Thoracic Surgery in Port Jefferson Station, NY
Dr. Gregory R. Brevetti is a highly trained thoracic surgeon providing care to patients throughout the Long Island area. Call (631) 353-0909 to schedule an appointment at our thoracic surgery office in Port Jefferson Station today! Dr. Brevetti sees patients from throughout Suffolk County and all of Long Island.
Surgeons perform robotic-assisted procedures using the da Vinci® Surgical System. Equipped with high-resolution 3D video monitoring, this state-of-the-art surgical tool has multi-jointed arms that a surgeon can easily manipulate to reach the surgical site within the thoracic cavity. This increased flexibility provides an advantage over traditional minimally invasive techniques that use more rigid instruments.
Video-assisted thoracoscopic surgery (VATS) involves the insertion of a small camera into the chest cavity, which allows a surgeon to see the surgical site without having to open the chest. The camera’s feed is displayed on a large external video monitor for viewing by the surgical team. This technology helps surgeons perform minimally invasive surgical procedures that can reduce the risk of complications, such as infections, and result in faster recovery times with less pain.
The type of surgical procedure recommended for a patient will depend on where the cancer is located, the size of the tumor, and whether or not it has metastasized, or spread to other parts of the patient’s body. Common lung cancer surgeries performed include:
- Lobectomy – If an affected lung is healthy enough to function with two lobes instead of all three, a lobectomy may be recommended. This procedure involves the removal of the entire cancerous lobe of a lung.
- Wedge resection – If lung function would be decreased too much by the complete removal of a lobe, a wedge resection may be an alternative. This procedure involves the removal of only a small piece of the lung and a margin of healthy tissue around the tumor.
- Pneumonectomy – If the cancer has spread throughout a lung, a patient may require a pneumonectomy, which involves the removal of the entire affected lung. This procedure is usually performed as a last resort.
- Sleeve resection – At the top of each lung is a tube-like structure called the bronchus, which connects the lung to the windpipe. If the cancer is located in this region, surgeons may remove the cancerous segment of the bronchus and then reattach the healthy ends.
Whenever possible, Dr. Brevetti uses minimally invasive techniques to perform these procedures.
Esophagectomy involves the removal of some or most of the esophagus. If a tumor is located in the lower part of the esophagus, a small part of the stomach may also be removed. The stomach will then be pulled up and reattached to the remaining length of the esophagus. If a tumor is located in the middle or upper part of the esophagus, most of the esophagus will likely need to be removed. In this case, the stomach will either be pulled up and reattached to the remaining length of the esophagus near the neck, or a segment of intestine will be used to bridge the gap.
In addition to the above-mentioned procedures, our surgeon also performs or provides:
- Chest wall reconstructions
- Diagnosis and treatment of mediastinal disease