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As with any surgery, complications may occur. Post lobectomy air leak is a significant clinical problem, [5] and patients undergoing pulmonary resections often present with postoperative air leaks. [6] Other risk factors include infections, reactions to anesthesia, bleeding, pneumothorax and bronchopleural fistula. [7]
A sleeve lobectomy is a lobectomy that is coupled with the removal of a part of the main bronchus. The ends of the bronchus are then rejoined to reattach any remaining lung lobes. [27] This procedure is performed in lieu of pneumonectomy when surgeons determine the removal of the entire lung to be unnecessary for centrally located tumours. [22]
Video-assisted thoracoscopic surgery (VATS) is a less invasive alternative to thoracotomy in selected cases, much like laparoscopic surgery. There are lesser postoperative complications and better long-term survival following VATS lobectomy compared to open thoracotomy lobectomy for NSCLC.
An important consideration when performing anatomic lung resection is to spare as much lung tissue as possible; while lobectomy and pneumonectomy are equivalent cancer operations, the risk of complications and morbidity is considerably less with lobectomy. [1]
Lobectomy means surgical excision of a lobe. This may refer to a lobe of the lung [ 1 ] (also simply called a lobectomy ), a lobe of the thyroid ( hemithyroidectomy ), a lobe of the brain (as in anterior temporal lobectomy ), or a lobe of the liver ( hepatectomy ).
If the FEV 1 exceeds 1.5 litres, the patient is fit for lobectomy. [36] There is weak evidence to indicate that participation in exercise programs before lung cancer surgery may reduce the risk of complications after surgery. [37]
Even after an airway with a stricture is restored to normal, the resulting loss of lung function may be permanent. [22] Complications may also occur with treatment; for example, a granuloma can form at the suture site. [2] Also, the sutured wound can tear again, as occurs when there is excessive pressure in the airways from ventilation. [2]
Ideally, after the surgery, the sequestration steals less blood flow from the fetus, and the heart and lungs start growing more normally as the sequestration shrinks in size and the pleural effusion goes away. The treatment for this is a wedge resection, segmentectomy, or lobectomy via a VATS procedure or thoracotomy.