- Massive bleeding due to injury of major vessels, particularly caused by tumor infiltration or inflammatory adherent lymph nodes
- By compression with a gauze swab, the situation can usually be controlled to the extent that, under continuous compression, the transition to thoracotomy can be managed in a controlled manner and without excessive blood loss, allowing for the information of anesthesia, preparation of further instruments, and if necessary, the organization of adequate assistance. Blind clamping and ligature attempts generally increase the damage.
- Parenchymal lesions of the lung during mobilization or in the area of staple lines, especially with obliterated interlobar fissure
- An attempt at suturing is often frustrating in vulnerable lung tissue or emphysematous lung. Here, the use of staple line reinforcement or a sealing matrix is helpful.
- In individual cases, the surgeon must decide, based on information from anesthesia, about the fistula volume, whether a conservative therapy with chest drainage is also justifiable.
- Injury to the contralateral pleura
- Especially during the preparation of infracarinal lymph nodes of station 7, unnoticed opening of the contralateral mediastinal pleura can lead to tension pneumothorax. It is important to recognize the situation and either open the pleura widely or insert a chest drain on the opposite side.
- Injury to the tracheal wall, main bronchi, or other segmental bronchi
- Injury to the vagus nerve, phrenic nerve, and recurrent laryngeal nerve
- Injury to the esophagus
-
Intraoperative Complications
Postoperative complications
Cardiac arrhythmia (10-15%)Lobe torsion (0.1-0.3%)In case of suspicion, immediate confirmation of d
Cardiac arrhythmia (10-15%)Lobe torsion (0.1-0.3%)In case of suspicion, immediate confirmation of d
Activate now and continue learning straight away.
Single Access
Activation of this course for 3 days.
€7.99 inclusive VAT
Most popular offer
webop - Savings Flex
Combine our learning modules flexibly and save up to 50%.
from €3.29 / module
€39.50 / yearly payment
thoracic
Unlock all courses in this module.
€7.42
/ month
€89.00 / yearly payment