While the patient is under general anesthesia, an incision is made between the ribs to expose the lung. The chest cavity will be examined and diseased lung tissue will be removed.

This examination may be performed directly (thoracotomy) or with the aid of a camera (thoracoscopy). A chest tube is inserted to drain air, fluid, and blood out of the chest cavity, and then the ribs and skin are closed.

• Cancer (such as lung cancer)
• Tumors (such as solitary pulmonary nodule)
• Small areas of long-term infection (such as highly localized pulmonary tuberculosis or mycobacterium)
• Pockets of infection (lung abscess)
• Permanently enlarged (dilated) airways (bronchiectasis)
• Permanently dilated section of lung (lobar emphysema)
• Permanently collapsed lung tissue (atelectasis)
• Injuries with collapsed lung tissue (atelectasis, pneumothorax, or hemothorax)

• Reactions to medications
• Problems breathing

• Bleeding
• Infection

• Blood clots
• Pneumonia

Hospital stay is usually 7 to 10 days. Deep breathing is important to help prevent pneumonia and infection and to re-expand the lung. The chest tube remains in place until the lung has fully expanded.

Pain is managed with medication. The patient usually recovers fully by 1 to 3 months after the operation.