Download Facing Surgery for Lung Cancer?

Facing Surgery for
Lung Cancer?
Learn about minimally invasive
da Vinci Surgery
®
The Condition:
Lung Cancer
Your lungs are spongy, air-filled organs that move
oxygen through your body. You have two lungs - one
on each side of your heart.
Lung cancer is a disease that attacks the lung tissue.
It usually develops in adults older than age 65.1 It is
the most common cancer worldwide, with 1.2 million
new cases every year.2
Tobacco smoke is the leading cause of lung cancer.
Smoking cigarettes, pipes, cigars or being exposed
to secondhand smoke can increase your risk for
this disease.2
Of the two main types of lung cancer, non-small cell
is the most common. Fortunately, it is also the slower
growing of the cancers.3
In the early stages, lung cancer may not cause any
symptoms but may be found during a routine X-ray.
If symptoms are present, they may include a chronic
cough, trouble breathing, chest pain and unexplained
weight loss.3
Lung
Lung
Tumor
Cancer affecting one lung
Treatments & Surgical Options:
After your doctor makes a diagnosis and determines
the stage (extent) of the cancer, he/she will suggest a
treatment plan. Treatment and surgical options for the
most common lung cancer, non-small cell lung cancer,
can vary. Patients may have surgery, chemotherapy,
radiation therapy or a combination of treatments.
Radiation uses high-energy X-rays to kill cancer
cells. External radiation is the most common type of
radiation for lung cancer. Side effects depend on the
dose and type of radiation. While it is non-invasive,
this treatment may harm your esophagus and ability
to swallow.4
Chemotherapy uses anti-cancer drugs to kill cancer
cells. These drugs can be given through a vein or
taken by mouth. Your doctor will discuss the side
effects of chemotherapy with you, as well as the pros
and cons of all treatments and surgical options.
During lung cancer surgery, your surgeon will remove:
a small section of your lung with the tumor and a
margin of healthy tissue (wedge resection); a larger
portion of the lung, but not an entire lobe (segmental
resection); an entire lobe of one lung (lobectomy); or an
entire lung (pneumonectomy). The amount of tissue/
lung removed will depend on the stage of the cancer.
Lung cancer surgery is often performed using open
surgery through a long chest incision. Your surgeon
may also need to spread your ribs to access your lung.
Open surgery allows doctors to see and touch your
organs while operating.
An alternative to open surgery is thoracoscopy
(also called video-assisted thoracic surgery or VATS).
Doctors insert a tiny camera (thorascope) and surgical
instruments into your chest through small incisions.
The camera takes images inside your body and sends
them to a video monitor in the operating room to guide
doctors as they operate.
A mininmally invasive option for lung cancer patients
facing lobectomy is da Vinci Surgery.
Open Surgery
Incision
VATS Incisions
da Vinci Surgery
Incisions
da Vinci Surgery:
A Minimally Invasive Surgical Option
Using the da Vinci System, surgeons make a few small
incisions - similar to thoracoscopy procedures. The
da Vinci System features a magnified 3D high-definition
vision system and tiny wristed instruments that bend and
rotate far greater than the human wrist. These unique
features enable surgeons to operate with enhanced
vision, precision, dexterity and control.
As a result of da Vinci technology, da Vinci Lobectomy
offers precise removal of cancerous tissue,5 as well as the
following potential benefits compared to open surgery:
Lower rate of complications6
Less blood loss6
Shorter hospital stay6,7
Less pain6
Fewer days with chest tube (used to drain excess
lung fluid)6
Improved mental quality of life soon after surgery6
Small incisions for minimal scarring
Risks & Considerations Related to Lobectomy &
da Vinci Surgery:
Potential risks of any lobectomy procedure, including
da Vinci Lobectomy, include:
• Abnormal heartbeat following surgery
• Bronchopleural fistula (abnormal passageway develops
between lung airways and the membranes that line
the lungs)
• Blood loss requiring transfusion8
Important Information for Patients:
All surgery presents risk, including da Vinci Surgery.
Results, including cosmetic results, may vary. Serious
complications may occur in any surgery, up to
and including death. Examples of serious and lifethreatening complications, which may require
hospitalization, include injury to tissues or organs;
bleeding; infection, and internal scarring that can
cause long-lasting dysfunction or pain. Temporary pain
or nerve injury has been linked to the inverted position
often used during abdominal and pelvic surgery.
Patients should understand that risks of surgery
include potential for human error and potential for
equipment failure. Risks specific to minimally invasive
surgery may include: a longer operative time; the need
to convert the procedure to other surgical techniques;
the need for additional or larger incision sites; a
longer operation or longer time under anesthesia
than your surgeon originally predicts. Converting the
procedure to open could mean a longer operative
time, long time under anesthesia, and could lead to
increased complications. Research suggests that there
may be an increased risk of incision-site hernia with
single-incision surgery. Patients who bleed easily, have
abnormal blood clotting, are pregnant or morbidly
obese are typically not candidates for minimally
invasive surgery, including da Vinci Surgery. Other
surgical approaches are available. Patients should
review the risks associated with all surgical approaches.
They should talk to their doctors about their surgical
experience and to decide if da Vinci is right for them.
For more complete information on surgical risks, safety
and indications for use, please refer to http://www.
davincisurgery.com/safety.
All people depicted unless otherwise noted are models. © 2013 Intuitive Surgical. All
rights reserved. Intuitive, Intuitive Surgical, da Vinci, da Vinci S, da Vinci Si, Single-Site,
TilePro, FireFly, Skills Simulator, EndoWrist and EndoWrist One are trademarks or registered
trademarks of Intuitive Surgical. All other product names are trademarks or registered
trademarks of their respective holders. PN 873435 Rev B 07/2013
Your doctor is one of a growing
number of surgeons worldwide
offering da Vinci Surgery.
®
For more information and to find a
da Vinci surgeon near you, visit:
www.daVinciSurgery.com
The friable nature of pulmonary tissue enhances
the risk of vascular, bronchiolar, or other injury that
will be difficult to control when using this device.
Published clinical experience, as well as clinical studies
performed to support this marketing clearance have
demo nstrated that even surgeons considered expert
in laparoscopy/thoracoscopy have substantial learning
curves of 10 to 12 cases.
“What You Need to Know about Lung Cancer: Risk Factors,” National Cancer
Institute, www.cancer.gov. 2 “Global cancer rates could increase by 50% to
15 million by 2020,” World Health Organization, www.who.int/en/. 3 “General
Information About Non-Small Cell Lung Cancer,” National Cancer Institute, www.
cancer.gov. 4 What You Need To Know About Lung Cancer – Treatment. National
Cancer Institute, www.cancer.gov. 5 Kernstine KH, Anderson CA, Falabella A.
Robotic lobectomy. Operative techniques in thoracic and cardiovascular surgery,
2008:204.e1- 204.e23. 6 Cerfolio RJ, Bryant AS, Skylizard L, Minnich DJ. Results
of, and technical advancements to, completely portal robotic pulmonary resection
using 4 arms (CPRL-4). Submitted to JTCVS April 2011. 7 Veronesi G, Galetta D,
Maisonneuve P, Melfi F, Schmid RA, Borri A, Vannucci F, Spaggiari L. Four-arm
robotic lobectomy for the treatment of early-stage lung cancer. J Thorac Cardiovasc
Surg, 2010;140(1):19-25. 8 Dylewski MR, Ohaeto AC, Pereira JF. Pulmonary
resection using a total endoscopic robotic video-assisted approach. Semin Thorac
Cardiovasc Surg. 2011 Spring;23(1):36-42. doi: 10.1053/j.semtcvs.2011.01.005.
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The Enabling Technology:
da Vinci Surgical System
The da Vinci Surgical System is designed to provide
surgeons with enhanced capabilities, including highdefinition 3D vision and a magnified view. Your doctor
controls the da Vinci System, which translates his
or her hand movements into smaller, more precise
movements of tiny instruments inside your body.
Though it is often called a “robot,” da Vinci cannot
act on its own. Surgery is performed entirely by your
doctor. Together, da Vinci technology allows your
doctor to perform routine and complex procedures
through just a few small openings, similar to
traditional laparoscopy.
The da Vinci System has been used successfully
worldwide in approximately 1.5 million various
surgical procedures to date. da Vinci - changing the
experience of surgery for people around the world.