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.
- Metastatic disease
- Spreading to mediastinal lymph nodes
- Invasion toward the heart and other central structures
- Severe reduced lung function
- Other risk factors/diseases
- Complete removal of cancer tissue