Table of Contents Table of Contents
Previous Page  38 / 58 Next Page
Information
Show Menu
Previous Page 38 / 58 Next Page
Page Background

36

NCCN Guidelines for Patients

®

:

Lung Cancer Screening, Version 1.2017

5

How can you know for sure?

Surgery

If you smoke, it is important to stop to get the best

results possible. General anesthesia is used for both

surgeries.

During surgery

With thoracotomy, a cut is made in the side of the

chest passing under the armpit and shoulder blade.

The cut is made between the ribs and through the

chest wall. The ribs are spread apart with retractors

to allow the surgeon to work. Sometimes, a part of

the rib is removed. During surgery, the lung with the

nodule is deflated and a breathing tube is used to

help you breathe with the other lung. After surgery

the cut is sewn closed, but tubes are left in for a few

days to drain fluid and air. The surgery can take 2 to

3 hours. You may stay in the hospital for a few days

to recover.

With VATS, 3 to 4 small cuts are made between the

ribs on the side of the chest. A camera and surgical

tools are inserted through the cuts. Video from the

camera is shown on a computer so the surgeon

can see your organs. Tissue is removed through

the small cuts rather than a large opening in the

chest wall. During surgery, the lung with the nodule

is deflated and a breathing tube is used to help you

breathe with the other lung. After surgery the cuts

are sewn closed, but tubes are left in for a few days

to drain fluid and air. The surgery can take 2 to 3

hours. You may stay in the hospital for 1 to 3 days to

recover.

Newer type of surgery

A newer type of surgery being studied in clinical trials

(research studies) is RATS (

r

obotic-

a

ssisted

t

horacic

s

urgery). This type of surgery requires the surgeon

be trained to use a robotic system. The doctor makes

small incisions like VATS and uses a camera to guide

robotic controls during the surgery. At this time, only

a limited number of surgeons are trained to do this

type of surgery in the United States.