Thoracotomy (Lung Surgery)
Definition
Lung surgery is any surgical procedure that allows the surgeon to directly affect the lungs. Examples include removal of a section of lung because of a tumor or an infection, biopsy of the lung to obtain a diagnosis, and lung transplantation.
Description
While the patient is under general anesthesia, an incision is made between the ribs to expose the lung. The chest cavity will be examined and diseased lung tissue will be removed.
This examination may be performed directly (thoracotomy) or with the aid of a camera (thoracoscopy). A chest tube is inserted to drain air, fluid, and blood out of the chest cavity, and then the ribs and skin are closed.
Indications
Lung surgery may be recommended for the following reasons:
- Cancer (such as lung cancer)
- Tumors (such as solitary pulmonary nodule)
- Small areas of long-term infection (such as highly localized pulmonary tuberculosis or mycobacterium)
- Pockets of infection (lung abscess)
- Permanently enlarged (dilated) airways (bronchiectasis)
- Permanently dilated section of lung (lobar emphysema)
- Permanently collapsed lung tissue (atelectasis)
- Injuries with collapsed lung tissue (atelectasis, pneumothorax, or hemothorax)