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Tom, Thanks so much for your help. It does not sound good at all. It says there is a left para-aortic node in abdomen. Does this mean there is a nodule or mass in her abdomen. If that's the case, is it spread.
I've heard about some thoracic surgeons express concern about upper right lobes resection using VATS. Trying to recall where I heard it and in what context. I think there was an anatomical reason but can't recall.
Nevertheless, by all means seek a second opinion. And, I'd have this surgery in a hospital that does hundreds of them a year, not a local hospital. I don't know anything about UAB's medical system. Ask your surgeon if there is an anatomical risk to an upper right lobe resection using VATS. If there is risk, I'd use the standard method. You've already got enough on your plate with adding surgical risk.
Stay the course.