Skip to main content

Thoracotomy Pneumonectomy

  • Chapter
  • First Online:
Chest Surgery

Part of the book series: Springer Surgery Atlas Series ((SPRISURGERY))

  • 5346 Accesses

Abstract

Pneumonectomy is performed for centrally located tumors, ipsilateral separate primary tumors in the upper and lower lobes, or invasive infections resistant to long-term antibiotics. It comprises approximately 6 % of all lung resections for cancer and traditionally has been performed via thoracotomy. If there is ipsilateral hilar vessel involvement, intrapericardial pneumonectomy may be performed to yield a clear margin.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Ballantyne JC, Carr DB, deFerranti S, Suarez T, Lau J, Chalmers TC et al (1998) The comparative effects of postoperative analgesic therapies on pulmonary outcome: cumulative meta-analyses of randomized, controlled trials. Anesth Analg 86(3):598–612

    CAS  PubMed  Google Scholar 

  • Bauer C, Hentz JG, Ducrocq X, Meyer N, Oswald-Mammosser M, Steib A et al (2007) Lung function after lobectomy: a randomized, double-blinded trial comparing thoracic epidural ropivacaine/sufentanil and intravenous morphine for patient-controlled analgesia. Anesth Analg 105(1):238–244

    Article  CAS  PubMed  Google Scholar 

  • Colice GL, Shafazand S, Griffin JP, Keenan R, Bolliger CT, American College of Chest Physicians (2007) Physiologic evaluation of the patient with lung cancer being considered for resectional surgery: ACCP evidenced-based clinical practice guidelines (2nd edition). Chest 132(3 Suppl):161S–177S

    Article  PubMed  Google Scholar 

  • De Cosmo G, Aceto P, Gualtieri E, Congedo E (2009) Analgesia in thoracic surgery: review. Minerva Anestesiol 75(6):393–400

    PubMed  Google Scholar 

  • Deslauriers J, Gregoire J (1999) Techniques of pneumonectomy. Drainage after pneumonectomy. Chest Surg Clin N Am 9(2):437–448, xii

    CAS  PubMed  Google Scholar 

  • Dulu A, Pastores SM, Park B, Riedel E, Rusch V, Halpern NA (2006) Prevalence and mortality of acute lung injury and ARDS after lung resection. Chest 130(1):73–78

    PubMed  Google Scholar 

  • Hazelrigg SR, Cetindag IB, Fullerton J (2002) Acute and chronic pain syndromes after thoracic surgery. Surg Clin N Am 82(4):849–865

    Article  PubMed  Google Scholar 

  • Kozower BD, Sheng S, O’Brien SM, Liptay MJ, Lau CL, Jones DR et al (2010) STS database risk models: predictors of mortality and major morbidity for lung cancer resection. Ann Thorac Surg 90(3):875–881; discussion 881–883

    Article  PubMed  Google Scholar 

  • Liu SS, Wu CL (2007) The effect of analgesic technique on postoperative patient-reported outcomes including analgesia: a systematic review. Anesth Analg 105(3):789–808

    Article  PubMed  Google Scholar 

  • Mattioli S, Berrisford RG, Lugaresi ML, Aramini B (2008) Survey on chest drainage systems adopted in Europe. Interact Cardiovasc Thorac Surg 7(6):1155–1159

    Article  PubMed  Google Scholar 

  • Pecora DV (1973) Management of the post pneumonectomy pleural space. Surg Clin N Am 53(3):623–626

    CAS  PubMed  Google Scholar 

  • Ruffini E, Parola A, Papalia E, Filosso PL, Mancuso M, Oliaro A et al (2001) Frequency and mortality of acute lung injury and acute respiratory distress syndrome after pulmonary resection for bronchogenic carcinoma. Eur J Cardiothorac Surg 20(1):30–36; discussion 36–37

    Article  CAS  PubMed  Google Scholar 

  • Shah T, Sharma R, Mehta H, Rau R, Solanki P (2002) Another indication for chest tube after pneumonectomy. Tex Heart Inst J 29(3):232

    PubMed Central  PubMed  Google Scholar 

  • Shapiro M, Swanson SJ, Wright CD, Chin C, Sheng S, Wisnivesky J et al (2010) Predictors of major morbidity and mortality after pneumonectomy utilizing the Society for Thoracic Surgeons General Thoracic Surgery Database. Ann Thorac Surg 90(3):927–934; discussion 934–935

    Article  PubMed  Google Scholar 

  • Walker WE (2002) Hazards of chest tubes after pneumonectomy. Tex Heart Inst J 29(1):72; author reply 72–73

    PubMed Central  PubMed  Google Scholar 

  • Weissberg D (2002) Post-pneumonectomy chest tubes. Tex Heart Inst J 29(2):155

    PubMed Central  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Elisabeth U. Dexter MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Dexter, E.U., Demmy, T.L. (2015). Thoracotomy Pneumonectomy. In: Dienemann, H., Hoffmann, H., Detterbeck, F. (eds) Chest Surgery. Springer Surgery Atlas Series. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-12044-2_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-12044-2_14

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-12043-5

  • Online ISBN: 978-3-642-12044-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics