The proliferation of cells in the lungs leads to lung cancer that may spread beyond the lung tissues to the surrounding parts of the body. Detection and treatment of such proliferation are thus important and helpful if done early. Although chemotherapy and radiation are vital procedures involved in the treatment of cancer, sometimes there is a need for lung cancer surgery. For this surgery, oncologists must remove the part of the lungs that are increasing and spreading. The location of the tumour, the size and the surrounding tissues affected are all the other factors to be taken into consideration. Book an appointment to have the best treatment.
Surgery is applicable to treat Non-small cell lung cancer, which hasn’t spread to the surrounding areas like the following.
Main blood vessels.
For the treatment of these areas, other approaches like radiation, chemotherapy, immune therapy, etc. may be added with or without a surgical procedure.
The surgical procedure involving lung cancer may be performed in any of the following 3 manners.
1) Open Surgery (Thoracotomy)
Here the surgical oncologist cuts along the side of the chest. Depending on the size of the cancerous growth, the cut may be shortened to just a few centimetres or longer. Sometimes the cut extends from below the nipple to around the back, just below the shoulder. This is normally done when the entire lung has to be removed.
2) Keyhole surgery
This is also known as Video Assisted Thoracoscopic Surgery (VATS) since it is performed with guidance from a video facility called a Thoracoscope. The Thoracoscope is a thin, bendy long tube with a camera attached at one end of it. A minimally sized cut is made on the side of the chest to accommodate the thoracoscope inside. The cancerous cells are removed via more small cuts on the side of the chest. The entire surgery can be performed with guided assistance from the inserted camera on a screen. Due to this, it is also known as Minimally Invasive Surgery. Only sections or pieces of the lungs are removed in this type of surgery. Visit our cancer care hospital in Mysore for the best treatment.
3) Robotic-Assisted Surgery
This is mainly performed to remove tumours that are in hard-to-reach locations within the lungs. Instead of removing the entire lung tissue, the surgeon sometimes opts to remove only a part of the metastasised tissues. A robotic hand is employed here which is digitally controlled by the surgical oncologist. A minimal cut is made to insert the camera tube that will act as a visual aid to perform the surgery.
The instruments needed for the surgery are all attached to the robotic hand. The doctor controls the entire procedure of removing the cancerous cells from a control unit.
Types of Lung Cancer Surgeries
Depending on how the procedure is performed to remove the cancerous cells from the lungs, there are mainly 3 types of surgeries.
Lobectomy is performed to remove any of the five lobes of lungs present in the chest cavity. Any lobe having cancerous cells is removed through a lobectomy procedure. It is performed only when the oncologist prescribes the removal of one or more lobes.
This procedure is to be done when lobectomy is not an option. The entire lung is to be removed that is infected with cancerous growths. Whenever the cancerous growth is spreading from the centre of the lungs, this procedure is opted for.
Segmentectomy is performed when only diseased sections of the lobes are to be removed. This procedure is recommended when the cancer is localised and not yet spread around. Wedge resection removes only a small piece of lung tissue from the lobes. A sleeve resection preserves the entire lung by taking out only the cancerous portions from locations like the bronchi.
Some risks associated with lung cancer are blood clots, bleeding, pneumonia, pneumonia, infections, etc. Recovery from the surgery is long and may take months. Shortness of breath is often a major consequence of the surgery that may fade over time as the person recovers.