Bundang Seoul National University Hospital has accumulated more than 10,000 lung cancer surgeries in 22 years...five-year survival rate at a global level

Bundang Seoul National University Hospital (Director Song Jeong-han) achieved a cumulative 10,000 cases of lung cancer surgery.

Since the first operation was performed at the time of its opening in 2003, it has achieved a cumulative 5,000 cases in 2020, and finally exceeded 10,000 cumulative operations in November this year. This is the result of rapid growth, with an average of more than 900 surgeries performed every year since 2020.

Lung cancer is the leading cause of cancer death not only in Korea but also in other developed countries. In particular, the 5-year survival rate is 40.6%, which is significantly lower than the overall cancer average 5-year survival rate (72.1%). The reason for the low survival rate compared to other cancers is that lung cancer has no initial self-awareness symptoms, so it is often in stage 3 or higher when diagnosed, and recurrence and metastasis are frequent.




The lung cancer center at Seoul National University Bundang Hospital is making various attempts to treat such lung cancer, and in particular, it is known that it has taken the lead in introducing thoracoscopic surgery. Thoracic surgery is a minimally invasive surgery method in which a small hole is drilled between ribs and endoscopic instruments are inserted to operate, and the center has demonstrated statistically significant superiority in the survival rate of thoracoscopic surgery, the duration of chest tube maintenance, and the number of hospital stays after surgery compared to thoracotomy in early lung cancer surgery in 2008.

Since then, the rate of thoracoscopic surgery has continued to increase through continuous research by medical staff, and 98.9% of lung cancer surgery is currently performed with minimally invasive surgery such as thoracoscopic and robotic surgery. In particular, Professor Kim Kwan-min is a world-renowned authority who has performed more than 10,000 chest surgeries, including not only lung cancer but also esophageal cancer and thymic cancer, and has contributed to improving long-term survival rates of lung cancer patients by increasing the rate of thoracoscopic surgery for lung cancer surgery.

In fact, the surgical performance of the lung cancer center at Bundang Seoul National University Hospital is quite excellent. The 5-year survival rate of patients with stage 1 to stage 3 lung cancer operated at the center is 76.8%, and the 5-year survival rate of stage 3A lung cancer among stage 3 lung cancer is 64.8%, which is world-class.




Recently, zoning resection has been introduced to increase the quality of life of patients beyond survival rates. In the past, it had to be resected in units of lung lobes (a total of five areas), but now, after accurately determining the location and metastasis of the tumor, it minimizes the resection site and maximizes the preservation of lung function by resecting in units of necessary areas (a total of 20 areas).

Cho Seok-ki, director of the Lung Cancer Center at Seoul National University Bundang Hospital, said "Currently, there is also a research on the safety of wedge resection, which cuts less than zone resection."We will work harder to present new criteria for lung cancer treatment, such as continuing to research and develop surgical methods to improve patients' quality of life."

The cooperation system with related medical departments such as respiratory medicine, hematologic oncology, radiology, pathology, radiation oncology, and anesthesia pain medicine also played a major role in the growth of lung cancer surgical results. For patients with advanced lung cancer, chemotherapy and radiation therapy were combined, and in addition to surgical treatment, special treatment such as photodynamic therapy, high-temperature anti-cancer perfusion therapy, and cryotherapy was expanded.




In particular, the pathology professor Jeong Jin-haeng's team has diagnosed lung cancer by introducing the concept of 'Spread through Air Space (STAS)' and has collected the largest prospective data in the world for the first time. If STAS is positive, even in the first stage of lung cancer, the recurrence rate is very high and the 5-year survival rate is low, so the T (tumor) stage should be evaluated one step higher and active treatment such as additional adjuvant cancer therapy should be carried out. Professor Chung's team's results were reproduced through large-scale verification by multinational organizations such as Japan and the United States, and finally drew a recommendation from the World Lung Cancer Society's staging committee to introduce the concept of STAS in stage T of lung cancer.

The Lung Cancer Center at Seoul National University Bundang Hospital also considered emotional support after surgery. Founded in 2006 and steadily holding regular meetings, the patient's association for patients who underwent lung cancer surgery, 'Breath Society', increased the sense of solidarity among patients. In particular, members who have experienced complete recovery are giving hope to many patients by conducting volunteer activities for counseling and emotional support for patients waiting for surgery or undergoing treatment.

Professor Kim Kwan-min of Seoul National University Bundang Hospital said, `I think the record of achieving 10,000 lung cancer surgeries is the result of various efforts, including many studies conducted by lung cancer centers and various medical departments to improve treatment results, multidisciplinary cooperation, and emotional support through hospitalization"We will continue to do our best to provide patients with world-class treatment and emotional stability."."



Bundang Seoul National University Hospital has accumulated more than 10,000 lung cancer surgeries in 22 years...five-year survival rate at a global level
Hospital house march and lung cancer center medical staff are taking a commemorative photo after 10,000 cumulative lung cancer surgery events.





This article was translated by Naver AI translator.