Lung cancer is a familiar and common tumor, but we do not know much about how to treat it, especially for patients with advanced stage. At present, there are many kinds of treatment methods for lung cancer, and the commonly used treatment methods include surgery, chemotherapy, radiation therapy, targeted therapy, immunotherapy, Chinese medicine treatment and the combination of different treatment methods. Surgery is one of them. What kind of lung cancer should choose surgery and what kind of lung cancer should not choose surgery, and what is the effect of surgery? The following is a brief introduction of lung cancer surgery treatment for you.
First of all, decades of clinical practice experience proves that lung cancer patients prefer surgical treatment and postoperative adjuvant multidisciplinary treatment to obtain the best 5-year survival rate. The reasons why lung cancer surgical treatment can achieve good results are.
1. Removal of early confined tumor to achieve the purpose of clinical eradication.
2. Relatively complete resection of all cancer tissues and removal of lymph nodes to achieve clinical cure.
3. Removing most of the cancerous tissues and lymph nodes, which can create favorable conditions for radiotherapy and chemotherapy.
Therefore, as long as patients with stage IIIA or above are suitable for surgical treatment, they should undergo surgery. The specific conditions are as follows.
1.Patients with early stage lung cancer without distant metastasis, including parenchymal organs such as liver, brain, adrenal glands, bones, extra-thoracic lymph nodes, etc.
2.Patients without severe cardiopulmonary depression or angina pectoris in the near future.
3.Patients without severe liver and kidney diseases and diabetes mellitus.
4.Patients whose cancerous tissues have not spread to adjacent organs or tissues in the chest, such as aorta, superior vena cava, esophagus and cancerous pleural fluid, etc.
5.Patients with hoarseness or diaphragm paralysis.
And for those with the following conditions, surgical treatment is not possible
1.Patients with small cell type lung cancer other than stage I, it is easy to consider radiotherapy or herbal medicine treatment first.
2. Patients with X-ray showing suspected metastasis in the mediastinum in addition to the primary lesion are generally not eligible for surgical treatment.
3. Patients with old age and physical decline, poor heart and lung function cannot undergo surgical resection.
4.Patients with a history of cerebrovascular accident within the last 3 months.
5.Patients with contraindication to anesthesia or other contraindications to surgery.
Surgery is one of the important methods of lung cancer treatment, and the following are several common surgical methods for lung cancer.
1.Total pneumonectomy
When the tumor is located in the central part and involves large blood vessels or main bronchus, total pneumonectomy is the best choice. Because half of the lung tissues are removed from the body, it has certain impact on the quality of survival after surgery. Therefore, right total pneumonectomy is generally avoided as much as possible.
2.Partial pneumonectomy
It is suitable for patients with peripheral type and very early stage lung cancer, or those with early lesions and combined with cardiopulmonary dysfunction who cannot tolerate lobectomy, and also commonly used for local recurrent or metastatic lung cancer.
3.Bronchoplasty pneumonectomy
It is a more complicated and risky operation and is limited to large experienced medical centers.
4.Lobectomy
Lobectomy is a standard lung cancer resection with reliable efficacy and few complications, which is in line with both surgical and oncological principles.