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Case 287
Jennifer A Febbo1, Ramya S Gaddikeri1, Palmi Shah1
1From the Department of Diagnostic Radiology and Nuclear Medicine, Rush University Medical Center, 1653 W Congress Pkwy, Jelke 181, Chicago, IL 60612.
Radiology
|October 19, 2020
Summary
A 60-year-old woman experienced pneumothorax after lung cancer surgery. Management involved repeat chest tube placement, leading to a successful recovery and unremarkable follow-up.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Pulmonology
Background:
- A 60-year-old woman was diagnosed with stage I lung adenocarcinoma.
- She underwent video-assisted thoracoscopic surgery (VATS) for right upper lobectomy.
Purpose of the Study:
- To describe the management and outcome of a postoperative pneumothorax following lung cancer surgery.
- To highlight the role of imaging in postoperative surveillance.
Main Methods:
- Video-assisted thoracoscopic surgery (VATS) for right upper lobectomy.
- Management of postoperative pneumothorax with repeat chest tube placement.
- Postoperative chest radiography and CT scanning for surveillance.
Main Results:
- A large pneumothorax occurred post-chest tube removal on postoperative day 3.
- Repeat chest tube placement on the same day resolved the pneumothorax.
- The second chest tube was removed on postoperative day 8 without complications.
- Routine follow-up, including imaging, showed an unremarkable recovery.
Conclusions:
- Postoperative pneumothorax is a potential complication after VATS lobectomy.
- Prompt management with chest tube reinsertion can effectively treat this complication.
- VATS lobectomy can achieve favorable outcomes for early-stage lung adenocarcinoma.
