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Завжди консультуйтеся зі своїм медичним персоналом, щоб отримати індивідуальні поради та інструкції.</i></p>"},"overview":{"text":"<h3>Сегментектомія легені</h3> <p>Легенева операція, під час якої видаляється певний сегмент легені, уражений хворобою, часто використовується для лікування локалізованого раку легені.</p> <div>[icon-pros<b>]Плюси:</b><span> Зберігає більше функцій легень порівняно з лобектомією. Менш інвазивна, ніж пневмонектомія, з меншою кількістю ускладнень. Дозволяє цілеспрямовано висікати пухлину, зводячи до мінімуму видалення здорових тканин.</span></div> <div>[icon-cons<b>]Мінуси:</b><span> Може не підходити при великих або множинних пухлинах. 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4-8 weeks depending on approach and surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Lung function and exercise capacity stabilize; pathology results guide need for further cancer treatment."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After drain removal, stable chest X-ray with no air leak or pneumothorax, and surgeon clearance."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":7,"max":14,"unit":"days","qualifier":"Wound and chest X-ray check, may be done locally."},"requirement":"routine"},{"purpose":"result_review","after":{"min":14,"max":28,"unit":"days","qualifier":"Pathology review and decision on further oncology treatment."},"requirement":"routine"},{"purpose":"assessment","after":{"min":90,"max":120,"unit":"days","qualifier":"Follow-up chest CT and lung function review."},"requirement":"routine"}],"indications":["Small peripheral early-stage lung cancer (about 2 cm or less)","Ground-glass or part-solid nodules suspicious for adenocarcinoma","Metastasis confined to one lung segment","Localized benign lesion, bronchiectasis or infection confined to a segment","Limited lung reserve, unable to tolerate lobectomy"],"main_risks":["Prolonged air leak","Bleeding","Pneumonia or atelectasis","Infection of wound or pleural space","Arrhythmia such as atrial fibrillation","Blood clots","Persistent chest wall pain"],"pain":"Moderate for 2-4 days, controlled with epidural or nerve blocks and oral analgesics; less after minimally invasive surgery. Chest wall discomfort may last weeks.","preparation":["CT chest, PET-CT and tissue diagnosis when feasible","Lung function tests and cardiac assessment","Brain MRI and mediastinal staging if indicated","Stop smoking at least 4 weeks before","Blood tests and anesthesia review","Fasting from midnight before surgery","Breathing exercises taught beforehand"],"recovery_timeline":[{"phase":"Hospital stay (days 0-7)","description":"Chest drain in place, pain control, breathing exercises and early walking until drain removal.","restrictions":["No driving","Walk several times daily"]},{"phase":"Early recovery (weeks 1-4)","description":"Gradual return of energy; incision healing; shortness of breath on exertion improves.","restrictions":["No lifting over 4-5 kg","Avoid long-haul flights until surgeon clearance, usually after 1-2 weeks"]},{"phase":"Full recovery (weeks 4-12)","description":"Return to normal activity and exercise; follow-up CT and lung function review.","restrictions":["Avoid heavy lifting until cleared by surgeon"]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Breathing exercises and progressive walking until ordinary daily function returns."},"result_longevity":"Permanent removal of the segment; long-term cancer control depends on stage, margins and pathology, with periodic CT surveillance.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Return to operating room or completion lobectomy for bleeding, air leak or positive margin"},"scars":"Usually 1-4 small keyhole incisions of 1-4 cm with VATS or robotic approach, or one longer incision if open; scars fade over months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"surgery","label":"Segmentectomy with lymph node sampling","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}}],"qualifier":"Single-stage surgery; adjuvant therapy, if needed, is separate."},"success":{"metric":"5-year overall survival, stage IA non-small cell lung cancer","value":85,"unit":"percent","horizon":"5 years","population":"Adults with small peripheral stage IA NSCLC, 2 cm or less, with clear margins","evidence_status":"limited"},"techniques":[{"name":"VATS (video-assisted thoracoscopic) segmentectomy","suits_whom":"Most patients with small peripheral tumors.","recovery":"Shorter stay and less pain; hospital 3-5 nights."},{"name":"Robotic-assisted segmentectomy","suits_whom":"Complex segments or surgeons experienced in robotics.","recovery":"Similar to VATS; hospital 3-5 nights."},{"name":"Open thoracotomy segmentectomy","suits_whom":"Large or complex cases, adhesions, or conversion.","recovery":"More pain; hospital 5-7 nights and slower recovery."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operating time including lymph node sampling."},"initial_assessment_documents":["Chest CT scan images and report","PET-CT report (if available)","Biopsy or pathology report (if available)","Pulmonary function test results","Recent cardiology assessment or ECG"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days until drain removal and clearance to fly; later CT follow-up done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C2","text":"Check that you are satisfied with the facilities and standards at the clinic or hospital","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C3","text":"Check that you understand the possible complications and side effects of treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"C5","text":"Ask the treating team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A hard sell before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F2","text":"Pressure to make a quick decision before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F3","text":"No discussion of possible complications before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"F4","text":"No mention of aftercare before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Coughing up blood","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21868-lung-resection","host":"my.clevelandclinic.org","quote":"Call 911 or go to the nearest emergency room if you: Cough up blood","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W2","text":"Unexpected difficulty breathing","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21868-lung-resection","host":"my.clevelandclinic.org","quote":"Have unexpected difficulty breathing","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W3","text":"Blood soaking through incision bandage","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21868-lung-resection","host":"my.clevelandclinic.org","quote":"Blood that soaks through your incision bandage","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W4","text":"Discolored or foul-smelling fluid around the incisions","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21868-lung-resection","host":"my.clevelandclinic.org","quote":"Discolored or foul-smelling fluid around the incisions","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},{"id":"W5","text":"Redness or yellow incision discharge","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17617-video-assisted-thoracic-surgery-vats","host":"my.clevelandclinic.org","quote":"Signs of infection, like redness or yellow discharge at the incision site or a fever","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your damaged lung tissue is confined to a limited area","name":"Wedge resection","source":{"url":"https://my.clevelandclinic.org/health/treatments/21868-lung-resection","host":"my.clevelandclinic.org","quote":"A surgeon removes a wedge-shaped section of lung tissue.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":405},{"id":"A2","text":"Your diseased tissue is confined to one lobe of your lung","name":"Lobectomy","source":{"url":"https://my.clevelandclinic.org/health/treatments/21868-lung-resection","host":"my.clevelandclinic.org","quote":"A surgeon removes one lobe of your lung.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200},"operation_id":368}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1},"technique_details":{"status":"ok","items":[{"id":"vats-segmentectomy","name":"VATS (video-assisted thoracoscopic) segmentectomy","how_it_works":{"text":"Tiny incisions let a camera and tiny tools reach the 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lung","source":{"url":"https://my.clevelandclinic.org/services/schedule-lung-surgery","host":"my.clevelandclinic.org","quote":"We do open surgery by making a large incision in your chest to reach your lungs.","tier":"tier1_medical","fetched_at":"2026-11-14","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-14","next_check_at":"2027-11-14","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=turkey/city=bursa/procedure=segmentarnaa-rezekcia-legkogo/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":4,"alias":"lung-cancer","name":"Рак легенів"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}