جراحة سرطان الرئة

A: Lobectomy is a major surgery, which has some serious risks involved with it, such as -

• Infection
• Bleeding
• A collapsed lung, which prevents the lungs from filling with air when a person breathes in or injury to the bronchi or bronchopleural fistula.
• Lung infection i.e. pneumonia is common after the surgery.
• Prolonged air or fluid leaking into the chest i.e. for more than 5 days, which is treated by continuous negative pressure suction with a water-sealed bottle
• Formation of pus in the space between the lungs and the walls of the chest
• Heart problems, such as atrial fibrillation, which means an abnormal heart rhythm or a bleed around the heart because of which the accumulated blood exerts pressure on the heart leading to a condition called cardiac tamponade
• Recurrence of cancer or tumor, which will further require another treatment.

A: There are different ways in which a surgeon can do a lobectomy. The type of lobectomy to be done depends on the type, size, stage, and location of cancer and on the patient’s overall health too. The different types of lobectomy are -

• Open Surgery or Thoracotomy: In this type of surgery, the surgeon will make a long single cut along the side of the patient’s chest. The patient’s ribs will be then spread apart so that the surgeon can see and remove the tumor along with the affected lobe of the lung.
• Video-Assisted Thoracic Surgery or VATS: Here, the surgeon makes two to four small cuts in the side of the patient’s chest, one cut measuring about 2 ½ inches in length and the other cuts measuring about a half-inch in length. The surgeon then inserts a tube to which a tiny video camera is attached so that he is able to see inside and guide his surgical tools.

A: Lung cancer does not show any indications in its early stages and shows up only when it has reached its advanced level. The signs or symptoms which indicates of a lung cancer surgery are mentioned below -

• A new cough that does not go away
• Coughing up blood, even a small amount
• Breath shortness
• Chest pain
• Hoarseness
• Losing weight without doing any activity
• Bone pain
• Headache

A: Few days before performing the surgery, the doctor will ask his patient to take some tests to determine the health of his lungs, which include Blood Test, Liver, and Kidney function tests, Urine Test, ECG, and Chest X-ray. Based on the result of the tests, he might suggest the patient undergo a program to improve his breathing, which is known as Pulmonary Rehabilitation, just before the surgery. The doctor would ask the patient to do and not to do the following list of things-

• Stop taking drugs like aspirin and blood thinners for a few days before the surgery.
• The patient has to do overnight fasting but may be supplied with intravenous fluids to keep him hydrated.
• Smoking should be stopped at least a few weeks before the surgery.
• Sometimes, sedation may be given to the patient on the eve of the surgery night for a good overnight sleep.
• Once in the Operation Theatre, the patient will again be given a small amount of sedation to control his anxiety.
• The nurses will attach a few monitors to check the patient’s Oxygen level, ECG and other vital parameters.
• Then, the patient will be given general anesthesia through an intravenous line, which will make him completely unconscious and unaware during the surgery. Once the patient is in a deep sleep, a tube will be inserted into his mouth and windpipe to administer the anesthesia gases to overcome pain.
• Before starting with the surgery, the lung which is to be operated will be deflated and collapsed.

A: Lung cancer or lobectomy can be performed only at an Operation Theatre of a multispecialty hospital, which is well equipped with the latest surgical tools and advanced operating equipment necessary in a lung cancer surgery.

A: Mainly there are three types of doctors who can perform a lobectomy or any type of lung cancer surgery namely, a Surgical Oncologist who specializes in treating cancer, a Pulmonologist who specializes in treating diseases of the lungs and a Thoracic Surgeon (CTVS) who specializes in surgery of the chest (thorax). Pulmonologist aids in the diagnosis and anchors the treatment of lung cancer.

A: In lobectomy, a surgeon starts by making either single incision or several small incisions in the side of the chest or between the ribs to get access to the lungs. When the surgeon is able to see cancer he removes it along with a small portion of the lobe where cancer has developed. If the cancer is at its early stage, only a small portion of the lobe is removed, but if the tumor has spread to the whole or other lobes too, then those affected lobes would also be removed. You can request for Lung cancer treatment cost in Delhi on Credihealth.

A: Lung Cancer surgery is a surgical procedure for removing either a portion of the entire lung from the human body. Surgery performed to remove the lung cancer and a small portion of healthy lung tissue is medically called a wedge resection. Removing the lung cancer and a bit larger portion of the lobe or the healthy tissue in which cancer is located is called segmental resection. Removal of the lung cancer and one of the lung’s five lobes is medically called lobectomy and removal of an entire lung is known as pneumonectomy. Here, we will be discussing the commonly performed lobectomy surgery in detail.

A: After the surgery is over, the patient will be shifted to a recovery room where, once his anesthesia wears off, the doctors will remove the tube which was placed down in his windpipe during the surgery. After removing this tube, he might catch a cough and in some cases even feel nauseous. A nurse will monitor and observe the functioning of the patient’s vital organs and for an hour or two after which, the patient will be shifted to a normal room. The patient will also be asked to stay at the hospital under observation for a few days and will be given a light diet and fluids for around 1-3 days. To prevent chest infection and to expand the lungs, chest physiotherapy will be started. The chest tube will be removed 2-3 days after the surgery, once the air leak gets sealed and lung expansion will be demonstrated on a chest film. Pain killers will be given to control the pain, but in case of severe pain, injections may be given. The patient will be asked to start his leg movement as early as possible to prevent Deep Vein Thrombosis or DVT, which is a condition where a clot is formed in the deep veins of the legs which can travel up to the lungs and may cause some damage. Due to the availability of many state-of-the-art hospitals that provide unmatched treatment facilities and ancillary services lung cancer surgery cost in Delhi become affordable for many.

A: Performing any type of surgery to treat lung cancer is preferred by the doctors for those patients who are at an early stage of non-small cell lung cancer or NSCLC. But, patients who are at an advanced level/stage or metastatic disease are not recommended for any kind of surgery to treat their lung cancer. Patients who have NSCLC, which is limited to a small portion of the lungs can tolerate surgery, but on a condition that they have an adequate lung function. Lobectomy helps in preventing cancer from spreading to the other parts of the lungs or beyond it.

A: The development of this cancer is mainly because of chain-smoking. Even people who have never smoked are prone to cancer with the same level of risk due to the smoky environment around them in which they stay for long hours. Lung cancer surgery or Lobectomy becomes necessary when a person has cancer or tumor in his lungs which is limited to a small part of the lung’s lobe and is at its early stage. When cancer or tumor reaches its advance level and spreads to the rest of the lobes and then to the body, surgery is not possible as it becomes very hard to remove the tumor. Lobectomy is also done for benign or non-cancerous lung diseases, such as lung abscess, tuberculosis, fungal infections like aspergillosis or severe tears of a lung lobe due to trauma. Detail about lung cancer surgery cost in Delhi is easily available over the internet along with other necessary information.