Lobectomy - kind of surgery to remove a lobe of the lung. Most often, this is done to prevent the spread of a malignant tumor of the lung on the whole body or other body parts. If the tumor is localized in one lung lobe and is at an early stage, after lung lobectomy life prognosis is very optimistic. Most likely, the patient is completely cured.
Doctors Assuta Hospital carried out a full diagnosis of the patient's health and offer the most gentle method of treatment , in order to preserve as much healthy tissue and achieve the best effect. Lobectomy may be carried out for the treatment of such diseases:
- lungs' cancer;
- congenital lung development;
- tuberculosis or mycobacterial pulmonary infection;
- lobar emphysema;
- atelectasis, pneumothorax or hemothorax;
- abscessed pneumonia.
Diagnosis in Israel
Prior to surgery, the patient must undergo a series of diagnostic examinations and tests. It is necessary to accurately determine the stage of the tumor, the correct diagnosis, the selection of the most appropriate method of treatment, and make life easier for the patient after surgery.
- Assuta Hospital doctors examine the patient's medical card, the results of blood and urine.
- Patients undergo a medical examination by leading surgeons and anesthesiologists.
- It provides radiological chest.
- Performed spirometry several types of samples to determine the main parameters of breathing (spirography).
- Computed tomography (CT) of the chest, and positron emission tomography (PET / CT).
- If the above first stage of the cancer, the patient may be given a brain computer tomography.
It is also possible to carry out other research and analysis, depending on the individual characteristics of the patient's health.
For patients with mild, damaged by emphysema or chronic bronchitis, pulmonary function tests prescribed. This is necessary to determine whether enough after the operation of the remaining lung tissue to continue a normal life. In addition, probably perform ventilation-perfusion scan.
Preparation for lobectomy lung clinic Assuta
Some time before the operation, patients must stop taking the drug krovorazzhizhayuschih (warfarin, aspirin) and anti-inflammatory drugs (Ibuprofen). It is also limited or no stops adoption herbal remedies and dietary supplements, as some of them can increase bleeding. Smokers should give up as soon as possible from the nicotine addiction. This will reduce the risk of complications in the postoperative period.
The technique of lobectomy lung clinic Assuta
The operation is performed in two ways:
1. Traditional (open) lobectomy.
The surgeon makes a long incision, pushing the edges of the patient, and in some cases can even remove the rib area to get access to patients with lung.
2. VATS lobectomy (VATS).
The surgeon performs a small incision in the chest, through which surgical instruments are inserted and a small video camera (thoracoscopy), whereby the physician obtains an image of internal organs of the patient. Using this method, it can also, together with the removal of part of the lung to biopsy a tumor adjacent lymph nodes, or remove them. VATS is usually used in the early stages of cancer, and has a number of advantages over the traditional method: cosmetic effect, rapid rehabilitation, pain relief, fewer complications after surgery.
Sometimes during VATS lobectomy arise complications: bleeding or insufficient removal of malignancy. In such cases, surgeons have to go to a traditional lobectomy lung .
For easy access to the doctor spends anterolateral or posterolateral thoracotomy.
After opening the pleural cavity surgeon selects light of adhesions. In the case where there are powerful interlobar seam that is difficult to separate, or at the root of the lung found infiltrate first the doctor identifies the root of the lung blood vessels and leads provisionally ligatures, which significantly reduces the likelihood of occurrence of bleeding and aeroembolii.
Further bandaging and ligation carried pulmonary vessels. The technique itself lobectomy is similar to the procedure of removal of a lung - pulnektomii . Flushing pleural cavity and seam tightness evaluation bronchial stump performed using isotonic sodium chloride solution. For this pleural cavity poured 0.5 l of the prepared solution or an antiseptic solution, which is removed after using the electric pump. Pleural cavity was washed two or three times for the purpose of disinfection and cleansing of blood. Seam tightness proves the absence of air bubbles at the bronchial stump.
Thereafter, the drainage tube set 2 required to remove air, blood and exudate. Next, the wound sutured and performed smoothing lung.
Lung lobectomy: the postoperative period
Rehabilitation period passes in each patient individually, but those patients who have not observed postoperative complications are issued within 4-7 days. The first day after lobectomy lung patient spends in the intensive care unit, before it transferred to a regular hospital room. Drainage tubes are removed a few days after surgery or after all liquid is removed.
lung lobectomy: Life forecast
The risk of complications increases if the patient continues smoking, he observed metabolic disorders, it has other diseases or is a person of advanced age.
- signs of infection;
- torsion pulmonary share;
- deep vein thrombosis of the lower limbs or pulmonary embolism;
- heart problems such as heart attack and arrhythmia;
- renal failure;
- constant pain in the incision area.
After lung lobectomy forecasts of life depend on many individual factors: the type and stage of disease, tumor location, age and gender, etc.