Our Summary

This research paper discusses a surgical method for lung cancer treatment known as single-incision video-assisted thoracoscopic (SIVATS) pneumonectomy. This type of surgery uses a single incision or cut, through which a small camera and surgical instruments are inserted. The camera allows the surgeon to see and operate on the lung without making a large incision. Some complex lung surgeries like removing parts of the lung or the entire lung are now possible through this method. However, studies on this technique are still early and few. This paper aims to discuss the method, its feasibility, and its role in treating a type of lung cancer called non-small-cell lung cancer.

FAQs

  1. What is single-incision video-assisted thoracoscopic (SIVATS) pneumonectomy?
  2. How does SIVATS pneumonectomy assist in the treatment of non-small-cell lung cancer?
  3. What is the current stage of research on the SIVATS pneumonectomy technique?

Doctor’s Tip

A helpful tip a doctor might tell a patient about lung surgery is to follow the pre-operative instructions carefully, including fasting before the surgery and stopping certain medications as advised. It is also important to quit smoking and maintain good overall health before the surgery to improve outcomes and reduce complications. After the surgery, it is important to follow the post-operative care instructions, including taking prescribed medications, attending follow-up appointments, and participating in pulmonary rehabilitation if recommended. It is essential to communicate any concerns or changes in symptoms to your healthcare team promptly.

Suitable For

Patients who are typically recommended for lung surgery include those with early-stage lung cancer that has not spread to other parts of the body, patients with recurrent lung cancer after previous treatment, patients with benign lung tumors that are causing symptoms, patients with lung infections or abscesses that do not respond to other treatments, and patients with lung diseases such as chronic obstructive pulmonary disease (COPD) or bronchiectasis. Additionally, patients who are otherwise healthy and able to tolerate surgery are good candidates for lung surgery. It is important for patients to discuss the risks and benefits of surgery with their healthcare provider to determine if surgery is the best treatment option for their specific condition.

Timeline

Before lung surgery:

  • Patient undergoes various diagnostic tests such as imaging scans, biopsies, and pulmonary function tests to determine the extent of the lung cancer and the feasibility of surgery.
  • Patient meets with their healthcare team, including surgeons, oncologists, and pulmonologists, to discuss treatment options and the risks and benefits of surgery.
  • Patient may undergo pre-operative preparation such as stopping certain medications, fasting before surgery, and receiving instructions on post-operative care.
  • On the day of surgery, patient is prepped for the procedure, given anesthesia, and taken to the operating room for the surgery.

After lung surgery:

  • Patient is closely monitored in the recovery room for any immediate complications such as bleeding, infection, or breathing difficulties.
  • Patient may stay in the hospital for a few days to a week, depending on the extent of the surgery and their recovery progress.
  • Patient may experience pain, fatigue, and difficulty breathing in the days and weeks following surgery.
  • Patient will undergo rehabilitation and physical therapy to improve lung function and overall strength.
  • Patient will have follow-up appointments with their healthcare team to monitor their recovery, discuss any ongoing symptoms, and determine the need for additional treatments such as chemotherapy or radiation therapy.

What to Ask Your Doctor

  1. What is the specific type of lung surgery recommended for my condition and why?

  2. What are the potential risks and complications associated with the surgery?

  3. What is the expected recovery time and rehabilitation process following the surgery?

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

  5. How experienced is the surgical team in performing this type of surgery?

  6. Are there any alternative treatment options to consider before proceeding with surgery?

  7. What are the long-term outcomes and success rates associated with this type of surgery for treating lung cancer?

  8. How will the surgery impact my quality of life, including breathing and physical activity?

  9. What steps can I take to prepare for the surgery and optimize my recovery afterwards?

  10. Are there any specific lifestyle changes or precautions I should take post-surgery to reduce the risk of complications or recurrence of lung cancer?

Reference

Authors: Halezeroğlu S. Journal: Future Oncol. 2018 Mar;14(6s):41-45. doi: 10.2217/fon-2017-0422. PMID: 29664351