Which of the following complications is most common following pulmonary lobectomy?
Prolonged air leak is the most common complication after pulmonary resection, with a reported incidence of 15–18% [4].
What are the possible complications after radical lung surgery?
Complications following surgery for MPM can be considered in three categories—pleuropulmonary: parenchymal atelectasis, pneumonia, pulmonary oedema, acute respiratory distress syndrome (ARDS), bronchopleural fistula (BPF), persistent air leak and pleural empyema—cardiovascular: post-operative hypotension, arrhythmias.
What are the complications of a lobectomy?
What are the risks of a lobectomy?
- Infection.
- Air in the space between the lung covering (pleural space) that causes the lung to collapse (pneumothorax)
- Bleeding.
- A tube-like opening between the airway (bronchus) and pleural space that causes air or fluid to leak into the chest (bronchopleural fistula)
How long does it take to recover from VATS lobectomy?
In general, you may be able to return to work (if you have a sedentary job), resume driving and participate in most non-strenuous activities within 4 to 6 weeks after minimally invasive thoracic surgery. You can resume heavy lifting and other more strenuous activities within 6 to 12 weeks after surgery.
What is the management of a patient following a lobectomy?
The recovery period after a lobectomy is different for everyone. To aid in your healing, keep practicing recommended breathing exercises and make an effort to avoid cigarettes (including second-hand smoke), respiratory infections (such as the cold and flu), and any environmental toxins, chemical fumes, or smoke.
What is Postpneumonectomy syndrome?
Objective: Postpneumonectomy syndrome is a rare syndrome of dynamic airway obstruction caused by extreme rotation and shift of the mediastinum after pneumonectomy, resulting in symptomatic central airway compression.
What causes air leak after lung surgery?
An air leak after pulmonary resection is almost always caused by an alveolar pleural fistula, which is defined as a communication between the pulmonary parenchyma distal to a segmental bronchus and the pleural space. Prolonged air leak (PAL) is reported to be the most common complication after lung resection.
What are the long term effects of a lobectomy?
PCs of patients after VATS lobectomy
| Complications grade | Number | Percentage (%) |
|---|---|---|
| Pneumonia | 27 | 3.3 |
| Prolonged air leak (only need suction) | 38 | 4.6 |
| Effusion | 20 | 2.4 |
| Atelectasis | 5 | 0.6 |