Lung Cancer Surgery

Surgery is one of several approaches used to treat lung cancer. The type of surgery—or whether surgery is indicated at all—will depend on the type, location and stage of the cancer, as well as the patient's overall medical health. 

We're ranked in the top 1% of all hospitals in the nation for cancer care according to U.S. News & World Report. Our multidisciplinary approach allows us to develop personalized treatment plans to ensure the highest level of cancer care and optimal outcomes. Our surgeons collaborate with pathologists, radiologists, medical oncologists and experts at Montefiore Einstein Comprehensive Lung Program and the Division of Pulmonary Medicine to determine each patient’s options for care. Surgery may be used for diagnosis or treatment of lung cancers.

Biopsy Procedures

A biopsy removes a section of tissue so that it can be examined under a microscope for signs of disease. A lung biopsy can be performed in several ways: using a bronchoscope, a needle, open surgery or video-assisted thoracoscopic surgery (VATS). The method used depends on where the sample will be taken from and your overall health.

Biopsy of other tissues may also be included as part of evaluation and diagnosis. Lymph node biopsy uses a fine needle, a special core needle or open surgery to remove lymph node tissue. Mediastinoscopy uses a mediastinoscope to examine the thoracic cavity for tissue sampling, mediastinal lymph node biopsy and staging. Pleural biopsy uses a needle to remove a portion of the thin tissue that lines the lungs and chest cavity.

Surgical Approaches

Lung cancer surgery is recommended when the cancer is contained to one area and has not likely metastasized, such as early-stage non-small cell lung cancers and carcinoid tumors. Not all lung cancers can be treated with surgery.

Lung surgery generally involves removing the tumor along with a portion of adjacent lung tissue and often the associated lymph nodes. It may be performed through open surgery (thoracotomy) or minimally invasive surgery (robotic-assisted or video-assisted thoracoscopy).

Types of Surgical Procedures

There are many surgical procedures that may be used to remove tumors and adjacent tissue. The name of the surgery reflects the type of tissue being operated on or removed:

Side Effects

Every surgery has its own risks and potential side effects. Some surgeries are associated with specific complications, pain or physical limitations after surgery.

Talk to us about your concerns. Each patient’s priorities become our priorities in evaluating options for cancer care, be it surgery, radiation therapy, chemotherapy, or a combination of several approaches. By understanding your personal concerns and care goals, we can ensure that you are fully informed, have access to comprehensive options, and remain at the center of your own care.

Doctors using Davinci device for surgery