I had VATS not RFA for my small lung met - easy surgery. In my case the met was deep, so nuclear material was inserted under CT guidance and then during surgery the surgeon went for the "hotspot" - that was back in 2008. Recovery was easy. I suspect, but do not know, that RFA recovery is also relatively "easy". Elected to do Xeloda + Avastin post surgery, but that was my choice and others might make a different one.
We did the "watch and wait" thing without chemo before surgery, since I was off it anyway. The size did not change from 11/08 (when first detected) until 4/09 when resected.
diag. Stage IV, 5/05, liver met
lap sigmoid colectomy, 6/05
6 cycles Xeloda/oxaliplatin/Avastin (NED after 2)
11/08 9x13mm right lower lobe lung nodule; removed via VATS 4/09
6 cycles Xeloda + Avastin
Avastin only 10/09-5/11
Still NED 06/18