Tuesday, April 16, 2024

Pain After Robotic Lung Surgery

Swimming After Surgery To Remove Your Lung

Lung Cancer Treatment: Robotic Surgery & Chemotherapy | Patient Success Story | Max Hospital, Saket

These days its unusual to have surgery to remove the whole of one lung . But if you have had all or most of your lung removed you may have difficulty swimming afterwards, even if you were a strong swimmer beforehand. This is because only having one lung can affect how well you float in water .

Talk to your surgeon about whether you are fit enough to go swimming, once you have recovered from your operation. Be careful when you first go in the water and have someone with you in case you get into difficulty. You may need to use floats to help you.

Pain Lower Right Rib And Cough After Robotic Lung Surgery

Nerve, muscle and lower right rib pain 10 months after robotic lung surgery to remove upper lobe.Also continue to cough up green- yellow mucus blob after being given antibiotic for staph infection- photo attached. Would deeply appreciate any thoughts -suggestions have seen pulmonologist etc. told to continue inhaler and breathing exercises. No relief to pain or concern

Hello @mike1942 and welcome to Mayo Clinic Connect. I’m guessing this has been as frustrating as it has been concerning, especially after trying to recover. You will notice that I have moved your post into the Lung Health Group, as well as kept it in the Cancer Group you originally posted it in. This may help bring in other members who have experiences they can share.

Can I clarify that you just had this start 10 months after your surgery? It wasn’t happening before that?

Hello @mike1942 and welcome to Mayo Clinic Connect. I’m guessing this has been as frustrating as it has been concerning, especially after trying to recover. You will notice that I have moved your post into the Lung Health Group, as well as kept it in the Cancer Group you originally posted it in. This may help bring in other members who have experiences they can share.

Can I clarify that you just had this start 10 months after your surgery? It wasn’t happening before that?

Possible Risks And Side Effects Of Lung Surgery

Surgery for lung cancer is a major operation and can have serious side effects, which is why it isnt a good idea for everyone. While all surgeries carry some risks, these depend to some degree on the extent of the surgery and the persons overall health.

Possible complications during and soon after surgery can include reactions to anesthesia, excess bleeding, blood clots in the legs or lungs, wound infections, and pneumonia. Rarely, some people may not survive the surgery.

Recovering from lung cancer surgery typically takes weeks to months. If the surgery is done through a thoracotomy , the surgeon must spread ribs to get to the lung, so the area near the incision will hurt for some time after surgery. Your activity might be limited for at least a month or two. People who have VATS instead of thoracotomy tend to have less pain after surgery and to recover more quickly.

If your lungs are in good condition you can usually return to normal activities after some time if a lobe or even an entire lung has been removed. If you also have another lung disease such as emphysema or chronic bronchitis , you might become short of breath with certain levels of activity after surgery.

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Managing Fatigue After Thoracic Surgery

Its common to have less energy than usual after your surgery. Recovery time is different for everyone. Increase your activities each day as much as you can. Always balance activity periods with rest periods. Rest is an important part of your recovery.

It may take some time until your normal sleep pattern returns. Try not to nap during the day. Taking a shower before bed and taking your prescribed pain medications can also help.

Your body is an excellent guide for telling you when you have done too much. When you increase your activity, monitor your bodys reaction. You may find that you have more energy in the morning or the afternoon. Plan your activities for times of the day when you have more energy.

How Does A Robotic Surgery Procedure Work

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Computer-enhanced robotic technology called the da Vinci surgical system is used during robotic-assisted surgery. This robotic system allows surgeons to operate on the target area using a 3D HD camera and small rotating instruments. The movement of these instruments is like a human hand. However, they move with a greater range of precision and movement.

The surgeons will make small hand movements by holding the console controls . The system then translates these movements by the surgical instruments inside the targeted area of your body, and the surgeon operates accordingly.

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Eating And Drinking After Thoracic Surgery

You can eat all the foods you did before your thoracic surgery, unless your healthcare provider gives you other instructions. Eating a balanced diet with lots of calories and protein will help you heal after surgery. Try to eat a good protein source at each meal. You should also try to eat fruits, vegetables, and whole grains.

Its also important to drink plenty of liquids. Choose liquids without alcohol or caffeine. Try to drink 8 to 10 glasses of liquids every day.

For more information, read Eating Well During Your Cancer Treatment. If you have questions about your diet, ask to see a clinical dietitian nutritionist.

Da Vinci Robot Linked To Complication Concerns

The only device approved in the United States for use during such robotic procedures is the da Vinci Surgical System, which has been increasingly used in recent years at hospitals throughout the United States amid aggressive marketing by the device manufacturer, Intuitive Surgical.

The da Vinci robot is remotely controlled by a surgeon looking at a virtual reality representation of the patients internal organs and manipulating its four metal arms with hand and foot controls. Robotic surgery has been promoted as providing a less invasive procedure, which reduces recovery time. However, concerns have surfaced within the medical community about the potential risks and increased costs, without any apparent long-term benefits for the patient.

Last month, the Massachusetts Board of Registration in Medicine issued an advisory, raising concerns about a lack of training, risks, and patient education involving robotic surgery. The board urged hospitals to take a more careful look at the risks associated with robotic surgery. The board also called for better patient selection criteria and improved training for surgeons conducting robotic surgery.

Another recent report, by the American Congress of Obstetricians and Gynecologists , recommended against robotic hysterectomy surgery, indicating that there is a lack of evidence showing any benefit to patients compared to other means of doing a hysterectomy, yet there are increased costs and a serious risk of complications.

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What Can You Expect With Robotic Lung Surgery

Prior to surgery youll likely undergo pulmonary function tests to ensure you can tolerate the procedure.

Robotic surgery for lung cancer is performed under general anesthesia. Once the anesthesia starts to work, a special breathing tube is inserted into your airway. This tube allows your lungs to be inflated and deflated separately.

Youll be moved onto your side. The surgeon will then make 3 or 4 small incisions through your chest wall. The camera and articulated tools that are attached to the robotic arm will be inserted into these incisions.

Sitting at a console near you in the operating room, your surgeon will look at the three-dimensional image produced by the camera and will move the robotic arm to perform the procedure.

Cancerous lung tissue is cut off and removed through one of the incisions. Usually, some of the lymph nodes around the lung are also removed to see if the cancer has progressed beyond the lungs.

Once the surgeon is confident that all the cancer has been removed, the instruments will be retracted and the incisions will be closed.

A chest tube is usually inserted into one of the incisions to collect fluid and air leaving the chest and to help the lung re-inflate after surgery.

Preventing And Treating Pain After Thoracic Surgery

Robotic Surgery for Cancers of the Chest

Allan Gottschalk, Steven P. Cohen, Stephen Yang, E Andrew Ochroch, David C. Warltier Preventing and Treating Pain after Thoracic Surgery. Anesthesiology 2006 104:594600 doi:

THE pain that accompanies thoracic surgery is notable for its intensity and duration. Acutely, moderate to severe levels of pain may not decrease substantially over the course of hospitalization and the first postoperative month.Chronically, pain can last for months to years, and even low levels of pain can decrease function.Other than pain syndromes associated with limb amputation, pain after thoracic surgery may be the most recognized pain syndrome associated with a specific surgery. Although used with increasing frequency, thoracoscopic approaches have not had the favorable impact on pain that many had anticipated.Given that the adverse effects of thoracic surgery on pulmonary function can be mitigated by effective perioperative analgesia,it is not surprising that thoracic surgeons have joined anesthesiologists in becoming strong advocates of analgesic interventions known to limit the pain accompanying thoracic surgery. Here, we review evidence-based strategies for preventing and treating this type of pain.

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Robotic Surgery Side Effects Linked To Risk Of Nerve Injury: Study

Amid increasing concerns about reports of problems with the da Vinci surgical robot, a new study indicates that many individuals who elect to undergo robotic surgery for the prostate, kidney or bladder may face a risk of suffering a nerve injury.

According to a study published this month by The Journal of Urology, researchers from the University of Virginia School of Medicine say they have found a correlation between the use of a robot during surgery and nerve damage, which could be caused by the need to tilt patients steeply during robotic surgery, which could last for hours.

Researchers found that nerve injuries potentially caused by side effects of robotic surgery affected nearly 7% of patients who underwent robot-assisted urologic surgery. While most of the reported nerve damage resolved within one month after surgery, more than 20% experienced problems that persisted beyond six months.

What Are The Benefits Of Robotic Lung Surgery

The main benefit of minimally invasive procedure is the small size of the incisions. While open surgery requires an incision as large as 7 inches in length, incisions for minimally invasive procedures are usually only 1 to 2 cm long.

Other benefits of minimally invasive surgery when compared to open surgery include:

  • Less pain. Less muscle and tissue is cut when making small incisions so theres less pain.
  • Better healing. Small incisions form less scar tissue than larger incisions when they heal.
  • Less blood loss. Smaller incisions and less tissue damage result in less bleeding during surgery.
  • Surgery takes less time. Less time in the operating room is associated with fewer complications and faster healing.
  • Shorter postoperative hospital stay. Smaller incisions heal more quickly than larger ones.
  • Reduced recovery time. Reducing injury to muscles used for breathing minimizes the loss of lung function so patients are back on their feet sooner.

Robotic surgery for lung cancer also has advantages over VATS including:

The long- and short-term outcomes of robotic surgery for lung cancer are similar to VATS. Both of these minimally invasive surgeries tend to have better outcomes and fewer complications than open surgery.

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Benefits Of Robotic Surgery

Robotic-Assisted Surgery Has Several Benefits as It Is Minimally Invasive. These Benefits Include:

  • Less blood loss
  • A short stay at the hospital
  • Neither the ribs nor the breastbone is cut by the surgeon.

In addition to these benefits, robotic-assisted surgery may have certain advantages over VATS. For example, a surgeon is provided with greater movement accuracy and a better view.

However, more research is necessary to determine whether such benefits can result in better outcomes for all patients. You must remember that every individual responds differently to different types of surgeries. The response can depend on many factors, such as the type of lung cancer or other medical histories.

What To Expect And How Long Does Robotic Lung Surgery Take

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Robotic-Assisted Surgery Usually Takes 2-3 Hours to Finish and Generally Involves the Following Steps

  • You will receive general anesthesia
  • A breathing tube will then be inserted into your airway.
  • Around one to five small cuts will be made between your ribs.
  • Then, the surgeon will insert a camera and surgical instruments between your ribs.
  • After the operation is complete, a chest tube is placed through one of the cuts to drain any excess fluid or air. This tube will stay in place for several days and be removed before you return home.

The recovery time from robotic lung surgery is 2-3 weeks. However, while the body heals, the patient may experience symptoms like shortness of breath, pain, fatigue, and a sore throat due to the usage of the breathing tube.

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Takeaway

Robotic surgery is a minimally invasive surgery that removes cancerous lung tissues. Unlike open chest surgery, it includes quick recovery time and a short stay in the hospital. However, like any other surgery, robotic-assisted operations have risks. So, you must consult your doctor before opting for this type of surgery.

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Moving Around And Walking

Moving around and walking will help lower your risk for blood clots and pneumonia . It will also help you start passing gas and having bowel movements again. Your nurse, physical therapist, or occupational therapist will help you move around, if needed.

Read Frequently Asked Questions About Walking After Your Surgery to learn more about how walking after surgery can help you recover.

Read to learn what you can do to stay safe and keep from falling while youre in the hospital.

How To Recover From Thoracic Surgery In Your Hospital Room

After you stay in the PACU, you will be taken to your hospital room. In your hospital room, you will meet one of the nurses who will care for you during your stay. Soon after you get there, a nurse will help you out of bed and into your chair.

Tell the nurse if you drink alcohol every day or if you have recently stopped drinking alcohol. Tell the nurse if you smoke or if you have recently quit smoking. They will offer you nicotine replacement therapy to make you more comfortable while youre in the hospital.

Your healthcare providers will teach you how to care for yourself while youre recovering from your surgery.

You can help yourself recover more quickly after thoracic surgery by:

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Physical Activity And Exercise After Thoracic Surgery

When you leave the hospital, your incision may look healed on the outside, but it will not be healed on the inside. For the first 3 weeks after your surgery:

  • Do not lift anything heavier than 10 pounds .
  • Do not do any high-energy activities .
  • Do not play any contact sports .

Doing aerobic exercise, such as walking and stair climbing, will help you gain strength and feel better. Walk at least 2 to 3 times a day for 20 to 30 minutes. You can walk outside or indoors at your local mall or shopping center.

Its normal to have less energy than usual after your surgery. Recovery time is different for each person. Increase your activities each day as much as you can. Always balance activity periods with rest periods. Rest is an important part of your recovery.

Strengthening Your Arm and Shoulder After Thoracic Surgery

Stretching exercises will help you regain full arm and shoulder movement. They will also help relieve pain on the side of your surgery.

Do the exercises in the How to Do Stretching Exercises After Thoracic Surgery section. Start doing them as soon as your chest tube is removed.

Use the arm and shoulder on the side of your surgery in all your activities. For example, use them when you bathe, brush your hair, and reach up to a cabinet shelf. This will help restore full use of your arm and shoulder.

Taking It One Hour At A Time

Robotic lung surgery | John Mitchell, MD, Thoracic surgery | UCHealth

Going home from the hospital I was given strong narcotics Percocet and Vicodin for pain. The ongoing pain was basically the rib damage and the incision and the area where the chest tube was placed. But again, it helped dull the pain but didnt make the pain go away. Lying in bed, even having my wife sit on the other side of the bed caused pain I had to sit perfectly still. But this also gave me time to gain mental strength to tolerate the pain. For me, it was thinking in small time frames. Instead of thinking about tomorrow and getting through today, I started thinking in terms of hours I cant get to tomorrow until I get through today, and I cant get through today until I get through the next hour. Plus, I believe that I started to understand how lucky I was that my cancer had not spread to my lymph nodes. In the first weeks after I got out of the hospital and started to feel a little better, I told myself this was a small price to pay — I can deal with the pain because it could have been much worse.

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