Our Summary

Surgeons are always looking for ways to make surgeries less invasive for patients, especially when it comes to removing malignant tumors. One method that’s been used more and more is video-assisted thoracic surgery (VATS) for lung cancer. However, it’s still unclear whether VATS is less invasive and more beneficial than traditional open surgery, as there haven’t been enough studies on it. There are several factors that can make lung surgery difficult, such as the development of the lung’s fissures, the mobility of lymph nodes, and the presence of pleural adhesions. Surgeons also have to handle unexpected issues like bleeding during surgery. Recently, a new method called minimally invasive open surgery (MIOS) has been used for removing lung cancer. This article explains how MIOS works and shares some early results. However, more research is needed to confirm its effectiveness over the long term.

FAQs

  1. What is video-assisted thoracic surgery (VATS) for lung cancer?
  2. What are some factors that can make lung surgery difficult?
  3. What is minimally invasive open surgery (MIOS) and how is it used in removing lung cancer?

Doctor’s Tip

One important tip a doctor might give to a patient undergoing lung surgery is to follow all preoperative instructions carefully. This may include avoiding certain medications, fasting before the surgery, and quitting smoking if applicable. It’s also important to discuss any concerns or questions with your healthcare team before the surgery to ensure you have a clear understanding of the procedure and what to expect during recovery. Following postoperative instructions, such as taking prescribed medications, attending follow-up appointments, and engaging in recommended physical therapy, will also be crucial for a successful recovery. Remember to listen to your body and communicate any unexpected symptoms or concerns with your healthcare team promptly.

Suitable For

Patients who are typically recommended lung surgery include those with:

  1. Lung cancer: Surgery is often recommended as a treatment option for early-stage lung cancer that has not spread to other parts of the body.

  2. Lung nodules: Surgery may be recommended to remove suspicious or potentially cancerous nodules found on the lungs.

  3. Lung infections: In some cases, surgery may be necessary to remove infected or damaged lung tissue.

  4. Lung abscesses: Surgery may be needed to drain and remove abscesses in the lungs that are not responding to other treatments.

  5. Lung cysts: Surgery may be recommended to remove cysts in the lungs that are causing symptoms or complications.

  6. Lung trauma: Surgery may be necessary to repair damage to the lungs caused by trauma, such as a puncture wound or a collapsed lung.

  7. Lung tumors: Surgery may be recommended to remove benign tumors or other growths in the lungs that are causing symptoms or complications.

It’s important to consult with a medical professional to determine the most appropriate treatment plan for each individual patient.

Timeline

Before lung surgery:

  1. Consultation with a thoracic surgeon to discuss the need for surgery and potential risks and benefits.
  2. Preoperative tests such as imaging scans, blood tests, and pulmonary function tests.
  3. Preparation for surgery, which may include stopping certain medications, fasting, and following specific instructions from the surgical team.

During lung surgery:

  1. Anesthesia is administered to put the patient to sleep and ensure they do not feel pain during the procedure.
  2. The surgeon makes small incisions in the chest and inserts a thoracoscope (a thin, flexible tube with a camera) to visualize the lung and surrounding tissues.
  3. The surgeon uses specialized instruments to remove the tumor or affected portion of the lung.
  4. The incisions are closed with sutures or staples.

After lung surgery:

  1. The patient is monitored closely in the recovery room for any complications.
  2. Pain management is provided to help with discomfort from the surgery.
  3. Physical therapy may be recommended to help with breathing and mobility.
  4. Follow-up appointments are scheduled to monitor recovery and discuss any further treatment options.
  5. Rehabilitation and support services may be offered to help the patient adjust to life after surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with lung surgery?
  2. How will the surgery be performed (open surgery, VATS, MIOS)?
  3. What are the expected outcomes and recovery time for each type of surgery?
  4. How will my pain be managed after the surgery?
  5. What are the long-term effects of lung surgery on my lung function and overall health?
  6. Will I need any additional treatments (such as chemotherapy or radiation therapy) after the surgery?
  7. What is the success rate of this type of surgery for my specific condition?
  8. How many of these surgeries have you performed, and what is your experience with this type of procedure?
  9. What is the hospital stay like after lung surgery, and what kind of follow-up care will I need?
  10. Are there any alternative treatments or procedures that I should consider before deciding on surgery?

Reference

Authors: Nakagawa K, Watanabe S. Journal: Kyobu Geka. 2016 Jul;69(8):666-70. PMID: 27440030