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Successful Tractotomy Technique for a Penetrating Lung Injury in a Patient with One Lung

We report the case of a patient with penetrating chest trauma (right chest) who had undergone a left pneumonectomy due to pulmonary tuberculosis 24 years ago. We performed an emergent thoracotomy, finding an opening of the penetrating wound in a lower-lobe basal segment of the right lung. A stapled...

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Detalles Bibliográficos
Autores principales: Kang, Dong Hoon, Park, Hyun Oh, Moon, Sung Ho, Jang, In Seok, Byun, Jung Hoon, Kim, Sung Hwan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society for Thoracic and Cardiovascular Surgery 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5628971/
https://www.ncbi.nlm.nih.gov/pubmed/29124035
http://dx.doi.org/10.5090/kjtcs.2017.50.5.399
Descripción
Sumario:We report the case of a patient with penetrating chest trauma (right chest) who had undergone a left pneumonectomy due to pulmonary tuberculosis 24 years ago. We performed an emergent thoracotomy, finding an opening of the penetrating wound in a lower-lobe basal segment of the right lung. A stapled tractotomy was performed along the tract. Bleeding control and air-leakage control was done easily and rapidly. The patient was discharged without any complications on the seventh day of admission. Tractotomy can be a good option for treating penetrating lung injuries in patients with limited lung function who need emergent surgery.