The tissue is surgically removed, and the wound is closed using stitches or staples. An open-chest procedure takes about three to six hours. During VATS, three or four small cuts are made around the area where the wedge resection is being done. A thoracoscope, a small tube with a light and a tiny camera, is inserted into the chest. It sends images to a computer screen, which the surgeon uses for guidance while using small instruments to cut away the cancer tissue. VATS is a less invasive procedure than thoracotomy, but it's not always possible to use this procedure if the tumor is in a hard-to-reach spot.
Your healthcare provider will take about three hours to perform the VATS. Along with surgery, internal radiation—known as brachytherapy— may be administered. During the wedge resection, a small amount of radiation is directed to the site of the tumor to ensure that the healthcare providers remove all the malignant cells.
Following surgery, the length of time you are in the hospital depends on what type of procedure is done and your progress during recovery. A chest tube is placed in your chest during the procedure, and it usually stays in place for 24 to 48 hours post-surgery. During this time, a respiratory therapist will work with you, guiding you to take deep breaths to reduce your risk of infection.
The rate of post-operative complications is much lower for VATS compared to thoracotomy. Studies estimate that between 6 and When you are discharged, your surgeon will give you specific instructions for follow-up and provide you with a prescription for medications to ease any pain you have when you return home. You might be prescribed pulmonary rehabilitation after lung cancer surgery.
The prognosis of a wedge resection will vary depending on your particular tumor, your general health, and other treatments you receive. A review of 54 studies looking at close to 39, patients who had a wedge resection for treatment of lung cancer showed a survival rate similar to that of patients who had lobectomy.
That said, wedge resections may only be comparable to more aggressive surgeries when the tumors are very small. According to research, when tumors measured greater than 1 cm, the survival rates for patients were better for those who had lobectomy or segmentectomy versus a wedge resection. A wedge resection, though less extensive than a lobectomy, segmentectomy, or pneumonectomy, is still major surgery. You need to give yourself time to recover after surgery, but make sure to stay active and follow the instructions of your surgeon, oncologist, and respiratory therapist so you can optimize your lung function as you recover.
Limiting processed foods and red meats can help ward off cancer risk. These recipes focus on antioxidant-rich foods to better protect you and your loved ones. Sign up and get your guide! Thoracoscopic wedge resection and segmentectomy for small-sized pulmonary nodules. J Vis Surg. Surgery for lung tumors in the elderly: A retrospective cohort study on the influence of advanced age over 80 years on the development of complications by using a multivariate risk model.
Int J Surg. For example:. Doctors generally do not recommend these surgeries if the tumor is more than two inches or is in a location that makes it difficult to perform the surgery. Before either procedure, your doctor may perform certain tests to make sure your overall health is good enough for the surgery.
These tests may include:. After your doctor locates the tumor, he or she will remove it along with a small section of the lung around it. Sometimes, doctors combine the surgery with a procedure that applies radiation directly to the tumor. There are two basic parts of recovery from a wedge resection surgery or segmentectomy — recovery in the hospital right after surgery and recovery at home. This is the best way to make a speedy and complete recovery.
While in the hospital, you will have a tube in your chest to drain out any fluid buildup. Menu Contact Dictionary Search. Understanding Cancer. What Is Cancer? Cancer Statistics. Cancer Disparities. Cancer Causes and Prevention. Risk Factors. Cancer Prevention Overview. Cancer Screening Overview. Screening Tests. Diagnosis and Staging. Questions to Ask about Your Diagnosis. Types of Cancer Treatment. Side Effects of Cancer Treatment. Clinical Trials Information.
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Questions to Ask about Advanced Cancer. Managing Cancer Care. Finding Health Care Services. Advance Directives. Using Trusted Resources. Coronavirus Information for Patients. First, your doctor may order tests to make sure that your lungs can tolerate the procedure.
Your doctor will organise this for you and tell you what you need to do. Your doctor will recommend the most suitable approach based on the location and size of the tissue that needs removing. When the wedge resection is finished, the cuts are closed with stitches. Your doctor will insert a tube into your chest to drain air and fluids which helps your recovery. After your surgery, you will be taken to a Recovery Room or Intensive Care Unit in the hospital for close monitoring.
Expect to stay in hospital for days, depending on the technique used for the surgery.
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