One-lung ventilation provided by double-lumen tube intubation under general anaesthesia has conventionally been considered necessary for thoracoscopic major pulmonary resections. Recently, regional anaesthesia techniques have been used to avoid complications of tracheal intubation and general anaesthesia. Although paravertebral block (PVB) comes to the fore as a safe and useful regional anaesthesia technique for intra-operative and post-operative analgesia for a wide variety of surgeries involving the thoracic and lumbar regions, it is sometimes used for anaesthesia. Here, we aimed to demonstrate that biportal video-assisted thoracoscopic surgery can be performed in a right upper lobectomy while maintaining spontaneous ventilation in a 55-year-old, awake patient who was not intubated under ultrasound-guided PVB.
Currently, thoracentesis is used to drain accumulated fluids in chest cavity such as; pleural effusion, hemothorax and chylothorax and also for diagnosis and treatment of diseases. It is a simple and reliable treatment method which can be used for air drainage in partial pneumothorax cases. After thoracentesis, some complications can occur such as pneumothorax, hemothorax, reexpansion pulmonary edema and organ laceration. Among these complications, pneumothorax is the most frequently seen. In this case report we presented a patient with lung cancer where bilateral pneumothorax developed after thoracentesis.
Cystic mucinous tumors of the lung have been described as histologically different from most lung adenocarcinomas and have a recently identified malignant potential spectrum. Since the literature is very rare, there are often studies such as case reports. In this study, a rare case of primary mucinous cystic tumor of the lung was presented as a contribution to the literature.
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