pneumonectomy Lung canceris one of the leading causes of death among men and women suffering from cancer - more and more people die from the disease, but not against colon cancer, breast and prostate in conjunction. But early treatment of the disease, and a high level of medical services significantly improve the patient's chances of recovery.

For the treatment of locally advanced cancers and tumors localized in the central part of the lung, pneumonectomy is performed - the type of surgical intervention, Which consists in the removal of one lung. The operation is usually performed in cases where the cancer cells are located only in one organ and has spread to the brain or other parts of the body.

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Execution of the procedure depends on the location of the cancer, its size and stage, as well as the general health of the patient - patients who have had a cardiac operation or breathing problems may not be candidates for this type of surgery. Contraindications to the operation are also numerous metastases in distant lymph nodes, large size and metastasis of the cancer to other organs.

There are two main types of surgical intervention carried out in Israeli hospitals:

  1. Traditional pneumonectomy - during the procedure, the surgeon removes the right lung (consisting of 3 parts) or left (2 parts), together with the regional lymph nodes.
  2. Extrapleural surgery (Extrapleural pneumonectomy) - is performed in rare cases to treat mesothelioma - forms of cancer that develops from the shell surrounding the lung. The procedure involves the removal of not only the most important organ of respiration, but also part of the diaphragm, pericardium and pleura.

Before surgery to remove the lung in Israel

Before you carry out surgery, the physician should ensure that the patient will be able to lead a full, healthy life with only one functioning light, and that in other parts of the body are no metastases. This may be carried out brain scans, stomach (to assess liver and other internal organs), and bones. In addition, studies are carried out of the heart and lung, carefully studied the medical history of the patient and carried out inspection.

In addition, the patient should:

  1. At a minimum, 8 hours before surgery to stop eating any foods, including liquid.
  2. One week before surgery to remove the lung to stop taking anti-inflammatory medications, medications, blood thinners, and also dietary supplements.
  3. Quit smoking - to reduce the risk of complications.
  4. Report any kind of allergy to anesthesia, which was observed in him or his relatives.

After performing all diagnostic and preparatory procedures the patient goes to the operating room, where he was through an intravenous catheter is inserted into an anesthetic.

High results of surgical treatment in Israel are due to factors such as the professionalism of the surgeons (skills, deep knowledge, accuracy and coordination actions), high technology - the most advanced equipment, minimal complications and excellent rehabilitation programs.

Pneumonectomy - an operation in Israel clinics

The procedure is performed under general anesthesia. The surgeon makes an incision on the side of the affected lung - access to the body is done through conducting toraktomii (anterolateral, lateral or posterolateral). Sometimes doctors have to remove part of the 5 th ribs to ease the progress of the operation.

During surgery performed separation and crosslinking of major blood vessels - to prevent bleeding into the chest cavity, the isolation and ligation main bronchus, removal of the lung, treatment of pulmonary veins plevrizatsiya stump and the installation of temporary drainage tube between layers pleural air exhaust, fluid and blood from wounds. After performing all these actions surgeon sutured incision.

In most cases, after the completion of surgery, the patient is transferred not to the recovery room and in the intensive care unit for monitoring vital signs and maintain the normal functioning of the body.

Duration of surgery to remove the light is from 2 to 3 hours, and during hospitalization - from 6 to 10 days. Patients who underwent extrapleural pneumonectomy, remain in the hospital for 1-2 days longer.

postoperative care

The first 24 hours the patient can not breathe on their own, so his breathing is carried out with the help of a respirator. The drainage tube is not removed from the wound for several days. Feeding and medicines is performed intravenously.

Once the patient's condition was stable, it is transferred to a regular room. As soon as the patient begins to return to power, health care workers to help him sit up, and then walk. This physical activity promotes faster recovery of the patient, as well as reduces the likelihood of blood clots.

In Up Need of Patients Labor, Physical and respiratory therapy , the after surgery to the remove the light , the data SO therapeutic Methods Should the BE an applied the before and the after discharge the hospital A.

The objective of respiratory therapy is to increase lung capacity. To do this, the patient must as effectively as possible to expectorate sputum, as well as to perform special exercises to restore breathing, ventilation and dyspnea relief.

Occupational therapy reduces breathlessness and reduced patient fatigue while performing daily tasks and physical - effect on endurance, strength and range of motion. For example, a person can learn to stretch the muscles of the shoulder and the chest on the side of the remote easy to normalize posture and strengthen the diaphragm, by performing certain exercises.

Some people 8 weeks after surgery to remove lung return to their usual way of life and even go to work, although they should avoid heavy loads and heavy physical activity. Even after 6 months in 60% of patients experience respiratory failure - dyspnea or shortness of breath.

The consequences of the removal of the lung - complications

Complications after pneumonectomy include:

  • lung collapse or atelectasis;
  • irregular heartbeat;
  • pneumothorax - air into the pleural cavity due to inconsistency bronchial stump;
  • hemorrhage;
  • pneumonia (lung inflammation);
  • excessive accumulation of fluid in the thoracic cavity (pleural effusion);
  • respiratory insufficiency;
  • a significant shift of the mediastinum.

The high level of medical services, the use of modern technology and the professionalism of the doctors are able to reduce the risk of postoperative complications and other adverse effects of the removal of the lung, and the main thing - to increase the chances of the patient's recovery.

Our center «Tlv.Hospital» will help to choose the best Israeli hospitals, to conduct a detailed briefing on all issues and solve the problems associated with the treatment .

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