Types of Lung Resection, 2005-2013
The extent of surgery is determined by the patient's medical, physical and emotional condition in addition to the amount of disease. For example, lobectomies, bilobectomies, sleeve lobectomies and pneumonectomies are performed almost exclusively for cancer. Our pneumonectomy volume (whole lung removal) is much lower than many other thoracic surgical programs. Sleeve resection, an advanced surgery, avoids pneumonectomy yet has the same cure rate while saving lung tissue. This results in fewer complications and preserves quality of life.
- Lobectomy - removal of one lobe (1/5) of lung
- Wedge Resection – removal of lung tissue without involving blood vessels or windpipes, usually done with scopes and small incisions (VATS: video-assisted thoracic surgery)
- Bilobectomy – removal of two lobes
- Sleeve lobectomy - removal of lobe + windpipe (bronchus) &/or blood vessel connecting to downstream lung and reattaching windpipe/vessel
- Pneumonectomy - removal of entire lung on affected side
- Segmentectomy - removal of a small section of a lobe of the lung including windpipe and blood vessels
- Bullectomy/Repair - removal of a bulla, which is an air pocket in the lung
Mediastinal Lymph Node Dissections with Anatomic Lung Resections, 2005-2013
Standard of care mandates mediastinal lymph node dissection as a vital part of curative lung cancer surgery for accurate staging and possibly improved survival. However, only approximately 65 percent of lung cancer surgeries in the United States include this accepted practice. These data demonstrate >90 percent performance of the Providence Thoracic Surgery Program surgeons in this crucial area. (Daniel J. Boffa, jtcs.ctsnetjournals.org)
Types of Thoracoscopic Surgery, 2005-2013
Minimally invasive, video-assisted thoracic surgery is appropriate for a variety of procedures, from lobectomy for cure of lung cancer to palliative procedures to improve patient's quality of life.