Many patients in the outpatient clinic have multiple pulmonary nodules, which may grow in the same lung lobe, different lobes on the same side, or even left and right bilateral, etc., and the pulmonary nodules on the same side have been treated before, and the treatment of the main lesion and the secondary lesion are given priority.
If there are both left and right sides, can you do it together?
1. Do we generally assess whether surgery is necessary on both sides? If they are all done, generally speaking, if both sides of the operation are done at one time, the perioperative risk is significantly increased, unless the age is very young, bilateral surgery is very simple, the patient strongly requests, etc., it can be carefully evaluated and carefully considered, and staging treatment is generally preferred. If you do it in stages, it is generally up to you to see which one has a higher priority, and which one can be observed in the short term. This side of the severe nodule is usually opened first. 1-3 months after the surgery, or even longer, open the other side again. If both sides are still stable, one side of the nodule is more peripheral, the lung can be partially removed, the other side should be cut into the lung lobe, etc., in order to anesthetize the patient's lung condition better in the next operation, etc., you can also consider doing a small simple side first, so that the next time you do a large nodule, when you want to cut a lot of lungs, the side of the first operation has recovered well and can tolerate the operation.
2. If the nodule on the other side is basically considered benign and can be followed-up, then there is no need to do it together. Follow-up is sufficient.
Pulmonary nodules