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Encyclopedia > 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. “Surgeon” redirects here. ... Lung cancer is a disease of uncontrolled cell growth in tissues of the lung. ... Lung cancer is a cancer of the lungs characterized by the presence of malignant tumours. ...

Contents

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%.[1] The stage of a cancer is a descriptor (usually numbers I to IV) of how much the cancer has spread. ... In medicine (oncology and other fields), performance status is an attempt to quantify cancer patients general wellbeing. ...


Stage

"Stage" refers to the degree of spread of the cancer. The stage of a cancer is a descriptor (usually numbers I to IV) of how much the cancer has spread. ...


See non-small cell lung cancer staging Non-small cell lung cancer staging is an important part of the assessment of patients with non-small cell lung cancer. ...


In non-small cell lung cancer, stages IA, IB, IIA, and IIB are suitable for surgical resection.[2]


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.[3] Flow-Volume loop showing successful FVC maneuver. ... Spirometry (meaning the measuring of breath) is the most common of the Pulmonary Function Tests (PFTs), measuring lung function, specifically the measurement of the amount (volume) and/or speed (flow) of air that can be inhaled and exhaled. ... A pneumonectomy (or pneumectomy) is an surgical procedure to remove a lung. ... The liter (spelled liter in American English and litre in Commonwealth English) is a unit of volume. ...


Types of surgery

Lobectomy of the lung is a surgical operation where a lobe of the lung is removed. ... A pneumonectomy (or pneumectomy) is an surgical procedure to remove a lung. ...

References

  1. ^ Strand, TE; Rostad H, Damhuis RA, Norstein J (Jun 2007). "Risk factors for 30-day mortality after resection of lung cancer and prediction of their magnitude". Thorax. BMJ Publishing Group Ltd.. PMID 17573442. 
  2. ^ Mountain, CF (1997). "Revisions in the international system for staging lung cancer". Chest 111: 1710-1717. American College of Chest Physicians. 
  3. ^ Schirren, J; Krysa S, Trainer S et al. (1995). "Surgical treatment and results. Carcinoma of the lung". The European Respiratory Monograph 1 (1): 212-240. 

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