What should I pay attention to when doing minimally invasive surgery for pulmonary nodules?

Minimally invasive surgery for lung nodules, okay? Not really! In fact, many patients are troubled by various symptoms, and patients often come online to consult some nutrition and rehabilitation problems after lung surgery. These issues involve a wide range, and it is difficult to make it clear in one or two sentences on the consulting platform. So today we will summarize the problems that need to be paid attention to after lung nodule surgery.

It is extremely important to pay attention to postoperative pathology. Pathological diagnosis is the gold standard of tumor diagnosis. Postoperative pathology can judge the cell type, cell grade and tumor stage of lung cancer, and whether there are high-risk factors such as vascular invasion and pleural invasion. Some indexes in immunohistochemistry are also helpful to judge the prognosis. Doctors usually judge whether to do adjuvant therapy after operation according to macro-pathology.

Do you want to do genetic testing after the operation? The NCCN guideline version 202 1 suggests that patients with stage IB-IIIA should be treated with oxitinib for 3 years after chemotherapy or chemotherapy. Therefore, in general, it is very necessary to carry out genetic testing for patients with lung adenocarcinoma in IB-IIIA stage. Patients with adenocarcinoma in situ, minimally invasive adenocarcinoma and stage IA lung cancer do not need any treatment after operation, so there is no need for genetic testing. For lung squamous cell carcinoma diagnosed by surgical specimens, driver gene detection is generally not recommended.

Treatment of common symptoms after operation Common symptoms within one month after operation, 1) Repeated cough: For cough caused by surgical stimulation, some loquat dew licorice mixture can be used to relieve cough and resolve phlegm. When severe dry cough affects sleep, codeine can be taken orally at night. 2) Incision pain: After all, the surgical trauma is relatively large, and the pain may last for half a year, and generally it will gradually ease. People with low pain threshold can appropriately use some analgesics such as celebrex. 3) Blood in sputum: There may be hemoptysis or a small amount of blood in sputum within two weeks after operation, and the old blood will be gradually discharged with coughing, so there is no need to be overly nervous.

Postoperative nutrition supplements After lung nodule surgery, the body is weak. Do you want to take some supplements to recuperate your body? The general dietary principle of postoperative patients with lung cancer is a light, soft and high-quality protein diet, with diversified food choices and balanced nutrition. Specifically, it is to supplement high-quality protein such as fish, lean meat, eggs and milk, and eat more fruits and vegetables to supplement dietary fiber. In fact, there are not many taboos in western medicine. All onions, ginger and garlic can be cooked and eaten. People who are not spicy at ordinary times don't eat spicy food at all, and may find food difficult to swallow. It doesn't matter much to eat spicy food in small quantities. Try not to eat fried barbecue foods, and supplements such as ginseng, cordyceps and ganoderma lucidum are not recommended.

Within one month after lung function exercise, the patient should take a semi-lying position or a sitting position, lean forward with his upper body and relax his shoulders. After taking a deep breath, he will cough up secretions by coughing with the strength of his waist and abdomen, so as to effectively expel phlegm and promote lung recruitment. It is necessary to carry out lung function exercise step by step, including abdominal breathing, lip contraction breathing and balloon blowing in the early stage. After discharge, you can do some exercises such as climbing stairs, jogging, brisk walking and swimming, and gradually increase the activity according to your physical strength to promote the recovery of lung function.

Minimally invasive surgery for pulmonary nodules is a minimally invasive surgery for small pulmonary nodules. Generally, patients with severely damaged heart function, surgical intolerance and severely decreased lung function are not allowed to undergo minimally invasive surgery for pulmonary nodules. If there are no surgical contraindications mentioned above, you can take surgical treatment. Before the operation, patients should pay attention to keep a good mood, add some vitamins appropriately and improve their resistance. Postoperative patients should supplement some nutrition and face life optimistically. I believe you will recover soon.