2019
DOI: 10.1186/s13019-019-1008-6
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Thoracoscopic partial lung resection following pneumonectomy: a report of three cases

Abstract: BackgroundThe prognosis of patients who undergo unilateral pneumonectomy and subsequently develop a contralateral pulmonary tumor can be improved by tumor resection. Thus, surgery is a treatment option if the patient’s pulmonary function and performance status are satisfactory. To date, there have been only few cases reporting thoracoscopic lung resection for pulmonary tumor after contralateral pneumonectomy because of the difficulty in respiratory management during surgery. Thoracoscopic surgery requires the … Show more

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Cited by 3 publications
(5 citation statements)
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“…According to the latest National Cancer Comprehensive Network and ACCP Guidelines for NSCLC, if patients who are able to withstand definitive local therapy, lung-sparing resection is recommended as a primary therapeutic option for SLT to obtain long-term survival (2,28). Even though, the proportion of patients received additional LR for SLT following a surgical resection ), the high perioperative morbidity (0.0-77.7%) and mortality (0.0-33.3%) are not negligible (Table 4) (5,(10)(11)(12)(13)(14)(15)(16)(17)(18). Before 2009, surgical resection was performed in all reported patients with postpneumonectomy SLT, including 80 WRs (77.7%), 16 Ss (15.5%), and 7 lobectomies (6.8%).…”
Section: Discussionmentioning
confidence: 99%
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“…According to the latest National Cancer Comprehensive Network and ACCP Guidelines for NSCLC, if patients who are able to withstand definitive local therapy, lung-sparing resection is recommended as a primary therapeutic option for SLT to obtain long-term survival (2,28). Even though, the proportion of patients received additional LR for SLT following a surgical resection ), the high perioperative morbidity (0.0-77.7%) and mortality (0.0-33.3%) are not negligible (Table 4) (5,(10)(11)(12)(13)(14)(15)(16)(17)(18). Before 2009, surgical resection was performed in all reported patients with postpneumonectomy SLT, including 80 WRs (77.7%), 16 Ss (15.5%), and 7 lobectomies (6.8%).…”
Section: Discussionmentioning
confidence: 99%
“…Nevertheless, for patients who have underwent one-sided pneumonectomy, respiratory management during contralateral lung surgery is a technical difficulty because of the unfulfillable one-lung ventilation (4,5). Moreover, second LR after previous pneumonectomy will bring nonnegligible risk of operative complication rate (0.0-77.7%) and mortality (0.0-33.3%), mainly owing to the respiratory reserve, physical status, and pathophysiological changes (5,(10)(11)(12)(13)(14)(15)(16)(17)(18). Of note, several retrospective series have suggested that local non-surgical treatments, including stereotactic body radiation therapy (SBRT), conventional radiotherapy (CRT), interventional therapy (IVT) etc., can not only ensure the treatment related safety, but also bring long-term survival in patients with postpneumonectomy SLT (4,(19)(20)(21)(22)(23)(24)(25)(26).…”
Section: Introductionmentioning
confidence: 99%
“…High-frequency jet ventilation is a continuous positive airway pressure applied to a bronchopulmonary segment during VATS (13,14). Selective lobar bronchial blockade is achieved with a bronchial blocker (15,16), or double-lumen tube (10,17). These strategies can also be used for open procedures that are technically challenging in order to reduce manipulation and injury to the lung tissue.…”
Section: Anaesthesiologic Techniquementioning
confidence: 99%
“…For peripheral tumors intermittent apnea or standard ventilation with intrapleural CO2-insufflation can provide sufficient thoracoscopic access (2,16). Recently, also nonintubated (NI) VATS has been proposed to be a safe and feasible technique for thoracic surgery with the potential advantage of reducing postoperative complication rate, hospital stay, and chest pain (18).…”
Section: Anaesthesiologic Techniquementioning
confidence: 99%
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