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Comprehensive Preoperative Strategy and Multidisciplinary Collaboration for Safe Completion Pneumonectomy: A Case
Tomonari Oki1, Shuhei Iizuka1, Yoshifumi Kunii2
1Department of General Thoracic Surgery, Seirei Hamamatsu General Hospital, Hamamatsu, JPN.
Completion pneumonectomy (CP) is a complex surgery, especially on the right side. This case study highlights meticulous planning, patient positioning, and vascular control strategies to safely manage a challenging right CP, avoiding cardiopulmonary bypass.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Cardiovascular Surgery
Background:
- Completion pneumonectomy (CP) presents significant risks due to adhesions and anatomical distortion, particularly on the right side with potential intrapericardial involvement.
- Previous surgeries increase complexity, necessitating advanced planning to prevent intraoperative hemorrhage.
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