What are the surgical treatments for lung cancer?

Surgical treatment is the first choice and the most effective treatment for lung cancer. The 5-year survival rate of surgical treatment is 40%-50%, and the cure rate of patients with early-stage lung cancer can reach 70%-85%. For non-surgical treatment, no matter what method is used, the 5-year survival rate is below 3%, and 90% of patients die within one year. Surgical treatment of mid-stage lung cancer lays the foundation for comprehensive postoperative treatment and plays a positive role in improving the survival rate.

Depending on the different conditions, surgical treatment of lung cancer is divided into the following methods:

1. Local resection of lung cancer lesions: This type of surgery is suitable for patients who cannot tolerate conventional lung cancer radical surgery and patients with lung metastasis.

2. Radical resection of lung cancer: Radical resection refers to the complete removal of the primary cancer and the lymph nodes in its drainage area. The resection of the primary lesion includes the resection of one lobe, two lobes or one side of the lung, and there are no residual cancer cells in the bronchial stump under the microscope. This method is currently the most common surgical procedure, but it is different from general surgeries for the treatment of lung diseases (such as tuberculosis, lung abscess, etc.). Surgical treatment of lung cancer not only removes the primary lesion, but also clears the lymph nodes. The latter is extremely important for the accurate staging of the patient, judging the prognosis, and whether the patient can be cured. The number of lymph nodes cleared and whether the fat tissue in the lymph node area is removed as a whole are signs of the quality of the operation.

3. Bronchoplasty, carina reconstruction, etc.: Based on the principle of removing the diseased tissue to the greatest extent and retaining the normal tissue to the greatest extent, this type of surgery has developed rapidly in the past decade and has been designed in many types. The most common are sleeve bronchial resection and main bronchial and lobar bronchial anastomosis. These procedures can not only completely remove the tumor, but also retain normal lung tissue, so that the patient has better lung function after surgery, and significantly improve the quality of life of patients after pneumonectomy.

4. Tracheal tumor resection: Tracheal tumors are rare and are mostly low-grade malignant. They cause obvious symptoms such as coughing and shortness of breath, which seriously affect the patient's daily life. Generally, surgical treatment has a good effect, and the maximum tracheal length that can be removed is 7 cm.

In the surgical treatment of lung cancer, except for stage IIIb and IV, surgical treatment should be the main treatment or strive for surgical treatment. According to different stages and pathological tissue types, radiotherapy, chemotherapy and immunotherapy should be added as a comprehensive treatment. The indications and treatment plans for small cell lung cancer need to be continuously revised and improved in clinical practice.

The above is a brief introduction to "What are the surgical treatments for lung cancer?" For people who are related to the pathogenic factors of lung cancer, it is recommended to take preventive measures for lung cancer and carry out specific treatment according to the doctor's instructions. I hope that patients can recover soon! If you have other questions about lung cancer, please consult our experts online or call for consultation.

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