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Postsurgical residual lung complications following left upper trisegmentectomy.

Yutaro Koike1, Aritoshi Hattori1, Takeshi Matsunaga1

  • 1Department of General Thoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|October 25, 2019
PubMed
Summary

Left upper trisegmentectomy (LUTS) is a common lung surgery. While generally safe, complications like atelectasis, torsion, necrosis, or hematoma can occur, with some requiring reoperation.

Keywords:
Lung cancerLung complicationsNecrosis of the isolated segmentSegmentectomy

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Area of Science:

  • Thoracic Surgery
  • Pulmonary Medicine
  • Surgical Oncology

Background:

  • Segmentectomy is a growing surgical option for small lung lesions.
  • Left upper trisegmentectomy (LUTS) is frequently performed due to its simplicity.
  • Data on LUTS-specific postoperative complications remain limited.

Purpose of the Study:

  • To identify and categorize postoperative residual lung complications following LUTS.
  • To assess the incidence and severity of these complications.
  • To inform clinical management and patient counseling.

Main Methods:

  • Retrospective analysis of 2060 lung resections between 2009-2016.
  • Identification of 129 patients who underwent LUTS.
  • Postoperative chest imaging (X-ray, CT) reviewed to classify complications into four types: atelectasis, torsion, necrosis, and hematoma.

Main Results:

  • 13.1% of LUTS patients experienced postoperative complications.
  • Complications included atelectasis (7), torsion (1), necrosis (4), and hematoma (5).
  • 2.3% of patients required surgical intervention for torsion or necrosis, associated with systemic inflammatory response.

Conclusions:

  • Several types of postoperative lung complications can follow LUTS.
  • Lung torsion and necrosis may necessitate intensive care and reoperation.
  • Radiological consolidation post-LUTS warrants investigation to rule out serious complications.