-
wedge resection chest surgery
- removal of small, localized lesion occupied part of the segment
- most conservative
- post-op: chest tube
- remove small peripheral nodules for pt unable to handle more extensive surgeries
-
thoracotomy not involving lungs
- incision into thorax for surgery of other organs
- post-op: chest tube, care like for thoracotomy and the involve organ surgery
-
exploratory thoracotomy
- incision into the thorax to look for injuried, bleeding tissue
- post-op: chest tube
-
decortication chest surgery
- removal or stripping of thick fibrous membrane from visceral pleura
- post-op: chest tube
-
segmental resection of chest surgery
- removal of ore or more lung segments
- to remove bronchovascular lung segments
- for pt unable to handle more extensive surgeries
- post-op: chest tube
- lung expand to fill space
-
pneumonectomy
- removal of entire lung
- only when lobectomy/segmental resection not remove all diseased lung
- post-op: may have clamped chest tube, position pt on operative side to promote expansion of remaining lung
- fluid fill up space of lung
-
lobectomy
- removal of one lobe of lung
- most common lung surgery
- post-op: need chest tube
- lung tissue will expand from the resected lobe
-
small cell carcinoma (SCLC)
- chemotherapy
- poor prognosis
- radiation, palliative used as adjuvant
-
large cell (undifferentiated) carcinoma (NSCLC)
- not for surgery b/c high metastasis
- radiosensitive -> radiation
- my recur
-
squamous cell carcinoma (NSCLC)
surgical resection
-
adenocarcinoma (NSCLC)
- interstitial fibrosis
- surgical resection
- not respond well to chemotherapy
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