Thoracic surgery procedures.

Updated: Dec 2, 2021


Thoracic surgery
1. Lung cancer
Lung cancer is the main subject of thoracic surgery. Surgery to remove the tumor is used in patients with stage 1-2 and stage 3A non-small cell lung cancer. In small cell lung cancer, surgical resection is performed at stage 1. Surgical resection of lung cancer, depending on the case, is performed in an open or closed way.Frozen resections are performed for the purpose of pre-resection diagnostics and control of the surgical margin after resection.

2. Undiagnosed formations in the lungs.


Lung masses are graded for their size and shape. There are universal algorithms for this assessment, and in our clinic, follow-up of lung masses is carried out using this universal algorithm. Intervention for lung tumors that need to be diagnosed surgically may include a transthoracic needle, closed or open method, depending on the location.


3. Formation of the mediastinum.


The mediastinum is the space between both lungs. The tumors located here are of interest for thoracic surgery. These are generally tumors with a better prognosis than lung cancer, and the most common are thymoma, teratoma, and vascular cell tumors. All this can be treated in our clinic.


4. Surgical diseases of the esophagus.


Surgical diseases of the esophagus are in the field of thoracic surgery. Our clinic can help with diseases other than esophageal cancer, diverticulum or stenosis. Open or closed surgical procedures or stent placement procedures are performed in the esophagus.



breathing

5. Diseases of the trachea.


The trachea is the breathing tube that carries air to the lungs. The most common tracheal diseases are cancer and stenosis. In our clinic, tracheal cancer and stenosis are treated. The most common open surgical and stent placement methods are used.


6. Diseases of the pulmonary membrane (pleura) and accumulation of water from the lungs (pleural effusion).


In our clinic, diagnostics and treatment of cancer of the pulmonary membrane (pleura) (mesothelioma) is carried out. If water accumulates in the chest cavity, this can be treated with a simple catheter.

However, if fluid remains for a long time, there is not enough catheter and evacuation should be done with a camera in the operating room.


7. Infection of the pleura (empyema).


Pulmonary infection is a serious life-threatening clinical problem called empyema that significantly reduces quality of life and its treatment consists of drainage and surgery.


8. Pneumothorax (deflation of the lungs).


Spontaneous pneumothorax, especially seen in tall, thin, smokers, is a very common type and treatment consists of a drain tube. If air leakage continues after the insertion of the drain tube, closed surgery is applied.


Hyperhidrosis

9. Hyperhidrosis (excessive sweating).


Regardless of a person's summer-winter, hot-cold, or emotional state, sweating that affects a person's social life to the point that it requires one or more changes of underwear daily and even avoids shaking hands is called excessive sweating. For this, in our clinic, surgical interventions are performed using the method of closed clamping and / or cauterization.


10. Bronchial Mucous Cleaner (Coach Balloon Treatment)


COPD is a disease characterized by sputum discharge and shortness of breath, consisting of emphysema and chronic bronchitis.

As a new technique, our clinic uses a procedure for cleaning the bronchial mucosa in patients with COPD stages 3 and 4 with chronic brochitis, rather than emphysema. It is the process of bronchoscopic clearing of all accessible airways, especially airways with a diameter of 3-8 mm, using a mucosal catheter. The procedure is performed in the operating room with intubation, on average it takes 2.5-3.5 hours, on average 80-120 segments are cleaned. In particular, in chronic bronchitis, this process exfoliates the stratified squamous epithelium containing goblet cells that cause secretion.

Patients usually get rid of oxygen dependence, even patients who lack mobilization can carry out their daily work.

This procedure is only performed on patients with stage 3 and 4 diffuse emphysema and chronic bronchitis without bullous lung.


11. Bronchial thermoplastics.


Bronchial thermoplasty is a new treatment option aimed at reducing airway smooth muscle through the controlled application of heat energy using radio frequency energy to the airways in the treatment of patients with moderate to severe asthma that cannot be controlled with drug therapy. The procedure is carried out by entering all accessible segments of the bronchial tree (except for the middle lobe) using bronchoscopy. It is used, first in the lower right corner, then in the lower left and at the end on the upper lobes on both sides for three sessions of three weeks.

Thermoplasty is performed on patients over 18 years of age who have not smoked in the past year, whose asthma cannot be controlled despite the maximum treatment, in whom FEV1 before bronchodilators exceeds 60% and does not prevent bronchoscopy. In patients with moderate to severe asthma, bronchial thermoplasty was found to have improved quality of life, significant reductions in severe exacerbations, emergency department visits, and absenteeism from work / school.


emphysema

12. Application of a spiral, endobronchial valve in Bullous emphysema of the lungs.


Bullous pulmonary emphysema is a progressive disease that causes air to be trapped in the lungs and causes shortness of breath, which reduces the capacity of these parts of the lung because they are not involved in the breathing process.

These diseases are treated with comfort and with satisfactory results in our clinic, especially with the use of spirals for emphysema and endobronchial valves for bullous lung and bronchoscopy.





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