Single lung resection: The limits of the possible. Clinical report
| Autor: | D.B. Giller, Yakub G. Imagozhev, Boris Giller, Galina V. Scherbakova, Jens C. Rückert, Oleg Sh. Kesaev |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Case Report 03 medical and health sciences 0302 clinical medicine Parenchyma Occlusion medicine Stage (cooking) Respiratory system Empyema Drug-resistance Lung business.industry respiratory system medicine.disease respiratory tract diseases Surgery Thoracic surgery TB medicine.anatomical_structure Cardiothoracic surgery 030220 oncology & carcinogenesis Right Main Bronchus 030211 gastroenterology & hepatology business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2020.11.103 |
| Popis: | Highlights • Removal of the non-functioning part of the lung eliminates the air/vascular shunt. • it may cause an improvement of cardiorespiratory function. • single lung resection is possible with the functional futility of the removed part. Introduction Single lung resection remains a challenge due to the preservation of the respiratory reserve. This report presents that case of a female patient with bilateral fibrotic-cavitary pulmonary tuberculosis complicated with empyema on the right lung. Only 3.5 lung segments were left after a multistage surgery. Presentation of case The first stage included draining of empyema and transsternal transmediastinal right main bronchus occlusion. Then, upper lobectomy with partial S6 resection of the left lung, followed by pleuropneumonectomy was performed. At a follow-up of two years and 10 months, patient’s condition was good. Discussion Although single lung surgery has been possible over half a century ago, it remains a high-risk intervention. Conclusion With the removal of the non-functioning parenchyma and elimination of the air/vascular shunt, single lung resection volume exceeding lobectomy is possible, which may improve cardiorespiratory function. |
| Databáze: | OpenAIRE |
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