Discharge Instructions for Lobectomy of the Lung
You had a surgical procedure called an open lung or pulmonary lobectomy. This is the removal of a section (lobe) of one of your lungs. The right lung has 3 lobes and the left lung has 2 lobes. An open procedure involves a large incision into the chest. It may involve the:
Membranes covering the lungs (pleura)
Lobes of the lungs
There are different reasons for having this surgery. The most common reason is lung cancer. It's possible to live without having all the lobes of your lungs, but your remaining lungs, your heart, and your whole body must adjust to this change.
Make sure you and your caregiver follow all instructions for caring for your surgical site.
You may have a home health nurse help you change your dressing or bandage and help with your other needs. He or she will change the dressing and report any problems as instructed by your healthcare provider.
You will notice that you get tired more easily. This is normal because your lungs and your heart have to work harder. Rest when you are tired.
You may have been instructed to do exercises to increase the strength and movement in your arms and shoulders. These exercises are important with any surgery of the chest. Be sure to do the exercises as instructed.
You may also have home physical and occupational therapy. The therapists help you with daily activities, movement, and exercise. Be sure to do these as instructed.
Don't lift anything that is heavy.
Avoid sitting with your legs down or crossed for long periods of time.
When lying down, use a few pillows to support your knees and lower legs.
Other home care
You will continue to take medicines to help lessen the pain. Make sure you know when you are supposed to take these medicines.
While you are healing and taking pain medicines, do not drive.
Keep in mind that pain medicines often cause constipation.
Use laxatives, stool softeners, or enemas as directed by your healthcare provider.
Drink water throughout the day, unless instructed to limit fluids.
Eat high-fiber foods, like whole grains, and fruits and vegetables.
Use your incentive spirometer as instructed.
Return to your diet as you feel able. Eat a healthy, well-balanced diet.
Having a healthy diet helps you heal. Make sure you have lean meats, low- or no-fat dairy products, whole grains, and fruits and vegetables.
Do not smoke and stay away from people who do. If you do smoke, talk to your healthcare provider about ways to quit.
Follow up with your healthcare provider, or as advised. And call your healthcare provider if you have any concerns before your appointment.
When to seek medical care
Call your healthcare provider right away if any of these occur:
Increased coughing or coughing up brown or bloody mucus
Increased redness, swelling, or pain near your incision, or drainage from your incision
Nausea or vomiting
Shortness of breath
Swelling in one or both legs
Feeling like your heart is beating too fast (palpitations)
October 06, 2017
Apfelbaum, JL. Practice Guidelines for Postanesthetic Care: An Updated Report by the American Society of Anesthesiologists Task Force on Postanesthetic Care. Anesthesiology (2013); 118(2); pp s291-s307, Sequelae and complications of pneumonectomy. UpToDate.
Blaivas, Allen J., DO,Sather, Rita, RN