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Related Experiment Video

Updated: Jan 29, 2026

Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome
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[Completion pneumonectomy].

Yoshihiro Nakamura1, Masami Sato

  • 1Department of General Thoracic Surgery, School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|August 7, 2013
PubMed
Summary

Completion pneumonectomy (CP), a complex thoracic surgery, involves removing remaining lung after prior resection. Careful patient selection and surgical technique are crucial for improving outcomes in this high-risk procedure.

Area of Science:

  • General Thoracic Surgery
  • Cardiothoracic Surgery

Context:

  • Completion pneumonectomy (CP) is a highly invasive thoracic surgery.
  • It involves complete lung removal after a prior partial resection.
  • CP is associated with higher mortality and morbidity than standard pneumonectomy due to dense adhesions and patient comorbidities.

Purpose:

  • To review operative strategies for completion pneumonectomy.
  • To highlight the importance of preoperative assessment, surgical indication, minimally invasive techniques, and postoperative management.
  • To emphasize the need for experienced surgeons and carefully selected patients.

Summary:

  • CP requires intra-pericardial control of major vessels to prevent injury.
  • Preoperative pulmonary and cardiac functions are often compromised.

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  • High complication rates, including respiratory and cardiac failure, are linked to invasiveness and transfusion requirements.

    • Impact:

    • Optimizing surgical approaches can improve outcomes for completion pneumonectomy.
    • This review aims to guide surgeons in managing complex thoracic cases.
    • Enhanced patient selection and surgical techniques are vital for reducing CP-related complications.