Our Summary

This paper discusses different types of lung surgeries, including pneumonectomies and lobectomies, which are major surgeries involving the removal of a lung or a lobe of a lung, and sublobar resections, which include segmentectomies and wedge resections and involve the removal of smaller sections of the lung. These procedures can be performed openly or through minimally invasive surgery using a camera. Understanding the process and effects of these surgeries is important to be able to identify normal post-surgery appearances and separate them from potential complications. After surgery, the chest adjusts to the loss of lung volume, with changes becoming more evident in the months following the procedure. Imaging techniques such as X-rays and CT scans can show signs of these adjustments, such as a narrowing between the ribs, a rise in the diaphragm, and a shift of the mediastinum (the space in the chest that contains the heart, large blood vessels, windpipe, and other organs) to the side where the surgery was performed.

FAQs

  1. What are the major types of lung resections?
  2. How can one distinguish between normal anatomical changes and potential postoperative complications after lung surgery?
  3. What physical adaptations can be expected in the chest cavity after lung surgery?

Doctor’s Tip

A doctor might tell a patient that it is important to follow post-operative instructions carefully, including taking pain medication as prescribed, doing breathing exercises to prevent pneumonia, and avoiding heavy lifting or strenuous activity for a certain period of time. It is also important to attend follow-up appointments to monitor recovery and address any concerns.

Suitable For

Patients who are typically recommended lung surgery include those with lung cancer, benign lung tumors, severe lung infections, chronic obstructive pulmonary disease (COPD), emphysema, bronchiectasis, and other lung conditions that have not responded to other treatments. The decision to undergo lung surgery is made based on the specific condition of the patient and the potential benefits of surgery compared to other treatment options. Additionally, patients who are in good overall health and have the ability to tolerate surgery and anesthesia are also considered for lung surgery.

Timeline

Before lung surgery:

  • Patient undergoes preoperative evaluations such as imaging studies, blood tests, and possibly pulmonary function tests.
  • Patient meets with the surgical team to discuss the procedure and potential risks.
  • Patient may need to make lifestyle changes such as quitting smoking or adjusting medications.
  • Patient may need to fast before surgery and follow specific instructions on what to eat and drink.

After lung surgery:

  • Patient is monitored in the recovery room for a period of time.
  • Patient may experience pain and discomfort at the surgical site.
  • Patient may have a chest tube in place to drain fluids and air from the chest cavity.
  • Patient will be encouraged to start moving and walking as soon as possible to prevent complications such as blood clots.
  • Patient will be given instructions on how to care for the surgical site and manage pain at home.
  • Patient will have follow-up appointments with the surgical team to monitor recovery and address any concerns.
  • Patient may undergo rehabilitation to improve lung function and overall physical health.

What to Ask Your Doctor

  1. What type of lung surgery do I need and why?
  2. What are the potential risks and complications associated with this surgery?
  3. How long will the surgery take and what is the expected recovery time?
  4. Will I need to stay in the hospital after surgery, and if so, for how long?
  5. What can I expect in terms of pain management after surgery?
  6. Will I need any follow-up treatment or therapy after surgery?
  7. What lifestyle changes will I need to make after surgery?
  8. How will this surgery affect my breathing and overall lung function?
  9. Are there any long-term effects or complications I should be aware of?
  10. What is the success rate of this surgery for my specific condition?

Reference

Authors: Bommart S, Berthet JP, Durand G, Ghaye B, Pujol JL, Marty-Ané C, Kovacsik H. Journal: Diagn Interv Imaging. 2016 Oct;97(10):1025-1035. doi: 10.1016/j.diii.2016.08.014. Epub 2016 Sep 26. PMID: 27687830