Lobectomy Patient

During lobectomy surgical treatment, thoracotomy is performed on patients, and post-thoracotomy pain is observed. Pain is one of the most common problems in patients and causes serious morbidity. As a result of the pain experienced, changes in sympathetic activity and the release of catecholamines as a result of the stress response lead to many complications, primarily in the cardiovascular, urinary, gastrointestinal, and nervous systems. In addition, pain can cause sleep problems in the patient due to the stress response, and the healing process is negatively affected. The aim of this research is to evaluate the effects of Benson relaxation technique and progressive muscle relaxation exercises on the pain levels and sleep quality of patients who have undergone lobectomy, in relation to the pain and sleep problems experienced in the postoperative period. The main aim of the study is to reveal the effectiveness of these two relaxation techniques in reducing pain and improving sleep quality in the postoperative care process, and to develop recommendations for clinical applications based on the findings obtained.

Prolonged Air Leak (PAL) is a common and serious problem after lung surgery. It can lead to worse patient outcomes, longer hospital stays, and higher costs. Reinforced staplers are designed to make the staple line stronger and reduce the risk of PAL. However, investigators don't know if they are better than standard staplers, especially in a specific type of lung surgery called fissureless lobectomy for lung cancer. This study aims to find out if reinforced staplers are more effective at reducing PAL and its complications compared to non-reinforced staplers. Reinforced staplers have been used in lung surgeries and have shown to reduce PAL. For example, staplers with special materials like polyglycolic acid (PGA) sheets have shown lower air leakage and fewer days with chest tubes. Other materials like expanded polytetrafluoroethylene (ePTFE) sleeves have also been used to manage air leaks in different types of lung surgeries. However, their effectiveness in fissureless lobectomy has not been studied yet.