Knowledge (XXG)

Pneumonectomy

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263: 502:"ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery) Developed in Collaboration With the American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, and Society for Vascular Surgery" 191: 211:, the body is able to compensate for the reduced lung capacity by slow and gradual expansion of the other remaining lung. Post-pneumonectomy patients in due time reach about 70–80 percent of their pre-surgery lung function. People have been able to return to near-normal lives, including running marathons after a pneumonectomy, provided there has been adequate cardio-pulmonary conditioning. 145:(PFT) should be done. It has been found that forced expiratory volume in one second (FEV1) and diffusion capacity of the lungs (DLCO) provides the best indicator of survival. Other tools can be used to assess effectiveness as well, such as cardiopulmonary exercise testing to measure maximal oxygen consumption (VO 725:
Brunelli, A.; Charloux, A.; Bolliger, C. T.; Rocco, G.; Sculier, J-P.; Varela, G.; Licker, M.; Ferguson, M. K.; Faivre-Finn, C.; Huber, R. M.; Clini, E. M.; Win, T.; De Ruysscher, D.; Goldman, L.; on behalf of the European Respiratory Society and European Society of Thoracic Surgeons joint task force
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Colice, Gene L.; Shafazand, Shirin; Griffin, John P.; Keenan, Robert; Bolliger, Chris T.; American College of Chest Physicians (September 2007). "Physiologic evaluation of the patient with lung cancer being considered for resectional surgery: ACCP evidenced-based clinical practice guidelines (2nd
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towards the now empty space. This space is full of air initially after surgery, but then it is absorbed, and fluid eventually takes its place. The fluid which fills the residual space in the chest cavity slowly gelatinizes into a proteinaceous material, and the chest scaffold collapses slightly.
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Fleisher, Lee A.; Beckman, Joshua A.; Brown, Kenneth A.; Calkins, Hugh; Chaikof, Elliot L.; Chaikof, Elliott; Fleischmann, Kirsten E.; Freeman, William K.; Froehlich, James B.; Kasper, Edward K.; Kersten, Judy R.; Riegel, Barbara; Robb, John F.; Smith, Sidney C.; Jacobs, Alice K. (2007-10-23).
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Posterolateral thoracotomy using the fourth or fifth intercostal space is the most common approach used for pneumonectomy. In case of inflammatory and infectious indications, excision of the fifth rib may be necessary to achieve adequate surgical exposure if there is rib crowding.
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If someone has severe valvular disease, severe pulmonary hypertension, or poor ventricular function or if cancer has spread from the lungs into the other intra-abdominal structures, ribs, or contralateral hemithorax, it is contraindicated.
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There are two types of pneumonectomy: simple and extrapleural. A simple pneumonectomy removes just the lung. An extrapleural pneumonectomy also takes away part of the diaphragm, the parietal pleura, and the pericardium on that side.
424:"Physiologic evaluation of the patient with lung cancer being considered for resectional surgery: Diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines" 855:
Yano, Tokujiro; Kawashima, Osamu; Takeo, Sadanori; Adachi, Hirofumi; Tagawa, Tsutomu; Fukuyama, Seiichi; Shimokawa, Mototsugu; National Hospital Organization Network Collaborative Research-Thoracic Oncology Group (2017).
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Robotic pneumonectomy for lung cancer is a safe procedure and a reasonable alternative to thoracotomy. With a sound technique most procedures can be completed robotically without any major complications.
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After a pneumonectomy is performed, changes in the thoracic cavity occur to compensate for the altered anatomy. The remaining lung hyperinflates as well as shifting over along with the
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The operation will reduce the respiratory capacity of the patient, and before conducting a pneumonectomy, survivability after the removal has to be assessed. If at all possible, a
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Video-assisted thoracoscopic surgery (VATS) approach: VATS pneumonectomy is a safe and feasible treatment for advanced malignant and benign diseases and has lower morbidity.
108:. It was first successfully performed in 1933 by Dr. Evarts Graham. This is not to be confused with a lobectomy or segmentectomy, which only removes one part of the lung. 1252: 903:
Darling, Gail E.; Abdurahman, Adel; Yi, Qi-Long; Johnston, Michael; Waddell, Thomas K.; Pierre, Andrew; Keshavjee, Shaf; Ginsberg, Robert (February 2005).
262: 1245: 63: 1888: 1100: 973: 1883: 1873: 1609: 128:. Other reasons can arise are a traumatic lung injury, bronchiectasis, tuberculosis, a congenital defect, and fungal infections. 1387: 207:, it is often possible for a person to live with just one lung. Although it is not possible for the lung to re-grow like the 1803: 1778: 858:"A Prospective Observational Study of Pulmonary Resection for Non-small Cell Lung Cancer in Patients Older Than 75 Years" 1773: 1419: 728:"ERS/ESTS clinical guidelines on fitness for radical therapy in lung cancer patients (surgery and chemo-radiotherapy)" 397: 643:
Patton, Byron D.; Zarif, Daniel; Bahroloomi, Donna M.; Sarmiento, Iam C.; Lee, Paul C.; Lazzaro, Richard S. (2021).
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Brunelli, Alessandro; Kim, Anthony W.; Berger, Kenneth I.; Addrizzo-Harris, Doreen J. (May 2013).
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Horn, L; Johnson DH (July 2008). "Evarts A. Graham and the first pneumonectomy for lung cancer".
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X-ray of a person who has had their right lung removed. Note how fluid has replaced the lung
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Appearance of the cut surface of a pneumonectomy specimen containing
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max), stair climbing, shuttle walk test, and a 6-minute walk test.
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1933: first successful single-stage total pneumonectomy by
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Beshara, Michael; Bora, Vaibhav (2022). "Pneumonectomy".
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The most common reason for a pneumonectomy is to remove
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1931: first successful pneumonectomy in two stages by
590:"The Feasibility of Thoracoscopic Left Pneumonectomy" 219:
Most common complications after a pneumonectomy are:
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Keshava, Hari B.; Boffa, Daniel J. (November 2015).
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Diagram showing the parts removed in a pneumonectomy
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(2009). 1746: 1587: 1282: 1260: 1246: 1238: 38: 1220: 1176: 1063: 1006: 920: 743: 517: 439: 373: 363: 594:The Thoracic and Cardiovascular Surgeon 338: 299:on a patient with crush injury to the 29: 588:Xu, Hao; Zhang, Linyou (March 2019). 52:(the whitish tumor near the bronchi). 7: 954:"Post-pneumonectomy Pulmonary Edema" 253:Postpneumonectomy cardiac herniation 1610:High-resolution computed tomography 1268:Tests and procedures involving the 280:on a patient with tuberculosis and 82: 567:10.1046/j.1365-2168.2002.02093_2.x 25: 1169:10.1097/00000658-193904000-00001 956:. In Vincent, Jean-Louis (ed.). 922:10.1016/j.athoracsur.2004.07.009 352:Annals of Translational Medicine 240:Injury to the diaphragm, liver, 1151:Churchill, E; Belsey R (1939). 649:Innovations (Philadelphia, Pa.) 1388:Laryngotracheal reconstruction 995:Anaesthesia and Intensive Care 909:The Annals of Thoracic Surgery 826:10.1016/j.thorsurg.2015.07.001 346:Opitz I, Weder W (June 2017). 1: 1779:Positive pressure ventilation 1222:10.1016/s1010-7940(03)00117-9 874:10.1053/j.semtcvs.2017.05.004 785:"Can you live with one Lung?" 226:Pulmonary complications like 1889:Thoracic surgical procedures 1774:Negative pressure ventilator 1118:Journal of Clinical Oncology 1065:10.1016/0003-4975(93)90377-t 966:10.1007/978-0-387-92278-2_45 732:European Respiratory Journal 1884:Surgical removal procedures 1905: 1874:Pulmonary thoracic surgery 1764:Surgical airway management 1620:Ventilation/perfusion scan 1420:Tracheoesophageal puncture 1087:Wilkins, Earle W. (2013). 1052:Annals of Thoracic Surgery 1008:10.1177/0310057X0503300319 783:Ali, Kamran (2023-01-03). 555:British Journal of Surgery 519:10.1016/j.jacc.2007.09.001 27:Surgical removal of a lung 1203:Fuentes PA (April 2003). 745:10.1183/09031936.00184308 549:Bancewicz, J (May 2002). 328:List of surgeries by type 83: 37: 1844:Pulmonary rehabilitation 1671:Bronchial challenge test 1638:Pneumonia severity index 1630:Clinical prediction rule 1130:10.1200/JCO.2008.16.8260 814:Thoracic Surgery Clinics 661:10.1177/1556984520978227 434:(5 Suppl): e166S–e190S. 1209:Eur J Cardiothorac Surg 958:Intensive Care Medicine 402:www.hopkinsmedicine.org 365:10.21037/atm.2017.03.88 143:pulmonary function test 50:squamous cell carcinoma 1834:Hyperinflation therapy 1799:Artificial respiration 1769:Mechanical ventilation 1704:Bronchoalveolar lavage 1605:CT pulmonary angiogram 606:10.1055/s-0038-1642618 267: 237:Bronchopleural fistula 195: 104:procedure to remove a 100:(or pneumectomy) is a 1814:Decompression chamber 1482:Heart–lung transplant 478:10.1378/chest.07-1359 472:(3 Suppl): 161S–77S. 441:10.1378/chest.12-2395 288:Hugh Morriston Davies 265: 234:, respiratory failure 193: 1686:Impulse oscillometry 1661:Body plethysmography 1089:"Invited Commentary" 199:Living with one lung 124:tissue arising from 1809:Hyperbaric medicine 1791:Respiratory therapy 1709:Nasopharyngeal swab 1334:Acoustic rhinometry 244:, or a major vessel 223:Cardiac arrhythmias 1681:Diffusion capacity 1653:Lung function test 1270:respiratory system 323:Medical ventilator 268: 247:Postpneumonectomy 196: 178:Anatomical changes 1879:Surgical oncology 1856: 1855: 1852: 1851: 1839:Pulmonary hygiene 1829:Postural drainage 1738: 1737: 1579: 1578: 1157:Annals of Surgery 1124:(19): 3268–3275. 1102:978-1-4757-3432-4 975:978-0-387-92278-2 512:(17): 1707–1732. 162:Surgical approach 132:Contraindications 94: 93: 16:(Redirected from 1896: 1747: 1743:Other procedures 1588: 1283: 1262: 1255: 1248: 1239: 1234: 1224: 1191: 1190: 1180: 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Index

Pneumectomy

lung cancer
squamous cell carcinoma
ICD-9-CM
32.5
MeSH
D011013
edit on Wikidata
surgical
lung
tumorous
lung cancer
pulmonary function test
heart

kidneys
liver
pneumonia
atelectasis
spleen
pulmonary edema

William Macewen
emphysema
Hugh Morriston Davies
Rudolph Nissen
thorax
Graham
Medical ventilator

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