to maintain a healthy lifestyle to support optimal healing and lung function after surgery. If any concerning symptoms or complications arise, it is essential to contact your healthcare provider promptly for further evaluation and management.

Suitable For

Patients who are typically recommended lung resection include those with early-stage non-small cell lung cancer, which is the most common type of lung cancer. These patients may have a tumor that is localized to one lobe of the lung and has not spread to other parts of the body. Lung resection may also be recommended for patients with certain types of benign lung tumors, lung infections, or lung diseases such as COPD or bronchiectasis.

In addition, patients who are in good overall health and have adequate lung function are good candidates for lung resection. Patients who are current or former smokers may also be recommended for lung resection if they have a high risk of developing lung cancer.

It is important for patients to discuss their individual case with their healthcare provider to determine if lung resection is the best treatment option for them. Other factors, such as the size and location of the tumor, the patient’s overall health and lung function, and the stage of the cancer, will also be taken into consideration when making a recommendation for lung resection.

Timeline

Before lung resection:

  1. Patient is diagnosed with lung cancer through imaging tests such as CT scans or biopsies.
  2. Patient undergoes pre-operative evaluations, including blood tests and imaging to determine the extent of the cancer.
  3. Patient meets with their surgical team to discuss the procedure, potential risks, and recovery process.
  4. Patient may undergo pulmonary function tests to assess lung function and determine if they are a candidate for surgery.
  5. Patient may undergo chemotherapy or radiation therapy before surgery to shrink the tumor and reduce the risk of cancer spread.

After lung resection:

  1. Patient undergoes surgery to remove the affected lobe of the lung.
  2. Patient is monitored closely in the hospital for complications such as infection, bleeding, or breathing difficulties.
  3. Patient may require chest tubes to drain fluid from the surgical site.
  4. Patient undergoes physical therapy to improve lung function and prevent complications such as pneumonia.
  5. Patient is discharged from the hospital and continues recovery at home, with regular follow-up appointments with their surgical team.
  6. Patient may undergo adjuvant therapy (chemotherapy or radiation) after surgery to further reduce the risk of cancer recurrence.
  7. Patient undergoes regular imaging tests to monitor for cancer recurrence.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with lung resection surgery?

  2. How long is the recovery process after a lung resection surgery and what can I expect during the recovery period?

  3. Will I need any additional treatments, such as chemotherapy or radiation therapy, after the lung resection surgery?

  4. How will my breathing function be affected after the surgery and will I need any rehabilitation or breathing exercises?

  5. What are the chances of the cancer coming back after a lung resection surgery and what follow-up care will be needed?

  6. Are there any alternative treatment options to consider other than lung resection surgery?

  7. How experienced is the surgical team in performing lung resection surgeries and what is their success rate?

  8. Will I need a second opinion before proceeding with the lung resection surgery?

  9. What are the long-term effects of having a lobe of the lung removed and how will it impact my overall health and quality of life?

  10. Are there any specific lifestyle changes or precautions I should take after the lung resection surgery to prevent complications or further health issues?

Reference

Authors: Asamura H, Aokage K, Yotsukura M. Journal: Am Soc Clin Oncol Educ Book. 2017;37:426-433. doi: 10.1200/EDBK_179730. PMID: 28561723