Murdoch Chest Services

Lung Cancer

  • Investigation of lung, mediastinal or chest wall lesions
  • Multi-disciplinary team discussion
  • Surgical resection, including new minimally invasive VATS lobectomy techniques
  • Investigation and management of malignant pleural disease, including thoracoscopy, pleurodesis and I/O indwelling pleural catheters
  • Screening for and management of early central lung cancer, including Narrow Band Imaging, cryoablation and electrocautery
  • Management of central airway obstruction, including airway recanalization +/- stenting
  • Referral for chemotherapy, radiotherapy or palliation

Interventional Pulmonology

Diagnostic

  • Flexible bronchoscopy
  • Endobronchial ultrasound (EBUS) TBNA and guide sheath biopsy of peripheral lung lesions
  • Transbronchial cryobiopsy

Interventional

  • Rigid bronchoscopy
  • Management of central airway obstruction (malignant and benign)
  • Endobronchial laser and stenting
  • Endobronchial valves (lung volume reduction, air-leak)

Pleural

  • Basic (thoracentesis, chest tubes, pleurodesis)
  • Tunnelled pleural catheter placement
  • Medical thoracoscopy

Thoracic Surgery

Lung cancer resections

Lung cancer surgery is the gold standard treatment for early stage lung cancer and in select cases of isolated pulmonary metastases.  Resections at Murdoch Chest are performed via traditional thoracotomy or state-of-the-art minimally invasive video-assisted thoracoscopy (VATS).

Types of lung resections performed include:

  • Lobectomy – Anatomic removal of a complete lobe of lung
  • Sleeve Lobectomy – Removal of a complete lobe of the lung as well as part of the main airway
  • Pneumonectomy – Complete removal of the lung on one side
  • Wedge Resection – Excision of a small portion of the lung. Often used for small tumours, pulmonary metastases or in patients with severe lung disease

Mediastinal disease (benign and malignant tumours, lung cancer staging)

  • Mediastinoscopy
  • Chamberlain Procedure
  • VATS

Pleural disease (including mesothelioma, empyema and recurrent pneumothorax)

  • Diagnostic VATS
  • Pleurectomy and pleurodesis
  • Empyema decortication

VATS sympathectomy for hyperhidrosis (excessive sweating)

Respiratory function and consultation

Murdoch chest has a state of the art lung function lab and provides consultation on all areas of respiratory medicine. Patients can be referred solely for lung function testing or in combination with respiratory consultation.

Lung function testing and lab investigations

  • Full pulmonary function including spirometry, diffusing capacity (of CO-) and lung volumes
  • Bronchial provocation
  • Exertional and resting supplemental oxygen assessment
  • 6 minute walk testing
  • Skin prick tests
  • Respiratory muscle strength
  • Altitude simulation

Specialist consultation on all areas of respiratory disease