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Lung surgery is a type of thoracic surgery involving the repair or removal of lung tissue, [1] and can be used to treat a variety of conditions ranging from lung cancer to pulmonary hypertension. Common operations include anatomic and nonanatomic resections, pleurodesis and lung transplants .
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]
Video-assisted thoracoscopic surgery (VATS) approach: VATS pneumonectomy is a safe and feasible treatment for advanced malignant and benign diseases and has lower morbidity. [ 7 ] Robotic pneumonectomy for lung cancer is a safe procedure and a reasonable alternative to thoracotomy.
CNN: Other than smoking, what are risk factors for lung cancer? Wen: Smoking is by far the number one risk factor for lung cancer. According to the American Cancer Society , about 80% of lung ...
Of operative risk factors, surgical site is the most important predictor of risk for PPCs (aortic, thoracic, and upper abdominal surgeries being the highest-risk procedures, even in healthy patients. [16] The value of preoperative testing, such as spirometry, to estimate pulmonary risk is of controversial value and is debated in medical literature.
In the setting of lung cancer, the rationale for anatomic lung resection is a complete removal of a lung tumor along with the lymphatics that drain that tumor to assure that any tumor cells present in the lymphatics will also be removed; lesser resections have been shown to be associated with a higher risk of local recurrence and diminished ...
Recovery from this procedure can be complex. Thoracic surgery, CBP and cardioplegia are associated with their own complications and management challenges, as is hypothermia. Specifically, endartectomy is associated with reperfusion pulmonary edema and "pulmonary artery steal".
[12] [15] Compared to open thoracotomy, VATS offers a shorter in-hospital stays, less need for postoperative pain control, and a reduced risk of lung problems after surgery. [15] VATS may also be used to achieve chemical pleurodesis; this involves insufflation of talc , which activates an inflammatory reaction that causes the lung to adhere to ...
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