Download thoracic surgery options thoracic surgery options

there are
thoracic surgery
options
Video assisted thoracic
surgery (VATS):2*
reduced pain
faster recovery
fewer overall
complications
*potential benefits
when compared to
open thoracic surgery
for patients with
stage 1 non-small
cell lung cancer
Know your surgical options for lung disease.
If you’ve recently found out you have lung cancer, the first thing you should know is
that you’re not alone. Lung cancer is the most common cancer in the world, with 1.8 million
new cases diagnosed in 2012 alone with non-small cell lung cancer (NSCLC) comprising
85%-90% of all lung cancers.1,3,4
If surgery is part of the treatment plan, know that minimally invasive options like VATS
may be available.
For patients who have been diagnosed with lung cancer, treatment options vary by the
stage of lung cancer. Depending on the stage, surgery may be a treatment option. If the
cancer has not spread, the surgical removal of the cancerous tissue (resection) can be
one of the most effective treatments.
The most common surgical procedures for the treatment
of lung cancer are:
Wedge resection/segmentectomy — removal of a part of the lung lobe
Lobectomy — removal of one of the lobes of the lungs
Pneumonectomy — removal of the entire lung
VATS can be used to take biopsies (tissue samples from the body) to determine the presence of lung disease. It can
also be effective for removing diseased lung tissue (tumors) in the lungs or chest cavity.5 VATS may be appropriate
when cancer is in an early stage (stage 1 or stage 2). Consult your physician to find out if VATS is appropriate for
your condition.
thoracic
ask about
minimally
invasive surgery
Video Assisted Thoracic Surgery may have many potential benefits in comparison to
open thoracotomy surgery for patients with stage 1 non-small cell lung cancer, such as:6
less post-operative pain7
e
arlier return to pre-operative
activity level7
r educed overall postoperative
complications7
improved overall functionality
over the short term7
reduced length of hospital stay8
improved ability to receive
adjuvant chemotherapy without
delay or reduce dosages10
less bleeding/fewer transfusions9
s
horter chest tube duration8
less impairment of respiratory
function7
These comparisons are variable; surgical techniques, hospitalization and recovery may differ.
Patients can take an active role in making decisions about treatment for lung cancer.
Encourage the ones you love to talk to their physicians about their options.
Possible complications during and soon after surgery depend on the extent of the
surgery and the person’s health beforehand. Serious complications can include:11
excess bleeding
pneumonia
wound infections
As with any procedure, VATS may present risks. You should
consult your physician to see what procedure is right for you.
earn more about treatment options for lung cancer and find a surgeon for
L
VATS at www.smarterpatient.com/lungcancer
1. GLOBOCAN Web site. 2008 (2011) Globocan 2012: Estimated Cancer Incidence, Mortality and Prevalence Worldwide in 2012. http://globocan.iarc.fr/Pages/fact_sheets_cancer.
aspx?cancer=lung 2. Downey RJ, Cheng D, Kernstine K, et al. Video assisted thoracic surgery for lung cancer resection: a consensus statement of the International Society of Minimally Invasive
Cardiothoracic Surgery (ISMICS). Innovations (Phila). 2007;2(6):293-302. 3. American Cancer Society: What is non-small cell lung cancer? http://www.cancer.org/cancer/lungcancer-nonsmallcell/detailedguide/non-small-cell-lung-cancer-what-is-non-small-cell-lung-cancer Published August 15, 2014. Updated March 4, 2015. Accessed April 14, 2015. 4. Union for International
Cancer Control. Non-small cell lung cancer: 2014 review of cancer medicines on the WHO list of essential medicines. http://www.who.int/selection_medicines/committees/expert/20/
applications/NonSmallCellLungCancer.pdf?ua=1 Published December 15, 2014. Accessed April 14, 2015. 5. McKenna RJ Jr, Houck W. Fuller CB. Video assisted thoracic surgery lobectomy:
experience with 1,100 cases. Ann Thorac Surg. 2006; 81(2): 421-425. 6. Lacin T, Swanson S. Current costs of video-assisted thoracic surgery (VATS) lobectomy.
J Thorac Dis 2013;5(S3):S190-S193. doi: 10.3978/j.issn.2072-1439.2013.07.13. 7. Consensus statement of the International Society of Minimally Invasive Cardiothoracic Surgery 2007. Downey, R.,
et al. Video-Assisted Thoracic Surgery for Lung Cancer Resection. Innovations Vol. 2, 2007, pp. 293-302. 8. In patients with clinical stage 1 non-small cell lung cancer undergoing lung lobectomy
n=3,074 patients (VATS=2,218 and open=856); Length of Stay VATS 8.3 days vs. Open 13.3 days, P=0.016. Whitson B, Groth S, Duval S, et al. Surgery for early-stage non-small cell lung cancer: A
systematic review of the video-assisted thoracoscopic surgery versus thoracotomy approaches to lobectomy. Ann Thorac Surg. 2008;86:2008-2016. 9. In patients with clinical stage 1 non-small
cell lung cancer undergoing lung lobectomy n=1,281 patients, VATS 31 (2.4%) vs. Open 60. (4.7%), P=0.0028 in a propensity-matched analysis. Paul S, Altorki NK, Sheng S, et al. Thoracoscopic
lobectomy is associated with lower morbidity than open lobectomy: A propensity-matched analysis from the STS database. J Thorac Cardiovasc Surg. 2010;139:366-378. 10. In patients with
clinical stage 1 non-small cell lung cancer undergoing lung lobectomy n=100 patients, retrospective study VATS 61% vs. Open 40%, P=0.03. Received 75% or more of their planned adjuvant
regimen without delayed or reduced doses. Petersen R, Pham D, Burfeind W, et al. Thoracoscopic Lobectomy facilitates the delivery of chemotherapy after resection for lung cancer. Ann
Thorac Surg. 2007;83(4):1245-1250. 11. American Cancer Society: Surgery to treat lung carcinoid tumors, 2015. American Cancer Society Website. Available at http://www.cancer.org/cancer/
lungcarcinoidtumor/detailedguide/lung-carcinoid-tumor-treating-surgery.
©2015 Ethicon US, LLC. All rights reserved. 012373-140321