VATS surgery/recovery

Please feel free to read, share your thoughts, your stories and connect with others!
roadrunner
Posts: 204
Joined: Sun Jan 12, 2020 8:46 pm

VATS surgery/recovery

Postby roadrunner » Thu Dec 02, 2021 2:03 pm

Hey guys:

I’m usually big on pontification, but now I have a question. For a long time we’ve been watching my two lung nodules. They have gone up and then down a bit. The subpleural nodule is now at 6.8mm (has fluctuated over time but has shown very slow growth overall over the last 1.5 years or so). Thus I am having VATS tomorrow to remove and biopsy it. There is a more central nodule that still appears stable, and we’ll use SBRT on that or perhaps just keep watching it, in part depending on the surgical pathology.

My question is: Any experiences or tips on VATS recovery? They’re telling me one day inside to resolve any air leaks, then my surgeon will remove the chest tube and send me home. I will try to push recovery hard and am working remotely anyhow, but does anyone have some wisdom or experience to impart on how to recover ASAP? Thanks for anything you’ve got.
7/19: Rectal cancer: Staged as IIIA, T2N1M0
approx 4.25 cm, low/mid rectum, mod. well diff.
8/22 -10/14 4 rounds FOLFOX neoadjuvant, 3 w/Oxiplatin (side effects/reduced size est. 70-75%)
neoadjuvant chemorad 11/19
4 rounds of FOLFOX July-August 2020
ncCR found 10/20; biopsies negative
TAE 11/20, small amount of tumor removed, lung nodules orig id’d 6/20 stable Nov 2020
Chest CT 3/30/21 small growth in 2 nodules (3 and 5mm)
VATS 12/8/21 to remove sub-pleural met 7mm. Considering SBRT for remaining nodule.

Markdale
Posts: 29
Joined: Wed Dec 02, 2020 4:45 pm

Re: VATS surgery/recovery

Postby Markdale » Thu Dec 02, 2021 4:16 pm

I had a thoracotomy. Soon as the drain tube is out start walking as much as possible, I was walking an hour twice a day it’ll help the lung expand. I haven't noticed much difference in lung capacity, however climbing stairs I noticed I was getting short of breathe in the first couple of months.
Coughing and sneezing will be painful in the first few weeks
09/20:Diagnosed after colonoscopy for bleeding.
MRI and ct scan confirmed tumor at rectosigmoid junction aswell as lung nodules in right lower lobe (1X1.2cm) and right upper lobe (3X.5cm)
10/20: low anterior resection tumour t3n2m1 4 lymph nodes positive of 24. No ileostomy.
11/20: pet scan showed low to moderate uptake of glucose.
11/20: folfoxiri - 10/6/21. 12 rounds in total
12/20: ct lung biopsy of lung nodule to confirm metastasis. Biopsy unsuccessful
1/1/21 thoracotomy for removal of lung nodules

stu
Posts: 1549
Joined: Sat Aug 17, 2013 5:46 pm

Re: VATS surgery/recovery

Postby stu » Thu Dec 02, 2021 5:17 pm

Hi ,
Compared to the other resections my mum had she found Vats a complete walk in the park .
She had one small incision around two inches just under her armpit !
She was on her feet walking up and down the corridor doing the breathing exercises by day two . And discharged the following day . She was fully independent in all aspects just resting when required and out and about within two weeks . Never looked back with no obvious impairment in her lung function . She was 73 at the time and now 79 . All remains good . She had two other nodules . One 7mm but no uptake on the PET .
They have remain unchanged .
All the very best .
Stu
supporter to my mum who lives a great life despite a difficult diagnosis
stage4 2009 significant spread to liver
2010 colon /liver resection
chemo following recurrence
73% of liver removed
enjoying life treatment free
2016 lung resection
Oct 2017 nice clear scan . Two lung nodules disappeared
Oct 2018. Another clear scan .

prayingforccr
Posts: 213
Joined: Sun Jun 28, 2020 4:44 pm

Re: VATS surgery/recovery

Postby prayingforccr » Thu Dec 02, 2021 10:32 pm

Why not consider cryoablation?
11/19: colonoscopy
12/19: diagnosed with stage 3 rectal cancer 6+cm tumor
1-3/20: 20 sessions of radiation, mon-fri capecetibine+clinical trial drug m3814
7/20: 8 treatmentsFOLFOX
11/20: Primary tumor had complete response. Possible tumor deposits on latest mri. Biopsy negative for cancer.
5/21: Multiple lung nodules (3-6mm) on ct scan
10/21: md anderson gives me 1 year without treatment/3 years with folfiri/avastin (refused)
3/22 Will begin immunotherapy/sbrt at weill cornell and nyu/langone in march

roadrunner
Posts: 204
Joined: Sun Jan 12, 2020 8:46 pm

Re: VATS surgery/recovery

Postby roadrunner » Thu Dec 02, 2021 11:01 pm

Stu: Hope mine is as easy as your mum’s was! Thanks for the upbeat report, was a bit nervous.

Markdale: I’m going to try to push, and was running 2.5 to 3 miles last week, but I know from prior surgeries I’ll have a bit of a different outlook tomorrow, so I hope to get close to your walking totals soon.

Prayingforccr: The idea is to pull this one out and test it to see what systemic treatment might work best (if I choose to go that way). We’re going to do the other one with SBRT, or just watch it (it’s possible that it’s been going nowhere for a long time now (just went from 7mm to 6.3mm 15 months after last chemo)). It could have been wedged, but because central looked more like a segmentectomy or a lobectomy, and my oncologist and I agreed that because these are small it’d be better to try to keep from losing too much healthy tissue now.
7/19: Rectal cancer: Staged as IIIA, T2N1M0
approx 4.25 cm, low/mid rectum, mod. well diff.
8/22 -10/14 4 rounds FOLFOX neoadjuvant, 3 w/Oxiplatin (side effects/reduced size est. 70-75%)
neoadjuvant chemorad 11/19
4 rounds of FOLFOX July-August 2020
ncCR found 10/20; biopsies negative
TAE 11/20, small amount of tumor removed, lung nodules orig id’d 6/20 stable Nov 2020
Chest CT 3/30/21 small growth in 2 nodules (3 and 5mm)
VATS 12/8/21 to remove sub-pleural met 7mm. Considering SBRT for remaining nodule.

User avatar
Rob in PA
Posts: 2012
Joined: Wed Dec 09, 2009 9:16 pm
Location: Pennsylvania

Re: VATS surgery/recovery

Postby Rob in PA » Fri Dec 03, 2021 10:11 am

Roadrunner,
Walk, walk, walk.....and use your breathing exercise thingy (forget the name off hand).

I also had SBRT, but it was done prior to VATS because I had 4 lung nodules (2 in each side) and they would not do VATS until I got at least one lung cleared.

Worked well, still here :D

Rob
dx 11/07 crc IIIb @ 39
Xelox/Rad/ temp colostomy
LAR/J-pouch/ temp ileo
Folfox-8
Failed reversal
2/09 liver mets; liver resect/ileo reversal
Folfiri/Avastin - 12
2/11 5 lung mets
Folfiri/Avastin 2011
SBRT 3/12
Lung met 5/13/ said NO to more chemo
SBRT 8/13
2 lung mets 5/14, VATS 8/14, NED

roadrunner
Posts: 204
Joined: Sun Jan 12, 2020 8:46 pm

Re: VATS surgery/recovery

Postby roadrunner » Sat Dec 04, 2021 12:03 am

Thought I’d update this thread. In a holding pattern on the VATS. My surgeon had to cancel today. Will reschedule soon.
7/19: Rectal cancer: Staged as IIIA, T2N1M0
approx 4.25 cm, low/mid rectum, mod. well diff.
8/22 -10/14 4 rounds FOLFOX neoadjuvant, 3 w/Oxiplatin (side effects/reduced size est. 70-75%)
neoadjuvant chemorad 11/19
4 rounds of FOLFOX July-August 2020
ncCR found 10/20; biopsies negative
TAE 11/20, small amount of tumor removed, lung nodules orig id’d 6/20 stable Nov 2020
Chest CT 3/30/21 small growth in 2 nodules (3 and 5mm)
VATS 12/8/21 to remove sub-pleural met 7mm. Considering SBRT for remaining nodule.

stu
Posts: 1549
Joined: Sat Aug 17, 2013 5:46 pm

Re: VATS surgery/recovery

Postby stu » Tue Dec 07, 2021 4:26 pm

Such a shame but hopefully back on course soon !
I will look forward to hearing you are safely through .
Stu
supporter to my mum who lives a great life despite a difficult diagnosis
stage4 2009 significant spread to liver
2010 colon /liver resection
chemo following recurrence
73% of liver removed
enjoying life treatment free
2016 lung resection
Oct 2017 nice clear scan . Two lung nodules disappeared
Oct 2018. Another clear scan .

prayingforccr
Posts: 213
Joined: Sun Jun 28, 2020 4:44 pm

Re: VATS surgery/recovery

Postby prayingforccr » Tue Dec 07, 2021 7:01 pm

roadrunner wrote:Stu: Hope mine is as easy as your mum’s was! Thanks for the upbeat report, was a bit nervous.

Markdale: I’m going to try to push, and was running 2.5 to 3 miles last week, but I know from prior surgeries I’ll have a bit of a different outlook tomorrow, so I hope to get close to your walking totals soon.

Prayingforccr: The idea is to pull this one out and test it to see what systemic treatment might work best (if I choose to go that way). We’re going to do the other one with SBRT, or just watch it (it’s possible that it’s been going nowhere for a long time now (just went from 7mm to 6.3mm 15 months after last chemo)). It could have been wedged, but because central looked more like a segmentectomy or a lobectomy, and my oncologist and I agreed that because these are small it’d be better to try to keep from losing too much healthy tissue now.


Interesting………Dr Formenti wants to wait until a nodule is large enough to biopsy for the same purpose.

I said to her “ Feel free to use me as a lab rat in anyway you think might get me to remission.”

She said “ I don’t want to use you as a lab rat, but a sample of your tumor if it is one. I want to try to treat it in a dish first”
11/19: colonoscopy
12/19: diagnosed with stage 3 rectal cancer 6+cm tumor
1-3/20: 20 sessions of radiation, mon-fri capecetibine+clinical trial drug m3814
7/20: 8 treatmentsFOLFOX
11/20: Primary tumor had complete response. Possible tumor deposits on latest mri. Biopsy negative for cancer.
5/21: Multiple lung nodules (3-6mm) on ct scan
10/21: md anderson gives me 1 year without treatment/3 years with folfiri/avastin (refused)
3/22 Will begin immunotherapy/sbrt at weill cornell and nyu/langone in march

roadrunner
Posts: 204
Joined: Sun Jan 12, 2020 8:46 pm

Re: VATS surgery/recovery

Postby roadrunner » Wed Dec 08, 2021 2:00 pm

Had the surgery this morning. So far so good. A bit sore, lots of lines and tubes. Once we get pathology we’ll proceed with the next sortie. Likely SBRT on the more central nodule. Then there’s the systemic therapy decision to make. Thanks everyone for the support! It means a lot.
7/19: Rectal cancer: Staged as IIIA, T2N1M0
approx 4.25 cm, low/mid rectum, mod. well diff.
8/22 -10/14 4 rounds FOLFOX neoadjuvant, 3 w/Oxiplatin (side effects/reduced size est. 70-75%)
neoadjuvant chemorad 11/19
4 rounds of FOLFOX July-August 2020
ncCR found 10/20; biopsies negative
TAE 11/20, small amount of tumor removed, lung nodules orig id’d 6/20 stable Nov 2020
Chest CT 3/30/21 small growth in 2 nodules (3 and 5mm)
VATS 12/8/21 to remove sub-pleural met 7mm. Considering SBRT for remaining nodule.

stu
Posts: 1549
Joined: Sat Aug 17, 2013 5:46 pm

Re: VATS surgery/recovery

Postby stu » Wed Dec 08, 2021 4:16 pm

Delighted to hear from you .
Great to hear you are safely through surgery .
Rest well and keep up the good work !
Stu
supporter to my mum who lives a great life despite a difficult diagnosis
stage4 2009 significant spread to liver
2010 colon /liver resection
chemo following recurrence
73% of liver removed
enjoying life treatment free
2016 lung resection
Oct 2017 nice clear scan . Two lung nodules disappeared
Oct 2018. Another clear scan .

User avatar
beach sunrise
Posts: 581
Joined: Thu Mar 05, 2020 7:14 pm

Re: VATS surgery/recovery

Postby beach sunrise » Wed Dec 08, 2021 5:02 pm

Great news to hear today!
Take care of yourself and Merry Christmas to you and family!
8/19 RC CEA 82.6 T3N0M0
Neoadj 5FU/rad 6 wk
High dose IVC 1 1/2 wks before surgery. Continue still twice a week
Surg 1/20 APR - margins T4bN1a IIIC G2 MSI- 1/20 LN+ LVI+ PNI-
pre cea 24/post 5.9
FOLFOX
7 rds 6-10 CEA 11.4 No more
7/20 CEA 11.1, 8.8
8/20 CEA 7.8
9/20 CEA 8.8, 9, 8.6
10/20 CEA 8.1
11/20 CEA 8's
12/20 CEA 8's & 9's
ADAPT+++ TM drug
MHL1+
PMS2+
MSH2+
MSH6+
POLD1 , KRAS Q61H
Chem-sens test NCI "Test failed, neo adj CR worked. Not enough ca cells to test"

prayingforccr
Posts: 213
Joined: Sun Jun 28, 2020 4:44 pm

Re: VATS surgery/recovery

Postby prayingforccr » Wed Dec 08, 2021 5:15 pm

roadrunner wrote:Had the surgery this morning. So far so good. A bit sore, lots of lines and tubes. Once we get pathology we’ll proceed with the next sortie. Likely SBRT on the more central nodule. Then there’s the systemic therapy decision to make. Thanks everyone for the support! It means a lot.


Let’s get to remission/ned roadrunner.

Youve always been very kind to me.
11/19: colonoscopy
12/19: diagnosed with stage 3 rectal cancer 6+cm tumor
1-3/20: 20 sessions of radiation, mon-fri capecetibine+clinical trial drug m3814
7/20: 8 treatmentsFOLFOX
11/20: Primary tumor had complete response. Possible tumor deposits on latest mri. Biopsy negative for cancer.
5/21: Multiple lung nodules (3-6mm) on ct scan
10/21: md anderson gives me 1 year without treatment/3 years with folfiri/avastin (refused)
3/22 Will begin immunotherapy/sbrt at weill cornell and nyu/langone in march

roadrunner
Posts: 204
Joined: Sun Jan 12, 2020 8:46 pm

Re: VATS surgery/recovery

Postby roadrunner » Wed Dec 08, 2021 6:12 pm

Stu: Thanks indeed! You are a wonder of this board, offering both warmth and truly uplifting stories and perspective for inspiration. Your good works are hugely appreciated.

Beach: Thanks and Merry Christmas to you as well! Honestly, I was unable to enjoy the lights, etc. until this little speed bump was past. Will focus on them in the space before the next one. Even snowed a little on the way in this a.m. (I was like: “Dang (or similar), we’re already late!” Not a thought (til now) on how pretty the icy mist was on the empty roads (5 a.m.).

Prayingforccr: Thank you for the kind words. And I wish you great good fortune with your new approach. Of course, I read about it when you first posted on it! I hope your success with your primary carries over to this way to attack the pulmonary mets.
7/19: Rectal cancer: Staged as IIIA, T2N1M0
approx 4.25 cm, low/mid rectum, mod. well diff.
8/22 -10/14 4 rounds FOLFOX neoadjuvant, 3 w/Oxiplatin (side effects/reduced size est. 70-75%)
neoadjuvant chemorad 11/19
4 rounds of FOLFOX July-August 2020
ncCR found 10/20; biopsies negative
TAE 11/20, small amount of tumor removed, lung nodules orig id’d 6/20 stable Nov 2020
Chest CT 3/30/21 small growth in 2 nodules (3 and 5mm)
VATS 12/8/21 to remove sub-pleural met 7mm. Considering SBRT for remaining nodule.

User avatar
CRguy
Posts: 10365
Joined: Sun Feb 10, 2008 6:00 pm

Re: VATS surgery/recovery

Postby CRguy » Thu Dec 09, 2021 12:42 am

roadrunner wrote:Had the surgery this morning. So far so good. A bit sore, lots of lines and tubes. Once we get pathology we’ll proceed with the next sortie. Likely SBRT on the more central nodule. Then there’s the systemic therapy decision to make. Thanks everyone for the support! It means a lot.

Heal well and heal gently !!!!
AND ... keep on ... KEEPIN' ON !

In Harmony with you on the Journey
CRguy
Caregiver x 4
Stage IV A rectal cancer/lung met
14 Year survivor
my life is an ongoing totally randomized UNcontrolled experiment with N=1 !
Review of my Journey so far


Return to “Colon Talk - Colon cancer (colorectal cancer) support forum”



Who is online

Users browsing this forum: dmytroua and 2 guests