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The most common type of lobectomy is known as a thoracotomy. When this type of surgery is done the chest is opened up. An incision will be made on the side of the chest where the affected area of the lung is located. The incision will be in between the two ribs located in that area.
A lobectomy is the surgical removal of one of the five lung lobes (right upper, right middle, right lower, left upper and left lower lobes). [24] Lobectomies are the most common type of lung surgery and the standard operation for most NSCLC patients. [25] Though specific surgical techniques vary for each lobe, the general workflow is identical.
A thoracotomy is a surgical procedure to gain access into the pleural space of the chest. [1] It is performed by surgeons (emergency physicians or paramedics under certain circumstances) to gain access to the thoracic organs, most commonly the heart, the lungs, or the esophagus, or for access to the thoracic aorta or the anterior spine (the latter may be necessary to access tumors in the spine).
VATS lobectomy is the same as lobectomy performed via thoracotomy in that the pulmonary artery, pulmonary vein, and bronchus to the involved pulmonary lobe are individually dissected, ligated and divided.
A lobectomy of the lung is performed in early-stage non-small cell lung cancer patients. [2] [3] It is not performed on patients that have lung cancer that has spread to other parts of the body. Tumor size, type, and location are major factors as to whether a lobectomy is performed. This can be due to cancer or smoking.
Video-assisted thoracoscopic surgery (VATS) is a type of minimally invasive thoracic surgery performed using a small video camera mounted to a fiberoptic thoracoscope (either 5 mm or 10 mm caliber), with or without angulated visualization, which allows the surgeon to see inside the chest by viewing the video images relayed onto a television screen, and perform procedures using elongated ...
It is a major thoracic operation that has traditionally required a full thoracotomy. Since the early '90s this procedure has increasingly been performed using more minimally invasive thoracoscopy. All fibrous tissue is removed from the visceral pleural peel and pus is subsequently drained from the pleural space. [2]
The general name for surgery that enters the chest is thoracotomy, and specific named types of surgical interventions may be performed as part of the thoracotomy, such as wedge resection, segmentectomy, [11] [12] "sleeve resection", lobectomy, or pneumonectomy, depending on the tumor and patient characteristics.