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Lobectomy

General

Commonly, at least one lobe is surgically removed. In patients with reduced lung function, a more limited resection is carried out (wedge or segment resection). If the tumor includes more than one lobe, or is situated centrally, a bilobectomy or pneumonectomy may be necessary.

A pneumonectomy is a greater burden to the patient than a (bi)lobectomy and is therefore avoided unless it is the only way to remove all cancer tissue.

Indication

  • Lung cancer

Contraindications

  • Metastatic disease
  • Spreading to mediastinal lymph nodes
  • Invasion toward the heart and other central structures
  • Severe reduced lung function
  • Other risk factors/diseases

Goal

  • Complete removal of cancer tissue

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