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Abstract

Thoracic surgery ranges from straightforward bronchoscopic procedures to highly complex lung resections. Combined thoracic and abdominal approaches for certain conditions are not uncommon. This chapter brings together a range of thoracic surgical procedures with the aim of providing information on complications, risks, and consequences of those procedures. For information on associated procedures, refer to the relevant chapter or volume.

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Further Reading, References, and Resources

Bronchoscopy

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  • Sabiston DC, Spencer FC. Surgery of the chest. 5th ed. Philadelphia: WB Saunders; 1990.

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  • Shields TW. General thoracic surgery. 4th ed. Baltimore: Williams & Wilkins; 1994.

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Thoracoscopy

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    Google Scholar 

  • Clemente CD. Anatomy – a regional atlas of the human body. 4th ed. Baltimore: Williams and Wilkins; 1997.

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  • Flores RM, Park BJ, Dycoco J, Aronova A, Hirth Y, Rizk NP, Bains M, Downey RJ, Rusch VW. Lobectomy by video-assisted thoracic surgery (VATS) versus thoracotomy for lung cancer. J Thorac Cardiovasc Surg. 2009;138(1):11–8.

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  • Jamieson GG. The anatomy of general surgical operations. 2nd ed. Edinburgh: Churchill Livingston; 2006.

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  • Nakanishi R, Oka S, Odate S. Video-assisted thoracic surgery major pulmonary resection requiring control of the main pulmonary artery. Interact Cardiovasc Thorac Surg. 2009;9(4):618–22. Epub 2009 Jul 14.

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  • Sabiston DC, Spencer FC. Surgery of the chest. 5th ed. Philadelphia: WB Saunders; 1990.

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  • Schuchert MJ, Pettiford BL, Pennathur A, Abbas G, Awais O, Close J, Kilic A, Jack R, Landreneau JR, Landreneau JP, Wilson DO, Luketich JD, Landreneau RJ. Anatomic segmentectomy for stage I non-small-cell lung cancer: comparison of video-assisted thoracic surgery versus open approach. J Thorac Cardiovasc Surg. 2009;138(6):1318–25.e1.

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  • Seder CW, Hanna K, Lucia V, Boura J, Kim SW, Welsh RJ, Chmielewski GW. The safe transition from open to thoracoscopic lobectomy: a 5-year experience. Ann Thorac Surg. 2009;88(1):216–25;discussion 225–6.

    Google Scholar 

  • Shapiro M, Weiser TS, Wisnivesky JP, Chin C, Arustamyan M, Swanson SJ. Thoracoscopic segmentectomy compares favorably with thoracoscopic lobectomy for patients with small stage I lung cancer. J Thorac Cardiovasc Surg. 2009;137(6):1388–93. Epub 2009 Apr 11.

    Google Scholar 

  • Shields TW. General thoracic surgery. 4th ed. Baltimore: Williams & Wilkins; 1994.

    Google Scholar 

  • Yang X, Qu J, Wang S. Long-term outcomes of video-assisted thoracic surgery lobectomy for nonsmall cell lung cancer. South Med J. 2009;102(9):905–8.

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Thoracotomy

  • Alifano M, Cusumano G, Strano S, Magdeleinat P, Bobbio A, Giraud F, Lebeau B, Régnard JF. Lobectomy with pulmonary artery resection: morbidity, mortality, and long-term survival. J Thorac Cardiovasc Surg. 2009;135(6):1400–5. Epub 2009 Feb 23.

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  • Baue AE. Glen’s thoracic and cardiovascular surgery. 6th ed. Connecticut: Appleton and Lange; 1996

    Google Scholar 

  • Berry MF, Hanna J, Tong BC, Burfeind WR Jr, Harpole DH, D’Amico TA, Onaitis MW. Risk factors for morbidity after lobectomy for lung cancer in elderly patients. Ann Thorac Surg. 2009;88(4):1093–9.

    Google Scholar 

  • Clemente CD. Anatomy – a regional atlas of the human body. 4th ed. Baltimore: Williams and Wilkins; 1997.

    Google Scholar 

  • Jamieson GG. The anatomy of general surgical operations. 2nd ed. Edinburgh: Churchill Livingston; 2006.

    Google Scholar 

  • Jichen QV, Chen G, Jiang G, Ding J, Gao W, Chen C. Risk factor comparison and clinical analysis of early and late bronchopleural fistula after non-small cell lung cancer surgery. Ann Thorac Surg. 2009;88(5):1589–93.

    Google Scholar 

  • Kilic A, Schuchert MJ, Pettiford BL, Pennathur A, Landreneau JR, Landreneau JP, Luketich JD, Landreneau RJ. Anatomic segmentectomy for stage I non-small cell lung cancer in the elderly. Ann Thorac Surg. 2009;87(6):1662–6;discussion 1667–8.

    Google Scholar 

  • Mansour Z, Kochetkova EA, Santelmo N, Meyer P, Wihlm JM, Quoix E, Massard G. Risk factors for early mortality and morbidity after pneumonectomy: a reappraisal. Ann Thorac Surg. 2009;88(6):1737–43.

    Google Scholar 

  • Sabiston DC, Spencer FC. Surgery of the chest. 5th ed. Philadelphia: WB Saunders; 1990.

    Google Scholar 

  • Seder CW, Hanna K, Lucia V, Boura J, Kim SW, Welsh RJ, Chmielewski GW. The safe transition from open to thoracoscopic lobectomy: a 5-year experience. Ann Thorac Surg. 2009;88(1):216–25;discussion 225–6.

    Google Scholar 

  • Shields TW. General thoracic surgery. 4th ed. Baltimore: Williams & Wilkins; 1994.

    Google Scholar 

  • Shrager JB, DeCamp MM, Murthy SC. Intraoperative and postoperative management of air leaks in patients with emphysema. Thorac Surg Clin. 2009;19(2):223–31, ix. Review.

    Google Scholar 

  • Voltolini L, Rapicetta C, Ligabue T, Luzzi L, Scala V, Gotti G. Short- and long-term results of lung resection for cancer in octogenarians. Asian Cardiovasc Thorac Ann. 2009;17(2):147–52.

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Partial Lung Resection

  • Alifano M, Cusumano G, Strano S, Magdeleinat P, Bobbio A, Giraud F, Lebeau B, Régnard JF. Lobectomy with pulmonary artery resection: morbidity, mortality, and long-term survival. J Thorac Cardiovasc Surg. 2009;137(6):1400–5.

    Google Scholar 

  • Baue AE. Glen’s thoracic and cardiovascular surgery. 6th ed. Connecticut: Appleton and Lange; 1996

    Google Scholar 

  • Berry MF, Hanna J, Tong BC, Burfeind WR Jr, Harpole DH, D’Amico TA, Onaitis MW. Risk factors for morbidity after lobectomy for lung cancer in elderly patients. Ann Thorac Surg. 2009;88(4):1093–9.

    Google Scholar 

  • Clemente CD. Anatomy – a regional atlas of the human body. 4th ed. Baltimore: Williams and Wilkins; 1997.

    Google Scholar 

  • Ferguson MK, Gaissert HA, Grab JD, Sheng S. Pulmonary complications after lung resection in the absence of chronic obstructive pulmonary disease: the predictive role of diffusing capacity. J Thorac Cardiovasc Surg. 2009;138(6):1297–302

    Google Scholar 

  • Flores RM, Park BJ, Dycoco J, Aronova A, Hirth Y, Rizk NP, Bains M, Downey RJ, Rusch VW. Lobectomy by video-assisted thoracic surgery (VATS) versus thoracotomy for lung cancer. J Thorac Cardiovasc Surg. 2009;138(1):11–8.

    Google Scholar 

  • Jamieson GG. The anatomy of general surgical operations. 2nd ed. Edinburgh: Churchill Livingston; 2006.

    Google Scholar 

  • Jichen QV, Chen G, Jiang G, Ding J, Gao W, Chen C. Risk factor comparison and clinical analysis of early and late bronchopleural fistula after non-small cell lung cancer surgery. Ann Thorac Surg. 2009;88(5):1589–93.

    Google Scholar 

  • Kilic A, Schuchert MJ, Pettiford BL, Pennathur A, Landreneau JR, Landreneau JP, Luketich JD, Landreneau RJ. Anatomic segmentectomy for stage I non-small cell lung cancer in the elderly. Ann Thorac Surg. 2009;87(6):1662–6;discussion 1667–8.

    Google Scholar 

  • Nakanishi R, Oka S, Odate S. Video-assisted thoracic surgery major pulmonary resection requiring control of the main pulmonary artery. Interact Cardiovasc Thorac Surg. 2009;9(4):618–22

    Google Scholar 

  • Pettiford BL, Schuchert MJ, Abbas G, Pennathur A, Gilbert S, Kilic A, Landreneau JR, Jack R, Landreneau JP, Wilson DO, Luketich JD, Landreneau RJ. Anterior minithoracotomy: a direct approach to the difficult hilum for upper lobectomy, pneumonectomy, and sleeve lobectomy. Ann Surg Oncol. 2009. [Epub ahead of print].

    Google Scholar 

  • Refai M, Brunelli A, Rocco G, Ferguson MK, Fortiparri SN, Salati M, La Rocca A, Kawamukai K. Does induction treatment increase the risk of morbidity and mortality after pneumonectomy? A multicentre case-matched analysis. Eur J Cardiothorac Surg. 2010;37(3):535–9.

    Google Scholar 

  • Sabiston DC, Spencer FC. Surgery of the chest. 5th ed. Philadelphia:WB Saunders;1990.

    Google Scholar 

  • Schuchert MJ, Pettiford BL, Pennathur A, Abbas G, Awais O, Close J, Kilic A, Jack R, Landreneau JR, Landreneau JP, Wilson DO, Luketich JD, Landreneau RJ. Anatomic segmentectomy for stage I non-small-cell lung cancer: comparison of video-assisted thoracic surgery versus open approach. J Thorac Cardiovasc Surg. 2009;138(6):1318–25.e1.

    Google Scholar 

  • Seder CW, Hanna K, Lucia V, Boura J, Kim SW, Welsh RJ, Chmielewski GW. The safe transition from open to thoracoscopic lobectomy: a 5-year experience. Ann Thorac Surg. 2009;88(1):216–25;discussion 225–6.

    Google Scholar 

  • Shapiro M, Weiser TS, Wisnivesky JP, Chin C, Arustamyan M, Swanson SJ. Thoracoscopic segmentectomy compares favorably with thoracoscopic lobectomy for patients with small stage I lung cancer. J Thorac Cardiovasc Surg. 2009;137(6):1388–93

    Google Scholar 

  • Shrager JB, DeCamp MM, Murthy SC. Intraoperative and postoperative management of air leaks in patients with emphysema. Thorac Surg Clin. 2009;19(2):223–31, ix. Review.

    Google Scholar 

  • Shields TW. General thoracic surgery. 4th ed. Baltimore: Williams & Wilkins; 1994.

    Google Scholar 

  • Voltolini L, Rapicetta C, Ligabue T, Luzzi L, Scala V, Gotti G. Short- and long-term results of lung resection for cancer in octogenarians. Asian Cardiovasc Thorac Ann. 2009;17(2):147–52.

    Google Scholar 

  • Yang X, Qu J, Wang S. Long-term outcomes of video-assisted thoracic surgery lobectomy for nonsmall cell lung cancer. South Med J. 2009;102(9):905–8.

    Google Scholar 

Total Pneumonectomy

  • Baue AE. Glen’s thoracic and cardiovascular surgery. 6th ed. Connecticut: Appleton and Lange; 1996

    Google Scholar 

  • Berry MF, Hanna J, Tong BC, Burfeind WR Jr, Harpole DH, D’Amico TA, Onaitis MW. Risk factors for morbidity after lobectomy for lung cancer in elderly patients. Ann Thorac Surg. 2009;88(4):1093–9.

    Google Scholar 

  • Clemente CD. Anatomy – a regional atlas of the human body. 4th ed. Baltimore: Williams and Wilkins; 1997.

    Google Scholar 

  • Ferguson MK, Gaissert HA, Grab JD, Sheng S. Pulmonary complications after lung resection in the absence of chronic obstructive pulmonary disease: the predictive role of diffusing capacity. J Thorac Cardiovasc Surg. 2009;138(6):1297–302. Epub 2009 Sep 26.

    Google Scholar 

  • Jamieson GG. The anatomy of general surgical operations. 2nd ed. Edinburgh: Churchill Livingston; 2006.

    Google Scholar 

  • Jichen QV, Chen G, Jiang G, Ding J, Gao W, Chen C. Risk factor comparison and clinical analysis of early and late bronchopleural fistula after non-small cell lung cancer surgery. Ann Thorac Surg. 2009;88(5):1589–93.

    Google Scholar 

  • Mansour Z, Kochetkova EA, Santelmo N, Meyer P, Wihlm JM, Quoix E, Massard G. Risk factors for early mortality and morbidity after pneumonectomy: a reappraisal. Ann Thorac Surg. 2009;88(6):1737–43.

    Google Scholar 

  • Nakanishi R, Oka S, Odate S. Video-assisted thoracic surgery major pulmonary resection requiring control of the main pulmonary artery. Interact Cardiovasc Thorac Surg. 2009;9(4):618–22. Epub 2009 Jul 14.

    Google Scholar 

  • Pettiford BL, Schuchert MJ, Abbas G, Pennathur A, Gilbert S, Kilic A, Landreneau JR, Jack R, Landreneau JP, Wilson DO, Luketich JD, Landreneau RJ. Anterior minithoracotomy: a direct approach to the difficult hilum for upper lobectomy, pneumonectomy, and sleeve lobectomy. Ann Surg Oncol. 2010;17(1):123–8.

    Article  PubMed  Google Scholar 

  • Refai M, Brunelli A, Rocco G, Ferguson MK, Fortiparri SN, Salati M, La Rocca A, Kawamukai K. Does induction treatment increase the risk of morbidity and mortality after pneumonectomy? A multicentre case-matched analysis. Eur J Cardiothorac Surg. 2010;37(3):535–9.

    Google Scholar 

  • Sabiston DC, Spencer FC. Surgery of the chest. 5th ed. Philadelphia: WB Saunders; 1990.

    Google Scholar 

  • Sahai RK, Nwogu CE, Yendamuri S, Tan W, Wilding GE, Demmy TL. Is thoracoscopic pneumonectomy safe? Ann Thorac Surg. 2009;88(4):1086–92.

    Article  PubMed  Google Scholar 

  • Shields TW. General thoracic surgery. 4th ed. Baltimore: Williams & Wilkins; 1994.

    Google Scholar 

  • Shrager JB, DeCamp MM, Murthy SC. Intraoperative and postoperative management of air leaks in patients with emphysema. Thorac Surg Clin. 2009;19(2):223–31, ix. Review.

    Google Scholar 

  • Voltolini L, Rapicetta C, Ligabue T, Luzzi L, Scala V, Gotti G. Short- and long-term results of lung resection for cancer in octogenarians. Asian Cardiovasc Thorac Ann. 2009;17(2):147–52.

    Google Scholar 

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Correspondence to Craig Jurisevic MD .

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Jurisevic, C., Bennetts, J., Coventry, B.J. (2014). Lung Surgery. In: Coventry, B. (eds) Cardio-Thoracic, Vascular, Renal and Transplant Surgery. Surgery: Complications, Risks and Consequences. Springer, London. https://doi.org/10.1007/978-1-4471-5418-1_7

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