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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; 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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. 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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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