Lung cancer surgery

Lung cancer surgery

Lung cancer surgery describes the use of surgical operations in the treatment of lung cancer. It involves the surgical excision of cancer tissue from the lung. It is used mainly in non-small cell lung cancer with the intention of curing the patient.

Patient selection

Not all patients are suitable for operation. The stage, location and cell type are important limiting factors. In addition, patients who are very ill with a poor performance status or who have inadequate pulmonary reserve would be unlikely to survive. Even with careful selection, the overall operative death rate is about 4.4%.cite journal | last=Strand | first=TE | coauthors=Rostad H, Damhuis RA, Norstein J | title=Risk factors for 30-day mortality after resection of lung cancer and prediction of their magnitude | journal=Thorax | publisher=BMJ Publishing Group Ltd. | date=Jun 2007 | pmid=17573442 ]

Stage

"Stage" refers to the degree of spread of the cancer.

"See non-small cell lung cancer staging"

In non-small cell lung cancer, stages IA, IB, IIA, and IIB are suitable for surgical resection.cite journal | last=Mountain | first=CF | title=Revisions in the international system for staging lung cancer | journal=Chest | volume=111 | pages=1710–1717 | publisher=American College of Chest Physicians | date=1997 | url=http://www.chestjournal.org/cgi/reprint/111/6/1710 ]

Pulmonary reserve

Pulmonary reserve is measured by spirometry. The minimum forced vital capacity (FVC) for pneumonectomy in men is 2 liters. The minimum for lobectomy is 1.5 liters. In women, the minimum FVC values for pneumonectomy and lobectomy are 1.75 liters and 1.25 liters respectively.cite journal | last=Schirren | first=J | coauthors=Krysa S, Trainer S et al. | title=Surgical treatment and results. Carcinoma of the lung | journal=The European Respiratory Monograph | volume=1 | issue=1 | pages=212–240 | date=1995 ]

Types of surgery

* Lobectomy (removal of a lobe of the lung)cite book | last=Fell | first=SC | coauthors=TJ Kirby | title=General Thoracic Surgery | publisher=Lippincott Williams & Wilkins | date=2005 | edition=sixth edition | pages=433–457 | isbn=0-7817-3889-X ]
* Segmentectomy (removal of an anatomic division of a particular lobe of the lung)
* Pneumonectomy (removal of an entire lung)
* Wedge resection
* Sleeve/bronchoplastic resection (removal of an associated tubular section of the associated main bronchial passage during lobectomy with subsequent reconstruction of the bronchial passage)

References


Wikimedia Foundation. 2010.

Игры ⚽ Нужно сделать НИР?

Look at other dictionaries:

  • Lung cancer — Classification and external resources Cross section of a human lung. The white area in the upper lobe is cancer; the black areas are discoloration due to smoking. ICD 10 C …   Wikipedia

  • Lung cancer screening — refers to strategies used to identify early lung cancers before they cause symptoms, at a point where they are more likely to be curable. Screening refers to the use of medical tests to detect disease in asymptomatic people. Screening studies… …   Wikipedia

  • lung cancer — cancer arising in the epithelium of the air passages (bronchial cancer) or lung (see also non small cell lung cancer, small cell lung cancer). It is a very common form of cancer, particularly in Britain, and is strongly associated with cigarette… …   The new mediacal dictionary

  • Lung cancer staging with EUS — This article is about lung cancer staging methods emphasizing the use of EUS (endoscopic ultrasound) whereas the companion article Non small cell lung carcinoma staging is about the staging system (TNM).Endoscopic ultrasound (EUS) is an… …   Wikipedia

  • lung cancer — Malignant tumour of the lung. Four major types (squamous cell carcinoma, adenocarcinoma, large cell carcinoma, and small cell carcinoma) have roughly equal prevalence. Most cases are due to long term cigarette smoking. Heavy smoking and starting… …   Universalium

  • stage III non-small cell lung cancer — Cancer has spread to structures near the lung; to the lymph nodes in the area that separates the two lungs (mediastinum); or to the lymph nodes on the other side of the chest or in the lower neck. Stage III is further divided into stage IIIA… …   English dictionary of cancer terms

  • lung cancer — cancer arising in the epithelium of the air passages (bronchial cancer) or lung. It is a very common form of cancer, particularly in Britain, and is strongly associated with cigarette smoking and exposure to industrial air pollutants (including… …   Medical dictionary

  • Cancer Du Poumon — Traduction à relire Lung cancer → …   Wikipédia en Français

  • Cancer des poumons — Cancer du poumon Traduction à relire Lung cancer → …   Wikipédia en Français

  • Cancer pulmonaire — Cancer du poumon Traduction à relire Lung cancer → …   Wikipédia en Français

Share the article and excerpts

Direct link
… Do a right-click on the link above
and select “Copy Link”