A pneumonectomy (or pneumectomy) is a surgical procedure for lifting the lungs. Removal of only one lobe of the lung is specifically referred to as lobectomy, and that the segment of the lung as a resection of a wedge (or segmentectomy).
Video Pneumonectomy
Indication
The most common reason for pneumonectomy is to remove tumorous tissue arising from lung cancer. In the days before the use of antibiotics in the treatment of tuberculosis, tuberculosis is sometimes treated by pneumonectomy surgery.
Surgery will reduce the patient's respiratory capacity; before performing pneumonectomy, the surgeon will evaluate the patient's ability to function after the lung tissue is removed. After surgery, the patient is often given an incentive spirometer to help exercise the remaining lungs and to improve respiratory function.
One or two ribs are sometimes removed to allow the surgeon to access the lungs better.
Maps Pneumonectomy
Type
There are two types of pneumonectomy:
- Simple pneumonectomy : removal of only affected lung
- Extrapleural pneumonectomy (EPP): removal of the affected lung, plus the diaphragm, parietal pleura (chest layer) and pericardium (lining the heart) on the side. The coatings are replaced by Gore-Tex in a painful and radical operation that is used primarily for malignant mesothelioma treatment.
History
Pioneered date
- 1895: first pneumonectomy in several stages by William Macewen in patients with tuberculosis and emphysema
- 1912: lobectomy of first anatomical dissection by Hugh Morriston Davies
- 1918: the first successful lobectomy, by Harold Brunn
- 1931: The first successful pneumonectomy in two stages by Rudolph Nissen in patients with thorax crush injuries
- 1933: The first successful single stage single pneumonectomy by Graham and the Singer
- 1939: first segmentation, by Churchill and Belsey
See also
- Medical Ventilator
- List of operations by type
References
External links
Source of the article : Wikipedia
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