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DEPARTMENT OF SURGICAL ONCOLOGY

Lung Cancer Surgery

Lung cancer surgeries are complex procedures performed to remove cancerous tissues from the lungs. These operations can range from minimally invasive techniques to major surgeries, depending on the type and stage of cancer.

Introduction to Lung Cancer Surgeries

Lung cancer surgeries are complex procedures performed to remove cancerous tissues from the lungs. These operations can range from minimally invasive techniques to major surgeries, depending on the type and stage of cancer. The primary goal of surgery is to eliminate the tumor, thereby increasing the chances of a cure or prolonging survival while improving patients’ quality of life.

Surgery is typically recommended when lung cancer is detected at an early stage and is thought to be localized, meaning it hasn’t spread extensively. It is often the preferred choice because it can lead to complete removal of the cancerous growth. For individuals in good health with accessible tumors, surgical intervention significantly improves survival rates.

Types of Lung Cancer Surgeries

  1. Lobectomy: This is the most common surgery for lung cancer and involves removing an entire lobe of the lung. It is recommended when the cancer is confined to a single lobe.
  2. Pneumonectomy: Removal of an entire lung, usually necessary when the tumor is located centrally within the lung.
  3. Wedge Resection: A less extensive surgery, removing only a small, wedge-shaped portion of the lung. It is used for small tumors or patients unable to undergo lobectomy.
  4. Segmentectomy: Involves removal of a segment of a lung lobe, often reserved for smaller cancers or patients with reduced lung function.
  5. Sleeve Resection: Involves removal of a section of bronchus along with part of the lung lobe. This allows surgeons to reattach the remaining lung to preserve lung function.

5 Important Key Facts

  1. Lung cancer surgery has the highest potential for cure when cancer is localized.
  2. Advances in surgical techniques have led to minimally invasive approaches, resulting in shorter recovery times.
  3. Thoracic surgeons specialize in this complex field, ensuring high levels of expertise and precision.
  4. Surgery may be combined with chemotherapy or radiation for comprehensive treatment.
  5. Post-surgical care is crucial, with a focus on respiratory rehabilitation to enhance recovery.

How a Treatment Plan is Decided

Designing a personalized treatment plan involves a multidisciplinary team approach. At KCC, each case is meticulously assessed, taking into consideration the cancer’s stage, patient’s overall health, and individual preferences. Diagnostic tests, imaging studies, and biopsies are used to gather information, enabling the team to tailor an optimal treatment strategy focused on achieving the best outcomes.

Transitioning to the next stage, understanding pre-surgical preparations is paramount in ensuring that you are fully prepared both physically and mentally for your surgery.

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Pre-surgical Preparations and Planning

Before undergoing lung cancer surgery, thorough pre-surgical planning and preparation are essential to minimize risks and improve surgical outcomes. This phase typically includes several key steps:

  1. Medical Evaluation: A comprehensive medical assessment is conducted to evaluate the patient’s general health. This often involves cardiac and pulmonary function tests to ensure the patient can tolerate the procedure.
  2. Nutritional Counselling: Maintaining optimal nutrition is crucial for recovery. Patients may meet with a dietitian to develop a personalized nutrition plan, focusing on strengthening the body before surgery.
  3. Smoking Cessation: If the patient smokes, quitting is imperative. Continuing to smoke can impair healing and increase the risk of complications. Smoking cessation programs and support groups are offered to assist patients.
  4. Exercise Program: Patients are encouraged to engage in a tailored exercise routine to improve physical fitness, which can aid in faster recovery post-surgery.
  5. Preoperative Instructions: Patients receive detailed instructions regarding medication management, fasting requirements, and hygiene protocols to follow before the procedure. This ensures the body is in the best possible state for surgery.
  6. Mental Preparation and Support: Understanding the surgical process and having emotional support is vital. Patients may benefit from counselling services to manage anxiety and ensure peace of mind.

Thorough preparation not only prepares patients physically but also mentally, establishing a solid foundation for a smooth surgical experience and subsequent recovery.

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What to Expect and What Happens During Surgery?

Undergoing lung cancer surgery can be a daunting prospect, but understanding what to expect can help alleviate some anxiety.

The surgical procedure usually starts with the patient being administered general anesthesia, ensuring they remain unconscious and free from any pain during the operation.

There are different types of surgeries depending on the stage and location of the cancer, such as a lobectomy, which involves removing one of the lobes of the lung, or a pneumonectomy, where an entire lung is removed.

Throughout the procedure, a multidisciplinary team, including surgeons, anesthesiologists, and nurses, work collaboratively to ensure the operation is performed safely and effectively. A

dvanced techniques like video-assisted thoracoscopic surgery (VATS) may be used, offering a minimal invasive option with smaller incisions and potentially shorter recovery times. Patients can expect a period of observation in the recovery room post-surgery where vital signs are closely monitored.

Pain management and respiratory therapy will be key components of post-operative care, aiding in recovery and minimising complications. Understanding these steps can help patients feel more comfortable and prepared for the procedure.

Potential Risks & Complications

Undergoing lung cancer surgery, like any major medical procedure, carries potential risks and complications.

Common risks include infection, bleeding, and adverse reactions to anesthesia. Post-operative complications such as pneumonia, blood clots, or difficulty breathing can also arise, particularly because of the surgery’s impact on lung function.

Long-term effects might include chronic pain or reduced lung capacity, affecting a patient’s ability to perform strenuous activities.

It is essential to be vigilant for any signs of complications during recovery. Patients should seek immediate medical attention if they experience symptoms such as fever, chest pain, shortness of breath, or swelling in the legs, as these could indicate serious issues requiring prompt intervention.

When to See a Specialist

Routine follow-up visits with the surgical team and oncologists are crucial to monitor healing progress and manage any complications. However, patients should not hesitate to contact cancer specialist if they notice any unusual symptoms or changes in their health status.

Early intervention can prevent minor issues from becoming severe and ensure a smoother recovery process. Regular consultations with specialists will also help align post-operative care with ongoing cancer treatment plans, if necessary.

Post-Operative Care

Post-operative care is a crucial phase in the recovery process after lung cancer surgery. It starts immediately after the surgery in the recovery room, where the medical team monitors the patient’s vital signs, such as heart rate, blood pressure, and oxygen levels. Pain management is a top priority, with medications administered to alleviate discomfort and facilitate easier breathing.

Patients may receive respiratory therapies, which include breathing exercises and the use of incentive spirometry to prevent complications like pneumonia and promote lung expansion. Mobility is encouraged as soon as possible under medical supervision to ensure proper circulation and reduce the risk of blood clots. Nutritional support and a balanced diet play significant roles in enhancing the healing process and rebuilding strength.

Moreover, emotional and psychological support is vital, as patients may experience a range of emotions post-surgery. The onco team, alongside family and friends, can provide reassurance and encouragement, helping patients stay motivated during their recovery journey. Regular follow-up appointments with the surgical and oncology teams will be scheduled to monitor the patient’s progress and address any concerns that may arise. Overall, comprehensive post-op care aims to ensure a smooth and successful recovery, enabling the patient to return to daily activities with improved health and well-being.

Recovery Timeline

Recovering from lung cancer surgery varies for each individual, but generally follows a structured timeline to ensure optimal healing.

In the first week post-surgery, patients remain under close observation in the hospital, focusing on managing pain and gradually increasing mobility. By the end of the first week, patients are typically capable of performing basic daily activities with assistance.

During weeks two and three, patients often transition to home care, continuing their respiratory and physical therapies while attending follow-up appointments to monitor progress.

By the fourth week, many patients experience a noticeable improvement in strength and endurance, allowing them to gradually resume lighter activities and social interactions.

By weeks six to eight, patients often achieve a more significant level of independence, but should still avoid heavy lifting or strenuous tasks.

Full recovery can vary, but within three to six months, most patients feel a substantial return to normalcy, having adapted to lifestyle changes and regained their health.

Regular check-ups remain crucial throughout this period to address any ongoing symptoms and to provide continued support in regaining a high quality of life.

Consult us

Choosing the right treatment plan for lung cancer is a crucial decision, and seeking expert guidance can make all the difference in recovery and quality of life.

Our comprehensive cancer care team is dedicated to offering the most advanced and personalised treatment plans tailored to each patient’s unique needs. Whether it’s accessing the latest surgical techniques, chemotherapy, radiation therapy, or participating in cutting-edge clinical trials, our specialists work collaboratively to ensure the highest standard of care.

Don’t navigate this journey alone—consult with our team to explore the most effective options for your situation and to receive the compassionate support you deserve throughout your treatment and beyond.

Key Facts About Surgery

  • Lung cancer surgery has the highest potential for cure when cancer is localized.
  • Advances in surgical techniques have led to minimally invasive approaches, resulting in shorter recovery times.
  • Thoracic surgeons specialize in this complex field, ensuring high levels of expertise and precision.
  • Surgery may be combined with chemotherapy or radiation for comprehensive treatment.

For any cancer related query, concern or help, just call us

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