lobectomy lungLung cancer is the leading cause of death from cancer worldwide.

Minimally invasive surgical resection - Videoassisted lobectomy compared with the traditional approach ( thoracotomy) Is the best treatment option in the initial stages of the disease. Because after thoracotomy, usually require hospitalization for a period of five to seven days, and in the future - a longer recovery period.

Israeli clinicoffering gentle operational approach. This method of thoracic surgery (VATS) reduces the period of stay of the patient in the clinic until three or four days, and the total time of rehabilitation.

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What is lung lobectomy?

Lobectomy is an operation to remove a proportion of the lung (the right lung comprises three lobes, the left - of 2). This is the most common form of surgery for treatment of lung cancer.

Lobectomy may be performed using several methods. The surgeon will choose one of the approaches based on the characteristics of the tumor:

  1. Open lobectomy - operation where removal lobe is via a long incision in the side of the chest.
  2. Video-thoracoscopic lobectomy involves the removal of a few small incisions in the chest with the help of special surgical instruments and a camera.

Lobectomy is traditionally held during the surgery - thoracotomy. In open surgery is performed the chest incision between the ribs tend posterolateral. The chest is opened, so that the surgeon has seen the contents of the pleural cavity, in rare cases, it may be resected rib, to gain access to the lungs and to remove the tumor. Also removed the blood vessels, airways, leading to the affected lobe, and the lobe.

What happens during a VATS lobectomy lung?lobectomy lung

Videoassisted approach is less invasive than traditional lobectomy. The surgeon makes an incision three 2.5 cm in size and one - 8-10 cm for access to the thoracic cavity without opening it. Through them introduced thoracoscopy (optical tube studies plevrogrudnoy cavity) and surgical instruments. space images are displayed on a computer monitor, which is located next to the patient.

The surgeon removes the tumor through small incisions. They can also be resected lymph nodes, or performed a biopsy to make sure the cancer has not spread.

Before completing the procedure, the surgeon checks for bleeding, cleans the chest cavity and closes the incisions. One or two drainage remain in the cavity after surgery to remove excess liquid and air from the lung area. Drains recovered later in the patient's recovery period.

Indications for video-assisted surgery to remove a lobe of the lung

This type of surgery is used, if necessary, a variety of diagnostic and / or therapeutic procedures in the outer region of the lungs (in congenital defects, cysts of the lung, emphysema, fungal infections, tuberculosis). The best candidates for Videoassisted lobectomy - are patients with localized NSCLC at early stage tumor size of up to 3 cm and in patients with increased pulmonary node ..

The traditional approach used in large tumors, lymph nodes, or after the previously conducted thoracic surgery.

You can contact us via the inquiry form or by telephone to schedule a preoperative examination of thoracic surgery.

For this type of diagnostic services in Israel carried out a physical examination, the surgeon asks questions about health status, medical history, a number of studies. Discuss treatment options, benefits and potential risks of the procedure. Appoint additional research to make sure that video-assisted approach - is the right choice of surgical intervention.

What diagnostic procedures are preceded by video-assisted lobectomy?

removing lobeIf lung cancer is diagnosed, tests are conducted to determine whether the cancer cells to one lung lobe or both, as well as spread to other parts of the body. These tests may include bone scan, the brain and the abdominal cavity to prevent penetration of oncology. Fits disease stage for further treatment planning.

Diagnosis is made to ensure that the patient can live without a lobe of the lung. Pulmonary function evaluates the work of the body and determines whether the remaining share will deliver enough oxygen to the body. The doctor may also recommend tests to make sure that the heart is functioning normally since the surgery can increase the load on it. A careful history, physical examination and laboratory diagnosis is performed to verify that the patient is healthy as possible.

Thus, the preliminary diagnostic tests include:

  • complete physical examination;
  • chest X-ray;
  • computed tomography;
  • Positron emission tomography;
  • blood tests;
  • ECG;
  • respiratory function tests such as spirometry or pulmonary function test.

The surgeon will determine if other preoperative diagnostic procedures are needed. There will also be an appointment with an anesthesiologist to discuss the choice of anesthesia and postoperative analgesia.

In addition, the doctor will carefully consider all drugs during the preoperative visit and can recommend to stop taking some medicines up to a certain period of time before removal of the lobe. This applies to any medication and dietary supplements (dietary supplements). For example, drugs such as warfarin, aspirin, ibuprofen may increase the risk of bleeding. Some dietary supplements promote blood dilution.

If the patient smokes, followed by a strong recommendation to quit as soon as possible. As this will reduce the risk of complications and increase the likelihood that the operation would be successful.

What are the advantages of video-assisted lobectomy lung?lung lobectomy life forecast

Following the operation, the patients tend to experience less pain and recover much faster compared to the traditional approach. Other benefits include reducing the risk of infection and less blood loss.

Recent studies have shown that Videoassisted surgery reduces the incidence of complications and hospitalization period about 3 - 4 days. Additional studies also show greater efficacy in the operation step 1 of lung cancer, compared to traditional open surgery.

What are the risks of video-assisted lobectomy lung?

There are risks associated with carrying out any operation. Physician services in Israel without fail discusses potential complications of the procedure with the patient, as well as the benefits of the operations that outweigh the possible risks. General potential adverse effects of surgery may include:

  • need for mechanical ventilation (rescue breathing apparatus) for a long time after the operation;
  • the risk of bleeding;
  • infections such as pneumonia;
  • heart problems (heart attack, or irregular heartbeat);
  • stroke;
  • prolonged air leaks (more than 7 days) from the lungs;
  • deep vein thrombosis or pulmonary embolism;
  • problems associated with anesthesia;
  • problems with kidney or renal failure;
  • persistent pain in the incision site or in a place where there were resected ribs;
  • subcutaneous emphysema (accumulation of air or gas and a stretching subcutaneous tissues).

Possible risks after video-assisted method of thoracic surgery (VATS):

  • the risk of bleeding;
  • stable air leak from the lung;
  • subcutaneous emphysema;
  • fever.

Lung lobectomy: Life forecast

In one large study are the following data: the 5-year survival for stage 1 lung cancer in 95% - after video-assisted surgery and in 82% - after open.

After lung lobectomy life prognosis depends on many factors: the stage of the cancer, the removal of a certain percentage of body, gender (women trend better than men), health status before surgery.

How long will the rehabilitation after lobectomy (VATS)?

hospitalization period after Videoassisted lobectomy of the lung, typically from 3 to 4 days. Since the patient has a team of doctors: surgeon, anesthesiologist, nurses, and other specialists.

After surgery, the patient is transferred to the intensive care unit, where it can stay for one or a number of days during the first few hours of being closely monitored him.

Sometimes the patient is on artificial ventilation during the recovery process. The tube is placed into the throat and connected to a ventilator for supplying the air into the lungs. This device is used to provide assistance when the patient is unable to breathe on their own. This may cause him some concern, therefore, give the patient a sedative, and he sleeps most of the time.

When the tube removed, the patient will sleep less time. And start to work with your doctor, using an instrument of stimulus-spirometer. With the help of breathing exercises that stimulate the take deep breaths.

As the patient's recovery, a team of doctors helping him to sit, stand and walk with assistance. The increase in activity contributes to a more rapid recovery of strength and reduce the risk of blood clots.

The patient and his family are constantly provided with information about the changes in health status.

Doctors give specific instructions relating to the further recovery and return to work, including what comes to driving, Scars and diet. In general, the patient can return to work (if sedentary work), to drive a car, takes most of the stress-free activities in four to six weeks after video-assisted lobectomy. To start will be possible only after more severe and hard work of six - twelve weeks after surgery. Shortness of breath may persist for several months.

The next visit to the doctor will take 7-10 days after lobectomy. Carried chest X-ray, the surgeon assesses the state of the wounds, the overall recovery process. In addition, it provides additional guidance on the work, the general activities, as well as diet.

Medical service en.thebestmedic.com will assist in the organization of the operation on the light in Israel, open and video-assisted lobectomy. A high level of surgical treatment was the result of such factors as highly skilled doctors, the latest medical equipment, prosthetics and modern possibilities of reconstructive surgery, minimal chance of complications and excellent rehabilitation program.

Consultations with video online a leading Israeli experts: about the benefits of online video Consultation.