Lung Cancer Surgery Guide

From first symptoms to recovery — expert guidance and treatment tailored to your needs.

Key Takeaways
  • Lung cancer surgery today — is precise, safe, and often curative, especially when detected early through screening.
  • Most operations are minimally invasive, often through a single 3 cm incision, leading to less pain and faster recovery.
  • Surgery is tailored to you — from lung-sparing techniques to complex cases others may decline.
  • One healthy lung can be enough — for a full life, many patients return quickly to normal activities.
  • You are never treated alone — every plan is reviewed by an expert multidisciplinary team (MDT).
  • Recovery is faster than most expect — many patients go home within 1–2 days.
  • Modern pain control works — discomfort is usually minimal and well managed.
  • A second opinion matters — it can confirm, refine, or completely change your treatment path.
  • Life after surgery is about healing, not limitation — nutrition, movement, and emotional health all matter.
  • Your care is transparent and assured — no hidden fees, clear risks, clear benefits.

Table of Contents

Taking the First Step:
Understanding Your Diagnosis

Sarah’s Story:
When Everything Changed

Sarah recalls the moment vividly. It is one of those moments when your surgeon says the words “lung cancer diagnosis,” and the world shifts. But what she didn’t know then—and what you should know now—is that her story was just beginning. Lung cancer surgery or modern thoracic surgery isn’t as aggressive as it used to be and, together with other treatment options, can be curative even for advanced stages. Mr Marco Scarci, our experienced thoracic surgeon, has helped many patients take this journey. The good news is that many lung cancer tumours are easily treatable due to early detection following lung cancer screening.

What Lung Cancer Surgery
Really Means

Think of it like precision gardening. Just as you cut away diseased parts to help a plant thrive, lung surgery removes a part of a lung to get rid of a lung tumour, leaving  healthy tissue behind. There are several types of lung resections in which a surgeon removes either a small portion of the lung (segmentectomy), a whole lobe (lobectomy), or an entire lung (right or left). For big tumours, I can save your lung by removing the cancer and rejoining the windpipe and blood vessels, this procedure is called sleeve resection. In short, what dictates what types of surgery you are offered depends on the location of the tumour or lung nodule.

Mr Scarci Promise To You

Complete Healing: My goal is to remove all cancer cells. Early-stage patients may be cured, and with additional treatment, I strive for the same result in advanced stages. I aim to cure as many lung cancer patients as possible.

Your Tomorrow, Secured: Early lung cancer surgery can restore your normal life expectancy.

Peace of Mind: Removing tumours reduces the risk of recurrence. We only recommend surgery when it offers a survival advantage, is the best option, is backed by solid evidence (clinical trials), and every treatment plan is approved by a multidisciplinary team (MDT).

The right type of surgery for each patient: the vast majority of my operations are done by a single 3cm incision or by robotic-assisted thoracoscopic surgery, which leads to fewer complications and side effects. I am not obsessed with the keyhole approach, though: if the best way forward for you is by open surgery, that is what I will offer.

No nasty surprises: I am fee-assured with all insurances, and so are the anaesthetists I work with. If you pay for your treatment directly, all follow-up is included.

Won’t say no to difficult cases: my team and I have delivered many successful operations for patients that were rejected by other lung surgeons as deemed too high-risk. If surgery is the best option for you, I will take your case on. I will clearly explain the different types of lung cancer surgery, surgical options and risk factors (risk to develop blood clots, shortness of breath or chest pain).

Understanding Your Options:
Where Surgery Fits

Person seated in a leather armchair in a sunlit room

Michael’s Turning Point

Michael, a teacher, put it this way: “If cancer is a fire in one room, lung cancer surgery puts it out before it spreads.”

Surgery is the gold standard for early-stage lung cancer. Later stages may involve chemotherapy, immunotherapy, or radiation therapy. Your team tailors a plan to your situation, backed by a solid MDT of the best doctors in the NHS. My team and I offer a tailored solution for each type of lung cancer.

Is Surgery Right For You?

Stage I: Early Victory

Cancer is contained in an entire lobe of the lung. Surgery offers the highest cure potential.

Stage II: Still Strong

Surgery is often combined with chemo, radiation, or immunotherapy.

Maria: “I was Stage II. We attacked it from every angle. Two years later, I’m hiking again.”

Stage III: More Complex

Cancerous cells may spread to the lymph nodes or chest wall. Surgery becomes part of a multi-step plan.

Stage IV: Comfort Comes First

If cancer has spread, palliative surgery can still improve your quality of life.

Stage I: Early Victory

Cancer is contained in an entire lobe of the lung. Surgery offers the highest cure potential.

Stage II: Still Strong

Surgery is often combined with chemo, radiation, or immunotherapy.

Maria: “I was Stage II. We attacked it from every angle. Two years later, I’m hiking again.”

Stage III: More Complex

Cancerous cells may spread to the lymph nodes or chest wall. Surgery becomes part of a multi-step plan.

Stage IV: Comfort Comes First

If cancer has spread, palliative surgery can still improve your quality of life.

Key Factors We Consider

  • Cancer stage and location
  • Lung function (your breathing ability, checked by pulmonary function tests – tests that measure how well your lungs work) and overall health
  • Age and surgical readiness
  • Tumour size (measured by imaging tests such as PET scan-positron emission tomography, which shows how tissues are working, and CT scan-a detailed X-ray scan) and characteristics
  • Lymph node involvement (checked with endobronchial ultrasound, a test using a probe guided by a thin tube through your airways to look at lymph nodes) or organ involvement

These aren’t roadblocks—they guide the best path forward.

Getting a Second Opinion

James’s Moment of Clarity

James asked, “Is this really my only option?” He was right to ask. A second opinion can bring reassurance, uncover alternatives, or simply confirm your plan.

Mr Marco Scarci in business suit pointing at computer screen

Real Stories

“Portrait of a smiling woman with dark hair.

Jane

Thought she had cancer. A second opinion revealed a rare autoimmune condition.

Portrait of a smiling older man with gray hair and beard.

Tom

Was told he needed major surgery. A second look found a benign growth

Surgery Options Explained

Beyond the physical redness, chronic blushing takes a real emotional toll:

Lobectomy

Most common. Removes one lung lobe (like a room in a house). Ideal for non-small cell lung cancer (NSCLC).

Emma: “It felt like a house renovation. The damaged room is gone, but everything else is working.”

Pneumonectomy

Removes a full lung when cancer spans multiple lobes.

David: “One healthy lung is enough. I still dance at weddings.”

Lung-Sparing Surgery

Wedge resection: Removes a small wedge-shaped section of lung, including the tumour and a margin of healthy tissue.

Segmentectomy: Removes a larger lung section, including blood vessels (that bring blood in and out of the lung) and airways (the tubes that carry air in and out of the lung). Best for small tumours or patients who can’t tolerate more invasive surgery.

“Minimally invasive laparoscopic surgery performed by medical staff

Minimally Invasive Surgery (MIS)

Smaller incisions, quicker healing.

Lisa: “I had three tiny marks instead of a massive scar. Home in two days.”

VATS (Video-Assisted Thoracoscopic Surgery)

Uses a small camera through a keyhole incision.

  • Less pain
  • Minimal scarring
  • Faster recovery
  • Shorter hospital stays (2 days vs 1 week)

Our refinement: One single 3cm incision. 25% go home on day one. 50% go home on day two.

Monitor displaying live feed from VATS procedure during lung cancer surgery
Robotic surgical system in a modern operating room used for minimally invasive lung cancer surgery

Robotic Surgery

Surgeons use robotic arms for super-precise movements.

Patricia: “It felt like science fiction, but it gave me peace of mind.”

Single-Incision Surgery (Uniportal VATS)

Even fewer incisions and faster healing. Suited for early-stage patients or those with other conditions.

George: “At 78 with heart problems, I never thought I could have surgery. Now I’m cancer-free.”

Multidisciplinary Team (MDT)

Your plan is shaped by a team:

  • Thoracic Surgeon: Oversees and performs surgery.
  • Medical Oncologist: Coordinates chemotherapy or immunotherapy.
  • Radiation Oncologist: Provides precision radiation when needed.

Your Role

  • Ask questions.
  • Share concerns.
  • Be an active part of your care.

The Surgery & Recovery Journey

What to Expect

  • Procedure Time: 2–3 hours for a lobectomy.
  • Anaesthesia: General, with a breathing tube.

Recovery

  • Recovery usually takes place in the same ward.
  • Some may need 1–2 days in intensive care.
  • As soon as the chest tubes are removed, patients can go home. 25% of my patients go home on day 1, 50% on day 2, and only 25% stay 3 days or more, usually because of impaired general health before surgery.

Pain Management

  • Intercostal nerve blocks
  • Morphine-based pumps
  • Cryo-nerve block (freezes pain signals)

 

Rebecca: “I packed for a week. Went home day two with little pain.”

Healing & Life After Surgery

Early Recovery
(First Few Weeks)

  • Fatigue is normal
  • Gradual increase in activity
  • Breathing may feel different—this is your body adjusting.

Pulmonary Rehabilitation

Helps build lung strength through breathing exercises and education.

Follow-up

  • First check-up: 2–6 weeks post-surgery
  • Ongoing monitoring through imaging and lung function tests

Life After Surgery

Nutrition

  • No strict diet, but aim for protein-rich, whole foods.
  • Stay hydrated

Movement

  • Improves breathing and energy
  • Reduces stress

Quitting Smoking

If you smoke, this is your moment to quit. It boosts healing and reduces recurrence.

Emotional Health

It’s normal to feel sadness, fear, or anxiety. Emotional healing is just as important.

New Advances in Lung Cancer Treatment

  • Targeted therapies: Based on tumour genetics
  • Immunotherapy: Boosts your immune system
  • Minimally invasive techniques: Safer and more accessible
  • 3D imaging and AI: Improves surgical accuracy

Your
Questions Answered

Expert answers to common questions about thoracic surgery, recovery and what to expect.

No. Early stages often benefit most. Advanced cancers may need other treatments, sometimes together with surgery.

Many early-stage patients are cured by surgery, but advanced-stage patients can also be cured by combining different treatment modalities.

Most take 2–3 hours.

A few weeks to a few months, depending on the type of surgery.

Modern techniques minimise bleeding, scarring, and pain.

It's best for early-stage patients. Eligibility depends on tumour size, location, and overall health.

It offers superior precision and recovery, especially in expert hands, but there is no clinical evidence that it is significantly better.

Not significantly. Modern pain management is very effective.

Most return to normal activities within weeks. Driving is often cleared at 4–6 weeks.

Regular checkups and post-surgery imaging help track recovery.

Yes. Especially in Stage II and III cancers.

I practice according to the latest guidelines from international bodies such as the National Institute for Clinical Excellence, National Comprehensive Cancer Network, ESTS, British Thoracic Society, among many others. My mortality is lower than the national average, and my length of stay is 25% shorter than the national average.

Call, email, or use the contact form. We prioritise fast access for urgent cases.

Ready to receive expert Lung and Chest Treatments in London?

Contact me today to schedule your consultation. Your journey to better health starts with a single phone call.

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