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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 lobectomy is the surgical removal of one of the five lung lobes (right upper, right middle, right lower, left upper and left lower lobes). [24] Lobectomies are the most common type of lung surgery and the standard operation for most NSCLC patients. [25] Though specific surgical techniques vary for each lobe, the general workflow is identical.
A thoracotomy is a surgical procedure to gain access into the pleural space of the chest. [1] It is performed by surgeons (emergency physicians or paramedics under certain circumstances) to gain access to the thoracic organs, most commonly the heart, the lungs, or the esophagus, or for access to the thoracic aorta or the anterior spine (the latter may be necessary to access tumors in the spine).
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 ).
VATS lobectomy is the same as lobectomy performed via thoracotomy in that the pulmonary artery, pulmonary vein, and bronchus to the involved pulmonary lobe are individually dissected, ligated and divided.
Other than the overall health of the patients, there are no absolute contraindications. In some lung-disease patients, the lung will not expand after removal of the pleural peel, rendering the surgery futile. Other diseases that render decortication futile are narrowing of the large airway stenosis and uncontrolled pleural infection.
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Lobectomy is the removal of a lobe. Lumpectomy is the surgical removal of a lump from a breast . Lymphadenectomy consists of the surgical removal of one or more groups of lymph nodes .