This includes the removal of the tumour, lymph nodes and sections of the lung that contain the tumour. It is the treatment of choice in several types and stages of lung cancer, either alone, or in combination with chemotherapy or radiation therapy. It is also used to remove cancerous tumours that have spread to the lungs from other parts of the body. The surgeon will recommend one of several approaches for removal of the tumour.
Is this treatment right for you?
Types of surgery
well with only a single lung.
Post-surgery
1) Fill your lungs up slowly over a count of 5.
2) Hold for a count of 5.
3) Exhale slowly over a count of 5.
4) REPEAT 10 TIMES per hour while you are awake.
1) Take two slow breaths filling your lungs up as much as possible.
2) Begin your cough as you exhale the second time.
3) Make sure you hold a pillow or towel over your incision (also called "splinting"
your incision) during your cough. This will decrease the pain.
4) REPEAT 10 TIMES per hour while you are awake.
1) Hold the spirometer securely in two hands and place your mouth on the mouth
piece.
2) Exhale around the mouth piece and make a tight seal on the mouthpiece.
3) Inhale slowly to the count of 5 while you watch the disc move upward.
4) Hold for a count of 5, loosen the seal around the mouthpiece & exhale.
5) REPEAT 10 TIMES per hour while you are awake.
- Type of lung cancer – Surgery is most commonly done as a treatment for non-small cell lung cancer (NSCLC). Since small cell lung cancer(SCLC) tends to spread early, surgery is usually not effective except for very small tumours, and is often better treated with chemotherapy and/or radiation.
- Stage of lung cancer – Surgery is most effective for those with stage I, stage II, and stage IIIA non-small cell lung cancer. Stage IIIB and stage IV cancer are often treated with a combination of radiation and chemotherapy. With stages IB to IIIA cancers, surgery is often combined with chemotherapy and/or radiation.
- Location of the cancerous cell – If a tumour is close to a vital organ, such as the heart, treatments other than surgery may be considered safer regardless of the stage.
- General health/lung function – Your general state of health, other medical conditions, and lung function can determine if a surgical procedure is relatively safe for you.
Types of surgery
- Wedge resection or segmentectomy
This type of surgery removes only a portion of a lobe of the lung. It is generally
performed if the patient cannot tolerate a lobectomy or pneumonectomy, and is
the most effective in the earlier stages of lung cancer.
Pros : Removes as much of the cancer as possible from the lung, while still
leaving as much healthy lung as possible
Cons : Lung tissue left behind could contain or develop cancerous cells.
- Lobectomy
This type of lung surgery removes one lobe, or section, of the lung. It's the most
commonly performed type of lung surgery for lung cancer. When two lobes are
removed, it's called a bilobectomy.
Pros : Removes as much of the cancer as possible, while still leaving as much
healthy lung as possible.
Cons : Lung tissue left behind can develop cancerous cells.
| lobectomy of the lung |
- Pneumonectomy
well with only a single lung.
Post-surgery
It is very important to cough and deep breath after surgery. Your lungs need to be fully expanded to prevent infection and collapse. The practice of coughing and deep breathing should also be done before surgery.
- Deep breathing
1) Fill your lungs up slowly over a count of 5.
2) Hold for a count of 5.
3) Exhale slowly over a count of 5.
4) REPEAT 10 TIMES per hour while you are awake.
- Coughing
1) Take two slow breaths filling your lungs up as much as possible.
2) Begin your cough as you exhale the second time.
3) Make sure you hold a pillow or towel over your incision (also called "splinting"
your incision) during your cough. This will decrease the pain.
4) REPEAT 10 TIMES per hour while you are awake.
- Incentive Spirometry
1) Hold the spirometer securely in two hands and place your mouth on the mouth
piece.
2) Exhale around the mouth piece and make a tight seal on the mouthpiece.
3) Inhale slowly to the count of 5 while you watch the disc move upward.
4) Hold for a count of 5, loosen the seal around the mouthpiece & exhale.
5) REPEAT 10 TIMES per hour while you are awake.
- Activity
Walking and moving frequently are very important components of your recovery.
The more you push yourself to exercise and move, the quicker and less painful your
recovery will be. You may not feel like moving, BUT YOU MUST. You will be up in
the chair the night of surgery and walking in your room the next morning.
 |
| First robotic lobectomy |
Reference :
http://lungcancer.about.com/od/treatmentoflungcancer/a/lungcancersurg.htm
http://www.umgcc.org/thoracic_program/lung_surgery.htm
http://lungcancer.about.com/od/treatmentoflungcancer/a/lungcancersurg.htm
http://www.umgcc.org/thoracic_program/lung_surgery.htm
No comments:
Post a Comment