![\"статистика](\"/images/imperavi/5af54a4ae5ab9.jpg\" "\\"lung")
Dr. Raj Nagarkar has performed over 50,000 cancer surgeries with _doctor_2241_years_ of experience, specializing in thoracic surgical oncology. Trained at Tata Memorial Hospital and holding MRCS from the Royal College of Surgeons, Edinburgh, he chairs the tumor board at HCG Manavata Cancer Centre – a NABH-accredited facility with 275 beds and 700+ trained staff.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dr. Shruti Kate specializes in lung cancer treatment, presenting her research at the World Conference on Lung Cancer.
Dr. Shruti Kate is a medical oncologist at HCG Manavata Cancer Centre in Nashik. She previously worked as a consultant at the Tata Memorial Hospital in Mumbai. Dr. Kate focuses on immunotherapy and metronomic therapy for treating solid and pediatric tumors. She was the sole recipient from India of the 2018 World Conference on Lung Cancer award.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Specializes in radiotherapy and neuro-oncology – Dr. Sridhar brings a multidisciplinary approach to cancer treatment at HCG Manavata Cancer Centre.
The doctor graduated with a Bachelor of Medicine from Mysore University in 1996, followed by a Doctor of Medicine in radiotherapy from Banaras Hindu University in 2002. Further enhancing expertise, the doctor earned a Diplomate of National Board in radiotherapy in 2004.
The doctor is a member of several prestigious organizations, including the Association of Radiation Oncology of India, the Society for Neuro-Oncology, the Bangalore Oncology Group, and the Indian Association of Hyperthermia Oncology, reflecting a strong commitment to advancing the field of oncology.
","specialities":[{"id":"onc.005","name":"Radiation oncologist","illness_kind_id":10}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":1249,"alias":"hcg-manavata-cancer-centre","name":"HCG Manavata Cancer Centre","short_description":"HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Handled more than 30,000 PET scans and 1,000 thyroid cancer patients – Dr. Chaitainya Borde brings extensive nuclear medicine expertise to lobectomy cases at HCG Manavata Cancer Centre.
The doctor is an experienced nuclear medicine specialist at HCG Manavata Cancer Centre with 12 years in the field. The doctor specializes in various nuclear scans, PET-CT scans, and nuclear cardiology services, demonstrating proficiency in radioiodine and Lu-177 RN therapies. Over the course of their career, the doctor has managed more than 30,000 PET scans and treated over 1,000 thyroid cancer patients. Additionally, the doctor has contributed to the field through published papers in various medical journals.
","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10},{"id":"onc.005","name":"Radiation oncologist","illness_kind_id":10}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":1249,"alias":"hcg-manavata-cancer-centre","name":"HCG Manavata Cancer Centre","short_description":"HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dr. Lalit has performed 10,000+ major surgeries, specializing in minimally invasive cancer procedures with excellent outcomes at HCG Manavata Cancer Centre.
Dr. Lalit Banswal is a surgical oncologist at HCG Manavata Cancer Centre in Nashik. He has successfully performed more than 10,000 major surgeries. Dr. Banswal focuses on gastrointestinal cancer and robotic surgical techniques. He completed a two-year fellowship at the Tata Medical Centre, Kolkata.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dr. Shaikh specializes in organ preservation and functional rehabilitation for oral cancer patients at HCG Manavata Cancer Centre.
Dr. Ahmer Arif Shaikh is a surgical oncologist at HCG Manavata Cancer Centre. He specializes in oral cancer treatment with a focus on organ preservation. Dr. Shaikh completed fellowship training in head and neck surgical oncology at the same center. He is proficient in performing major maxillofacial and head and neck surgeries.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Performed 50,000+ cancer surgeries with _doctor_2241_years_ of experience – Dr. Raj specializes in breast and thoracic surgical oncology at HCG Manavata Cancer Centre.
Dr. Raj Nagarkar has performed over 50,000 cancer surgeries at HCG Manavata Cancer Centre. He specializes in breast and thoracic surgical oncology. Dr. Nagarkar trained at the prestigious Tata Memorial Hospital in Mumbai. He is a Member of the Royal College of Surgeons in Edinburgh.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
Dr. Shaunak presented groundbreaking stomach cancer research at ASCO's Gastrointestinal Cancer Symposium. He combines clinical expertise with a deep interest in molecular oncology.
Dr. Shaunak Valame is a medical oncologist at HCG Manavata Cancer Centre in Nashik. He specializes in the molecular basis of cancer and targeted therapies. Dr. Valame completed his DNB training in medical oncology at Indraprastha Apollo Hospital. He previously served as a registrar at Jawaharlal Nehru Cancer Hospital.
HCG Manavata Cancer Centre is Maharashtra's first NABH-accredited cancer hospital, treating over 75,000 patients yearly. It specializes in cancer care, nuclear medicine, radiotherapy, bone marrow transplant, and pediatric oncology. This integrated center has served 100,000+ patients from around the world.
A lung lobectomy is an operation to remove a lobe of an organ when it is damaged.
\n\nIn most cases, surgeons perform the procedure for lung cancer.
\nSurgeons from foreign medical centers perform lobectomy using the video-assisted thoracoscopic VATS method. They perform manipulations through 2-5 incisions of 2.5 cm each. Recovery after such a procedure is faster than after traditional open surgery.
\nBookimed has identified the 3 most popular countries for lobectomy among residents of Russia, Ukraine, Belarus and Kazakhstan.
\n\n\n\nIn medical centers in Germany, the accuracy of diagnosis is 100%. Thanks to this, German specialists correctly determine the scope of intervention.
\n\n\n\nIn Israel, patients are operated on by experienced and qualified surgeons. They study and train in leading European and American clinics. Thanks to this, Israeli surgeons are improving the methods of performing lobectomy.
\n\n\n\nThe main advantage of a lobectomy in Turkey is its cost. The price for the procedure here is lower than in Israel and Germany.
\n\n88% of operations in Turkey pass without complications.
\n
When choosing a clinic for a lobectomy, focus on:
\n\nSurgical lobectomy is indicated for patients with:
\n\nDoctors do not perform surgery on people with:
\n\nThoracotomy
\n\nThe doctor makes an incision 8-20 cm long and removes the lobe of the lung.
\n\n![\"открытая](\"/images/imperavi/5af54b3cd1402.jpg\" "\\"open")
Benefits: The procedure provides the surgeon with good visibility.
\n\nDisadvantages: the operation leaves a large scar. Recovery takes up to 2 weeks.
\n\nVideo-assisted thoracoscopic lobectomy (VATS)
\n\nThe doctor performs the procedure through 3-5 incisions up to 2.5 cm. Through one incision, he inserts a tube with a camera that controls the course of the procedure. Through the remaining 2 incisions, he performs manipulations with special instruments.
\n\n![\"ВАТС](\"/images/imperavi/5af54b6cc82ae.jpg\" "\\"VATS")
Advantages: the procedure leaves small scars. Recovery is 2-3 times faster than after open surgery.
\n\nDisadvantages: VATS provides the surgeon with less visibility than a thoracotomy.
\nPreparation for a lung lobectomy includes:
\n\nDuring the operation, the patient is under general anesthesia. Depending on the type of lobectomy, the surgeon performs an incision 8-20 cm long or 3 incisions of 2.5 cm each, and removes a lobe of the lung.
\nThe intervention takes 2 to 3 hours.
\nThe duration of hospitalization after removal of a lung lobe for cancer depends on the technique. After an open operation, a person stays in the clinic for 1-2 weeks, after a low-traumatic operation - 4-5 days.
\n\nTo restore lung function, the doctor prescribes breathing exercises.
\n88% of lobectomy abroad pass without complications. Among the possible violations of the body - breathing problems. Patients restore it with the help of special exercises.
\nYes, clinics provide coordinators for foreign patients. They help with translation and paperwork, accompany at all stages of diagnosis and treatment.
\nTo perform a lung lobectomy abroad, leave a request on the Bookimed website. A specialized doctor-coordinator will contact you. He will select several medical centers that will meet your wishes in terms of quality and price. Together with the coordinator, you will choose the best of the proposed hospitals.
\n\nTo book a consultation date, please send us your medical records. The coordinating doctor will send them to the selected clinic and request a diagnostic and treatment program.
\n\nWe will stay in touch from the moment you contact us until you return home.
\n\nDay 1
\nDay 2 - Pre-Operation
\nDay 3 - Lobectomy
\nDay 4-7 Post-Operation
\nWeek 1-4 Rehabilitation
\nWeek 5-8 Rehabilitation
\nNote: Each patient\"s recovery process can vary based on individual health conditions.
"},"overview":{"text":"Lobectomy is a surgical procedure that removes one lobe of the lung to treat lung cancer or other lung diseases.
The procedure involves removing a lung lobe, typically to treat conditions like lung cancer, improving patient health.
"},"374":{"operation":{"name":"Lung cancer surgery","alias":"lung-cancer-surgery","use_for_listing":true},"country_price":{"US":{"amount":65000,"max_amount":110000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":8000,"max_amount":15000,"currency":"USD","clinic_count":9,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":14000,"max_amount":24000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":42000,"max_amount":68000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":37800,"max_amount":48600,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"IN":{"amount":9000,"max_amount":11500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true,"IN":true},"description":"The procedure removes tumors in the lungs, aids with diagnosis, and generally alleviates symptoms and prolongs life.
"},"405":{"operation":{"name":"Wedge Resection","alias":"wedge-resection","use_for_listing":true},"country_price":{"US":{"amount":16000,"max_amount":28000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":7000,"max_amount":13600,"currency":"USD","clinic_count":8,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":12000,"max_amount":20000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"AT":{"amount":7200,"max_amount":11800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":6200,"max_amount":9500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"IN":{"amount":3200,"max_amount":5200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"AT":false,"ES":false,"IN":false},"description":"This surgery removes a small, wedge-shaped part of lung tissue, primarily to treat localized lung cancer.
"},"449":{"operation":{"name":"Synchronous resection of the liver/lung with metastases","alias":"synchronous-resection-of-the-liver-lung-with-metastases","use_for_listing":false},"country_price":{"US":{"amount":85000,"max_amount":140000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":14500,"max_amount":23000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":16000,"max_amount":28000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":24000,"max_amount":37000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":22000,"max_amount":34000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"IN":{"amount":7500,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":false,"TH":false,"AT":false,"ES":false,"IN":false},"description":"The operation simultaneously removes lung and liver tumors, reducing time and resources while improving patient recovery.
"},"692":{"operation":{"name":"Lung segmentectomy","alias":"lung-segmentectomy","use_for_listing":true},"country_price":{"US":{"amount":55000,"max_amount":78000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":9000,"max_amount":11800,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":11500,"max_amount":18500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":17500,"max_amount":27500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":37800,"max_amount":48600,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"IN":{"amount":6500,"max_amount":9500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true,"IN":false},"description":"This surgery removes lung segments harboring cancerous cells, protecting healthy tissue.
"},"790":{"operation":{"name":"Target therapy for lung cancer","alias":"target-therapy-for-lung-cancer","use_for_listing":true},"country_price":{"US":{"amount":90000,"max_amount":150000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":5000,"max_amount":5800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":9000,"max_amount":13500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":9000,"max_amount":18000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":4500,"max_amount":13000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"IN":{"amount":1000,"max_amount":5500,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true,"IN":true},"description":"This therapy specifically attacks cancer cells, reducing damage to healthy ones. It\"s less severe with notable efficacy.
"}}},"cityPrices":{"operation_prices":{"368":{"operation":{"id":368,"name":"Lobectomy","alias":"lobectomy"},"city_price":[{"amount":9000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"city","city":{"id":95,"name":"Delhi","alias":"delhi","profile":{"city_id":95,"city_type":"Megacity and union territory of India","access":["Delhi Airport (DEL), 16 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Delhi","https://en.wikipedia.org/wiki/Indira_Gandhi_International_Airport"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":7200,"max_amount":12800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":94,"name":"Gurgaon","alias":"gurgaon","profile":{"city_id":94,"city_type":"Satellite city of Delhi in Haryana","access":["Delhi Airport (DEL), 14 km from Gurugram center"],"sources":["https://en.wikipedia.org/wiki/Gurgaon","https://airportdistancecalculator.com/closest-airports-to-gurugram-india.html"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":5500,"max_amount":11000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":96,"name":"Mumbai","alias":"mumbai","profile":{"city_id":96,"city_type":"Financial capital of India","access":["Mumbai Airport (BOM), 21 km from central Mumbai"],"sources":["https://en.wikipedia.org/wiki/Mumbai","https://www.worldtravelguide.net/guides/asia/india/mumbai-bombay/mumbai-chhatrapati-shivaji-international-airport/"],"status":"ok","checked_at":"2026-11-03"}}}]}}},"videoReviews":[{"id":"b8c75ace-4f1f-46d8-9887-d9e0b74bfdb6","link":"https://player.vimeo.com/video/1096293607?badge=0&autopause=0&player_id=0&app_id=58479","description":"My companion and I were treated with such kindness — I have nothing but admiration for the entire team.","userName":"Amanda","user_name":"Amanda","preview":"https://i.vimeocdn.com/video/2030326588-92c5121ee6fb5bedb09b0cf12abe66667acab73d0dea713b5168e6353daa6b76-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T10:47:55.613+00:00","clinicName":"Lokman Hekim Istanbul Hospital","clinic":{"name":"Lokman Hekim Istanbul Hospital","alias":"lokman-hekim-istanbul"},"clinicUrl":"/clinic/lokman-hekim-istanbul/","relations":{"operations":[{"name":"Mastectomy","alias":"mastectomy"},{"name":"Sarcoma surgery","alias":"removal-of-ewing-s-sarcoma"}]}},{"id":"b7a1e6f5-3dff-4271-a473-718866134d6d","link":"https://player.vimeo.com/video/1096286146?badge=0&autopause=0&player_id=0&app_id=58479","description":"Stay strong, stay informed, and never underestimate the power of cutting-edge treatments and a solid support system.","userName":"Randolph","user_name":"Randolph","preview":"https://i.vimeocdn.com/video/2030316574-2e75554b099788479c44c329a4e0921804438f5ec01b95cf5caf584c386aeb01-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T11:53:30.932+00:00","clinicName":"Confraternitaet & Goldenes Kreuz Private Clinic","clinic":{"name":"Confraternitaet & Goldenes Kreuz Private Clinic","alias":"private-clinic-confraternitat-josefstadt"},"clinicUrl":"/clinic/private-clinic-confraternitat-josefstadt/","relations":{"operations":[{"name":"Radioembolization for liver cancer ","alias":"radioembolization-for-liver-cancer"},{"name":"Radiofrequency ablation","alias":"radiofrequency-ablation"}]}}],"hasVideoReviewsByContext":true,"externalReviews":[{"id":"694e82fe3186d29a24098929","source":"google","clinic_id":1249},{"id":"694e8312f0abea59d00badb7","source":"google","clinic_id":1249},{"id":"694e831e62836ec3aa087ff7","source":"google","clinic_id":1249},{"id":"694e8338f0abea59d00badb8","source":"google","clinic_id":1249},{"id":"694e833e62836ec3aa087ff8","source":"google","clinic_id":1249}],"responsibleDoctor":{"id":290,"alias":"yesim-yildirim","name":"Yesim Yildirim","photo":"doctor/699da18e34fa6","advisory_text":"20 years of experience\nMedical oncologist, ESMO certified","advisoryText":"20 years of experience\nMedical oncologist, ESMO certified","specialities":[{"id":"onc.001","name":"Clinical oncologist","illness_kind_id":10}]},"updatedAt":"2026-11-05T13:32:04.000Z","activeCountries":["IN","TR","AT","ES","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":5,"days_in_country":10,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":46119}},"direction":{"id":10,"name":"Oncology","alias":"oncology","name_forms":{"base_form":"Oncology","form_4":"oncologist","form_6":"oncologists","form_11":"oncologists"}},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":28,"max":56,"unit":"days","qualifier":"Typical for desk-based work after uncomplicated lobectomy; VATS/robotic often earlier than open thoracotomy; physical jobs take longer."},"complication_rate_pct":{"min":20,"max":40,"unit":"percent","qualifier":"Any postoperative complication within 30 days, mostly minor (air leak, arrhythmia); 90-day mortality about 1-3%."},"contraindications":["Inadequate predicted postoperative lung function (low FEV1 or DLCO)","Unresectable disease, such as extensive mediastinal or distant metastases","Severe uncontrolled cardiac disease or recent myocardial infarction","Medical frailty or comorbidity prohibiting general anesthesia and thoracic surgery","Tumor invading vital structures that precludes complete resection","Active uncontrolled infection (relative contraindication)"],"days_in_clinic":{"min":2,"max":5,"unit":"nights","qualifier":"Typical uncomplicated hospital stay with chest drain; shorter after minimally invasive approaches, longer after open thoracotomy."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light activity and walking earlier; strenuous exercise and heavy lifting generally after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time for functional recovery and stabilization of exercise capacity and breathing; oncologic outcome depends on pathology and stage."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After chest drain removal, stable chest X-ray and surgeon clearance; open thoracotomy, air leak or pneumothorax risk extends it."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":10,"unit":"days","qualifier":"First review with chest X-ray, before flying home."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":35,"unit":"days","qualifier":"Pathology review and planning of any adjuvant therapy in oncologic cases."}}],"indications":["Early-stage non-small cell lung cancer","Selected carcinoid or other localized primary lung tumors","Selected solitary metastases to the lung","Lobar bronchiectasis, abscess, fungal or TB destruction unresponsive to medication","Congenital lung malformations or severe localized lung damage"],"main_risks":["Prolonged air leak","Pneumonia and atelectasis","Bleeding requiring intervention","Atrial fibrillation and other cardiac arrhythmias","Respiratory failure","Wound infection or empyema","Chronic post-thoracotomy pain","Bronchopleural fistula (uncommon)","Recurrent laryngeal or phrenic nerve injury (uncommon)","Chylothorax (uncommon)","Conversion from minimally invasive to open surgery","Venous thromboembolism"],"pain":"Moderate to significant pain, especially in the first days, managed with multimodal analgesia (regional blocks or epidural, oral and IV drugs). Usually less after VATS/robotic than open surgery; some patients have persistent chest wall pain.","preparation":["Imaging (CT, often PET-CT) and tissue diagnosis where indicated","Pulmonary function tests and cardiopulmonary risk assessment","Staging of mediastinum when indicated","Smoking cessation","Preoperative fasting as instructed by the anesthesia team","Review of current medications with the surgical and anesthesia team","Breathing exercises and conditioning as advised"],"recovery_timeline":[{"phase":"Hospital stay (days 0-5)","description":"Chest drain, pain control, early mobilization and breathing exercises; drain removed when air leak and fluid output settle.","restrictions":["Avoid heavy exertion"]},{"phase":"Early home recovery (weeks 1-4)","description":"Gradual increase in walking, fatigue and incision discomfort improve; breathlessness on exertion may be present.","restrictions":["No heavy lifting","No driving while on opioids or until comfortable and cleared"]},{"phase":"Return to activity (weeks 4-12)","description":"Return to work and graded exercise as cleared by the surgeon.","restrictions":["Avoid strenuous upper-body strain until cleared"]},{"phase":"Late recovery (3-6 months)","description":"Continued improvement in exercise tolerance and breathing; ongoing oncologic surveillance if applicable.","restrictions":[]}],"rehabilitation_days":{"min":28,"max":84,"unit":"days","qualifier":"Ordinary functional recovery to normal daily activities after uncomplicated lobectomy; longer after open surgery."},"result_longevity":"Removal of the diseased lobe is permanent. Lung function loss from resection is lasting, though exercise capacity largely recovers within months. Oncologic durability depends on stage and pathology, and surveillance imaging continues for years.","revision_rate_pct":{"min":2,"max":5,"unit":"percent","qualifier":"Unplanned return to theatre within 30 days, mainly for bleeding or persistent air leak."},"scars":"Minimally invasive (VATS/robotic): several small incisions of about 1-4 cm plus a drain site. Open thoracotomy: a longer curved chest-wall incision, typically 10-25 cm.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation under one anesthesia."},"stages":[{"code":"lobectomy","label":"Surgical removal of one lung lobe with lymph node sampling or dissection when oncologic","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Standalone single-stage lobectomy; adjuvant therapy is separate and not counted."},"success":{"metric":"5-year overall survival after lobectomy for stage I NSCLC","value":75,"unit":"percent","horizon":"5 years","population":"Adults with pathological stage I non-small cell lung cancer","evidence_status":"limited"},"techniques":[{"name":"Video-assisted thoracoscopic surgery (VATS) lobectomy","suits_whom":"Most patients with early-stage disease and suitable anatomy","recovery":"Shorter hospital stay and less pain than open surgery; return to desk work in about 4-6 weeks."},{"name":"Robotic-assisted lobectomy","suits_whom":"Similar to VATS, where robotic platform and expertise are available","recovery":"Similar to VATS."},{"name":"Open thoracotomy lobectomy","suits_whom":"Larger or centrally located tumors, adhesions, complex anatomy or after conversion","recovery":"Longer hospital stay and recovery, often 6-12 weeks."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operative time for a standalone uncomplicated lobectomy; varies with approach and nodal dissection."},"initial_assessment_documents":["Chest CT scan report and images","PET-CT report (if available)","Biopsy or pathology report (if available)","Pulmonary function test results","Electrocardiogram report","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay 7-10 days including hospital stay, chest drain removal and first check. Later reviews can be done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Speak directly with the clinician who will carry out the treatment before booking","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Speak directly to the doctor, dentist or nurse who will be carrying out your treatment before you book your trip.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check the treating clinician's qualifications and references independently","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Check their qualifications and references independently.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Hold a face-to-face consultation with the operating clinician before the 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outcome","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheets/travelling-for-treatment-medical-tourism","host":"travelhealthpro.org.uk","quote":"Individuals planning overseas treatment are advised to use internationally accredited clinics or hospitals, although using an accredited clinic or hospital does not guarantee a satisfactory outcome.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that you can communicate with clinic staff, ideally in a shared language","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Make sure you are able to communicate; check if you speak the same language as clinic or hospital staff.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Check communication between the overseas medical staff and the doctor providing care after returning home","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/going-abroad-for-medical-treatment/","host":"nhs.uk","quote":"communication between medical staff abroad and in the UK, such as exchanging medical records and arranging aftercare back home.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to make a quick decision, or a hard sell, is a warning sign before booking treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Medical advice offered by a travel agent or sales staff is a warning sign","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not accept advice from a travel agent, sales representatives or administrators.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"The patient cannot speak directly with the surgeon who will perform the lobectomy before booking","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Speak directly to the doctor, dentist or nurse who will be carrying out your treatment before you book your trip.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Unexpected difficulty breathing","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21868-lung-resection","host":"my.clevelandclinic.org","quote":"Have unexpected difficulty breathing","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Blood that soaks through your incision bandage","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21868-lung-resection","host":"my.clevelandclinic.org","quote":"Blood that soaks through your incision bandage","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Discolored or foul-smelling fluid around incisions","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21868-lung-resection","host":"my.clevelandclinic.org","quote":"Discolored or foul-smelling fluid around the incisions","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Chest pain","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/services/thoracic-surgery","host":"my.clevelandclinic.org","quote":"Keep an eye out for chest pain, shortness of breath, bleeding, fever or problems with your incisions.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"The home doctor needs prescriptions to continue the medicines after treatment","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"The home doctor needs the images to follow care after treatment","document":"x-rays and scans","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"The home doctor may need discharge information when continuing care","document":"discharge 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chest.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"robotic-assisted-lobectomy","name":"Robotic-assisted lobectomy","how_it_works":{"text":"A robot holds the instruments and camera while the surgeon controls them","source":{"url":"https://my.clevelandclinic.org/health/treatments/24201-thoracic-surgery","host":"my.clevelandclinic.org","quote":"Surgeons can also do minimally invasive surgery with the assistance of a robot that holds the instruments and camera, but the surgeon still controls these.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"open-thoracotomy-lobectomy","name":"Open thoracotomy lobectomy","how_it_works":{"text":"A surgeon makes a larger cut and spreads the ribs 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