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General information on medical treatment

What is a thoracic surgeon?

A thoracic surgeon is a doctor specialized in the diagnosis and treatment of conditions affecting the organs of the chest, including lungs, heart, esophagus, trachea, mediastinum, and chest wall. This specialist's training focuses on complex surgical procedures and minimally invasive techniques to treat a wide variety of conditions. Unlike a general surgeon, the thoracic specialist must consider the anatomical particularities of the thoracic cavity and the impact of interventions on the patient's respiratory and cardiac function.

This professional addresses everything from lung tumors to emphysema and esophageal diseases, always considering each patient's specific needs and using advanced techniques to ensure the best possible results.

Main conditions treated by thoracic surgeons

Lung cancer

One of the conditions most frequently treated by thoracic specialists. Treatment may involve everything from partial lung resections to complete pneumonectomies, depending on the tumor's stage and location.

Pleural diseases

Problems such as pleural effusions, pneumothorax, and empyemas may require surgical intervention for drainage, biopsy, or pleurodesis, procedures frequently performed by these specialists.

Esophageal diseases

Conditions such as esophageal cancer, achalasia, and severe gastroesophageal reflux may require specialized intervention, often involving minimally invasive techniques.

Thoracic trauma

Injuries to the chest wall, lungs, or other intrathoracic organs resulting from accidents or wounds may require emergency surgery for repair and stabilization.

Congenital malformations

Anomalies present from birth, such as pectus excavatum and pectus carinatum, can be surgically corrected, improving both cardiopulmonary function and aesthetic appearance.

Specialized diagnosis and tests used

Thoracic specialists use various tests to ensure precise diagnoses. Computed tomography (CT) is essential for identifying lesions, masses, and anomalies in thoracic organs, allowing detailed visualization of structures and assisting in surgical planning.

Bronchoscopy is also fundamental, as it allows direct visualization of airways and collection of samples for biopsy. Mediastinoscopy enables evaluation and biopsy of mediastinal lymph nodes, being particularly useful in lung cancer staging.

Test selection depends on clinical suspicions and patient-specific needs. The specialist doctor determines the most appropriate diagnostic approach for each case.

Specialized treatment and common approaches

Treatment in thoracic surgery is personalized according to the type and severity of the condition, plus the patient's general health. The goal is to promote effective recovery and minimize post-operative complications.

Video-assisted thoracic surgery (VATS)

For lung lesions, pneumothorax, or biopsies, VATS has become the preferred approach. This minimally invasive technique uses small incisions and video cameras, reducing post-operative pain and accelerating recovery.

Robotic surgery

In complex procedures, such as lung or esophageal resections, robotic surgery offers greater precision. The Da Vinci system allows precise movements in confined spaces, minimizing surgical trauma.

Open surgical interventions

In specific cases, such as large tumors or emergencies, traditional thoracotomy may be necessary. This approach allows direct and broad access to thoracic structures.

The role of prevention in thoracic health

Prevention of thoracic diseases is fundamental in these specialists' work. Many conditions can be avoided through healthy habits and preventive care. Smoking cessation stands out as the most important preventive measure, as smoking is the main risk factor for lung cancer and various respiratory diseases.

Regular check-ups and imaging tests in risk groups are vital for early detection. Low-dose CT scans for lung cancer screening in long-term smokers have shown effectiveness in identifying early tumors, when surgical treatment has the greatest chance of success.

When is it time to seek a thoracic surgeon?

Although many respiratory conditions can be treated by pulmonologists, certain signs indicate the need for evaluation by a thoracic specialist. Diagnosis of lung nodules or masses requires specialized evaluation to determine the need for biopsy or resection. Recurrent episodes of pneumothorax usually require surgical intervention to prevent recurrences.

Other important signs include persistent chest pain, hemoptysis (coughing up blood), or progressive shortness of breath that does not respond to clinical treatment. In significant thoracic trauma, specialized consultation is essential to evaluate possible internal injuries.

The importance of early consultation

Consultation in early stages can be decisive for treatment success and prognosis. Diseases detected early can usually be treated with less invasive methods, such as video-assisted procedures.

Late diagnoses increase the risk of complications and may result in the need for more aggressive treatments and prolonged recovery. Early detection significantly improves survival rates and patient quality of life.

How to find a qualified thoracic specialist?

The most effective way to find a trusted specialist is through platforms specialized in medical evaluations, such as AvaliaMed. These platforms offer a database of certified doctors, facilitating the search for qualified professionals according to specific needs.

AvaliaMed allows filtering specialists well-evaluated by other patients. This type of feedback helps ensure choosing the best professional for your treatment, providing greater security in the decision-making process. To make a more informed decision, consult the available doctor evaluations, which offer a clear view of other patients' experiences with thoracic specialists on the platform.

Technological advances in thoracic surgery

Thoracic procedures have evolved significantly with new technologies. Intraoperative navigation systems allow precise location of small or deep lung lesions during minimally invasive procedures, increasing precision and preserving healthy tissue.

3D surgical planning is being incorporated into specialists' routines, allowing detailed pre-operative simulations. These resources provide better understanding of patient-specific anatomy, enabling personalized approaches and minimizing risks during intervention.

Telemedicine in thoracic practice

Telemedicine has become a valuable tool, especially after the COVID-19 pandemic. Virtual consultations allow initial evaluations and post-operative follow-ups without need for travel, especially benefiting patients from remote areas or with mobility difficulties.

Benefits of virtual consultations

Telemedicine enables remote review of tests and results, optimizing time between initial diagnosis and intervention when necessary. For patients in recovery, virtual follow-up facilitates early identification of possible complications, allowing quick interventions and reducing hospital readmissions.

Multidisciplinary approach in thoracic treatment

Modern treatment increasingly adopts a multidisciplinary approach, integrating various specialists to offer complete care. Teams formed by thoracic surgeons, oncologists, pulmonologists, anesthesiologists, respiratory physiotherapists, and specialized nurses work coordinatedly.

This holistic approach recognizes that thoracic problems frequently affect multiple systems and aspects of patient life. Multidisciplinary meetings for discussing complex cases have become standard in advanced centers, allowing more evidence-based and personalized therapeutic decisions.

Impact of environmental pollution on thoracic health

Increasing levels of atmospheric pollution in large cities increasingly concern specialists. Recent studies demonstrate correlation between prolonged exposure to pollutants and higher incidence of respiratory diseases and lung cancer, even in non-smokers.

Thoracic surgeons have actively participated in awareness campaigns about pollution risks and advocated public policies for emission reduction. Monitoring patients with occupational exposure to carcinogenic substances, such as asbestos and silica, has been implemented, enabling early interventions.

Pulmonary rehabilitation and pre-operative preparation

Adequate preparation before thoracic surgeries is determinant for procedure success. Pre-operative pulmonary rehabilitation programs, including breathing exercises, physical conditioning, and nutritional optimization, demonstrate significant reduction in complications and hospitalization time.

For patients with borderline pulmonary function, these programs can transform cases considered inoperable into eligible for potentially curative procedures. Modern specialists frequently include respiratory physiotherapists in their teams from the pre-operative phase, recognizing the importance of this approach for superior results.

Why choose AvaliaMed to find your thoracic surgeon

Thoracic surgery is crucial in treating various conditions affecting vital organs. Choosing a qualified specialist maximizes success chances and minimizes complication risks.

AvaliaMed stands out as the ideal platform for finding doctors specialized in this area. On it, thoracic surgeons register detailed information about experience, training, and specialization areas. Patients can consult evaluations from other users, facilitating the choice of a reliable professional.

With AvaliaMed, you have access to a network of qualified specialists and the peace of mind of making the best choice for your thoracic health, ensuring excellent care for your specific needs.

Frequently Asked Questions

What is the difference between a thoracic surgeon and a cardiac surgeon?
A thoracic surgeon specializes in procedures in the thoracic cavity, including lungs, esophagus, pleura, and mediastinum. A cardiac surgeon focuses exclusively on the heart and great vessels. Although both work in the thorax, their areas of specialization and types of procedures performed are different.
What are the main diseases treated by thoracic surgeons?
Thoracic surgeons mainly treat lung cancer, pneumothorax, pleural empyema, mediastinal tumors, esophageal diseases (such as severe reflux and cancer), hyperhidrosis (excessive sweating in hands), and thoracic trauma. In some cases, they also perform lung biopsy for diagnosis of interstitial lung diseases.
How is minimally invasive thoracic surgery performed?
Minimally invasive thoracic surgery, or video-assisted thoracoscopic surgery (VATS), uses small incisions of 1-3 cm through which a camera and special instruments are introduced. This technique causes less pain, allows faster recovery, and shorter hospitalization compared to traditional open surgery. It is indicated for various procedures, including lung resections, biopsies, and pneumothorax treatment.
What are the signs that I need to consult a thoracic surgeon?
You should seek a thoracic surgeon when there are lung nodules or masses identified on imaging studies, recurrent pneumothorax, persistent pleural effusion, coughing up blood without identified cause, excessive sweating in hands, or thoracic trauma. Usually, referral is made by a pulmonologist or general practitioner.
What is recovery like after thoracic surgery?
Recovery varies according to the procedure but generally involves hospitalization of 2-7 days. After minimally invasive surgery, return to normal activities occurs in 2-3 weeks, while open surgeries may require 6-8 weeks. Respiratory physiotherapy is essential to prevent pulmonary complications, and deep breathing exercises are recommended daily.
What are pulmonary nodules and when do they need to be removed?
Pulmonary nodules are small rounded spots (usually smaller than 3 cm) identified on imaging studies. The decision to remove them depends on factors such as size, appearance, growth over time, and patient's risk factors for cancer. Nodules with suspicious characteristics or that grow during follow-up usually require biopsy or surgical removal.
How is lung cancer diagnosed and treated by the thoracic surgeon?
Diagnosis involves imaging studies (CT, PET-CT) and biopsy to confirm malignancy. The thoracic surgeon performs surgical resection of the tumor, which can be lobectomy (removal of a lung lobe), pneumonectomy (entire lung), or wedge resection, depending on disease stage. Minimally invasive approach is preferred whenever possible, and treatment is usually multidisciplinary, involving oncologists and radiation therapists.
What is hyperhidrosis surgery and what is its success rate?
Video-assisted thoracic sympathectomy is the procedure to treat hyperhidrosis (excessive sweating in hands, armpits, or face). It consists of interrupting the sympathetic nerves responsible for sweating through small incisions in the thorax. Success rate is over 95% for hands, although compensatory sweating in other parts of the body may occur in up to 70% of cases. It's a short-stay procedure, with return to activities in approximately one week.
What are the specific risks of thoracic surgery?
Risks include pneumonia, prolonged air leak, bleeding, surgical wound infection, and rarely, injury to adjacent structures. Patients with previous lung disease, smokers, or with comorbidities have higher risk of complications. Detailed preoperative evaluation and adequate patient preparation are fundamental to minimize these risks.
How to choose a good thoracic surgeon?
A good thoracic surgeon should have specific training in the area, perform an adequate volume of procedures annually, and work in an institution with complete infrastructure for thoracic surgeries. Check their experience with the specific procedure needed, ask about complication rates, and consider opinions from other doctors and patients. The ability to perform minimally invasive procedures is also an important differentiator.
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