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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. [7] Robotic pneumonectomy for lung cancer is a safe procedure and a reasonable alternative to thoracotomy.
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 .
A water seal component is always combined with a Heber-Drain. The "Bülau-Drain" is based on the Bülau principle and creates a permanent passive suction within a closed system that is based on the Heber-Drain principle. The pulmonologist Gotthard Bülau (1835-1900) used this system in 1875 for the first time for the treatment of pleural empyema.
Chest tube clogging can lead to retained blood around the heart and lungs that can contribute to complications and increase mortality. [11] A common complication after thoracic surgery that arises within 30–50% of patients are air leaks. If a chest tube clogs when there is an air leak the patient will develop a pneumothorax.
Postural drainage is used to treat any condition that causes the build-up of secretions in bronchopulmonary segments. These include: bronchiectasis [2] [3] lung abscesses [2] [3] cystic fibrosis [3] atelectasis [3] chronic obstructive pulmonary disease (COPD) [3] pneumonia [3] postoperative lung damage (after some thoracic surgery) [3] COVID-19 [4]
The flap allows for 1) passive drainage of the pleural space and 2) negative pressure to develop in the thoracic cavity due to it being easier for air to escape than to enter the chest. The lung can then expand to the chest wall and seal the inner opening of the flap. [3] Other surgeons have subsequently proposed modifications to the procedure. [6]
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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 ...