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Це менш серйозно з помітною ефективністю.</p>"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":5,"days_in_country":10,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":3},"illness_kind_details":{"requests_processed":46119}},"responsibleDoctor":{"id":290,"alias":"yesim-yildirim","name":"Yesim Yildirim","photo":"doctor/699da18e34fa6","advisory_text":"20 років досвіду Лікар-онколог, сертифікат ESMO","linkedin":"","specialities":[{"id":"onc.001","name":"Онколог","illness_kind_id":10}]},"direction":{"id":10,"name":"Онкологія","alias":"oncology"},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Desk work from about 2 weeks; physical work 4-6 weeks after VATS."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any postoperative complication within 30 days, mostly prolonged air leak; serious ones about 2-5%."},"contraindications":["Severe lung disease or insufficient respiratory reserve","Uncontrolled bleeding disorder or anticoagulation that cannot be paused","Recent heart attack or unstable heart disease","Lesion too central or too large for a wedge","Active uncontrolled infection","Inability to tolerate general anesthesia"],"days_in_clinic":{"min":2,"max":4,"unit":"nights","qualifier":"Until the chest drain is removed and the lung is expanded on X-ray."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking early; heavy lifting and strenuous sport after surgeon clearance."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Breathing comfort and chest wall sensation return to baseline."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After chest drain removal, a stable chest X-ray and surgeon clearance."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":7,"max":14,"unit":"days","qualifier":"Check of incisions and chest X-ray."},"requirement":"routine"},{"purpose":"result_review","after":{"min":7,"max":21,"unit":"days","qualifier":"Pathology report review; may be done remotely."},"requirement":"routine"},{"purpose":"assessment","after":{"min":30,"max":60,"unit":"days","qualifier":"Breathing check and imaging at home; oncology follow-up if malignant."},"requirement":"conditional"}],"indications":["Diagnosis of an undiagnosed solitary pulmonary nodule","Small peripheral early-stage lung cancer in patients unfit for lobectomy","Resection of a solitary lung metastasis","Localized benign lesion or focal lung disease needing tissue","Biopsy for interstitial lung disease when other methods are inconclusive"],"main_risks":["Prolonged air leak","Pneumothorax after drain removal","Bleeding","Wound or lung infection","Pneumonia","Persistent chest wall pain","Reaction to anesthesia"],"pain":"Moderate for the first 3-5 days, controlled with oral analgesics or regional block; chest drain site is the most uncomfortable. Mild soreness may last several weeks.","preparation":["CT scan of the chest and often PET-CT","Lung function tests and heart assessment","Blood tests and coagulation profile","Stop smoking at least 2-4 weeks before","Fasting for 6-8 hours before surgery","Surgeon reviews blood thinners and diabetes medications","Pre-operative localization of small nodules if needed"],"recovery_timeline":[{"phase":"Hospital stay (days 0-4)","description":"Chest drain in place, breathing exercises and early walking, pain control.","restrictions":["No driving","Walk several times daily"]},{"phase":"Early recovery (weeks 1-2)","description":"Wound healing, decreasing pain, pathology result received.","restrictions":["No lifting over 4-5 kg","Avoid air travel until cleared"]},{"phase":"Return to activity (weeks 2-6)","description":"Return to work and gradual increase in activity.","restrictions":["No heavy lifting or strenuous sport until cleared"]},{"phase":"Full recovery (months 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admission."}}],"qualifier":"Single-stage surgery; further treatment depends on pathology."},"success":{"metric":"Diagnostic or complete resection achieved with negative margins","value":95,"unit":"percent of patients","horizon":"At pathology review, 1-2 weeks","population":"Adults with small peripheral lung lesion treated by VATS wedge resection","evidence_status":"limited"},"techniques":[{"name":"Video-assisted thoracoscopic surgery (VATS)","suits_whom":"Most patients with peripheral lesions; standard approach.","recovery":"Hospital stay 2-4 nights; return to desk work in 2-3 weeks."},{"name":"Robotic-assisted wedge resection","suits_whom":"Patients needing precise resection of hard-to-reach nodules.","recovery":"Similar to VATS."},{"name":"Open thoracotomy wedge resection","suits_whom":"Large, adherent lesions or when minimally invasive access is unsafe.","recovery":"Hospital stay 4-7 nights; recovery of 6-8 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