Abstract
<b>Introduction:</b> Right Intrapericardial pneumonectomy is a major thoracic surgical procedure for locally advanced lung cancer resection. It has a 12% mortality. <b>Aim:</b> To assess intrapericardial right pneumonectomy with pericardial reconstruction and prolene mesh in terms of clinical outcomes <b>Materials and methods:</b> Retrospective study of all pneumonectomy cases performed in our Department over the last 10 years. Thorough review of medical records and local registry followed. <b>Results:</b> Between 2011-2021, 30 patients (mean age 62 years) underwent a pneumonectomy of which 7 had an intrapericardial pneumonectomy which included pericardial reconstruction with prolene mesh. None of the 7 patients had a mediastinal deviation to the right or any atrial/ventricular hernia. 90day mortality was 0, mean hospital stay was 6 days and mean surgical duration was 135 mins. No thromboembolic events were recorded. <b>Conclusions:</b> Right intrapericardial pneumonectomy with pericardial reconstruction with prolene mesh is a safe procedure in carefully selected patients with satisfying clinical outcomes.
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