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Thoracic Surgery

It is our pleasure to welcome you to the Department of Thoracic Surgery at the Medical Center - University of Freiburg. Our Department is one of the largest centers for thoracic diseases in Europe. More than 3,000 operations are performed every year, primarily complex surgical thoracic interventions.

Operations for lung cancer and other thoracic malignancies including lung metastases and mesothelioma represent the main focus of our department. Our operating theaters are equipped with the newest technical facilities including the newest lung laser which allows us to perform complex operations. In addition, specialists from various fields including, pneumologists, cardiovascular surgeons, and oncologists supply interdisciplinary support. Furthermore, we work in close cooperation with our team of thoracic anesthesiology which allows us to perform complex thoracic interventions, even for patients with limited pulmonary reserve.

Our department is equipped with the newest technical support in order to achieve the exact diagnosis of all thoracic diseases including lung diseases and other respiratory problems. Among these diagnostic tools are computed tomography (CT), magnet resonance tomography (MRI), angiography, positron emission tomography (PET), ventilation- and perfusion scintigraphy, bronchoscopy including fluorescence bronchoscopy, endobronchial ultrasound examination (EBUS), endoesophageal ultrasound examination (EUS), videoassisted thoracic surgery, video mediastinoscopy, and lung function tests.

Our department has gained vast experience in the field of invasive surgical bronchiology such as stent implantations, cryobiopsy and -therapy (cold cauterization), laser treatment in case of tracheal and bronchial stenosis, esophagotracheal fistulas as well as endotracheal and endobronchial tumors.

We perform all thoracic oncological procedures, including treatment of lung cancer as well as lung metastases laser surgeries. Medical Center - University of Freiburg is currently one of the few hospitals in the world to offer patients laser surgical resection of metastases. In addition to extended resections we also perform minimal invasive procedures, such as video-assisted lobectomies and thymectomies. In cooperation with the Comprehensive Cancer Center Freiburg - CCCF we provide multidisciplinary support.

We are the only hospital in Baden-Württemberg performing lung transplantation. Another focus of our work is pediatric thoracic surgery. In our department, more than 50 children are treated per year including young patients with chest tumors and patients with chest deformities including funnel chests and chicken / pigeon breasts.


Diagnostic & Treatment Services

  • Chest wall tumors
  • Narrowing of the trachea
  • Mediastinum / mediastinal tumors
  • Pulmonary emphysema
  • Lung cancer
  • Lung metastases
  • Benign lung tumors
  • Pleural effusion
  • Pleural mesothelioma
  • Pneumothorax
  • Pleura diseases
  • Sweaty hands and armpits
  • Thymoma / myasthenia
  • Funnel chest

Bronchial intervention

Bronchial intervention plays an important role in the care of lung cancer patients. But it is employed not only for lung cancer but also for other indications.

Bronchoscopy

Bronchoscopy is one of the most important examination methods for diagnosing diseases of the airways and lungs.

Emphysema surgery

Emphysema surgery serves to improve respiratory mechanics as well as in the prevention and treatment of disease-related complications.

Endoscopic lung volume reduction

In some cases, lung volume reduction leads to an improvement of pulmonary emphysema symptoms. The Department of Thoracic Surgery at the Medical Center - University of Freiburg performs endoscopic lung volume reduction as an alternative to surgical procedures.

Extended interventions

In an extended intervention in thoracic surgery, anatomical structures beyond the affected portions of the lung are removed in order to achieve a safe distance in tumor operations and ensure a healthy recovery.

Laser surgery

The use of a laser enables very precise, low-bleeding lung operations and thus allows surgical removal of other, often sensitive structures adjacent to the disease focus.

Tracheal surgery

Tracheal operations are required in cases of tracheal leakage in benign and malignant tumors of the trachea, and may also be required for tracheal injuries such as after traffic accidents.

Lung surgery

An essential part of thoracic surgery, lung surgery includes any operations on the lung tissue.

Lung cancer, radical removal

Radical removal means that the tumor is removed with a sufficient safety margin. Thereby, an anatomically healthy layer is always removed in order to achieve a safe distance and ensure a healthy recovery.

Lung-sparing surgery

Lung-sparing surgery is the removal of tumor-bearing portions of the lung, with restoration of bronchi and vessels to preserve the healthy parts of the lung. In this technique, only the tumor-bearing lung parenchyma and those sections of the bronchi or vessels infiltrated by tumors are removed.

Lung transplantation

Lung transplantation is a treatment option for patients with advanced lung diseases such as cystic fibrosis, pulmonary fibrosis, emphysema/COPD and in rare cases, pulmonary hypertension, lymphangioleiomyomatosis or sarcoidosis.

Minimally invasive thoracic surgery/keyhole surgery

Minimally invasive thoracic surgery is also called keyhole surgery and includes surgical methods which are characterized by smaller incisions and therefore less access trauma.

Port ambulance

A port catheter represents a permanent access to the venous circulation and is used for administration of chemotherapeutic agents or other regular infusions.

Thoracic surgery in children

Children's thoracic surgery includes all thoracic surgical procedures from infants to 18 years of age. The interventions are planned in close cooperation with the Department of General Pediatrics.

Video-assisted thoracoscopic (VATS) lobectomy

In video-assisted thorascopic lobectomy, the disease-carrying portion of the lung is removed via three small body orifices.


Statistics

operations per year3.000
out-patients per year3.500
in-pations per year1.200
bronchoscopies per year1.000
average hospital stay6,67 days

Our physicians


Medical Center - University of Freiburg

Phone: +49 761 270 21310
Fax: +49 761 270 19310

info-ims@uniklinik-freiburg.de