What is a Lung Resection?

Mary McMahon
Mary McMahon

A lung resection is a surgical procedure in which all or part of a lung is removed. This procedure is usually performed by a thoracic surgeon, a specialist who has received detailed training in procedures involving the thoracic cavity. It is major surgery and often requires a hospital stay for several days after the surgery for the purpose of monitoring the patient's progress.

The respiratory system, showing the lungs.
The respiratory system, showing the lungs.

Historically, lung resections involved a cut down the breastbone to access the chest cavity. Surgeons later adapted the procedure for some patients by cutting under the breastbone to access the lungs, developing a less invasive approach. Modern surgeons can sometimes use minimally invasive techniques for a lung resection, in which case the chest cavity is not opened at all. These procedures are preferred when they are an option because they are lower in risk and the recovery time is much quicker.

A lung resection may be required to remove diseased areas of the lung.
A lung resection may be required to remove diseased areas of the lung.

Lung resections are commonly performed to remove diseased areas of the lung, such as areas which have been colonized by cancerous tumors. In a procedure known as a wedge resection, a healthy margin of tissue is taken as well to confirm that all of the tumor has been removed, reducing the risk of recurrence. In a lobectomy procedure, an entire lobe of one of the lungs is removed. Lung resections can also be done to address congenital abnormalities and other problems related to the lungs, such as abscesses in the lung.

A lung resection is considered a major surgical procedure.
A lung resection is considered a major surgical procedure.

In cases where a whole lung is removed, known as a pneumonectomy, one reason to perform a lung resection is to prepare a patient for transplant. The diseased lung is first removed, and then the donor lung is transplanted. The surgeon connects the lung, checks to confirm that it is inflating and functioning properly, and then closes the surgical site. In a double lung transplant, a procedure which can take up to 12 hours, both lungs are removed and replaced with donor lungs.

One reason to perform a lung resection is to prepare a patient for transplant.
One reason to perform a lung resection is to prepare a patient for transplant.

Before a lung resection is performed, the surgeon will discuss the procedure and the planned outcome with the patient. The surgeon should also disclose the risks of the procedure and discuss possibilities which might arise during the surgery, such as a situation in which the surgeon realizes that the whole lung, not just a section, is diseased. The surgeon should answer any questions the patient or caregivers might have, and detailed information about recovery will be provided to help patients prepare. Knowing what to expect from a lung resection before the procedure happens can reduce stress, which will improve patient outcomes.

Modern lung resections can be performed without opening the chest cavity.
Modern lung resections can be performed without opening the chest cavity.
Mary McMahon
Mary McMahon

Ever since she began contributing to the site several years ago, Mary has embraced the exciting challenge of being a wiseGEEK researcher and writer. Mary has a liberal arts degree from Goddard College and spends her free time reading, cooking, and exploring the great outdoors.

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Discussion Comments

Clairdelune

It must be scary for both the patient and his family and also the doctors, when a double lung transplant is necessary. Imagine having both your lungs removed and then having two donor lungs put in your body. It's at least a 12 hour operation. The doctors and nurses must be exhausted when they are finally finished. And then the recovery must take a long time.

I have agreed to donate my organs when I die. I hope they will help someone.

live2shop

It's good to hear that even in a surgery as serious as lung resection that there is now a easier method to get to the lungs than cutting the whole chest open. This takes some of the risk out of surgery and makes recover faster.

I know a man who recently had a lung resection surgery because of a cancerous tumor on his lungs. He is recovering very well. He had the less invasive surgery.

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