Our Summary

In Germany, the field of thoracic surgery (which deals with operations on the chest area, including the heart and lungs) is not as well-established in universities as other surgical specialities. This makes it hard to attract new surgeons to this field, and to connect with researchers from many different areas who could help improve thoracic surgery techniques and treatments. To address this, the researchers suggest creating a structured educational program for thoracic surgery in German universities, along with mentorship programs and funding opportunities. This would give thoracic surgeons more time and resources to engage in research or teaching, and could help to advance the field.

FAQs

  1. Why is thoracic surgery not as well-established in German universities as other surgical specialties?
  2. What are some proposed solutions to attract new surgeons to the field of thoracic surgery in Germany?
  3. How can a structured educational program for thoracic surgery benefit the field in Germany?

Doctor’s Tip

One helpful tip a doctor might tell a patient about thoracic surgery is to follow post-operative care instructions closely. This may include following a specific diet, taking prescribed medications, attending follow-up appointments, and avoiding certain activities that could put strain on the chest area. Adhering to these instructions can help promote healing and prevent complications after surgery.

Suitable For

Patients who are typically recommended thoracic surgery include those with lung cancer, esophageal cancer, mediastinal tumors, pleural effusions, lung infections, thoracic trauma, chest wall deformities, and structural abnormalities of the lungs and chest. Additionally, patients with conditions such as emphysema, severe asthma, and chronic obstructive pulmonary disease (COPD) may also benefit from thoracic surgery. Ultimately, the decision to recommend thoracic surgery will depend on the specific condition and individual circumstances of the patient.

Timeline

Before thoracic surgery:

  1. Initial consultation with a thoracic surgeon to discuss the need for surgery and potential risks and benefits.
  2. Pre-operative tests and evaluations, such as blood work, imaging scans, and pulmonary function tests.
  3. Clearing of any underlying medical conditions or medications that may interfere with surgery.
  4. Education about the surgical procedure, post-operative care, and potential complications.

After thoracic surgery:

  1. Recovery time in the hospital, typically ranging from a few days to a week depending on the type of surgery.
  2. Monitoring for any complications, such as infection or bleeding.
  3. Gradual resumption of normal activities under the guidance of healthcare providers.
  4. Follow-up appointments with the thoracic surgeon to monitor healing and address any concerns.
  5. Rehabilitation or physical therapy to regain strength and function in the chest area.
  6. Long-term follow-up care to monitor for any recurrence of the condition or development of new issues.

What to Ask Your Doctor

  1. What specific type of thoracic surgery do you recommend for my condition?

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

  3. What is the recovery process like and how long can I expect to be in the hospital?

  4. Are there any alternative treatment options to surgery that I should consider?

  5. What is your experience and success rate with performing this type of surgery?

  6. Will I need any additional tests or consultations before the surgery?

  7. How can I prepare for the surgery (e.g. diet, medications, lifestyle changes)?

  8. What type of anesthesia will be used during the surgery?

  9. What can I expect in terms of pain management after the surgery?

  10. What follow-up care and monitoring will be needed after the surgery?

Reference

Authors: Ried M, Walles T, Hofmann HS. Journal: Zentralbl Chir. 2023 Jun;148(3):278-283. doi: 10.1055/a-1857-5902. Epub 2022 Aug 1. PMID: 35915926