A very good staging should be done before the operation for the correct surgical treatment. Before the operation, whether the patient is suitable for the operation or whether the patient’s performance is suitable for the operation should be carefully investigated before the operation.
Preoperative pulmonary function tests should be performed on patients, and their suitability for surgery and postoperative prognosis estimations should be made. These studies cover forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and carbon monoxide diffusing capacity (DLCO). The estimated percentage of the remaining lung parenchyma is calculated by special calculations that could be done simultaneously.
Lobectomy: Anatomically, the right lung consists of 3 lobes and the left lung lobe. It is performed by removing one or both of these lobes (bilobectomy) with surgical techniques.
It was performed after the second half of the 1990s. Compared to standard lobectomy, it can provide patients with a better quality of life. These factors are postoperative morbidity, mortality, pain and oncological survival. In VATS, the ribs are not separated, which reduces pain. It causes less pain and analgesia in the early and late postoperative period. Patients are discharged earlier. Chemotherapy can be given to these patients in the early period if it is to be applied.
Pneumonectomy: Complete removal of either the right or left lung.
Segmentectomy: Anatomically, the right lung consists of 10 segments of the left lung. It is performed by excising the lung tissue by advancing along the anatomical planes based on bronchovascular anatomy.
Sleeve Resection / Bronchoplasty: The purpose of these surgeries is to preserve the lung tissue that will remain after the surgery. Although it is more complex than standard lung surgeries, a very good prognosis is provided in appropriately selected patients.