Wed. Mar 3rd, 2021

Consist of your lungs Five sections, or lobe – three to the right and two to the left. Lobectomy, an operation to remove a single diseased lobe, is the most common surgery for lung cancer. If you need lobectomy, a major option is whether there should be a rib-dilating operation called a thoracotomy or a less-invasive procedure called video-assisted thoracic surgery, or VATS.

Apparently, an August 2013 CT scan showing lung cancer was bad news for Jeff Ehlers, now 48 and vice president of operations for a commercial glazing contractor in Sherwood, Arkansas. However, Ehlers says, his oncologist was “almost excited” because the tumor was clearly limited to a single lobe.

Ehlers’ oncologist and surgeon agreed that removing the entire upper right lobe provided the best chance Get rid of all cancer. This made him understand, he says: “It was just, there it is – let’s get rid of it.” Three-and-a-half days later, he had a VAT lobectomy.

“The surgery went very well,” says Ehlers. He was attached to the chest tubes and spent a night in the intensive care unit. The allergic reaction to the painkillers allowed him to stay in the hospital for about a week. Follow-up treatment consisted of four rounds of chemotherapy.

After being discharged, Ehlers improved driving and ease of work. He says, “I came back very quickly.”

When a patient is diagnosed with lung cancer, Doctors use staging To describe the location, size of the cancer and whether it has spread within the lungs and other parts of the body, as detailed on the Cancer .Net website.

Tumors that can respond to surgery, known as “resettable” tumors, include some stage 3A tumors from stage 1, Drs. Says Joey Srigar, a professor and head of surgery at Stanford University School of Medicine. When lung cancer reaches 3A and above, they say, Chemotherapy And Radiation Be first aid.

The smallest, least invasive tumors can be treated with procedures that remove only the affected part of the lobe. The removal of a wedge is the simplest procedure, whereas a segamectomy involves slightly more lung removal. “A lobectomy allows you to take the entire lobe and all of the lymph nodes that dry out that lobe,” Srigar says. For cancers that extend beyond the same lobe, more complex surgery to remove the entire lung is called a pneumonectomy.

A lobectomy performed by an “open thoracotomy” is a major surgery in which surgeons open your chest wall with a large incision and stretch your ribs to reach your lungs. With VAT, in contrast, surgeons make three small incisions in the chest, armpit, and shoulder-blade area. “So we have a video camera through one of those incisions, and we’re projected inside the chest on a TV screen,” Schrager says. “In the other two incisions, we have long instruments that we are performing while looking at the screen, basically.”

Surgical incision sites for VAT lobectomy.(Courtesy of Stanford School of Medicine, Cardiothoracic Surgery Department)

The major benefit for VAT is that surgeons work under the ribs without spreading them, Srigar says. Lesser muscles are divided during surgery, and patients experience much less pain later. People in the hospital are younger, and patients return to full activity taking pain medications, recovering, and early.

However, not every patient is a good candidate for VAT lobectomy. “It is very well established for Phase 1 that survival rates are the same,” Srigar says. “Most of us think for Stage 2. It is still very controversial for Stage 3.” [and] Most of us will do a thoracotomy. ”

a 2013 study Costs and outcomes examined. Researchers at Brigham and Women’s Hospital and Harvard Medical School concluded, “Lobectomy performed more according to VAT’s approach than an open technique, with shorter length of stay, fewer adverse events, and lower overall costs.” VAT patients are less in need Opioid drugs, Which is another advantage.

When selecting a surgeon for lung cancer surgery, your best bet is to have a surgeon whose practice is specifically devoted to lung operation, says Dr. Lung Cancer Surgeon with Minnesota Oncology. Louis Jacques, A Practice in the US Oncology Network. Cardiothoracic surgery involves a board certified general thoracic surgeon, which includes the heart and lungs. “But their only practice is basically the lungs – they don’t do heart surgery,” he says.

After being More quantity Jacques states that lung procedures have an important advantage. In addition, he says, lung-focused surgeons operate within a well-established group, which includes medical oncologists, nursing coordinators, radiation oncologists and pathologists, all of whom form decisions and form a multi-disciplinary team. Collaborate on treatment.

Ask about eligibility. “Any surgeon you want to operate on will be very comfortable about that,” Srigar says. “If a surgeon does not do 100, at least, of the operation you are doing, you do not want that surgeon. I would ask the surgeon, ‘Are you completely comfortable doing this? Is it completely The way it is? ” In your wheel? How many things have you done? ”

Finding the best hospital in your area is important. A way to see the latest America’s News Best Hospital The rankings, which for the first time include lung cancer surgery as one of the nine common procedures and conditions for evaluating hospital performance, are evaluated. For another resource, the National Cancer Institute lists 69 NCI-Designated Cancer Center For cutting-edge cancer treatment.

Good nursing care is essential for a good recovery, notes Shrigram. Magnet hospitals that meet many criteria for high levels of nursing care are worth visiting.

Ehlers’ follow-up care included periodic lung scans to ensure that the cancer had not returned. Unfortunately, a second tumor appeared in February 2015. The setback “really knocked the wind out of my sail,” he says. By then, he was more educated about lung cancer. “I think that means what the repetition means,” that’s too much.

The tumor in the lower left lobe was small, and in April 2015 Ehlers had a wedge affection with VAT, followed by 16 rounds of chemo, for which he still has a port in his throat.

This time, Ehlers says, he understood how to help his body recover as quickly as possible. “Just be aware that you are a satirist, but you have to push yourself to do the exercises you say,” he says. Now he is doing well and says that he has barely slowed apart from shortness of breath due to decreased lung capacity.

Ehlers has received support through online communities LUNGevity, A lung cancer advocacy group. She is Thank you friends Who stayed in the hospital after surgery. As a patient, he says, even if you “don’t look your best with the tubes coming out of your nose and chest, you want to make contact.”

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