Complications secondary to pulmonary resection surgery: what the radiologist should know.

Congress:

ECR 2018

Poster Number:

C-1489

Type:

Educational Exhibit

Keywords:

Neoplasia, Fistula, Surgery, Complications, CT, Conventional radiography, Thorax, Respiratory system

Authors:

I. Sánchez-Serrano, A. Navarro Baño, S. Ibáñez Caturla, L. GONZALEZ RAMOS, F. Sarabia Tirado, D. Rodríguez Sánchez; El Palmar, Murcia/ES

DOI:

10.1594/ecr2018/C-1489

DOI-Link:

https://dx.doi.org/10.1594/ecr2018/C-1489

Fig. 1: Normal postoperative evolution on chest radiographs after a pneumonectomy: (A)...

Fig. 2: Figure 2. Normal evolution on chest radiographs after a right upper lobectomy....

Fig. 3: Pulmonary oedema in a 67-year-old patient after left pneumonectomy. . (A)...

Fig. 4: ARDS in a patient after a right upper lobectomy to treat a cavitated epidermoid...

Learning objectives

To revise the main complications after pulmonary resection surgery and its different patterns on radiographs and CT. To learn about the risk factors associated with each complication.

Background

After lung resection surgery, both in the early and late postoperative periods, there may be a large number of complications, although their incidence is not very high. Some of the complications present in both postoperative periods include BPF and empyema, which stand out for their severity and frequency. It is important to know the usefulness of the different imaging techniques in each period. Thus, in the early postoperative period, chest radiograph is the method of choice, reserving CT for the study of doubtful cases or...

Findings and procedure details

Lung resection surgery is a procedure often performed as a treatment for lung cancer. It is also employed in the treatment of other pathologies, such as advanced pulmonary emphysema or bronchiectasis with abundant episodes of overinfection (1). Pulmonary resection techniques include pneumonectomy, lobectomy, and partial resection. The choice of each technique is based on the staging of lung cancer and the patient's respiratory function (2). After lung resection surgery, there are a range of changes in the hemithorax undergoing the procedure that are necessary to...

Conclusion

Pulmonary resection surgery may present a series of complications in the immediate and late postoperative period, which are necessary to know for an adequate diagnosis.

Personal information

References

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