Lung surgery has a long history and has continued to evolve from ancient times to modern times, involving a variety of techniques for repairing or removing lung tissue. Today, these procedures provide important solutions for treating a variety of lung diseases, from lung cancer to pulmonary hypertension.
The earliest records of lung surgery date back to ancient Greece, when Hippocrates described draining fluid to treat chest abscesses. Surgical techniques have evolved over time, most notably with the introduction of the concept of positive pressure ventilation by Samuel Meltzer in the early 20th century. This technology allows surgeons to perform open-chest surgery without causing hypoxia, significantly reducing patient mortality.
"As lung surgery evolves, surgeons must not only face technical challenges but also consider patient survival."
Lung cancer can be divided into two major types: non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC). NSCLC is a relatively common type, covering squamous cell carcinoma, adenocarcinoma and large cell carcinoma. SCLC is known for being highly aggressive and has small oval cells. For NSCLC stages I-III, surgical resection is the main treatment option, while in stage IV it is mostly used for palliative treatment.
Pneumothorax, also called a collapsed lung, is a buildup of air in the chest cavity outside of a lung. According to the cause, pneumothorax can be divided into spontaneous, traumatic and iatrogenic, among which spontaneous pneumothorax can be further divided into primary and secondary.
“The ancient medical treatment of lung diseases not only relied on clinical observation, but also required a deep understanding of the structure and function of the lungs.”
COPD is a group of diseases that cause airflow limitation, including emphysema and chronic bronchitis, and long-term exposure to irritants such as smoke is one of the main causes of this disease. Traditionally, the treatment options for these diseases have been limited, but with the development of modern technology, surgical and drug treatments have gradually increased.
Genetic influences on cystic fibrosisCystic fibrosis is a disease caused by a gene mutation that affects the transport of salt and water in the body's cells, leading to the buildup of thick mucus in the lungs. The treatment of this disease is still under exploration, but the development of biotechnology has brought hope.
Modern anatomical resection surgeries include pneumonectomy, lobectomy, and segmentectomy. These surgeries offer hope to people with advanced lung cancer, especially when the disease is caught early. Preoperative evaluation is essential to ensure that the patient does not develop respiratory insufficiency after surgery.
"Surgeons must not only consider the patient's physiological condition, but also assess the recovery effect after surgery."
Non-anatomical resection surgeries such as wedge resection and bleb resection are targeted surgeries for specific lesions and are suitable for the treatment of specific patients. These surgeries are designed to preserve more healthy lung tissue and further improve the patient's quality of life.
Lung surgery inevitably involves certain risks and complications, including cardiac arrhythmia, pneumonia and other respiratory complications. The impact of these complications on patients is often profound, so postoperative monitoring and management are crucial.
With the advancement of technology, lung surgery is moving towards minimally invasive technology. New technologies such as video-assisted thoracoscopic surgery (VATS) are gradually replacing traditional open chest surgery, providing faster recovery time and fewer postoperative complications. Even in the epoch-making robot-assisted surgery, it still faces similar doubts as traditional methods.
"Will lung surgery undergo a major change in the future with the introduction of innovative technologies? Can we still expect higher success rates and fewer risks?"
In this wave of technology, we can't help but wonder how ancient medical wisdom has influenced today's surgical practice?