Thoracic surgery

In thoracic surgery, important procedures in the chest area are performed to treat various diseases and injuries. As a thoracic surgeon, I specialize in the prevention, diagnosis, and treatment of conditions affecting the thoracic cavity, including the lungs, mediastinum, and thoracic wall. My treatment methods include lung resections for tumor removal, thoracotomies for treating pleural effusions, and bronchoscopies for diagnosing respiratory problems.

Furthermore, my goal is to employ precise and effective minimally invasive techniques to facilitate quicker recovery for my patients. These minimally invasive procedures include video-assisted thoracoscopy (VATS), as well as minimally invasive lung resections and pleurodesis. Below, I would like to provide you with more information about minimally invasive thoracic surgery and its applications.

What is thoracic surgery?

Thoracic surgery, often also referred to as chest surgery, is a highly specialized field within the realm of surgery that focuses on preventing, diagnosing, surgically treating, and providing postoperative care for diseases and anomalies affecting the chest area. This area encompasses various vital structures such as the lungs, pleural tissue, bronchial system, mediastinum, and thoracic wall.

The lungs, crucial respiratory organs, are susceptible to a range of conditions including benign and malignant tumors, infections like pneumonia, emphysema, pneumothorax (the buildup of air between the lung and chest wall), and lung abscesses.

Pleural tissue, a delicate membrane surrounding the lungs and lining the inner chest cavity, can be affected by issues such as pleural effusions (the accumulation of fluid between the pleura layers), pleuritis (inflammation of the pleura), and pleural mesothelioma (a rare form of cancer originating from the pleura).

The bronchial system comprises the airways transporting inhaled air from the trachea to the lungs. Diseases like bronchial carcinoma (lung cancer), bronchiectasis (permanent dilation of the bronchi), and bronchial stenosis (narrowing of the bronchi) can occur within this system.

The mediastinum, situated between the lungs, houses vital structures like the heart, major blood vessels, trachea, esophagus, lymph nodes, and nerves. Conditions affecting this area range from mediastinal tumors and mediastinitis (inflammation) to injuries involving critical structures like the heart and major blood vessels.

The thoracic wall, comprising bones, muscles, and connective tissue, acts as the outer shield for the chest cavity's internal organs. Thoracic surgery addresses conditions such as rib fractures, thoracic wall tumors, and deformities.

Thoracic surgeons perform a wide array of surgeries to tackle benign and malignant tumors, infections, malformations, injuries, and functional disorders. These procedures include lung resections, tracheal and bronchial interventions, thoracotomies for tumor removal, pleurodesis for pleural effusions, and mediastinal surgeries. Collaborating closely with other specialists like oncologists, pulmonologists, and radiologists ensures comprehensive patient care.

With advancements in technology and surgical techniques, thoracic surgeons can now employ more precise and minimally invasive methods. This results in shorter hospital stays, quicker recovery times, and an overall enhanced quality of life for patients with chest diseases.

What does minimally invasive thoracic surgery mean? 

Minimally invasive thoracic surgery is an advanced approach to performing surgical procedures in the chest area with minimal disruption to surrounding tissues. This technique, also known as keyhole surgery, involves making small incisions through which specialized instruments and a tiny camera are inserted, enabling precise visualization and manipulation of internal structures. Over recent years, this method has evolved significantly and is now considered the standard approach for many medical conditions.

Video-assisted thoracoscopic surgery (VATS) 

Video-assisted thoracoscopic surgery (VATS) is a key component of minimally invasive thoracic surgery. It serves both diagnostic and therapeutic purposes for a range of conditions affecting the thoracic cavity's organs. VATS utilizes small incisions in the chest wall through which instruments and a camera are introduced. Common applications of VATS include lung resections for lung cancer or metastatic tumors, bullectomies, and lung volume reduction surgery for emphysema.

Applications of minimally invasive thoracic surgery

Minimally invasive thoracic surgery offers numerous benefits, particularly in the treatment of lung cancer. With only a single small incision and the aid of a high-resolution camera system, I can precisely remove lung segments or lobes along with nearby lymph nodes. This approach is also effective for addressing lung metastases, functional lung disorders like emphysema and fibrosis, diaphragmatic paralysis, and thoracic wall injuries.

Which diseases  can be treated with minimally invasive thoracic surgery?

Lung Cancer

Among the most prevalent cancers globally, lung cancer often necessitates thoracic surgery to remove tumors and potentially affected lymph nodes, extending life expectancy. Depending on tumor location and extent, minimally invasive procedures can be employed.

Lung Metastasis

Metastases to the lungs can arise from various cancers. Minimally invasive removal of such metastases offers an effective treatment option, reducing hospital stays and recovery periods compared to traditional surgeries.

Functional Lung Disorders

Conditions like lung emphysema, fibrosis, and diaphragmatic paralysis impair lung function. Precise, minimally invasive removal of damaged lung tissue can enhance lung function, markedly improving patients' quality of life.

Injuries to the Bony Thorax

Traumatic events, such as accidents, can result in chest injuries like rib fractures or sternum damage. Minimally invasive procedures effectively address these injuries, alleviating pain and fostering healing.

What is the typical duration of a minimally invasive lung surgery?

The duration of a minimally invasive lung surgery can differ based on individual factors such as the size and location of the affected tissue, as well as the patient's overall health. On average, these procedures typically last several hours. 

Should you have additional questions or require personalized guidance, I encourage you to schedule a consultation at my practice. During our discussion, we can address your concerns and explore the most suitable treatment plan tailored to your needs.

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PRIV.-DOZ. GDR. PATRICK NIERLICH, MBA, FEBVS
Vienna private clinic
Pelikangasse 15
1090 Vienna
Tel.: +43 660 1818767ordination@chirurgie-nierlich.at