Lung surgery
Definition
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Lung surgery is surgery to repair or remove lung tissue. Several common lung surgeries are:
- Lobectomy, to remove one or more lobes of a lung
- Wedge resection, to remove part of a lobe in a lung
- Pneumonectomy, to remove a lung.
A thoracotomy is an incision (cut) that a surgeon makes to open the chest wall. You will have a thoracotomy if you have open lung surgery.
See also:
Alternative Names
Thoracotomy; Lung tissue removal; Pneumonectomy; Lobectomy; Lung biopsy; Thoracoscopy; Video-assisted thoracoscopic surgery; VATS
Description
You will receive general anesthesia before surgery. This will make you unconscious and unable to feel pain. Two common ways to do surgery on your lungs are thoracotomy and video-assisted thorascopic surgery (VATS).
Lung surgery using a thoracotomy is called open surgery. In this surgery:
- You will lie on your side on an operating table. Your arm will be placed above your head.
- Your surgeon will make an incision between 2 ribs. The incision will go from the front of your chest wall to your back. These ribs will be separated. Your lung on this side will be deflated so that air will not move in an out of it during surgery.
- Your surgeon may not know how much of your lung needs to be removed until your chest is open and your lung can be seen.
- Your surgeon may also remove lymph nodes in this area.
- One or more tubes will be placed into your chest area to drain out fluids that build up. These tubes are called chest tubes.
- After the surgery on your lungs, your surgeon will repair your ribs, muscles, and skin.
- Open lung surgery may take from 2 to 6 hours.
Video-assisted thorascopic surgery:
- Your surgeon will make several small incisions over your lungs. An endoscope (a tube with a tiny camera on the end) and other small tools will be passed through these incisions.
- You will have air pumped into your chest to help your surgeon see the area better.
- Then, your surgeon may remove part or all of your lung, drain fluid or blood that has built up, or do other procedures.
- One or more tubes will be placed into your chest to drain out fluids that build up.
Risks
Risks for any anesthesia are:
- Allergic reactions to medicines
- Breathing problems
Risks for any surgery are:
- Blood clots in the legs that may travel to the lungs
- Infection, including in the incision, lungs, bladder or kidney
- Bleeding
- Heart attack or stroke during surgery
Risks of this surgery are:
- Injury to your lungs or blood vessels
- Need for a chest tube after surgery
Reviewed By: Robert A. Cowles, MD, Assistant Professor of Surgery, Columbia University College of Physicians and Surgeons, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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