Pneumonectomy

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Overview

A pneumonectomy (or pneumectomy) is a surgical procedure to remove a lung. Removal of just one lobe of the lung is specifically referred to as a lobectomy, and that of a segment of the lung as a wedge resection (or segmentectomy).

The most common cause for a pneumonectomy is to excise tumourous tissue arising from lung cancer. Other indications for lobectomy include a solitary pulmonary nodule (the possibility of undiagnosed small-cell cancer in this instance is not necessarily a reason for avoiding thoracotomy), or bronchiectasis where other forms of treatment have failed, particularly if it is localised and recurrent hemoptysis is present. In the days prior to the use of antibiotics in tuberculosis treatment, tuberculosis was sometimes treated surgically by pneumonectomy.

It is clear that the operation will reduce the respiratory capacity of the patient; before conducting a pneumonectomy, the surgeon will evaluate the ability of the patient to function after the lung tissue is removed. After the operation, patients are often given an incentive spirometer to help exercise their remaining lung and to improve breathing function.

A rib or two is sometimes removed to allow the surgeon better access to the lung.

There are two types of pneumonectomy:

  1. Simple pneumonectomy: removal of just the affected lung
  2. Extrapleural pneumonectomy: removal of the affected lung, plus part of the diaphragm and the pericardium (lining of the heart) on that side.

Pioneering dates

  • 1895: first pneumonectomy in multiple stages by William Macewen on a patient with tuberculosis and emphysema
  • 1931: first successful pneumonectomy in two stages by Rudolph Nissen on a patient with crush injury to the thorax
  • 1932: first lobectomy, by Harold Brunn
  • 1933: first successful single-stage total pneumonectomy by Graham and Singer
  • 1939: first segmentectomy, by Churchill and Belsey

References

External links

Cost Effectiveness of Pneumonectomy

| group5 = Clinical Trials Involving Pneumonectomy | list5 = Ongoing Trials on Pneumonectomy at Clinical Trials.govTrial results on PneumonectomyClinical Trials on Pneumonectomy at Google


| group6 = Guidelines / Policies / Government Resources (FDA/CDC) Regarding Pneumonectomy | list6 = US National Guidelines Clearinghouse on PneumonectomyNICE Guidance on PneumonectomyNHS PRODIGY GuidanceFDA on PneumonectomyCDC on Pneumonectomy


| group7 = Textbook Information on Pneumonectomy | list7 = Books and Textbook Information on Pneumonectomy


| group8 = Pharmacology Resources on Pneumonectomy | list8 = AND (Dose)}} Dosing of PneumonectomyAND (drug interactions)}} Drug interactions with PneumonectomyAND (side effects)}} Side effects of PneumonectomyAND (Allergy)}} Allergic reactions to PneumonectomyAND (overdose)}} Overdose information on PneumonectomyAND (carcinogenicity)}} Carcinogenicity information on PneumonectomyAND (pregnancy)}} Pneumonectomy in pregnancyAND (pharmacokinetics)}} Pharmacokinetics of Pneumonectomy


| group9 = Genetics, Pharmacogenomics, and Proteinomics of Pneumonectomy | list9 = AND (pharmacogenomics)}} Genetics of PneumonectomyAND (pharmacogenomics)}} Pharmacogenomics of PneumonectomyAND (proteomics)}} Proteomics of Pneumonectomy


| group10 = Newstories on Pneumonectomy | list10 = Pneumonectomy in the newsBe alerted to news on PneumonectomyNews trends on Pneumonectomy


| group11 = Commentary on Pneumonectomy | list11 = Blogs on Pneumonectomy

| group12 = Patient Resources on Pneumonectomy | list12 = Patient resources on PneumonectomyDiscussion groups on PneumonectomyPatient Handouts on PneumonectomyDirections to Hospitals Treating PneumonectomyRisk calculators and risk factors for Pneumonectomy


| group13 = Healthcare Provider Resources on Pneumonectomy | list13 = Symptoms of PneumonectomyCauses & Risk Factors for PneumonectomyDiagnostic studies for PneumonectomyTreatment of Pneumonectomy

| group14 = Continuing Medical Education (CME) Programs on Pneumonectomy | list14 = CME Programs on Pneumonectomy

| group15 = International Resources on Pneumonectomy | list15 = Pneumonectomy en EspanolPneumonectomy en Francais

| group16 = Business Resources on Pneumonectomy | list16 = Pneumonectomy in the MarketplacePatents on Pneumonectomy

| group17 = Informatics Resources on Pneumonectomy | list17 = List of terms related to Pneumonectomy


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