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Review
. 2015 Aug;25(3):355-64.
doi: 10.1016/j.thorsurg.2015.04.003. Epub 2015 Jun 12.

Postlobectomy Early Complications

Elena Ziarnik  1 , Eric L Grogan  2
Affiliations
Review

Postlobectomy Early Complications

Elena Ziarnik et al. Thorac Surg Clin. 2015 Aug.

Abstract

Immediate postoperative complications are common after lobectomy. The most effective management of postoperative crises is prevention, which starts with preoperative preparation and patient screening. There are many factors that can be controlled and improved by the patient. Equally important is patient selection, which is influenced by pulmonary function tests, cardiopulmonary reserve, and preexisting comorbidities. After the operation, the care team can also greatly improve outcomes with aggressive cardiopulmonary therapies, ambulation, vigilant monitoring, and frequent assessments of the patient. Prevention strategies can minimize risks; however, when they occur, a proactive approach may minimize the long-term sequelae.

Keywords: Air leak; Atrial fibrillation; Chylothorax; Hemorrhage; Nerve injury; Pneumonia/mucous plugging; Right middle lobe torsion.

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Figures

Figure 1
Figure 1
Butressed Stapler
Figure 2
Figure 2
Immediate Postoperative Chest X-Ray
Figure 3
Figure 3. Postoperative Mucous Plugging Chest X-Ray
Arrows denote mediastinal shift to the side of the collapse
Figure 4
Figure 4
Post-bronchoscopy Chest X-Ray
Figure 5
Figure 5. Management of post-operative atrial Fibrillation
[35] ASA: acetylsalicylic acid [aspirin]; COPD: chronic obstructive pulmonary disease; ILD: interstitial lung disease; INR: international normalized ratio
Figure 6
Figure 6
Immediate Post-operative Chest X-Ray
Figure 7
Figure 7. Post-operative Day 1
(arrow indicates RML opacification)
Figure 8
Figure 8. Management Algorithm for Chylothorax
TG=triglyceride, NPO=nothing per os, TPN=total parenteral nutrition, s/p=status post [47] Ziarnik E, Nesbitt J.
See this image and copyright information in PMC

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MeSH terms