Medicine:Lobectomy

From HandWiki
Short description: Surgical excision of a lobe
Lobectomy
Liver lobectomy 02.jpg
Removal of a giant hepatocellular adenoma via lobectomy of left liver lobe
Vascular, bronchial and parenchymal margins of a lobectomy, showing staple line of bronchial margin being removed with scissors.

Lobectomy means surgical excision of a lobe. This may refer to a lobe of the lung[1] (also simply called a lobectomy), a lobe of the thyroid (hemithyroidectomy), a lobe of the brain (as in anterior temporal lobectomy), or a lobe of the liver (hepatectomy).

Lung lobectomy

A lobectomy of the lung is performed in early-stage non-small cell lung cancer patients.[2][3] It is not performed on patients that have lung cancer that has spread to other parts of the body. Tumor size, type, and location are major factors as to whether a lobectomy is performed. This can be due to cancer or smoking. Lung lobectomies are performed on patients as young as eleven or twelve who have no cancer or smoking history, but have conditions from birth or early childhood that necessitate the operation.[4][5] Such patients will have reduced lung capacity which tends to limit their range of activities through life. They often need to use inhalers on a daily basis, and are often classified as being asthmatic.[citation needed]

References

  1. "The variability of practice in minimally invasive thoracic surgery for pulmonary resections". Thoracic Surgery Clinics 18 (3): 235–47. August 2008. doi:10.1016/j.thorsurg.2008.06.002. PMID 18831498. 
  2. "Surgery for non-small cell lung cancer: systematic review and meta-analysis of randomised controlled trials". Thorax 61 (7): 597–603. July 2006. doi:10.1136/thx.2005.051995. PMID 16449262. 
  3. "Treatment of stage I and II non-small cell lung cancer: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines". Chest 143 (5 Suppl): e278S–e313S. May 2013. doi:10.1378/chest.12-2359. PMID 23649443. 
  4. "Treatment of congenital pulmonary airway malformations: a systematic review from the APSA outcomes and evidence based practice committee". Pediatric Surgery International 33 (9): 939–953. September 2017. doi:10.1007/s00383-017-4098-z. PMID 28589256. 
  5. "Respiratory care in familial dysautonomia: Systematic review and expert consensus recommendations". Respiratory Medicine 141: 37–46. August 2018. doi:10.1016/j.rmed.2018.06.017. PMID 30053970. 

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