MRCP UK EXAMINATIONS

RESPIRATORY

PATIENT WITH PREVIOUS LUNG SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Ahmad has been diagnosed with lung cancer and requires a wedge resection. How much of the lung is removed?
A
One entire lung.
B
A lobe of the lung.
C
A segment of the lung including a bronchiole and its alveoli
D
A small localized area near the surface of the lung.
Explanation: 

Detailed explanation-1: -Usually, a small, triangle-shaped slice of the lung is removed. The operation, also called a pulmonary wedge resection, differs from more extensive lung cancer surgery, such as a lobectomy (in which an entire lobe of the lung is removed) or a pneumonectomy (in which an entire lung is removed).

Detailed explanation-2: -Wedge resection surgery removes the cancerous tumor, as well as a wedge-shaped section of the lung around the tumor. Segmentectomy, also known as segmental resection surgery, removes a part of the lung larger than a wedge section, but smaller than a complete lobe.

Detailed explanation-3: -A pulmonary wedge resection can be done in two ways: Thoracotomy – open-chest surgery, where a 15-20cm cut between your ribs to operate and remove the lung tissue. Video assisted thoracoscopic surgery (VATS) – minimally invasive surgery performed through tiny cuts of 3-4cm.

Detailed explanation-4: -Wedge resection (segmentectomy). The surgeon removes a small wedge-shaped piece of lung that contains the lung cancer and a margin of healthy tissue around the cancer. This is likely to be done when your lung function would be decreased too much by removing a lobe of lung (lobectomy).

There is 1 question to complete.