WordNet
- surgical removal of a lung (usually to treat lung cancer)
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/07/24 00:54:49」(JST)
[Wiki en表示]
| Pneumonectomy |
| Intervention |
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Appearance of the cut surface of a pneumonectomy specimen containing lung cancer, here a Squamous cell carcinoma (the whitish tumor near the bronchi).
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| ICD-9-CM |
32.5 |
| MeSH |
D011013 |
A pneumonectomy (or pneumectomy) is a surgical procedure to remove a lung. Removal of just one lobe of the lung is specifically referred to as a lobectomy, and that of a segment of the lung as a wedge resection (or segmentectomy).
Contents
- 1 Indications
- 2 Types
- 3 History
- 4 See also
- 5 References
- 6 External links
Indications
An chest xray of a person who has had their right lung removed
The most common reason for a pneumonectomy is to remove tumourous tissue arising from lung cancer. In the days prior to the use of antibiotics in tuberculosis treatment, tuberculosis was sometimes treated surgically by pneumonectomy.
The operation will reduce the respiratory capacity of the patient; before conducting a pneumonectomy, the surgeon will evaluate the ability of the patient to function after the lung tissue is removed. After the operation, patients are often given an incentive spirometer to help exercise their remaining lung and to improve breathing function.
A rib or two is sometimes removed to allow the surgeon better access to the lung.
Types
There are two types of pneumonectomy:
- Simple pneumonectomy: removal of just the affected lung
- Extrapleural pneumonectomy (EPP): removal of the affected lung, plus part of the diaphragm, the parietal pleura (lining of the chest) and the pericardium (lining of the heart) on that side.[1] The linings are replaced by Gore-Tex in this radical and painful surgery that is used primarily for treatment of malignant mesothelioma.
History
Pioneering dates
- 1895: first pneumonectomy in multiple stages by William Macewen on a patient with tuberculosis and emphysema
- 1912: first anatomical dissection lobectomy by Hugh Morriston Davies[2]
- 1918: first successful lobectomy, by Harold Brunn[3]
- 1931: first successful pneumonectomy in two stages by Rudolph Nissen on a patient with crush injury to the thorax
- 1933: first successful single-stage total pneumonectomy by Graham and Singer[4]
- 1939: first segmentectomy, by Churchill and Belsey[5]
See also
References
- ^ http://www.cancer.gov/templates/db_alpha.aspx?CdrID=367446
- ^ Naef, A (1993). "Hugh Morriston Davies: First Dissection Lobectomy in 1912". Annals of Thoracic Surgery 56 (4): 988–989. doi:10.1016/0003-4975(93)90377-t. PMID 8166519.
- ^ Rosenthal, R; Zenilman M (2001). Principles and Practice of Geriatric Surgery. Springer. p. 393.
- ^ Horn, L; Johnson DH (July 2008). "Evarts A. Graham and the first pneumonectomy for lung cancer". Journal of Clinical Oncology 26 (19): 3268–3275. doi:10.1200/JCO.2008.16.8260. PMID 18591561.
- ^ Churchill, E; Belsey R (1939). "Segmental Pneumonectomy in Bronchiectasis: The Lingula Segment of the Left Upper Lobe". Annals of Surgery 109 (4): 481–499. doi:10.1097/00000658-193904000-00001. PMID 17857340.
External links
- Fuentes PA (April 2003). "Pneumonectomy: historical perspective and prospective insight". Eur J Cardiothorac Surg 23 (4): 439–45. PMID 12694756.
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Respiratory system surgeries and other procedures (ICD-9-CM V3 21–22, 30–34, ICD-10-PCS 0B)
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| Upper RT |
- nose
- Rhinoplasty
- Septoplasty
- Rhinectomy
- Rhinomanometry
- sinus
- Sinusotomy
- larynx
- Laryngoscopy
- Laryngectomy
- Laryngotomy
- Thyrotomy
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| Lower RT |
- trachea
- Cricothyrotomy
- Tracheoesophageal puncture
- Tracheotomy
- bronchus
- Bronchoscopy
- lung
- Pneumonectomy
- Lobectomy
- Wedge resection
- Lung transplantation
- Decortication of lung
- Heart-lung transplant
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Chest wall, pleura,
mediastinum, and diaphragm |
- pleura/pleural cavity
- Thoracentesis
- Pleurodesis
- Thoracoscopy
- Thoracotomy
- Chest tube
- mediastinum
- Mediastinoscopy
- Nuss procedure
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| Medical imaging |
- Bronchography
- CT pulmonary angiogram
- High resolution CT
- Spiral CT
- Ventilation/perfusion scan
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| CPRs |
- Pneumonia severity index
- CURB-65
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| Lung function test |
- Body plethysmography
- Spirometry
- Bronchial challenge test
- Capnography
- Diffusion capacity
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| Cytology |
- Sputum culture
- Bronchoalveolar lavage
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Respiratory therapy/
intubation |
- Mechanical ventilation
- Positive pressure ventilation
- Artificial respiration
- Nebulizer
- Hyperbaric medicine
- Oxygen therapy
- Decompression chamber
- Heliox
- Negative pressure ventilator
- Postural drainage
- CPR
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anat (n, x, l, c)/phys/devp
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noco (c, p)/cong/tumr, sysi/epon, injr
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proc, drug (R1/2/3/5/6/7)
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UpToDate Contents
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English Journal
- Malignant hepatic epithelioid angiomyolipoma with recurrence in the lung 7 years after hepatectomy: a case report and literature review.
- Fukuda Y1,2, Omiya H3, Takami K3, Mori K4, Kodama Y4, Mano M4, Nomura Y5, Akiba J6, Yano H6, Nakashima O7, Ogawara M8, Mita E9, Nakamori S3, Sekimoto M3.
- Surgical case reports.Surg Case Rep.2016 Dec;2(1):31. doi: 10.1186/s40792-016-0158-1. Epub 2016 Apr 2.
- Angiomyolipoma (AML) arising in the liver is rare and usually benign, but it occasionally has malignant potential. A 58-year-old man with a liver tumor identified by a previous doctor with features suggestive of hepatocellular carcinoma on computed tomography (CT) underwent anterior segmentectomy of
- PMID 27037804
- Clinical Outcomes After Lung Stereotactic Body Radiation Therapy in Patients With or Without a Prior Lung Resection.
- Hou Y1, Hermann G, Lewis JH, Aerts HJ, Baldini EH, Chen AB, Colson YL, Hacker FL, Killoran JH, Kozono DE, Wagar M, Wee JO, Mak RH.
- American journal of clinical oncology.Am J Clin Oncol.2016 Nov 4. [Epub ahead of print]
- OBJECTIVES: Tumor control (TC), toxicity and survival, following stereotactic body radiation therapy (SBRT) were compared between patients with and without a prior lung resection (PLR).MATERIALS AND METHODS: The study is comprised of 130 patients with 141 peripheral tumors treated with SBRT at our i
- PMID 27819875
- Bilateral pneumonectomy with difficult airway managed by using a combination of i-gel and EZ-Blocker.
- Ueshima H1, Otake H2.
- Journal of clinical anesthesia.J Clin Anesth.2016 Nov;34:516. doi: 10.1016/j.jclinane.2016.06.001. Epub 2016 Jul 17.
- PMID 27687442
Japanese Journal
- 石綿関連悪性胸膜疾患 (特集 胸膜・胸壁疾患の診断と治療の進歩)
- 悪性胸膜中皮腫に対するtrimodal therapy (特集 呼吸器悪性腫瘍の集学的治療)
- 7. 癌性胸膜炎に対する外科治療(<特集>進行肺癌に対する拡大手術-最近の動向-)
Related Links
- pneumonectomy / ˌnu məˈnɛk tə mi, ˌnyu-/ Show Spelled [noo-m uh-nek-t uh-mee, nyoo-] Show IPA noun, plural pneumonectomies. Surgery. excision of part or all of a lung. Also, pneumectomy. Origin: 1885–90; pneumon-+ -ectomy
- Left Extrapleural Pneumonectomy for Pleural Mesothelioma (LEPM), vats pneumonectomy, 2-Port VATS Lt Pneumonectomy (step by step video) by Dr Calvin SH Ng 吳士衡醫生 CUHK, Left Carinal Pneumonectomy with Partial ...
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- 英
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- 肺摘除術、肺全摘、肺全摘除、肺切除術、肺全摘除術
-pneumonectomy
[★]
- 英
- pneumonectomy
- 関
- 肺切除、肺摘除術、肺全摘除、肺切除術、肺全摘除術
[★]
- 英
- pneumonectomy
- 関
- 肺切除、肺摘除術、肺全摘、肺切除術、肺全摘除術
[★]
- 英
- pneumonectomy
- 関
- 肺切除、肺全摘、肺全摘除、肺切除術、肺全摘除術
[★]
- 英
- pneumonectomy
- 関
- 肺切除、肺摘除術、肺全摘、肺全摘除、肺切除術