Lung cancer treatment varies depending on the type and stage of your cancer. Surgery is usually the best option for treating early-stage lung cancer.
Operations are performed to remove a portion of the lung or the entire lung. It is the gold standard for treatment of lung cancer with the hope of a cure. In 1992, our thoracic surgeons pioneered the use of minimally invasive video-assisted thoracic surgery (VATS), and continue to develop innovative treatment approaches to achieve the best outcomes for lung cancer patients.
Types of Lung Cancer Surgery
- Wedge resection: The lung is cut like cutting a piece of pie to remove a piece of lung.
- Segmentectomy: There are 10 segments in each lung. Removal of a segment is called a segmentectomy. In selected cases, segmentectomy can provided as good a chance for cure as removal of a lobe.
- Lobectomy: There are 3 lobes in the right lung and 2 in the left lung. Removal of an entire lobe of the lung is the most common operation to remove a lung cancer in the hope of a cure.
- Pneumonectomy: Removal of an entire lung.
- Sleeve resection: Removal of a piece of bronchus, and then reattach the remaining part of the bronchus.
- Open-chest surgery (Thoracotomy): For many years, chest surgery was performed through incisions 6 to 10 inches long. The ribs are spread open to allow a thoracic surgeon to get hands in to the chest to perform an operation. Currently, open procedures are less common, as minimally invasive lung cancer surgeries are easier on the patient and equally effective. Sometimes, major open surgery is required, such as when the tumor is very large.
- VATS (Video-Assisted Thoracoscopic Surgery): is a minimally invasive procedure for lung cancer treatment that involves the insertion of a small camera and surgical instruments through small incisions in the chest. This is less invasive than big chest incisions that require spreading the ribs. VATS lobectomy usually involves three small incisions without any spreading of the ribs, although in selected cases we use only 1 incision (Uniport). A camera is used to assist the dissection of sensitive blood vessels and lung structures. Less pain and quicker lung cancer recovery are the goals. If chemotherapy is necessary after surgery, patients are healthier and can more reliably begin their adjuvant additional therapy.
Currently, smaller, less complicated procedures, such as wedge resections, are usually performed with VATS. At the John Wayne Cancer Institute, our thoracic surgeons perform over 90% of their lung cancer operations with minimally invasive surgery. Our papers in medical journals have shown this reduces complications and length of stay in the hospital without compromising the chance of a cure. We pioneered this technique.
- RATS (Robot-Assisted Thoracic Surgery) is a minimally invasive lung cancer surgery, that allows for greater surgical precision, enhanced visualization and increased range of motion. The robot acts as a miniaturized extension of the surgeon’s arms and hands, which allow the surgeon to perform complex surgical procedures through small incisions, instead of using previously required large incisions for traditional lung cancer surgery.
- Segmental/wedge resection and lobectomy are both done with minimally invasive surgical procedures that use small incisions and specialized instruments with video-scopes to guide the surgical process. Many patients come to us after learning they are not candidates for traditional surgery, and we are able to provide innovative surgical options that are safe and effective options for lung cancer treatment.
When or at What Stage are Lung Cancer Surgeries Performed?
You and your doctor will choose a cancer treatment plan based on a number of factors, such as your overall health, the type and stage of your cancer, and your preferences.
What to Expect
Visit our patient resources page to learn:
- How to prepare for your appointment
- Pre-op and Post-op instructions
- Discharge instructions
Lung Cancer Clinical Trials
Most advances in the diagnosis, treatment, and care of patients with cancer have occurred because of clinical trials. View our current lung cancer clinical trials to see if you are eligible.
U.S. News Recognized John Wayne Cancer Institute at Providence Saint John’s as a High Performing Hospital for Lung Cancer Surgery.