I continually boggle to consider how much surgical treatment of these malignancies has evolved and results have improved since I completed my thoracic surgery residency and began my practice of genera thoracic surgery in 1981. The two changes with the most impact are the way these operations are performed and Read More
Tag: Lung Cancer
Few, if any, lung cancers are cured (gone forever) without surgery to remove them. On the other hand, not all patients are cured by their operation and many are not thought to be candidates for an operation. The goal of all treating physicians, medical oncologists as well as thoracic surgeons, Read More
Into the chest. The chest is the home of most of the esophagus, so it is the location of most cancers. Operating in the chest was impossible until sufficient anesthesia capabilities were established and the lungs could be ventilated. No awake and sentient patient could tolerate the pain of a Read More
Seed or soil? When and why cancers spread (metastasize) are subjects of intense investigation. We know cells frequently escape from most cancers, including lung cancer, resulting in the dissemination of malignant cells into the blood stream on a regular basis. However, a cancer can be present for variable lengths of Read More
It has been said that the only excuse for smoking…is being on fire. I want to discuss and emphasize the carcinogenic (cancer causing) effects of cigarette smoke. Then we can review the role of thoracic surgery and thoracic surgeons in the care of patients with lung cancer, the subject of Read More
Be prepared. The lung cancer in most patients on whom we thoracic surgeons operate is situated entirely within a lobe of the lung and a lobectomy is a sufficient operation. Occasionally, as previously discussed, it is too large or is positioned such that an entire lung must be removed; a Read More
Homogeneity does not describe the surgical community. This can confuse someone looking for the right lung cancer surgeon. There are general surgeons and thoracic surgeons (who have confusingly self-divided themselves into cardiac, cardiothoracic and general thoracic subspecialties). Within all these surgical groups can be found surgeons who operate for lung Read More
Staging cancer…it has nothing to do with the theater. In short, staging is determining the extent of the lung cancer. Is the tumor invading into structures outside the lung such as the rib cage or the heart? Has the cancer spread through the lymphatic system to lymph nodes near but Read More
Trauma Leads the Way Let’s begin with Rolandus’s story from 1499. He needed more than a little persuasion to act! “Called to a citizen of Bologna on the sixth day after his wound, I found a portion of the lung issued between two ribs; the afflux of the spirits and Read More
As discussed in my previous blog, chest operations became feasible in the 20th century once the abilities to induce a state of general anesthesia and to use positive pressure endotracheal ventilation of the lungs were in place. In the USA these procedures were performed by General Surgeons. In fact, that Read More
