Minimally invasive surgery for lung nodules, minimally invasive surgery also has many types of procedures, with different perforated areas, and number of operated holes. The fewer holes you can imagine in such a case, the fewer incisions you will have, and the less pain the patient will have, including the trauma of the incision.
Because there are fewer holes than in open chest and no pulling of the ribs, the level of pain will be much less, and there will be essentially no rib fracture, or severe damage to the intercostal nerves, which can cause severe postoperative pain. The time of pain, postoperative may be 48 hours will be some pain, you can also choose to give the postoperative pain pump, is the anesthesiology department to prepare the patient's self-control pain pump, which has a numbness of the drug, the patient can be based on their own situation to add drugs.
After about 5 days after surgery, after discharge from the hospital, there may also be facial pain, dull pain, numbness, and throbbing pain. This pain may last for 1 to 3 months, and after 3 months basically the pain gradually decreases, or disappears. The only thing left is numbness in the chest, and a slightly swollen feeling, which may last longer, ranging from six months to a year in some cases.
Minimally invasive surgery for lung nodules includes 2 types, namely thoracic surgery using thoracoscopic lobectomy or segmental resection, and the other is to do percutaneous puncture ablation treatment for lung nodules under the guidance of imaging CT, there are differences in the degree of trauma and pain between different surgeries, and the specific types are as follows:
1, Surgical Thoracoscopic Lobectomy or Segmental resection of the lungs: the chest wall will be left with an 8-10cm long Scar, there will be local chest pain symptoms;
2, CT-guided lung nodule puncture ablation surgery: a short period of time on the skin to leave the eye of the needle, after the healing of the skin does not have any traces left.
Relatively speaking, CT-guided percutaneous ablation surgery is less painful, but whether to take thoracic surgery lobectomy, segmental resection, or CT-guided percutaneous ablation of lung nodules needs to be decided according to the specific lung nodule situation. Therefore, when choosing minimally invasive surgery, it is recommended that patients go to a specialized thoracic surgery and oncology department to decide whether to take surgical lobectomy or image-guided puncture ablation based on the condition of the lesion, such as the size and morphology of the lesion, as well as the degree of risk.