Our Summary
Lung cancer is a leading cause of death in Western countries, and chest surgery is a common treatment. While the techniques for this surgery have become less invasive over time, recovery can still be long and challenging. However, there is no evidence to suggest that automatically sending patients to intensive care after surgery is beneficial, unless there are immediate complications. Instead, it might be more useful to assess the risk of complications based on the patient’s overall health (like their nutrition and independence), other health conditions they have, and the type of surgery they had. That said, serious complications after surgery are still fairly common, and managing these in intensive care can be complex and lengthy. After a successful program to speed up recovery after chest surgery, new plans are needed to better manage patients after lung removal surgery. This article looks at the main complications after surgery and how to manage patients in intensive care after chest surgery.
FAQs
- Is it necessary for patients to be sent to intensive care after thoracic surgery?
- What factors should be considered when assessing the risk of complications after thoracic surgery?
- What are the common complications after thoracic surgery and how are they managed in intensive care?
Doctor’s Tip
One helpful tip a doctor might tell a patient about thoracic surgery is to follow their post-operative care instructions carefully. This may include taking prescribed medications, completing any recommended exercises or physical therapy, attending follow-up appointments, and avoiding activities that could strain the chest area. By following these instructions, patients can help promote a successful recovery and reduce the risk of complications. Additionally, maintaining a healthy lifestyle with regular exercise and a balanced diet can also aid in the healing process.
Suitable For
Patients who are typically recommended for thoracic surgery include those with:
Lung cancer: Thoracic surgery is often recommended for patients with lung cancer, especially if the cancer is in the early stages and has not spread to other parts of the body.
Benign lung tumors: Surgery may be recommended for patients with benign lung tumors that are causing symptoms or affecting lung function.
Lung infections: In some cases, thoracic surgery may be necessary to remove infected or damaged lung tissue.
Pleural effusion: Thoracic surgery may be recommended for patients with recurrent pleural effusions (build-up of fluid around the lungs) that do not respond to other treatments.
Chest wall deformities: Patients with chest wall deformities, such as pectus excavatum or pectus carinatum, may benefit from thoracic surgery to correct the deformity.
Esophageal disorders: Thoracic surgery may be recommended for patients with esophageal disorders, such as strictures or tumors, that require surgical intervention.
It is important for patients to discuss their specific condition and treatment options with their healthcare provider to determine if thoracic surgery is the best course of action for their individual case.
Timeline
Before thoracic surgery, a patient will likely undergo a series of tests and evaluations to determine their overall health and suitability for surgery. This may include blood tests, imaging scans, and consultations with various healthcare providers. The patient may also undergo preoperative counseling to understand the risks and benefits of the surgery.
During the surgery itself, the patient will be under general anesthesia and the surgeon will make incisions in the chest to access the affected area. The surgery may involve removing part or all of a lung, repairing damaged tissue, or removing tumors. The length of the surgery and the specific procedures performed will vary depending on the patient’s condition.
After thoracic surgery, the patient will typically be monitored closely in a recovery area before being transferred to a hospital room. The patient may experience pain, discomfort, and difficulty breathing in the immediate postoperative period. Pain management, breathing exercises, and early mobilization are important aspects of the recovery process.
In the days and weeks following surgery, the patient will gradually regain strength and function. Physical therapy may be recommended to help improve lung function and mobility. The patient will also have follow-up appointments with their healthcare team to monitor their progress and address any concerns.
Overall, the recovery process after thoracic surgery can be challenging and may require ongoing support from healthcare providers, family members, and other caregivers. It is important for patients to follow their healthcare team’s instructions closely and to communicate any symptoms or concerns they may have during the recovery period.
What to Ask Your Doctor
Some questions a patient should ask their doctor about thoracic surgery include:
- What are the potential risks and complications associated with thoracic surgery?
- What is the success rate of the surgery for my specific condition?
- What is the expected recovery time and what can I do to help facilitate a smooth recovery?
- Will I need to stay in the intensive care unit after surgery? If so, for how long?
- What are the alternatives to surgery and why is surgery recommended in my case?
- How experienced is the surgical team in performing thoracic surgeries?
- What type of anesthesia will be used during the surgery and what are the potential side effects?
- Will I need any additional treatments or therapies following the surgery?
- How will my pain be managed after the surgery?
- What lifestyle changes or precautions should I take post-surgery to ensure optimal recovery and prevent complications?
Reference
Authors: Fontana V, Coureau M, Grigoriu B, Tamburini N, Lemaitre J, Meert AP. Journal: Rev Mal Respir. 2022 Jan;39(1):40-54. doi: 10.1016/j.rmr.2021.12.006. Epub 2022 Jan 13. PMID: 35034829