Is it painful to do minimally invasive surgery when lung nodules are found in physical examination?

Minimally invasive surgery for pulmonary nodules, minimally invasive surgery also has a variety of surgical methods, and the number of punching sites and surgical holes is different. In this case, it is conceivable that the fewer holes there are, the fewer incisions there are, and the less the pain of the patient, including the trauma of the incision.

Because the number of holes is less than that of thoracotomy and the ribs are not pulled, the degree of pain will be much smaller, and there will be no serious postoperative pain caused by rib fracture or serious intercostal nerve injury. The time of pain may be within 48 hours after operation, or you can choose to give an analgesic pump after operation. It is a self-controlled analgesic pump prepared for patients in the department of anesthesiology, which contains anesthetic drugs. Patients can add drugs according to their own conditions.

About 5 days after operation, facial pain, dull pain, numbness and jumping pain may appear after discharge. This kind of pain may last for 1~3 months, and it will gradually reduce or disappear after 3 months. All that remains is numbness and slight swelling in the chest, which may last for a longer time, and some people may range from half a year to 1 year.

There are two kinds of minimally invasive surgery for pulmonary nodules, one is thoracoscopic lobectomy or segmental resection, and the other is percutaneous ablation for pulmonary nodules under the guidance of image CT. The degree of trauma and pain in different operations is different, and the specific types are as follows:

1. Surgical thoracoscopic lobectomy: 8- 10cm long scar will be left on the chest wall, and symptoms of local chest pain will appear;

2.CT-guided lung nodule puncture and ablation surgery: needle holes are left on the skin in a short time, and no traces are left on the skin after healing.

Relatively speaking, CT-guided percutaneous ablation is less painful, but whether lung nodules are treated by thoracic surgery or CT-guided puncture ablation needs to be decided according to the specific lung nodules. Therefore, when choosing minimally invasive surgery, it is recommended that patients go to professional thoracic surgery and oncology department, and decide whether to take surgical lobectomy or image-guided puncture ablation according to the size, shape and risk of the lesion.