Surgery
Thoracic surgeons are specially trained to perform lung cancer surgery. Their goal is complete removal of the lung tumor as well as the nearby lymph nodes in the chest. The tumor must be removed with a surrounding border of normal lung tissue called the margin.
The lungs have a total of five lobes. There are three in the right lung and two in the left. Removing the lung which has the cancer is called a "lobectomy." The most effective type of surgery, even when the lung tumor is very small, lobectomy involves the removal of an entire lobe. If the surgeon is unable to remove the entire lobe for whatever reasons, just the tumor can be removed in a procedure called a wedge resection, surrounded by a margin of normal lung. For tumors close to the center of the chest, a pneumonectomy can be done. This is a surgical procedure that removes the entire lung. Patients can continue to breathe comfortably with a single lung.
