Department 05 · Thoracic Oncology

Keyhole lung surgery that protects every remaining breath.

Lung, mediastinum, pleura, chest wall. VATS lobectomy and segmentectomy through small incisions — chosen because lung function is a budget you spend only once.

VATS keyhole-first philosophy Segmentectomy lung tissue spared Biopsy-first always Cessation support without judgment
Understanding

What is thoracic cancer?

Lung cancer rarely hurts early — it borrows symptoms you would blame on weather or age: a cough crossing three weeks, breathlessness changing pace, pneumonia returning to the same side.

When surgery is the treatment, the philosophy is simple: remove the diseased part, defend the rest. VATS lobectomy or segmentectomy through keyhole incisions means less pain, faster mobilisation and more lung left doing its job afterwards.

Smokers are met without lectures here — quitting support is folded into treatment quietly, because outcomes improve either way.

Biopsy-first is the rule of this department: no lung is removed on suspicion alone.

Illustration of the lungs and chest cavity
Listen to your body

Eight signs your chest is raising

One persistent symptom past three weeks earns an examination and a scan. Most causes are benign — that is what the scan is for.

  • A cough that crosses three weeks without settling.
  • Breathlessness changing pace — stairs getting shorter.
  • Blood-streaked sputum, even once.
  • Chest pain localised to one side, persistent.
  • New hoarseness.
  • Pneumonia recurring on the same side.
  • Finger clubbing — nails curving unusually at the tips.
  • A shadow on a routine X-ray — bring the film; nodules earn answers.
Scope of care

Conditions this department treats

Lung Cancer

Lobectomy and segmentectomy — VATS first wherever anatomy allows.

Mediastinal Masses & Thymoma

Thymectomy and excision via approaches matched to anatomy.

Pleural Disease & Mesothelioma

Diagnosis, pleurodesis, coordinated multimodal care.

Chest Wall Tumours

Resection and reconstruction in the same sitting.

Recurrent Pleural Effusion

Pleurodesis to stop fluid refilling the chest.

Lung Nodules

Surveillance or resection — decided on evidence, not anxiety.

Procedures

Operations performed here

  • VATS lobectomyKeyhole removal of a lung lobe — less pain, earlier discharge, same cancer operation.
  • VATS segmentectomyEven more lung saved — suited to small, early lesions.
  • Open lobectomy / pneumonectomyReserved for anatomy that genuinely demands it.
  • Sleeve resectionsThe airway rebuilt so healthy lung below the tumour survives.
  • Thymectomy & mediastinal mass excisionCleared with nerve-and-vessel precision.
  • Chest wall resection & reconstructionRemoved and rebuilt in one operation.
Your care pathway

From first visit to full recovery

  1. 10:00

    First consultation

    Scans read together on screen; pulmonary function tested before any promises.

  2. 08:12

    Staging & board

    Biopsy and node mapping completed; oncology colleagues weigh in on sequence.

  3. 13:26

    The operative decision

    Keyhole versus open, lobe versus segment — argued on your own numbers.

  4. 09:15

    Surgery

    VATS ports or open incision exactly as planned the day before.

  5. 06:04

    Day-one rounds

    Chest drains charted, breathing exercises led by physiotherapy, corridor walks encouraged.

  6. 17:40

    Home & surveillance

    Discharge criteria met, drain out, scan calendar issued.

Honest answers

Families usually ask…

When anatomy allows, VATS delivers the same cancer operation with smaller wounds and easier breathing afterwards. Open surgery is not inferior — it is simply reserved for when it is the right tool.

Most single-lobe patients return comfortably to everyday activity; the remaining lung compensates, especially with physiotherapy and stopping smoking. Your own lung-function numbers set the honest expectation.

Yes, in almost every case — no lung is removed on suspicion alone. Tissue confirms the type and guides the entire plan, including targeted therapies when applicable.

Then treatment may combine surgery with chemotherapy or immunotherapy, sequenced by the board — sometimes before the operation, sometimes after. Nodal status changes the order of events, rarely the resolve.

No — you will meet support, not judgment. Quitting around surgery lowers complications, so help is offered either way, and eligibility rests on the disease and your fitness, not your history.

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