Therapeutic Procedures
Surgery
for Lung Cancer (CancerHelp UK)
Briefly describes the three types of operations used to treat NSCLC:
*removing a lung section (wedge resection, segmentectomy)
*removing a lobe of the lung (1-lobectomy, 2-bilobectomy)
*removing the whole lung (pneumonectomy)
Aimed at patients. [1/04]
Pneumonectomy
(InteliHealth)
Describes pneumonectomy, what it is, why it is performed, how it
is done and possible risks to the procedure. Preparation and follow-up
care are also discussed. Registration required for free access to Intelihealth.
[4/04]
Video-Assisted Thoracic Surgery (VATS)
Minimally Invasive
Surgery: Video-Assisted Lung and Chest Surgery (VATS) (University
of Pennsylvania Medical Center)
Discusses a surgical technique known as video-assisted thoracic
surgery (VATS) which enables surgeons to perform many common thoracic
procedures in a minimally invasive manner. Describes VATS, the diseases
that can be treated with VATS, who may be a candidate for VATS, the advantages
of VATS and what to expect after VATS surgery.
Video-Assisted
Thoracic Surgery (Harvard Family Health Guide)
Describes video-assisted thoracic surgery (VATS): what it is, how
it is performed and what to expect.
The
Role of Video-Assisted Thoracic Surgery (VATS) in the Management of Lung
Cancer (Cancernews.com)
Discusses the role of VATS in lung cancer management: its advantages
and its use for diagnosing pulmonary nodules, diagnosing and managing
malignant pleural effusions, staging of lymph nodes, and performing lobectomy.
Aimed at physicians. [undated]
Thoracoscopy
Thoracoscopy
(ehealthconnection.com)
Describes thoracoscopy, what it is used for, precautions, preparation,
risks and possible results. [2001]
Thoracotomy
Thoracotomy
(yoursurgery.com)
Describes thoracotomy, a surgical procedure for opening the chest to remove
a cancer of the lung. Basic chest anatomy and physiology is presented,
along with a brief discussion of the causes, symptoms, diagnosis and treatment
of lung cancer. Various lung surgeries are outlined.
Thoracostomy
Chest
Tube Thoracostomy (Critical Care Assembly of the American
Society)
Describes chest tube thoracostomy, a procedure performed to drain fluid,
blood or air from the space around the lungs (pleural space). Lists common
reasons for its use, including pleural effusion and pneumothorax. Covers
risks and benefits of the procedure.
Palliative Procedures
Treatment
for Advanced Lung Cancer: Laser Treatment and Airway Stents
(CancerHelp UK)
Briefly describes laser treatment and airway stents, procedures used for
relieving breathlessness caused by a blocked airway secondary to lung
cancer. Aimed at patients. [1/02]
Endobronchial
Management of Advanced Lung Cancer (Medscape)
by Michael Simoff
8(4) Cancer Control (2001):337-343
Reviews the use of several endobronchial treatment modalities, including
rigid and flexible bronchoscopy, laser therapy, endobronchial prosthesis,
and photodynamic therapy. Recommends that these modalities be used to
supplement traditional therapies for advanced lung cancer to provide symptom
palliation and improved quality of life. Aimed at physicians. Registration
required for free access to Medscape. [2001]
PDT
Improves QOL in Lung Cancer Patients Who Have Endobronchial Obstruction
(cancernetwork.com)
v. 7, no. 7 Oncology News (July 1998)
Reports on two studies that found PDT a simple and effective alternative
to standard techniques for palliative debridement of endobronchial obstructions
in lung cancer patients.
Things to Know Before Surgery
Questions to Ask
Be Informed:
Questions to Ask Your Doctor Before You Have Surgery
(Agency for Health Care Policy and Research)
Twelve questions to ask your doctor before you have surgery, and the reasons
for asking them. Lists sources for further information.[1/95]
Pneumonectomy:
Can I Return to Normal Activities After Having a Lung Removed?
(Mayo Clinic)
Describes the impact of lung removal on breathing and normal activities.
Suggests ways to improve lung function following pneumonectomy. [3/03]
Anesthesia
What
You Should Know About Herbal Use and Anesthesia (American
Society of Anesthesiologists)
Discusses the issue of herbal medicines and safety. Addresses the following
questions: does the federal government make sure that herbs are safe?
do I need to tell my doctor about the herbal products and other supplements
that I take? could herbal medicines affect my anesthesia if I need surgery?
[2/03]
Anesthesia
and You (American Society of Anesthesiologists)
Provides an introduction to anesthesia and the role of the anesthesiologist.
Covers the nervous system, the conquest of pain, anesthesia for same day
surgery, and offers answers to frequently asked questions about anesthesia.
Determining Operability
Physiologic
Evaluation of Patients with Lung Cancer Being Considered for Resectional
Surgery (CHEST)
Abstract of the evidence-based lung cancer treatment guideline published
by the American College of Chest Physicians (ACCP) in the supplement to
the January 2003 issue of CHEST. Stresses that the preoperative physiologic
assessment of a patient being considered for surgical resection of lung
cancer must consider the immediate perioperative risks from comorbid cardiopulmonary
disease, the long-term risks of pulmonary disability, and the threat to
survival due to inadequately treated lung cancer. Discusses specific tests
and desired results for consideration in determining surgical candidacy.
Examines the possibility of combining lung volume reduction surgery (LVRS)
and resection of lung cancer for patients with severe emphysema. Additional
recommendations and assessments are included. Aimed at physicians. [1/03]
Impact
of Cardiovascular Co-morbidity on the Outcome of Surgery
(PubMed)
Study reported in the May 2003 issue of European Journal of Cardiothoracic
Surgery that assessed the impact of coexisting cardiovascular disease
on the outcome of surgical treatment of stage I and II NSCLC. Concluded
that cardiovascular disease has a significant impact on survival and morbidity
in patients undergoing surgery for lung cancer, especially those patients
with multifocal vascular disease and following major resections. Recommends
that the timing of vascular surgery and the extension of resection should
rely on the severity of vascular disease, anesthesiologist's and surgeon's
final evaluation. [5/03]
Nutrition & Surgery
Influence
of Nutritional Status on Complications After Operations for Lung Cancer
(Annals of Thoracic Surgery)
Abstract of a study examining the role of nutritional status in patients
undergoing an operation for lung cancer. Results indicate that impaired
nutrition is an important predictor of death and the need for reventilation
after an operation for lung cancer. Suggests that the selection of patients
for lung resection might be improved by measuring simple nutritional indices.
[3/00]
Nutrition
in Cancer Care: Effect of Surgery on Nutrition
(cancer.gov)
Discusses the effects of surgery on nutrition: surgery increases the body's
need for nutrients and energy, nutrition-related side effects may occur
as a result of surgery (eg, loss of appetite), and nutrition therapy can
treat the nutrition-related side effects of surgery. [6/03]
Surgical Complications
Surgical Complications Information
(Lung Cancer Online)
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