High Dose Dexamethasone to Reduce Postoperative Pain After Video-Assisted Thoracoscopic Surgery Lobectomy /Segmentectomy

This study is testing whether a single high dose of dexamethasone (a steroid used to reduce inflammation) given before lung surgery can reduce pain in the days following a minimally invasive lung removal procedure (video-assisted thoracoscopic surgery, or VATS). **You may be eligible if...** - You are 18 years old or older - You are scheduled for elective lung lobe or segment removal using VATS - You have significant expected postoperative pain (score of 20 or higher on a pain scale) - You can read and speak Danish **You may NOT be eligible if...** - You are already taking steroids or immune-suppressing medications (not counting inhalers) - You have diabetes requiring insulin - You are pregnant or breastfeeding - You have a known allergy to the study drug - You have schizophrenia, active psychosis, or bipolar disorder - You regularly take opioid pain medications - You have conditions affecting how you feel pain (e.g., spinal cord injury or severe nerve damage) Talk to your doctor to see if this trial is right for you.