Video-assisted thoracoscopic surgery for prevention of postpneumonectomy syndrome: A case report

Int J Surg Case Rep. 2023 Oct:111:108738. doi: 10.1016/j.ijscr.2023.108738. Epub 2023 Sep 6.

Abstract

Introduction: Postpneumonectomy syndrome is a pathological condition consisting in a persistent violation of the function of external respiration caused by the inflection of the trachea and/or the main bronchus and manifested by respiratory insufficiency.

Presentation of case: The article describes a method of video-assisted thoracoscopic surgery for intraoperative prevention of the development of postpneumonectomy syndrome by installing a mesh implant in a patient with central cancer of the right lung.

Discussion: The range of alternatives that have been put forth for the treatment and prevention of the emergence of postpneumonectomy syndrome, on the one hand, demonstrates the relevance of the issue and, on the other, demonstrates the inadequate outcomes of the employed techniques.

Conclusion: As a result of a mesh implant that is rigidly linked to the ribs, the preventative strategy we describe reliably prevents mediastinal displacement and doesn't necessitate repeated surgical intervention.

Keywords: Mediastinal hernia; Pneumonectomy; Postpneumonectomy syndrome.

Publication types

  • Case Reports