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Related Experiment Video

Updated: May 22, 2026

Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome

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Published on: January 23, 2026

Video-assisted thoracoscopic resection for destroyed lung.

Alper Toker¹, Suat Erus, Serhan Tanju

¹Department of Thoracic Surgery, Istanbul Medical School, Istanbul University, Istanbul, Turkey. atoker@istanbul.edu.tr

The Annals of Thoracic Surgery

|May 15, 2012

Summary

Video-assisted thoracoscopic pneumonectomy offers a safe surgical option for destroyed lungs. This approach, even with complex adhesions and herniation, resulted in a safe recovery for two patients.

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Area of Science:

Thoracic Surgery
Minimally Invasive Procedures
Pulmonary Medicine

Background:

Video-assisted thoracoscopic surgery (VATS) is increasingly recognized as a viable alternative to open thoracotomy for major lung resections.
However, the specific indications for VATS pneumonectomy, particularly in complex cases, remain a subject of ongoing debate.
Destroyed lung, characterized by severe parenchymal damage and inflammation, presents unique surgical challenges.

Observation:

This report details two cases of left pneumonectomy performed using VATS in patients with severely destroyed lungs.
Surgical approaches varied (anterior vs. posterior) based on the extent of contralateral lung herniation, a critical factor in complex thoracic procedures.
Intraoperative considerations included managing dense adhesions, enlarged lymph nodes, and prominent bronchial vessels, all common in destroyed lung pathology.

Findings:

Both patients successfully underwent VATS left pneumonectomy with no major intraoperative or postoperative complications.
The diverse surgical approaches effectively addressed the specific anatomical challenges presented by each patient.
The perioperative period was uneventful, demonstrating the safety and feasibility of VATS in this challenging context.

Implications:

These cases suggest that VATS pneumonectomy can be safely performed in patients with destroyed lungs, even with significant adhesions and herniation.
Careful preoperative assessment and tailored surgical strategies are crucial for successful VATS pneumonectomy in complex lung destruction.
Further research should explore expanded indications and long-term outcomes for VATS pneumonectomy in such challenging pulmonary conditions.