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Related Experiment Video

Updated: May 29, 2026

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Published on: April 19, 2024

Postlobectomy chest radiographic changes: a quantitative analysis.

Choo-Won Kim¹, Alla Godelman, Vineet R Jain

¹Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY, USA.

Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes

|October 1, 2011

Summary

Prior sternotomy does not impact chest radiographic changes or air leak duration after lobectomy. Quantitative analysis of postlobectomy chest radiographs revealed no significant differences in outcomes between patients with and without prior sternotomy.

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Area of Science:

Thoracic surgery
Radiology
Pulmonary medicine

Background:

Lobectomy is a common surgical procedure for lung diseases.
Chest radiography is crucial for evaluating post-surgical changes.
The impact of prior sternotomy on post-lobectomy outcomes requires further investigation.

Purpose of the Study:

To quantitatively analyze chest radiographic changes after lobectomy.
To determine if prior sternotomy influences hemithorax size and air leak duration post-lobectomy.

Main Methods:

Retrospective case-controlled series comparing 10 patients with prior sternotomy to 30 controls.
Quantitative analysis of pre- and postoperative chest radiographs for diaphragmatic elevation, hemithorax size, mediastinal shift, and pneumothorax.
Chart review for air leak duration, complications, and hospitalization.

Main Results:

No significant differences were observed in diaphragmatic elevation, hemithorax size changes, or mediastinal shift between groups.
Post-lobectomy radiographic findings varied by resected lobe and progressed over 12 months.
No differences in pneumothorax duration, air leak duration, complication rates, or hospital stay were found.

Conclusions:

Specific, quantifiable patterns of volume loss, mediastinal shift, and diaphragmatic displacement occur post-lobectomy.
Prior sternotomy does not adversely affect post-lobectomy radiographic changes or patient outcomes.