Pulmonary nodule surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Surgical excision is the mainstay therapy for malignant or high risk pulmonary nodules. In pulmonary nodule, surgical procedure selection will depend on the size, margins, and size of the tumor. The preferred surgical procedure is wedge resection by video-assisted thoracic surgery and pathological evaluation. | [[Surgery|Surgical]] [[excision]] is the mainstay therapy for [[malignant]] or high risk pulmonary nodules. In pulmonary nodule, [[surgical procedure]] selection will depend on the size, margins, and size of the [[tumor]]. The preferred [[surgical procedure]] is wedge [[resection]] by video-assisted [[thoracic surgery]] and subsequent [[pathological]] evaluation. | ||
==Surgery== | ==Surgery== | ||
*Surgical excision is the mainstay therapy for malignant or high risk pulmonary nodules | *[[Surgery|Surgical]] [[excision]] is the mainstay therapy for [[malignant]] or high risk pulmonary nodules. | ||
*Surgical excision is also the primary choice for the definitive diagnosis of malignant pulmonary nodules | *[[Surgery|Surgical]] [[excision]] is also the primary choice for the definitive [[diagnosis]] of [[malignant]] pulmonary nodules. | ||
* | *[[Surgical procedure]] selection will depend on the size and margins of the [[tumor]]. | ||
*Common surgical procedures for the treatment of pulmonary nodule | *Common [[surgical procedures]] for the treatment of pulmonary nodule include: | ||
:*Wedge resection | |||
:*Lobectomy | :*[[Wedge resection (lung)|Wedge resection]] | ||
:*[[Lobectomy]] | |||
:*Segmentectomy | :*Segmentectomy | ||
:*Lung volume reduction surgery | :*[[Lung volume]] [[reduction]] [[surgery]] | ||
:*The preferred surgical procedure is wedge resection by video-assisted thoracic surgery and pathological evaluation. | :*The preferred [[surgical procedure]] is [[Wedge resection (lung)|wedge resection]] by video-assisted [[thoracic surgery]] and subsequent [[pathological]] evaluation. | ||
*The majority of surgical excisions include preoperative localization techniques | *The majority of [[Surgery|surgical]] [[Excision|excisions]] include preoperative localization techniques such as preoperative placement of [[dye]], [[technetium-99]] radio guidance, [[ultrasound]], or [[fluoroscopy]]. | ||
*In some cases, surgical excision may be preferred by patients with the following characteristics:<ref name="pmid16618956">{{cite journal |vauthors=Smetana GW, Lawrence VA, Cornell JE |title=Preoperative pulmonary risk stratification for noncardiothoracic surgery: systematic review for the American College of Physicians |journal=Ann. Intern. Med. |volume=144 |issue=8 |pages=581–95 |year=2006 |pmid=16618956 |doi= |url=}}</ref> | *In some cases, [[Surgery|surgical]] [[excision]] may be preferred by [[Patient|patients]] with the following characteristics:<ref name="pmid16618956">{{cite journal |vauthors=Smetana GW, Lawrence VA, Cornell JE |title=Preoperative pulmonary risk stratification for noncardiothoracic surgery: systematic review for the American College of Physicians |journal=Ann. Intern. Med. |volume=144 |issue=8 |pages=581–95 |year=2006 |pmid=16618956 |doi= |url=}}</ref> | ||
:*Non-compliant with follow-up | :*Non-compliant with follow-up | ||
:*Desire for diagnostic certainty | :*Desire for [[Diagnosis|diagnostic]] certainty | ||
:*Willingness to accept the risks associated with | :*Willingness to accept the risks associated with [[surgery]] | ||
==References== | ==References== | ||
Latest revision as of 03:23, 2 July 2019
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Pulmonary Nodule Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Pulmonary nodule surgery On the Web |
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American Roentgen Ray Society Images of Pulmonary nodule surgery |
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Risk calculators and risk factors for Pulmonary nodule surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]
Overview
Surgical excision is the mainstay therapy for malignant or high risk pulmonary nodules. In pulmonary nodule, surgical procedure selection will depend on the size, margins, and size of the tumor. The preferred surgical procedure is wedge resection by video-assisted thoracic surgery and subsequent pathological evaluation.
Surgery
- Surgical excision is the mainstay therapy for malignant or high risk pulmonary nodules.
- Surgical excision is also the primary choice for the definitive diagnosis of malignant pulmonary nodules.
- Surgical procedure selection will depend on the size and margins of the tumor.
- Common surgical procedures for the treatment of pulmonary nodule include:
- Wedge resection
- Lobectomy
- Segmentectomy
- Lung volume reduction surgery
- The preferred surgical procedure is wedge resection by video-assisted thoracic surgery and subsequent pathological evaluation.
- The majority of surgical excisions include preoperative localization techniques such as preoperative placement of dye, technetium-99 radio guidance, ultrasound, or fluoroscopy.
- In some cases, surgical excision may be preferred by patients with the following characteristics:[1]
- Non-compliant with follow-up
- Desire for diagnostic certainty
- Willingness to accept the risks associated with surgery