Chest Surgery pp 137-146 | Cite as

Thoracotomy Pneumonectomy

  • Elisabeth U. Dexter
  • Todd L. Demmy
Part of the Springer Surgery Atlas Series book series (SPRISURGERY)


Pneumonectomy is performed for centrally located tumors, ipsilateral separate primary tumors in the upper and lower lobes, or invasive infections resistant to long-term antibiotics. It comprises approximately 6 % of all lung resections for cancer and traditionally has been performed via thoracotomy. If there is ipsilateral hilar vessel involvement, intrapericardial pneumonectomy may be performed to yield a clear margin.


Malignant Mesothelioma Lung Resection Subcutaneous Emphysema Sleeve Resection Pleural Infection 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. Ballantyne JC, Carr DB, deFerranti S, Suarez T, Lau J, Chalmers TC et al (1998) The comparative effects of postoperative analgesic therapies on pulmonary outcome: cumulative meta-analyses of randomized, controlled trials. Anesth Analg 86(3):598–612PubMedGoogle Scholar
  2. Bauer C, Hentz JG, Ducrocq X, Meyer N, Oswald-Mammosser M, Steib A et al (2007) Lung function after lobectomy: a randomized, double-blinded trial comparing thoracic epidural ropivacaine/sufentanil and intravenous morphine for patient-controlled analgesia. Anesth Analg 105(1):238–244PubMedCrossRefGoogle Scholar
  3. Colice GL, Shafazand S, Griffin JP, Keenan R, Bolliger CT, American College of Chest Physicians (2007) Physiologic evaluation of the patient with lung cancer being considered for resectional surgery: ACCP evidenced-based clinical practice guidelines (2nd edition). Chest 132(3 Suppl):161S–177SPubMedCrossRefGoogle Scholar
  4. De Cosmo G, Aceto P, Gualtieri E, Congedo E (2009) Analgesia in thoracic surgery: review. Minerva Anestesiol 75(6):393–400PubMedGoogle Scholar
  5. Deslauriers J, Gregoire J (1999) Techniques of pneumonectomy. Drainage after pneumonectomy. Chest Surg Clin N Am 9(2):437–448, xiiPubMedGoogle Scholar
  6. Dulu A, Pastores SM, Park B, Riedel E, Rusch V, Halpern NA (2006) Prevalence and mortality of acute lung injury and ARDS after lung resection. Chest 130(1):73–78PubMedGoogle Scholar
  7. Hazelrigg SR, Cetindag IB, Fullerton J (2002) Acute and chronic pain syndromes after thoracic surgery. Surg Clin N Am 82(4):849–865PubMedCrossRefGoogle Scholar
  8. Kozower BD, Sheng S, O’Brien SM, Liptay MJ, Lau CL, Jones DR et al (2010) STS database risk models: predictors of mortality and major morbidity for lung cancer resection. Ann Thorac Surg 90(3):875–881; discussion 881–883PubMedCrossRefGoogle Scholar
  9. Liu SS, Wu CL (2007) The effect of analgesic technique on postoperative patient-reported outcomes including analgesia: a systematic review. Anesth Analg 105(3):789–808PubMedCrossRefGoogle Scholar
  10. Mattioli S, Berrisford RG, Lugaresi ML, Aramini B (2008) Survey on chest drainage systems adopted in Europe. Interact Cardiovasc Thorac Surg 7(6):1155–1159PubMedCrossRefGoogle Scholar
  11. Pecora DV (1973) Management of the post pneumonectomy pleural space. Surg Clin N Am 53(3):623–626PubMedGoogle Scholar
  12. Ruffini E, Parola A, Papalia E, Filosso PL, Mancuso M, Oliaro A et al (2001) Frequency and mortality of acute lung injury and acute respiratory distress syndrome after pulmonary resection for bronchogenic carcinoma. Eur J Cardiothorac Surg 20(1):30–36; discussion 36–37PubMedCrossRefGoogle Scholar
  13. Shah T, Sharma R, Mehta H, Rau R, Solanki P (2002) Another indication for chest tube after pneumonectomy. Tex Heart Inst J 29(3):232PubMedCentralPubMedGoogle Scholar
  14. Shapiro M, Swanson SJ, Wright CD, Chin C, Sheng S, Wisnivesky J et al (2010) Predictors of major morbidity and mortality after pneumonectomy utilizing the Society for Thoracic Surgeons General Thoracic Surgery Database. Ann Thorac Surg 90(3):927–934; discussion 934–935PubMedCrossRefGoogle Scholar
  15. Walker WE (2002) Hazards of chest tubes after pneumonectomy. Tex Heart Inst J 29(1):72; author reply 72–73PubMedCentralPubMedGoogle Scholar
  16. Weissberg D (2002) Post-pneumonectomy chest tubes. Tex Heart Inst J 29(2):155PubMedCentralPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Department of Thoracic SurgeryRoswell Park Cancer Institute and The University at BuffaloBuffaloUSA
  2. 2.Department of Thoracic SurgeryRoswell Park Cancer InstituteBuffaloUSA

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