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Open surgery or adjuvant therapy extends this."},"complication_rate_pct":{"min":20,"max":40,"unit":"percent","qualifier":"Any postoperative complication within 30-90 days, mostly minor (air leak, arrhythmia); 90-day mortality about 1-2%."},"contraindications":["Unresectable disease: extensive mediastinal nodes, distant metastases, or unresectable invasion","Inadequate predicted postoperative lung function (FEV1/DLCO) for planned resection","Severe cardiac disease or recent myocardial infarction not optimized (relative)","Severe comorbidity or poor performance status; prohibitive anesthesia/surgical risk"],"days_in_clinic":{"min":2,"max":5,"unit":"nights","qualifier":"Uncomplicated minimally invasive lobectomy with chest drain; longer after open surgery or with air leak."},"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 walking early; strenuous or upper-body exercise only after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time to stable functional recovery and breathing capacity after lobectomy; cancer outcome depends on final stage and surveillance."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After chest drain removal, resolved air leak, clear chest X-ray and surgeon clearance; longer after open surgery or complications."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"First postoperative visit with chest X-ray as needed"}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"Final pathology and staging review; decision on adjuvant therapy"}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":120,"unit":"days","qualifier":"Oncologic surveillance with CT starts per guideline schedule"}}],"indications":["Resectable early-stage NSCLC (stage I–II, selected stage III)","Selected small-cell lung cancer of very limited stage","Carcinoid or other primary malignant lung tumors","Likely malignant pulmonary nodule when biopsy is unfeasible or inconclusive"],"main_risks":["Prolonged air leak","Pneumonia and other pulmonary complications","Atrial fibrillation and other arrhythmias","Bleeding requiring intervention","Pain, including chronic post-thoracotomy/post-surgical pain","Infection of wound or pleural space","Bronchopleural fistula (uncommon)","Venous thromboembolism","Perioperative mortality (low, higher with pneumonectomy and comorbidity)"],"pain":"Moderate to significant postoperative chest wall pain for the first days, managed with multimodal analgesia (regional/epidural or paravertebral blocks, oral analgesics); generally less after VATS/robotic than open surgery; some patients have lingering discomfort for months.","preparation":["Complete staging: CT, PET-CT, biopsy, brain imaging, mediastinal staging","Pulmonary function tests and cardiopulmonary risk assessment","Smoking cessation","Preoperative anesthesia assessment and optimization of comorbidities","Fasting before general anesthesia","Breathing exercises and prehabilitation where possible"],"recovery_timeline":[{"phase":"Hospital stay (days 0–5)","description":"Chest drain, pain control, early mobilization and breathing exercises; drain removed once air leak and fluid resolve.","restrictions":["No driving"]},{"phase":"Early home recovery (weeks 1–4)","description":"Fatigue and chest wall pain gradually ease; walking increases daily.","restrictions":["Avoid heavy lifting","Avoid straining and strenuous activity"]},{"phase":"Return to activity (weeks 4–12)","description":"Return to work and gradual exercise; pathology-guided adjuvant therapy may begin.","restrictions":["No heavy lifting or strenuous upper-body exercise until surgeon clears"]},{"phase":"Late recovery (3–6 months)","description":"Breathing capacity and energy stabilize; cancer surveillance continues.","restrictions":[]}],"rehabilitation_days":{"min":28,"max":60,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated minimally invasive lobectomy; longer after open surgery or pneumonectomy."},"result_longevity":"Surgical removal of the tumor is permanent; lung function stabilizes after about 3-6 months. 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