Surgical Management of Lung Cancer

Question 1

Describe the other tests involved in diagnosing lung cancer

Answer 1

• MRI: useful for vascular/neuro involvement, Pancoast tumours
• Bone scan: chest wall invasion, metastases
• ECHO: pericardial effusion

Question 2

Describe the respiratory tests for fitness for surgery

Answer 2

• Spirometry
• Diffusion studies
• ABG
• Fractionated V/Q scan

Question 3

Describe the cardiovascular tests for fitness for surgery

Answer 3

• ECG
• ECHO
• Treadmill test
• Coronary angiogram

Question 4

Describe the main causes of peri-operative death in lung cancer surgery

Answer 4

• ARDS
• Bronchopneumonia
• MI
• Pneumothorax
• Intrathoracic bleeding

Question 5

Describe the main non-fatal complication in lung cancer surgery

Answer 5

• Empyema
• Bronchopleural fistula
• Wound infection
• AF
• MI
• Respiratory insufficiency
• Gastroparesis

Question 6

Describe the types of surgical management

Answer 6

• Pneumonectomy
• Lobotomy
• Wedge resection
• Open/closed thoracotomy