Normal postoperative appearances of lung cancer.
The major lung resections are the pneumonectomies and lobectomies. The sublobar resections are segmentectomies and wedge resections. These are performed either through open surgery through a thoracotomy or by video-assisted mini-invasive surgery for lobectomies and sublobar resections. Understanding the procedures involved allows the normal postoperative appearances to be interpreted and these normal anatomical changes to be distinguished from potential postoperative complications. Surgery results in a more or less extensive physiological adaptation of the chest cavity depending on the lung volume, which has been resected. This adaptation evolves during the initial months postoperatively. Chest radiography and computed tomography can show narrowing of the intercostal spaces, a rise of the diaphragm and shift of the mediastinum on the side concerned following major resections.
Department of Radiology, Arnaud-de-Villeneuve Hospital, Montpellier University Hospitals, 371, avenue du Doyen-Gaston-Giraud, Montpellier, France; PhyMedExp, University of Montpellier, INSERM U1046, CNRS UMR 9214, Montpellier, France. Electronic address: s-bommart@chu-montpellier.fr.
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Bommart
PhyMedExp, University of Montpellier, INSERM U1046, CNRS UMR 9214, Montpellier, France; Department of Thoracic Surgery, Arnaud-de-Villeneuve Hospital, Montpellier University Hospitals, 371, avenue du Doyen-Gaston-Giraud, Montpellier, France.
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Berthet
Department of Radiology, Arnaud-de-Villeneuve Hospital, Montpellier University Hospitals, 371, avenue du Doyen-Gaston-Giraud, Montpellier, France.
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Durand
Department of Radiology, St Luc University Clinic, Catholic University de Louvain, avenue Hippocrate, Brussels, Belgium.
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Ghaye
Department of Thoracic Oncology, Arnaud-de-Villeneuve Hospital, Montpellier University Hospitals, 371, avenue du Doyen-Gaston-Giraud, Montpellier, France.
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Pujol
Department of Thoracic Surgery, Arnaud-de-Villeneuve Hospital, Montpellier University Hospitals, 371, avenue du Doyen-Gaston-Giraud, Montpellier, France.
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Marty-Ané
Department of Radiology, Arnaud-de-Villeneuve Hospital, Montpellier University Hospitals, 371, avenue du Doyen-Gaston-Giraud, Montpellier, France.
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Kovacsik
D000230:Adenocarcinoma / Q000601:surgery; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008168:Lung / Q000473:pathology / Q000601:surgery; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000295:instrumentation / Q000379:methods*; D011183:Postoperative Complications / Q000175:diagnosis*; D003074:Solitary Pulmonary Nodule / Q000601:surgery; D025321:Surgery, Computer-Assisted / Q000295:instrumentation / Q000379:methods; D013525:Surgical Instruments; D020775:Thoracic Surgery, Video-Assisted / Q000295:instrumentation / Q000379:methods*; D013907:Thoracostomy / Q000295:instrumentation / Q000379:methods*; D013908:Thoracotomy / Q000295:instrumentation / Q000379:methods*; D014057:Tomography, X-Ray Computed
Lobectomy; Lung cancer; Pneumonectomy; Postoperative findings; Thoracic surgery