Lobectomy

A lobectomy is the removal of one of the five major sections of the lung, known as “lobes.” It is a common treatment for non-small cell lung cancer (NSCLC). During lung lobectomy surgery, the surgeon removes the tumor and any affected tissue through either small incisions, or if needed, one large incision. As part of the procedure, the surgeon also may remove lymph nodes in the chest area to make sure the cancer has not spread. 

A drain will remain in place after the surgery to remove excess fluid and air from around the lung. The drains are usually removed prior to discharge from the hospital.

Many patients with lung tumors are candidates for a lobectomy. Certain patients with other cancers that have spread to the lungs are also occasionally candidates for this procedure.

Northwell Health has a rich history in thoracic surgery. Our surgeons are on the forefront of leading-edge technology, pioneering new procedures to bring you the most advanced treatments available. We’re one of only a few health systems and hospitals to offer minimally invasive resections to a majority of patients. Through these advanced treatments, our patients can enjoy the following benefits:

• Shorter hospital stays
• Quicker recovery times
• Less scarring
• Less blood loss
• Decreased pain

As with any surgery or procedure, possible risks are involved in lobectomy surgery. These risks may be related to certain factors such as your age and current medical conditions. Speak with your physician to discuss your specific risks.

Our surgeons have extensive experience in minimally invasive techniques, which offer an alternative to traditional open surgery. These procedures can help reduce pain and scarring, shorten recovery time, decrease injury to healthy tissue, and offer more precise visualization of the lungs and chest.

Minimally invasive procedures

A robotic lobectomy is a procedure in which the surgeon makes several tiny incisions through the chest, then inserts small robotic arms and a small camera through the incisions. During the procedure, the surgeon sits at a computer console while the camera provides a 3D view of the lungs, which is magnified 10 times greater than a person's normal vision. The surgeon's hands control the robotic arms from the console, translating his or her larger hand movements into smaller, more precise movements. In addition, special tools attached to the robotic arms allow the surgeon to cut, grasp and stitch, which improves accuracy and precision.

Video-assisted thoracoscopic surgery (VATS)

VATS uses advanced video technology in which a camera is inserted through a small incision into the chest. During a VATS procedure, the camera sends images to a video monitor, which allows the surgeon to see and operate inside your body without having to fully open the chest or spread the ribs. One of the many benefits of VATS surgery is that it may be performed with only one or two small incisions.

Standard thoracic procedures

An open lobectomy is performed through a thoracotomy, which is a larger incision in the chest. During this type of surgery, the chest is opened between the ribs. Although minimally invasive approaches are considered for every patient, some patients may not be candidates for a robotic or VATS lobectomy. Open surgery may be more appropriate for patients with large tumors, involved lymph nodes or prior chest surgery.

After a traditional open lobectomy procedure, discharge may be as soon as 24 to 48 hours or as long as five to seven days, and activity may be limited for about a month or two. Because small incisions are made in minimally invasive lobectomy procedures, like robotic surgery and VATS, there is usually less pain after surgery, shorter hospital stay and quicker return to normal activities. 

How quickly you recover may depend on certain factors, such as your age and current medical conditions. You and your doctor will discuss all factors to determine which procedure is right for you.

At Northwell, we perform more thoracic surgeries than any other health system in the region. Our thoracic services have been consistently recognized by the New York State Department of Health and the Society of Thoracic Surgeons for excellent patient care and outcomes, which means you can rest assured that you are in good hands.