TOPOGRAPHIC-ANATOMICAL CHANGES OF THE MEDIASTINUM AND ITS ORGANS AFTER THE OPERATION OF PNEUMONECTOMY



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Abstract

On the basis of the quantitative analysis of computer tomograms from 17 patients 6 months following left-sided (12) and right-sided (5) pneumonectomy it was shown that: a) anterior and posterior mediastinum were displaced in the direction of the lung removed: by 44 mm and 41 mm to the right, and by 62 mm and 31 mm to left respectively; b) the change of the spatial position of the heart after pneumonectomy included its displacement in both transverse and anteroposterior directions, as well as its rotation; c) the change in the position of mediastinal organs and blood vessels after pneumonectomy consisted in their dislocation in the direction of operation and backwards. The degree of displacement was found to depend on the side of intervention.

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About the authors

M. N. Vasiukov

Orenburg Regional Clinical Oncology Dispensary

Email: mikl789@mail.ru

I. I. Kagan

Orenburg State Medical University

Email: kaganil@mail.ru
S. S. Mikhailov Department of Operative Surgery and Clinical Anatomy

A. A. Tretyakov

Orenburg State Medical University

Email: K_hirurg@orgma.ru
Department of Surgery

References

  1. Бартусевичене А. С. Оперированное легкое. М.: Медицина, 1989.
  2. Киевский Ф. Р. К учению о резекции легкого. М.: Медгиз, 1956.
  3. Abbas A., Liu Р., Lee R. Acquired post-pneumonectomy dextrocardia // Interact. Cardiovasc. Thorac. Surg. 2004. Vol. 3, № 1. Р. 25-27.
  4. Barker W., Langston H., Neffah E. Post-resectional thoracic spaces // Ann. Thorac. Surg. 1966. Vol. 2. P. 299-310.
  5. Biondetti P., Fiore D., Sartori W. et al. Evaluation of post-pneumonectomy space by computed tomography // J. Comput. Assist. Tomogr. 1982. Vol. 6. P. 238-242.
  6. Boyer B., Vot J., Solacroup J. Radiologic aspects of pneumonectomies // Ann. Radiol (Paris). 1989. Vol. 32, № 3. Р. 201-207.
  7. Christiansen K., Morgan S., Karich A. The pleural space fallowing pneumonectomy // Ann. Thorac. Surg. 1965. Vol. 1. P. 298-304.
  8. Kopec S., Irwin R., Umali-Torres C. et al. The Postpneumonectomy State // Chest. 1998. Vol. 114, № 4. P. 158-1184.
  9. Laissy J., Rebibo G., Trotot P. et al. Post-pneumonectomy evaluation of the chest: a prospective comparative study of MRI with CT // Magn. Reson. Imaging. 1989. Vol. 7, № 1. Р. 55-60.
  10. Nonaka M., Kadokura M., Yamomoto S. Analysis of the anatomic changes in the thoracic cage after a lung resection using magnetic resonance imaging // Surg. Today. 2000. Vol. 30. P. 879-885.
  11. Shepard J., Grillo H., McLound T. et al. Right-pneumonectomy syndrome: radiologic findings and CT correlation // Radiology. 1986. Vol. 161. P. 661-664.
  12. Spirn P., Gross G., Wechsler R. Radiology of the chest after thoracic surgery // Semin. Roentgenol. 1988. Vol. 23. P. 9-31.
  13. Wechsler R., Goodman L. Mediastinal position and air fluid height after pneumonectomy: the effect of the respiratory cycle // Am. J. Roentgenol. 1985. Vol. 145. P. 1173-1176.

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