Lung Resection

• Lung Resection types:

  A) segmentectomy

  B) lobectomy

  C) pneumonectomy

  
• Lobectomy:

  • Removal of entire lobe
  • Anastomosis (remaining area of where lung has been resected) stapled
  • Chest drain inserted to collect blood /air
  • Other parts of lung expand to fill space
  • Hemidiaphragm on affected side rises slightly

  
• Surgical Variation:

  • Wedge Resection (only done when theres a very peripheral nodule or lesion that can be easily resected) / segmentectomy (removal of a segment)
  • Possibly larger air leak
  • more pleural exudate and bloodstained sputum
  • Usually for cancer or other isolated lesion
  • Sleeve resection - segmental bronchus gets resected too
  • Care with cough (end to end anastomosis)

  
• • segmentectomy = removal of a segment
  • lobectomy = removal of a lobe
  • pneumonectomy = removal of a lung
• Pneumonectomy:

  • Removal of a whole lung (cancer)
  • Bronchial anastomosis stapled or sutured (main bronchus is closed)
  • Fluid collects in pleural space - solidifies and secures the mediastinum and remaining lung so it doesnt shift too much towards the empty side
  • Fluid monitored by chest x-ray
  • controlled by apical drain
  • Too much fluid
  • mediastinal shift
  • Over months fluid organises into fibrous tissue