Pneumoperitoneum for the management of pleural air space problems associated with major pulmonary resections Tiziano De Giacomo, MD, Erino A Rendina,

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Presentation transcript:

Pneumoperitoneum for the management of pleural air space problems associated with major pulmonary resections Tiziano De Giacomo, MD, Erino A Rendina, MD, Federico Venuta, MD, Federico Francioni, MD, Marco Moretti, MD, Francesco Pugliese, MD, Giorgio Furio Coloni, MD The Annals of Thoracic Surgery Volume 72, Issue 5, Pages 1716-1719 (November 2001) DOI: 10.1016/S0003-4975(01)03050-8

Fig 1 (A) Chest roentgenogram showing a lung cancer located in the lingula. Emphysematous changes of the lung and chest wall are clearly evident. The patient underwent left upper lobectomy. Intraoperatively it appeared evident that space problems could be anticipated. (B) Postoperative chest roentgenogram in the same patient shows apical and basal pleural space with fluid level. Significant air leak was noted. (C) Chest roentgenogram 4 days after instillation of intraperitoneal air. All residual intrathoracic air spaces were obliterated. (D) Chest roentgenogram after the removal of pleural drainages. A residual pneumoperitoneum is still present. The Annals of Thoracic Surgery 2001 72, 1716-1719DOI: (10.1016/S0003-4975(01)03050-8)