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Related Concept Videos

Pneumothorax-II01:27

Pneumothorax-II

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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
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Pneumothorax-I01:26

Pneumothorax-I

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A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
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Pleura of the Lungs01:13

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The lungs are nestled in a cavity, shielded by the pleura. The pleura, a form of serous membrane, wraps around each lung. This membrane arrangement consists of two layers: the visceral and parietal pleurae. The visceral pleura lines the surface of the lungIn contrast, the parietal pleura is the outer layer and contacts to the thoracic wall, the mediastinum, and the diaphragm. The hilum is the point of connection between the visceral and parietal layers. The space between the parietal and...
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Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
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Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
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Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
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Pneumonia III: Complications and Assessment01:30

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Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
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Related Experiment Video

Updated: Oct 19, 2025

Mouse Pneumonectomy Model of Compensatory Lung Growth
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[Completion Pneumonectomy].

Yasushi Shintani1

  • 1Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, Suita, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|September 22, 2021
PubMed
Summary
This summary is machine-generated.

Completion pneumonectomy (CP) is a complex lung surgery for residual tissue after prior resection. It presents challenges but can be a viable option for select lung cancer cases when benefits outweigh risks.

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Pulmonary Medicine

Background:

  • Completion pneumonectomy (CP) removes residual lung tissue post-anatomical resection.
  • Previous surgeries can cause adhesions and tissue fragility, complicating CP.
  • CP is technically demanding with higher risks than standard pneumonectomy.

Purpose of the Study:

  • To discuss the indications, procedures, and perioperative management of completion pneumonectomy.
  • To evaluate the safety and efficacy of specific techniques, like intrapericardial manipulation.
  • To determine when CP is a reasonable option for lung cancer patients.

Main Methods:

  • Review of indications for CP in lung cancer patients.
  • Description of surgical techniques, including intrapericardial manipulation.
  • Discussion of perioperative management strategies.

Main Results:

  • Intrapericardial manipulation is safe and effective for difficult hilar dissections.
  • CP is feasible for lung cancer recurrence, second primaries, or metastasis post-lobectomy.
  • Careful patient selection is crucial due to increased surgical risks.

Conclusions:

  • Completion pneumonectomy is a challenging but potentially valuable procedure for selected lung cancer cases.
  • The oncological benefits must be carefully weighed against the surgical risks.
  • Adherence to specific techniques and perioperative management is key for successful outcomes.