Lung resection is a type of surgery used to diagnose and treat lung disorders. Surgeons remove part or all of your lung. Providers perform lung resection through open surgery, video-assisted surgery or robotic-assisted surgery. Though recovery can take weeks or months, most people can return to a full range of activities after this time.
A lung resection, also called a pulmonary resection, is surgery to remove part or all of your lung.
Surgeons may perform a lung resection either with minimally invasive surgery or open surgery (thoracotomy). Today, most lung resections are performed by minimally invasive techniques that use one to four 1-inch incisions on the side of your body, a video camera and specialized instruments — including a surgical robot to remove portions of your lung. The entry is between your ribs so your ribs are not broken for the procedure. Less commonly, surgeons use a thoracotomy incision (3.5 inches or 8 centimeters) under your shoulder blade, and your ribs are spread to gain access to the chest.
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Healthcare providers perform a lung resection when your lung has been damaged or diseased, such as with lung cancer or lung disease. Surgery isn’t possible for everyone with lung cancer, however. You also may have a lung resection if your provider needs to diagnose lung disease.
You have two lungs, one on either side of your chest. Your right lung has three lobes:
Your left lung is a little smaller to make room for your heart. It has two lobes:
Each of your lungs has a tube called a bronchus that connects your lung to your trachea (windpipe).
Blood flows from your heart into your lungs through the pulmonary artery and then returns to the heart by the pulmonary veins.
There are five types of lung resection:
Providers remove one lung lobe in a regular lobectomy. Other types of lobectomy include:
A lung resection lets surgeons remove part of your lung that is damaged or diseased. In other cases, providers may use a lung resection to diagnose lung conditions. They take part of your lung to examine the tissue more closely to understand the cause of a lung problem.
A lung resection treats:
Healthcare providers may use a lung resection to obtain tissue samples. These samples can help them to diagnose:
Before a lung resection, your provider will ask about your health history. Your hospital will give you specific instructions, including how long before your surgery to stop eating and drinking. If you smoke, you should stop smoking as far before your surgery as possible.
To check your health before your procedure, you also may need:
During your lung resection, you will get general anesthesia, which will help you sleep. A surgeon can use one of two types of surgery for a lung resection: minimally invasive surgery (thoracoscopic or robotic surgery) or open surgery (thoracotomy).
Thoracoscopic surgery is a minimally invasive approach. Your surgeon may use either of two types of minimally invasive surgery:
Thoracoscopic surgery usually takes about three hours. During this procedure:
A thoracotomy usually takes three to six hours. During this procedure, your surgeon:
After a lung resection, your surgeon will insert tubes into your chest. This helps drain excess fluid. It also lets excess air escape to relieve pressure in your chest so that you can breathe well while your lung heals. Most people will keep the chest tubes for 48 to 72 hours after their surgery. In some circumstances, tubes must remain in longer.
The length of your hospital stay will depend on the type of lung resection you have and how well you’re recovering. On average, people spend about two to three days in the hospital after a lung resection.
You may feel short of breath after your surgery. Your healthcare providers may teach you coughing or deep breathing exercises to help keep your lungs clear. You may need to be discharged temporarily with supplemental oxygen to speed your recovery.
People who have VATS or RVATS instead of thoracotomy tend to have:
Because lung resections are major surgical procedures, risks and complications may occur. Complications may include:
Your recovery after a lung resection can take anywhere from weeks to months. How fast you recover depends on:
If you have a thoracotomy, you will generally need to limit your activity for one month. Usually, people who have VATS or RVATS may return to their regular activities in two weeks. Your healthcare provider will offer guidance suitable for your recovery.
After a thoracotomy, you can eat your regular diet. Try to drink plenty of fluids to keep your bowel movements regular. If your bowel movements aren’t regular, you can try a fiber supplement. Constipation is common. You may also notice some swelling in your legs. If you notice that this worsens after discharge, contact your surgeon.
Talk to your healthcare provider if you have any of these symptoms after your surgery:
Call 911 immediately if you:
Lung resection is the primary treatment modality for early-stage lung cancer. This means the cancer is present only in the lung.
Lung resections are most effective for early-stage non-small cell lung cancers and carcinoid tumors (a type of slow-growing cancer). You may need chemotherapy or radiation after a lung resection to completely treat cancer.
A note from Cleveland Clinic
Lung resection is surgery to remove part or all of a damaged or diseased lung. Providers also use this procedure to help diagnose a lung condition. Surgeons can perform a lung resection through open surgery with a long incision or minimally invasive surgery with smaller incisions depending on your particular needs. Recovery from a lung resection may take weeks or months. Usually, people who can have minimally invasive surgery recover faster.
Last reviewed by a Cleveland Clinic medical professional on 10/06/2021.
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