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- W2897612641 abstract "After pneumonectomy for cancer, the residual lung can be affected by pleural disorders, which usually produce severe respiratory distress and impose emergency treatment. Between 2000 and 2016 we identified 11 patients with previous pneumonectomy for cancer, who presented with pleural disease; 9 of them needed emergency treatment. There were 2 cases of pneumothorax: one developed in first postoperative day after left completion pneumonectomy with chest wall re-resection (for relapsed squamous cell carcinoma); the second pneumothorax developed after CT-guided needle biopsy of a left pulmonary nodule (single left lung after right pneumonectomy for cancer) – in both cases the pneumothorax needed emergency chest tube drainage. Also, there were 8 cases with liquid pleural effusions – 6 malignant, 1 tuberculous and 1 empyema. We performed 2 thoracoscopies and 6 chest drain insertions; in one case the patient with previous left pneumonectomy presented with right pleural and pericardial effusion, for which a pericardial percutaneous left parasternal drainage with ultrasound guidance, and a right pleurotomy, were performed. In another case a left tension loculated pleural effusion needed CT-guided percutaneous drainage. In 3 cases talc pleurodesis was performed. Finally, one patient with previous pneumonectomy presented with left pulmonary nodule and he was prepared for resection. At thoracotomy a pleural entrapment of the inferior lingular segment was found and a decortication was performed; no pulmonary nodule was found neither intraoperatory nor at postoperatory CT-scan. The pleural disease developed on single surgical lung (pneumonectomy for cancer) may be malignant or benign, correlated or not with the primary malignancy which imposed previous pneumonectomy. In endemic areas for TB specific pleural effusions and pleural retraction may appear and surgical treatment is necessary. Special attention is needed for nodules on single lung proposed for CT-guided biopsy – the pneumothorax on single lung has indication for drainage." @default.
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- W2897612641 date "2018-10-01" @default.
- W2897612641 modified "2023-10-18" @default.
- W2897612641 title "P3.CR-30 Pleural Diseases on Single Lung After Pneumonectomy for Cancer" @default.
- W2897612641 doi "https://doi.org/10.1016/j.jtho.2018.08.2009" @default.
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