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Video-assisted thoracoscopic (VATS) lobectomy (670914) | HELIOS Clinic Krefeld - BookingHealth
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Initial presentation at the clinic. After consultation with the attending physician and physical examination, the patient undergoes the necessary laboratory and instrumental examination.<\/p>\n\n<p style=\"text-align:justify\"><strong>Day 3<\/strong>. On the 2-3 day of hospital stay, after receiving the examination results and their assessment by the attending physician, the operation is performed under general anesthesia. A two-channel breathing tube must be installed, since during the intervention, the patient breathes only with a healthy lung (the operation is performed on a non-working lung). Surgical instruments and a video camera are inserted into the chest cavity through 3 small incisions on the sides of the chest. The affected part of the lung is removed and sent for histological examination. The operation takes no more than 2-3 hours. After its completion, the patient is transferred to the intensive care unit.<\/p>\n\n<p style=\"text-align:justify\"><strong>Day 4<\/strong>. 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Video-assisted thoracoscopic (VATS) lobectomy in HELIOS Clinic Krefeld

HELIOS Clinic Krefeld

Krefeld, Germany
Program id # 670914
Doctor photo
Dr. med. Martin Hohls
Department of Adult and Pediatric Thoracic Surgery
Specialized in: adult and pediatric thoracic surgery

The program includes:

  • Initial presentation in the clinic
  • Clinical history taking
  • Physical examination
  • Review of medical records
  • Laboratory tests:
    • Complete blood count
    • General urine analysis
    • Biochemical analysis of blood
    • Tumor markers
    • Indicators of inflammation
    • Indicators blood coagulation
  • Spirogram
  • CT scan/MRI of the chest 
  • Bronchoscopy with biopsy
  • Histological and immunohistochemical examination of the harvested tissue
  • Preoperative care
  • Video-assisted thoracoscopic lobectomy (VATS)
  • Histological and immunohistochemical examination of the removed tissues
  • Symptomatic treatment
  • Control examinations
  • Full hospital accommodation
  • Cost of essential medicines and materials
  • Nursing services
  • Explanation of future recommendations

Indications

  • Lung cancer with peripheral tumor localization and tumor size less than 4 cm, the possibility of performing radical surgery.

How program is carried out

Day 1-2. Initial presentation at the clinic. After consultation with the attending physician and physical examination, the patient undergoes the necessary laboratory and instrumental examination.

Day 3. On the 2-3 day of hospital stay, after receiving the examination results and their assessment by the attending physician, the operation is performed under general anesthesia. A two-channel breathing tube must be installed, since during the intervention, the patient breathes only with a healthy lung (the operation is performed on a non-working lung). Surgical instruments and a video camera are inserted into the chest cavity through 3 small incisions on the sides of the chest. The affected part of the lung is removed and sent for histological examination. The operation takes no more than 2-3 hours. After its completion, the patient is transferred to the intensive care unit.

Day 4. In the absence of complications and in good general condition, the patient is transferred from the intensive care unit to the regular unit. Due to the minimal trauma of the VATS procedure, early mobilization is possible – the patient can start exercises in bed and move within the ward in a day after the operation.

From day 5. Follow-up and rehabilitation are continued. With positive dynamics of the condition, the patient is discharged from the hospital on the 7-10th day.

Required documents

  • Medical records
  • MRI / CT scan not older than 3 months
  • Biopsy (if available)

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About the department

 

The Department of Adult and Pediatric Thoracic Surgery at the HELIOS Clinic Krefeld offers the full range of services in this medical focus. The main specialization of the department is the diagnosis and treatment of lung cancer, lung metastases. In addition, the department's scope of tasks includes thoracic biopsy, surgical treatment of suppuration in the pleural cavity, chest defects, tracheal surgery, lung volume reduction surgery. The surgeons of the department have a unique experience and expertise in the field of thoracic surgery in children and adolescents. The department is headed by Dr. med. Martin Hohls.

The department offers the following methods of lung cancer treatment:

  • Removal of the segment of the lung (segmental resection)
  • Removal of the lobe of the lung (lobectomy and VATS-lobectomy)
  • Removal of two lobes of the lung (bilobectomy)
  • Removal of the half of the lung (pneumonectomy)
  • Alternative treatment option – surgery on the vessels and bronchi (it helps avoid lung removal and preserve healthy tissues)
  • Minimally invasive operations in the early stages of the disease
  • Other types of interventions

The optimal treatment option is selected at tumor boards, during which each clinical situation is considered. With the availability of necessary indications, adjuvant therapy may be provided. When being diagnosed with cancer, the patient experiences a great emotional shock, and therefore psycho-oncological care is an integral part of treatment. 

The treatment of lung metastases is conducted with a modern high-precision laser scalpel, which provides the most accurate removal of the affected lung tissue. Compared to the traditional surgical treatment, this method is more sparing, as patients recover quickly, and surgeons manage to maximally preserve lung function.

It should be noted that the department maintains close cooperation with many specialists from the related fields, which guarantees an interdisciplinary approach to treatment and effective treatment outcomes.

Curriculum vitae

  • May 1989 - November 1995 Study of Medicine,  Friedrich Alexander University Erlangen, Germany.
  • November 1995 Medical licensing examination, Friedrich Alexander University Erlangen, Germany.
  • March 1997 Doctoral Thesis, Friedrich Alexander University Erlangen, Germany. Subject: "Comparison of two fT3 radioimmunoassays: Studies on the diagnostic accuracy, the influence of concomitant medication and the frozen storage of serum samples".
  • August 2006 Board Certification as General Surgeon, Germany.
  • October 2008 Board Certification as Thoracic Surgeon, Germany.
  • February 1996 - August 2000 Surgical rotation in England, the last 2 years at the Royal London Hospital.
  • September 2000 - March 2002 Assistant Physician, Department of Thoracic Surgery, University Hospital Freiburg, Germany.
  • April 2002 - October 2006 Completion of general surgical training and training in trauma and orthopaedic surgery at the hospitals of Krefeld and Duisburg, Germany.
  • November 2006 - March 2008 Assistant Physician, Department of Thoracic Surgery, Hospital Cologne Merheim, Germany.
  • April 2008 - October 2008 Assistant Physician, Department of Adult and Pediatric Thoracic Surgery, HELIOS Clinic Krefeld, Germany.
  • November 2008 - July 2010 Senior Physician, Department of Adult and Pediatric Thoracic Surgery, HELIOS Clinic Krefeld, Germany.
  • July 2010 - December 2015 Leading Senior Physician, Department of Adult and Pediatric Thoracic Surgery, HELIOS Clinic Krefeld, Germany.
  • Since January 2016 Chief Physician, Department of Adult and Pediatric Thoracic Surgery, HELIOS Clinic Krefeld.

Photo of the doctor: (c) Helios Klinikum Krefeld 


About hospital

Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently. Having crossed the threshold of the clinic, you will feel the home-like cozy and modern atmosphere. Perhaps you will even forget that you are in the clinic.

As a maximum care medical center,  the clinic covers practically all areas of medicine: cardiology, gastroenterology, oncology and hepatology, nephrology, diabetology and rheumatology, general, abdominal and minimally invasive surgery, dermatology and venereology, angiology, cardiac surgery and other medical fields.

Thanks to a continuous fruitful cooperation with the world’s leading universities, research and medical centers, the clinic provides the highest treatment standards.

The doctors of the clinic take up the treatment of the most severe cases, including serious spinal injuries and diseases related to the disorders of the central nervous system. The nursing staff of the clinic regularly undergoes both advanced and special trainings, which contributes to a high-quality, professional patient care at all stages of treatment.

The clinic adheres to a strict quality management system. Not only the patient care, but also the entire treatment process (including monitoring and patient care after the operation) are subject to the quality certification.

Photo: (c) depositphotos

Accommodation in hospital

Patients rooms

The patients of the HELIOS Clinic Krefeld live in comfortable single and double rooms. Each room has a bathroom with a toilet and shower. The room is furnished with a comfortable bed, bedside table, TV, radio and telephone. Each room has access to the Internet, which can be used at extra charge.

The clinic offers an excellent infrastructure: a beautiful park with playgrounds for children, a cafeteria, a chapel, which regularly hosts church services, a prayer room for Muslims, a beauty salon, a shop with a large selection of magazines, drinks and personal hygiene items, an ATM and a large parking lot.

Meals and Menus

The restaurant of the clinic offers three meals a day. For breakfast, lunch and dinner, it serves a large selection of dishes that will please even spoiled gourmets. Every day, the menu features vegetarian and dietary dishes. It is possible to order any dish without leaving the room. In addition, the clinic has a cafeteria where one can always have a cup of aromatic coffee, hot tea or enjoy an exquisite refreshing drink. Also, the cafeteria menu offers many tasty snacks and dishes.

Further details

Standard rooms include:

Shower
Toilet
Wi-Fi
TV