The Operating Unit of Thoracic Surgery addresses all the areas of interest of thoracic surgery and operates mainly in the clinical-scientific field of primary tumors and lung metastases. The unit adopts innovative surgical techniques and modern guidelines in both diagnostic and treatment procedures and is in close collaboration with the Operating Unit of Medical Oncology and Radiotherapy.
Specifically, the Operating Unit of Thoracic Surgery is responsible for:
- The surgical treatment of both benign and malignant mediastinal tumors, whenever possible, with a minimally invasive approach. Thymectomy for Myasthenia Gravis is carried out through a videothoracoscopic approach.
- Videothoracoscopy and minimally invasive procedures for all diagnostic needs in thoracic oncology and treatment of all benign tumors of the lungs, mediastinum and esophagus. Pulmonary lobectomy for primitive malignant or benign tumors.
- Videothoracoscopy for thoracic sympathectomy, palmar hyperhidrosis and Raynaud's syndrome.
- Videothoracoscopy for spontaneous pneumothorax, which is often associated with a partial pleurectomy to minimize the risk of recurrence.
- The treatment of advanced stage lung cancer (N2) after induction of chemotherapy and radiotherapy (is among the top ten Italian specialist centers).
- The treatment of lung cancer (T4) extended to the large vessels, the trachea, the chest wall and spine, with modern reconstruction techniques. The Operating Unit is first on a national level and among the first on an international level for spinal tumor surgical treatment.
- Thoracic endoscopy with the use of a rigid endoscope for unblocking obstructed airway of the bronchial tubes or trachea; Bronchoscopy for the removal of foreign bodies from the airway.
- Esophageal surgery combined with Cervical Laparoscopy and Thoracotomy. In particular, it is used for minimally invasive anterior thoracotomy "muscle-sparing", which guarantees a faster functional recovery.
- Corrective surgery of chest wall deformities with a traditional approach. In short, in selected cases, a minimally invasive technique can be used for correction.
- The surgical treatment of lung metastases with the use of the most modern techniques (laser) for complete removal whenever possible.
The Operating Unit of Thoracic Surgery has a department equipped with rooms for patients undergoing semi-intensive postoperative treatment, rooms for Day Hospital admissions, for daytime diagnosis procedures and specialist clinics for diagnostic procedures with bronchoscopy.
Collaboration with the Operating Unit of Rehabilitation ensures improved function during postoperative recovery, within a suitable environment.
In terms of research, the Operating Unit has been recently characterized by some studies on molecular biology and the early detection of lung cancer. In collaboration with the National Cancer Institute (NCI-USA), a study on the Genetic Epidemiology of Lung Cancer (GELCS) has been conducted.
Recently, 2,400 smokers or former smokers were recruited for a randomized study on screening for lung cancer, developed by prof. Ravasi (DANTE project). Other molecular biology studies are underway with the Department of Experimental Oncology of Cancer at the Institute of Milan.