A lobectomy—removal of a lobe in a lung—is major surgery usually offered as a treatment for non-small cell lung cancer (NSCLC). They reported strict exclusion criteria that limited the eligible patient pool. Your hospital stay following video-assisted lobectomy is usually 3 to 4 days after surgery. This study evaluated acute and chronic pain following RATS, VATS, and open anatomic pulmonary resection. Had a lobe taken out in November via VATS procedure - I am still getting terrible pain from my chest down to waist - consultant says maybe adhesions - was given heavy pain killers but reluctant to use them as pain is sporadic - just grabs me now and again have had follow up CT and shows no more growth on there - good! It is usually easier for patients to recover from video-assisted thoracoscopic surgery (VATS) compared with normal chest surgery (often called 'open' surgery) because the wounds from the cuts (incisions) are much smaller. Grateful for early detection and surgery. They reported episodes of moderate to severe pain being more frequent after anterolateral thoracotomy compared to VATS at 52 weeks after surgery. Pleurodesis is a very rough surgery. However, in most reports, long-term follow-up regarding chronic pain after thoracoscopic surgery has not been assessed. I had VATS (Video Assisted Thorasic Surgery) for a lung biopsy in 2010 and have had some rib cage pain which started at the end of 2012. This is NOT where my incision is. There was an early scare when one early meta-analysis suggested recurrence rates following VATS could be higher than after open surgery . Unfortunately it’s not possible to know how long it will affect you. Paravertebral block (PVB) was proven to provide effective analgesia in patients with VATS; however, there is no difference in pain relief between preoperative PVB and postoperative PVB. Your thoracic surgery team, including your surgeon, surgical residents and fellows, surgical nurse clinicians, social workers and anesthesiologist, will help you recovery as quickly as possible. We cannot say how long you will be in pain as each individual is different and we all feel pain in different ways. Intercostal nerves are mixed type nerves combining motor and sensory functions. The aim of this study was to analyze … Postoperative pain after lobectomy: robot-assisted, video-assisted and open thoracic surgery J Robot Surg. The other type of pain is the chronic one, that has a longer onset after surgery and is long-lasting; approximately 9% to 80% of patients will develop chronic pain after thoracotomy and more or less from 5% to 33% after thoracoscopy. Two months after your surgery you would usually expect the pain to be getting better but how long someone has pain following a lobectomy varies. I was prescribed Tylenol with codeine, and that also did not help. Thus, our aim was to present a detailed long-term neurophysiological characterization of PTPS after VATS. IPSILATERAL SHOULDER PAIN (ISP) is a common and distressing complaint after thoracic surgery. Results When compared with a traditional open operation (thoracotomy), video-assisted thoracoscopic surgery typically results in less pain, fewer complications and shortened recovery time. It uses a special video camera called a thoracoscope. thoracoscopic surgery (VATS) or open lobectomy is poorly understood. Additionally, information on the reintegration of the patients in the working process is lacking. I had a VATS surgery for a talc pleurodedis (failed) and a cardiac tampenod. This is sometimes called minimally invasive surgery. If you have open surgery, you may spend up to a week in the hospital. My doctor gave me an rx for 3-300mg daily. Dear All, Hoping someone can explain why after two months I am still experiencing severe pain in back and under left breast. Figure 11. For VATS during the first days a lower amount of medication is required. I'm a 58 year old female, had VATS 5/14/13. VATS (video-assisted thoracoscopic surgery) uses smaller surgical cuts than traditional lung surgery. (4)Department of Internal Medicine. You will have some pain after your surgery. However, it may still carry a risk of intraoperative nerve damage and thereby development of PTPS. I was feeling discomfort for more than 10 months after my surgery. It is a type of minimally invasive surgery. In some cases the pain can last for quite a few months but it is rare for it to be long term. Hi folks, thanks for this website. Open thoracotomy, video-assisted thoracic surgery (VATS) and robot-assisted thoracic surgery (RATS) are different surgical modalities with possible different outcomes. 1 The reported incidence ranges from 37% to 97 %,2, 3, 4 which reflects very different and mixed study populations in terms of surgical procedure (lung biopsy, segmentectomy, lobectomy, pneumonectomy, etc. Since I was pretty much a couch potato after surgery and couldn't wear a bra, I rolled up a towel and made a "shelf" for the girls so the weight of those nice eye-catchers didn't pull on the skin and muscle. Mine was diagnosed as nerve damage and I was given gabapentin to manage the pain and it helped. Your surgeon may use a robot to control the video camera and surgical tools. That makes it a less invasive procedure with a quicker recovery. Months after the surgery, and after my ribs and incision had healed, I was having ongoing nerve pain in the area of my incision and about 4 inches on either side. 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