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Lobectomy
Brett W. Carter, MD, CPPS
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Diagnostic Checklist

            TERMINOLOGY

            • Definitions

              • Lobectomy
                • Complete anatomic single lung lobe resection
                  • Lobar bronchus, pulmonary artery and vein resection
                • Typically includes regional lymph node resection
              • Sleeve lobectomy
                • Lobe resection, common airways, and re-anastomosis of airways
                  • End-to-end airway anastomosis, usually right upper lobectomy
                  • Alternative to pneumonectomy for central tumors

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          CLINICAL ISSUES

                          • Presentation

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Image Interpretation Pearls

                                  Selected References

                                  1. Digumarthy SR et al: Postoperative imaging after lobectomy: predicting the displacement and change in orientation of nonresected lung nodules. J Comput Assist Tomogr. 43(4):592-8, 2019
                                  2. Hoy H et al: Surgical treatment of lung cancer. Crit Care Nurs Clin North Am. 31(3):303-13, 2019
                                  3. Ambrogi MC et al: Robotic surgery for lung cancer. Korean J Thorac Cardiovasc Surg. 47(3):201-10, 2014
                                  4. Shao W et al: Safety and feasibility of video-assisted thoracoscopic surgery for stage IIIA lung cancer. Chin J Cancer Res. 26(4):418-22, 2014
                                  5. Flores RM et al: Patterns of recurrence and incidence of second primary tumors after lobectomy by means of video-assisted thoracoscopic surgery (VATS) versus thoracotomy for lung cancer. J Thorac Cardiovasc Surg. 141(1):59-64, 2011
                                  6. Narsule CK et al: Sublobar versus lobar resection: current status. Cancer J. 17(1):23-7, 2011
                                  7. Park BJ: Is surgical morbidity decreased with minimally invasive lobectomy? Cancer J. 17(1):18-22, 2011
                                  8. Yan TD et al: Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer. J Clin Oncol. 27(15):2553-62, 2009
                                  9. Kim EA et al: Radiographic and CT findings in complications following pulmonary resection. Radiographics. 22(1):67-86, 2002
                                  10. Seo JB et al: Neofissure after lobectomy of the right lung: radiographic and CT findings. Radiology. 201(2):475-9, 1996
                                  11. Holbert JM et al: The postlobectomy chest: anatomic considerations. Radiographics. 7(5):889-911, 1987
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Pathology

                                          • Diagnostic Checklist

                                            TERMINOLOGY

                                            • Definitions

                                              • Lobectomy
                                                • Complete anatomic single lung lobe resection
                                                  • Lobar bronchus, pulmonary artery and vein resection
                                                • Typically includes regional lymph node resection
                                              • Sleeve lobectomy
                                                • Lobe resection, common airways, and re-anastomosis of airways
                                                  • End-to-end airway anastomosis, usually right upper lobectomy
                                                  • Alternative to pneumonectomy for central tumors

                                            IMAGING

                                            • General Features

                                              • Radiographic Findings

                                                • CT Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Gross Pathologic & Surgical Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Natural History & Prognosis

                                                              • Treatment

                                                                DIAGNOSTIC CHECKLIST

                                                                • Image Interpretation Pearls

                                                                  Selected References

                                                                  1. Digumarthy SR et al: Postoperative imaging after lobectomy: predicting the displacement and change in orientation of nonresected lung nodules. J Comput Assist Tomogr. 43(4):592-8, 2019
                                                                  2. Hoy H et al: Surgical treatment of lung cancer. Crit Care Nurs Clin North Am. 31(3):303-13, 2019
                                                                  3. Ambrogi MC et al: Robotic surgery for lung cancer. Korean J Thorac Cardiovasc Surg. 47(3):201-10, 2014
                                                                  4. Shao W et al: Safety and feasibility of video-assisted thoracoscopic surgery for stage IIIA lung cancer. Chin J Cancer Res. 26(4):418-22, 2014
                                                                  5. Flores RM et al: Patterns of recurrence and incidence of second primary tumors after lobectomy by means of video-assisted thoracoscopic surgery (VATS) versus thoracotomy for lung cancer. J Thorac Cardiovasc Surg. 141(1):59-64, 2011
                                                                  6. Narsule CK et al: Sublobar versus lobar resection: current status. Cancer J. 17(1):23-7, 2011
                                                                  7. Park BJ: Is surgical morbidity decreased with minimally invasive lobectomy? Cancer J. 17(1):18-22, 2011
                                                                  8. Yan TD et al: Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer. J Clin Oncol. 27(15):2553-62, 2009
                                                                  9. Kim EA et al: Radiographic and CT findings in complications following pulmonary resection. Radiographics. 22(1):67-86, 2002
                                                                  10. Seo JB et al: Neofissure after lobectomy of the right lung: radiographic and CT findings. Radiology. 201(2):475-9, 1996
                                                                  11. Holbert JM et al: The postlobectomy chest: anatomic considerations. Radiographics. 7(5):889-911, 1987