Pneumonectomy

Changed by Yuranga Weerakkody, 4 Jan 2017

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Pneumonectomy is the complete surgical removal of the lung. It is most commonly performed for a primary lung malignancy. The lung is removed in its entirety providing the patient has adequate pulmonary reserve from the contralateral lung.

Recognized post-pneumonectomy complications include:

Ppstpneumonectomy syndrome
bronchopleural fistula formation
cardiac herniation
~~Recurrent~~recurrent pneumothorax

Radiographic appearances

Plain radiograph

Pneumonectomy is one of the causes of a white out of the hemithorax. The hemithorax is completely opacified with the trachea pulled towards the side of the abnormality. Surgical clips may be identified at the lung hilum.

CT

The lung is absent at the side of surgery, with resultant mediastinal shift and compensatory hyperaeration of the contralateral lung.

~~-<li><a title="Postpneumonectomy syndrome" href="/articles/postpneumonectomy-syndrome">Postpneumonectomy syndrome</a></li>~~
+<li><a href="/articles/postpneumonectomy-syndrome">Ppstpneumonectomy syndrome</a></li>
~~-<a title="Bronchopleural fistula (BPF)" href="/articles/bronchopleural-fistula">Bronchopleural fistula</a> formation</li>~~
~~-<li><a title="Cardiac herniation" href="/articles/cardiac-herniation">Cardiac herniation</a></li>~~
~~-<li>Recurrent pneumothorax</li>~~
+<a href="/articles/bronchopleural-fistula">bronchopleural fistula</a> formation</li>
+<li><a href="/articles/cardiac-herniation">cardiac herniation</a></li>
+<li>recurrent pneumothorax</li>

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Pneumonectomy

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Radiographic appearances

Plain radiograph

CT

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