60 T_h e thorax
Anatomy of the lungs
Anatomy of the lungs The left lung is divided by the oblique fissure, which lies nearer to the ver...
BENIGN LUNG TUMOURS
BENIGN LUNG TUMOURS Benign tumours of the lung are uncommon and account for fewer than 15% of s...
CHEST TRAUMA
CHEST TRAUMA The approach to trauma must be methodical and exact because the signs, particularly ...
DISORDERS OF THE CHEST WALL Tumours of the chest w
DISORDERS OF THE CHEST WALL Tumours of the chest wall These can be tumours of any component of t...
DISORDERS OF THE PLEURA Pneumothorax
DISORDERS OF THE PLEURA Pneumothorax Pneumothorax is the presence of air outside the lung, withi...
Disorders of the diaphragm
Disorders of the diaphragm Disorders of the diaphragm can be broadly classified as disor ders of ...
FURTHER READING
FURTHER READING Baas P , Fennell D, Kerr KM et al . Malignant pleural mesothelioma: ESMO Clinical...
Haemoptysis
Haemoptysis Diseases causing repeated haemoptysis include carcinoma, bronchiectasis, carcinoid tu...
INTRODUCTION Anatomical development of the lungs
INTRODUCTION Anatomical development of the lungs The lungs are derived from an outpouching of the...
Inhaled foreign bodies
Inhaled foreign bodies This is a fairly common occurrence in small children and is often marked b...
Inserting and managing a chest drain
Inserting and managing a chest drain An intercostal tube connected to an underwater seal is centr...
Introduction
Introduction No content extracted automatically.
Investigation of the respiratory system
Investigation of the respiratory system Pulmonary function tests (PFTs) are useful in determining...
LUNG TRANSPLANTATION (see Chapter 92 )
LUNG TRANSPLANTATION (see Chapter 92 ) Lung transplantation is an established therapy for those w...
Learning objectives
Learning objectives To understand: The anatomy and physiology of the thorax • Investigation of ch...
Lung abscess
Lung abscess The causes of lung abscess are shown in Table 60.8 . The chest radiograph shows a c...
MAJOR THORACIC SURGERY
MAJOR THORACIC SURGERY The British Thoracic Society (BTS) recommends a tripartite risk assessment...
MEDICAL CONDITIONS FOR WHICH SURGERY MA Y BE REQUI
MEDICAL CONDITIONS FOR WHICH SURGERY MA Y BE REQUIRED Bronchiectasis Bronchiectasis is chronic ir...
Mechanics of breathing
Mechanics of breathing The intercostal muscles contract, causing the ribs to move upwards and out...
NEOPLASMS OF THE LUNG
NEOPLASMS OF THE LUNG
Other conditions of the mediastinum
Other conditions of the mediastinum Many of the primary tumours such as neurogenic tumours and g...
Other diseases of the chest wall
Other diseases of the chest wall Congenital abnormalities are often incidental findings on chest ...
Pleural effusion
Pleural effusion Pleural e ff usion can be readily understood with reference to the physiological ...
Primary lung cancer
Primary lung cancer Lung cancer is one of the most common cancers throughout the world. In the U...
Primary tumours of the mediastinum
Primary tumours of the mediastinum Thymoma, neurogenic tumours, germ cell tumours and lymphoma ar...
Pulmonary sequestration
Pulmonary sequestration This describes a section of non-functional lung separated from the norma...
Risk of operative mortality
Risk of operative mortality The Thoracic Surgery Scoring System (Thoracoscore) is the most widely...
Risk of perioperative myocardial event
Risk of perioperative myocardial event History , physical examination and resting electrocardiogr...
Risk of postoperative dyspnoea
Risk of postoperative dyspnoea Any patient undergoing general anaesthesia requires some assessmen...
Surgical approach to lung cancer resection
Surgical approach to lung cancer resection Thoracotomy Although the most frequent indication for ...
Surgical management of pleural effusions and infec
Surgical management of pleural effusions and infections Thoracoscopy or video-assisted thoracosco...
Surgical management of pneumothorax
Surgical management of pneumothorax Pleurectomy and pleurodesis Surgery for pneumothorax can be p...
THE DIAPHRAGM
THE DIAPHRAGM The diaphragm is the fibromuscular structure separating the thorax from the abdomen.
THE MEDIASTINUM
THE MEDIASTINUM The mediastinum refers to the central area in the chest between the thoracic inle...
Treatment
Treatment Removal of the bronchiectatic part of the lung for bleeding, recurrent infection or ...
Tuberculosis
Tuberculosis Surgery is rarely indicated for tuberculosis in resource-rich countries but, when it...