Our experiences in the surgical approach to the treatment of lung cancer
Journal
Journal of IMAB
Date Issued
2024
Author(s)
Risto Cholanceski
Vlatko Cvetanovski
Imran Ferati
Abstract
It is considered that 2,200,000 new patients with lung cancer are detected annually in the world
(Globcan 2020), i.e. 1,135 in the Republic of North Macedonia (Globcan 2020), of which only
59 patients were surgically treated at the thoracic and vascular surgery clinic in 2022, which is
85% of the total surgically treated in the Republic of North Macedonia. The use of oncological
drugs before surgical treatment can contribute to the application of surgery in cases where it was
not possible, as well as reduce the tumor so that a less extensive surgical procedure can be
applied. At the Thoracic and Vascular Surgery Clinic, of 59 patients surgically treated for lung
cancer, 49 (83%) were treated with open anterolateral thoracotomy, and lobectomy with
lymphadenectomy was most commonly performed in 41 (49.5%). Early diagnosis of lung cancer,
using computed tomography screening, would allow the use of less aggressive approaches, such
as videothoracoscopic surgery, robot-assisted surgery, and the use of less extensive lung
resections such as segmentectomies with lymphadenectomy.
(Globcan 2020), i.e. 1,135 in the Republic of North Macedonia (Globcan 2020), of which only
59 patients were surgically treated at the thoracic and vascular surgery clinic in 2022, which is
85% of the total surgically treated in the Republic of North Macedonia. The use of oncological
drugs before surgical treatment can contribute to the application of surgery in cases where it was
not possible, as well as reduce the tumor so that a less extensive surgical procedure can be
applied. At the Thoracic and Vascular Surgery Clinic, of 59 patients surgically treated for lung
cancer, 49 (83%) were treated with open anterolateral thoracotomy, and lobectomy with
lymphadenectomy was most commonly performed in 41 (49.5%). Early diagnosis of lung cancer,
using computed tomography screening, would allow the use of less aggressive approaches, such
as videothoracoscopic surgery, robot-assisted surgery, and the use of less extensive lung
resections such as segmentectomies with lymphadenectomy.
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