In 2022, a large number of patients diagnosed with lung cancer In Thailand, which is still the second leading cause of death in Thai people (after liver cancer in men and number 1 in women), screening for the diseaselung cancer At first it was difficult. therefore having a high mortality rate More than half of these patients were detected. It is often found in the advanced stage as the symptoms of this disease are often asymptomatic, resulting in delays in diagnosis.
However, there are still many patients who can be treated but are afraid of treatment. do surgery Because in the early days of lung surgery was initiated by opening the chest cavity Which is necessary to cut many muscles and extend the ribs to enter the surgery, causing the patient to be somewhat worried and afraid of treatment.lung cancer
However, at present, lung surgery has been developed especially laparoscopic surgery. As a result, lung surgery is a safe operation. In those without underlying disease, the risk of serious complications is less than 1 percent.
Asst. Prof. Dr. Sira Laohathai, a specialist in thoracic surgery specializing in laparoscopic surgery Wachira Nursing Hospital Said that in the past 10 years, lung cancer laparoscopic surgery in Thailand has developed a lot. Video assisted thoracosocpic surgery (VATS) is a small surgical incision about 4-5 cm long and 1-3 small holes 1 cm in size to insert the camera. and surgical aids are used in cases where the tumor is not very large and does not press on nearby organs.
Helps to reduce pain in the wound Patients will be able to recover faster and avoid large surgical incisions. by developing lung laparoscopic surgery At present, we can perform lung cancer surgery through a single endoscopy, which is a small incision of about 3.5 cm in just one location. by the nature of the surgery can be done from
- Wedge resection is a wedge-shaped resection of the tumor along with adjacent lung tissue.
- Lobe lung excision (lobectomy)
- until the removal of the lung with tumors on both sides (pneumonectomy) through the endoscopy.
Practice the recovery process before surgery.
In addition, before the surgery It is also important to be trained on the intraoperative recovery process (enhanced recovery after surgery (ERAS). Will result in patients receiving the best treatment results. This will begin before the surgery, for example.
- Disease education and prognosis of lung cancer
- Exercise training during surgery
- Admission to smoking reduction therapy before surgery
At the same time, after the surgery, physical therapy will be performed to allow the patient to sit back and live after the surgery as quickly as possible. to reduce complications from surgery
Small wound 3.5 cm.
For the current lung cancer laparoscopic surgery We can perform endoscopic surgery through the intercostal space. The size of the surgical wound is only 3.5 cm. This type of surgical technology will result in a faster recovery for the patient. less pain and can return to daily life much faster than traditional surgery
for most patients You may need to stay in the hospital for about 3 days after surgery. Patients will be able to go about their daily lives as usual, such as going to the bathroom or doing housework. Exercises can be performed similarly after the recovery period after surgery.