lung resection recovery

 

If you or those around you have recently had surgery to remove part of the lung and you want to learn more about it.

If you, as a person who has experienced surgery to remove part of the lung, and want to know about the recovery period after this surgery, we recommend that you read our article.

 

Introduction

Lung resection

What are the types of interventions on lung tissue?

What are the types of surgery for lung cancer?

What is done before lung cancer surgery?

Chest surgery or thoracic surgery

What are the diseases and disorders that require intrathoracic surgery?

Lung tumors

Complications

Before surgery

Pain after surgery

Is lung resection surgery a major operation?

Definition of lung resection

How long does lung resection surgery take?

Will recovery after lung resection surgery be painful?

Recovery after lung resection surgery

Complications after lung resection

When should we see a doctor?

 

 

Introduction

Lung cancer is the most common cancer in the world. In lung cancer, people who have a chance of recovery and do not have advanced cancer undergo surgery. Therefore, patients with advanced lung cancer who have no hope of recovery should try other treatments to manage their symptoms, such as coughing.

Contrary to some popular belief, lung cancer surgery will not spread it to other tissues and parts.

 

Lung resection

Lung cancer is one of the most common reasons why patients are nominated for lung resection. Doctors say that people with lung cancer are classified into four main groups. This classification is based on the characteristics of the lung tumor, such as its size and location in the lung and the spread of the tumor to the lymph nodes and other organs such as Liver, brain and bone.

The first group is primary lung tumors and the fourth group is advanced lung tumors. Doctors say more than 80 percent of patients in group one will survive five years after being diagnosed with cancer. Certainly, this survival rate will decrease in other groups, so that the probability of patients surviving in group 4 for 5 years after diagnosis is zero.

 

What are the types of interventions on lung tissue?

  • Surgery for lung cancer
  • Lung surgery for empyema
  • Lung surgeries with thoracoscope
  • Open or thoracoscopic lung biopsies

 

What are the types of surgery for lung cancer?

Generally, the surgeon removes a small part or all of the lobe or the entire lung by making an incision in the chest. If the tests done by your doctor show that the cancer has spread to the surrounding lymph nodes, the lymph nodes should also be surgically removed, although removal of the lymph nodes is common in surgery for lung tumors.

In other cases, your doctor may use an alternative method, which is actually a type of laparoscopy. In this method, several small incisions are made in the chest. A small camera enters the chest and lung tissue through one of the small incisions, so that the doctor can see the images inside the chest on the screen in front of him. Here are some common lung surgery techniques.

 

  1. The first wedge cutting technique

One of the most common techniques in surgery is lung tumors, in which the surgeon removes a small piece of lung that is wedge-shaped and contains a cancerous tumor and part of the healthy tissue around the tumor.

 

  1. The second Lobectomy technique

The right lung has three lobes and the left lung has two lobes. In this technique, the surgeon removes all the lobes that have been affected by the cancerous tumor, and the person's lung will continue to work with the remaining lobes.

 

  1. Third pneumonectomy technique

In this method, the lung that is involved in a tumor or other problems and diseases is completely removed.

 

  1. The fourth technique is to remove a part of the lung

In this procedure, which is used for lung tumors, a small portion is removed by the surgeon. This method is only suitable for a small group of patients and can only be done when the cancerous tissue is very small and limited to one area of ​​a lung and other parts of the lung are not affected by cancer.

 

What is done before lung cancer surgery?

Before your surgeon recommends lung cancer surgery, you should have tests done to check your general health and to evaluate the function of your lungs. These tests, which are done before lung cancer surgery, include:

  • Electrocardiogram or ECG and heart health check
  • Spirometry breathing test:

In this method, the patient breathes into a device called a spirometer, and the amount of air that the lungs can let in and out is measured by the device.

 

Chest surgery or thoracic surgery

Doctors call the part of the body between the head, neck and abdomen the thorax. The space inside the thorax is protected by the sternum, spine and ribs. In other words, the thorax extends from the neck to the diaphragm.

 

What are the diseases and disorders that require intrathoracic surgery?

first group

Symptoms may be due to lung problems, such as a tumor or obstruction of a bronchus. Symptoms in these cases include:

  • Bloody coughs
  • Bloody vomiting
  • wheezing
  • And pneumonia

 

The second group

Symptoms may be due to extra-pulmonary problems or to the spread of a lung tumor to the outside of the lungs:

  • Hoarseness
  • Swelling of the neck
  • Swelling of the face
  • Diaphragm muscle paralysis
  • And fluid accumulation around the heart

 

It can be present in external lung involvement

 

The third group

If the tumor is at the apex of the lung, the neural networks near the tumor may become involved, or the ribs and vertebrae may become involved, and causing a special syndrome whose symptoms include:

  • Upper limb pain
  • Protruding eyes
  • And reduced sweating in the half involved

Because the subject of this article is about surgeries to remove part of the lung and tumors are among the common causes of lung resection. So it's better to talk a little bit about lung cancers.

 

Lung tumors

Cancer is the uncontrollable proliferation of malignant cells that can affect different parts of the body.

The lungs make up a large part of the inside of the chest and it can lead to various cancers, including bronchogenic cancer, the most common cause of which is smoking.

According to medical reports, if you want to recommend a way to prevent lung cancer, it is to quit smoking. A very important point in smoking is that not only the person who smokes but also more than those who are inactively exposed to secondhand smoke can get lung cancer.

Today, due to the spread of smoking in women, lung cancers are also spreading in women.

Developed countries have been able to slow the growth of cancer by restricting smoking.

 

Complications

When patients undergo lung surgery, they are at risk for certain lung complications, such as atelectasis and postoperative pneumonia, which are said to be consistent with the incidence of atelectasis. But it starts later, because atelectasis provides the necessary conditions for the growth of infectious agents in the lungs by reducing ventilation and reducing the function of mucosal clearance in the pulmonary tubes. So atelectasis occurs first and occurs after surgery by providing a suitable breeding ground for bacteria.

Doctors say that when resection and removal of part of the lung is performed, the occurrence of respiratory complications after surgery will be directly related to the amount of respiratory disorders that the patient had before surgery. Patients who experience lung resection but also before surgery If they have symptoms and lung problems, the recovery period after lung resection will be more difficult and longer.

Doctors say that smokers have 6 times more lung complications after lung resection than non-smokers, and lung complications 20 times more often in people with chronic obstructive pulmonary disease.

 

Before surgery

Patient preparation and preventive measures should be done well before surgery because the effect of these measures on reducing postoperative complications is very clear and greatly reduces the incidence of postoperative complications.

In this way, both the complications after lung resection surgery are reduced and the recovery period after lung resection surgery is faster and easier.

It is said that there are complications that occur during surgery and affect the person and physicians, by recognizing these factors and reducing these risk factors by proper management during surgery, such as proper ventilation with PEEP, CPAP, reduce the incidence of these complications.

 

Pain after surgery

One of the most important factors that cause symptoms and prolong recovery after lung resection surgery is actually an incision made in the upper abdomen.

When resection of a part of the lung is done through a thoracotomy with an upper incision in the abdomen, the patient will have the most pain after regaining consciousness.

 

Severe pain prevents coughing and deep breathing after surgery, and therefore, due to not coughing, secretions remain at the end of the lungs, and atelectasis and pneumonia are very common in these cases.

Today, due to scientific advances, this pain factor after thoracotomy is minimized with appropriate pain control drugs after surgery or epidural anal pain in the chest area.

By reducing chest pain at the incision site, the patient can cough and have better deep breathing after lung resection. Thus, he will have a good recovery period after lung resection.

 

Is lung resection surgery a major operation?

Lung resection surgery is a major surgery that must be performed in a hospital equipped with special equipment. This surgery should be performed under general anesthesia when the person is able to tolerate general anesthesia for about 4 hours.

 

Definition of lung resection

Lung resection is a surgical procedure in which all or part of the lungs involved in a tumor-like disorder are removed from the patient.

It may be a lobectomy or a complete pneumonectomy, which we described in the previous sections. Lung resection can be used to treat lung tumors, infections, and bronchiectasis. Lung resection, which is performed to remove part of the lungs, is performed to treat a damaged part of the lung or to treat a disease or disorder in the lung. And also it’s common for patients to have a recovery period about 6 to 8 weeks after surgery. Also, the chest area can be inflamed and painful for up to six weeks due to surgical manipulations.

 

How long does lung resection surgery take?

When a lung resection is performed with open surgery, it first makes an incision between your ribs. The surgeon then removes the part of the lung that needs to be removed from the incised area, and the incised area is connected by a suture, and so on. And this surgery or in fact open surgery that is done for lung resection takes about 2 to 6 hours.

If resection surgery involves small areas of the lung, it may be done with a technique called VATS.

Very small and limited incisions are made in the chest and the doctor inserts the equipment into the chest and removes part of the lung through these holes.

 

Will recovery after lung resection surgery be painful?

When a patient needs to have a part of his lung removed, he should know that he will go through a painful procedure after the surgery during the recovery period.

During surgery, also from the time of surgery until months later in the recovery period, the patient should be given various forms of appropriate analgesics so that the pain caused by the chest wall injury, which is very excruciating, prevents coughing and discharge of secretions and also do not obstruct the patient's deep breathing.

 

Recovery after lung resection surgery

After lung resection surgery, the patient must stay in the hospital for a period of time to complete the recovery period with adequate care to control pain and possible complications in the hospital. The recovery period will continue at home after discharge from the hospital.

It is normal for a person undergoing lung resection to have a breathing tube used during the operation to help them breathe. Sometimes it is necessary to keep the tube in the recovery period. The retention of this tube and its firm position in the throat can cause anxiety to the user, and therefore to reduce this discomfort, the person is given medications that make the tube easier to tolerate.

Breathing aids may be installed to help keep the small air sacs at the end of your lungs well ventilated.

During the recovery period at the hospital, the nurses will definitely help you sit down and also encourage you to walk and start walking, and walking should start as soon as possible.

Activity and early walking reduce the risk of blood clots.

A tube may be inserted into your chest to remove secretions from inside your chest. This chest tube helps to empty the discharge well and completely. Most people will have this tube for 5 to 7 days if the lung resection is open, and If you are looking for a thoracoscopic surgery with the help of video or VATS method, this tube may be present in your chest for three to four days.

If a person has many symptoms of lung involvement before surgery, and if the lung problems are very severe, there will probably be a longer recovery period after resection surgery.

Some people are said to be able to return to normal work six to eight weeks after lung resection. Even if they have a job, they can return to work.

However, after this period, certain restrictions such as avoiding lifting heavy objects or putting pressure on the chest area are recommended.

Pulmonary rehabilitation and respiratory physiotherapy before and after lung resection surgery are said to help many people go through the recovery process more easily and quickly.

 

Complications after lung resection

Many people who undergo pulmonary resection will have a difficult recovery period, but they should know that the difficulties of this period and its complications are not unusual.

There is a term that describes persistent pain after lung surgery for some people. This term is post-thoracotomy pain syndrome.

It is normal that by removing part of the lung, your lungs' breathing capacity will decrease and it will take time for you to get used to living with this reduced lung capacity.

 

When should we see a doctor?

If you have had a lung resection and have been discharged from the hospital, you will be given instructions for home care as well as plans to follow up and see your doctor. You should contact your doctor if you experience any symptoms or questions between your appointments. If you have persistent chest pain, bleeding and redness near the incision area and sudden shortness of breath

You should inform your doctor immediately and go to a medical center.

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