General thoracic and cardiovascular surgery cases · 2025
Thoracoscopic repair of penetrating lung trauma with pulmonary tractotomy: a case report.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Koga Hiroyasu, Watanabe Katsuya, Saito Aya
Аннотация
BACKGROUND: Penetrating lung injuries are rare but potentially life-threatening. Pulmonary tractotomy (PT) allows for repair while preserving lung parenchyma. This case demonstrates the effectiveness of thoracoscopic PT.
CASE REPORT: An 81-year-old woman sustained a right chest stab wound with a gardening stake. Imaging revealed a right pneumothorax without cardiac or major vascular injury. A chest tube was inserted, draining blood-stained fluid and revealing a persistent air leak. Progressive anemia necessitated transfusion, and surgery was planned due to suspected contamination. Thoracoscopy identified a 1.5 cm fistula in the S3 segment of the right upper lobe extending toward S2. A stapler was inserted to perform tractotomy, revealing a bronchial injury, which was sutured. The air leak resolved completely. The postoperative course was uneventful. Empirical antibiotics were administered for 5 days. The chest tube was removed on day 5, and the patient was discharged on day 13.
CONCLUSION: Thoracoscopic PT is considered a safe and effective option for selected penetrating lung injuries, preserving lung function and reducing surgical trauma. Careful preoperative imaging and intraoperative bronchial evaluation are essential for safe and effective thoracoscopic PT.
CASE REPORT: An 81-year-old woman sustained a right chest stab wound with a gardening stake. Imaging revealed a right pneumothorax without cardiac or major vascular injury. A chest tube was inserted, draining blood-stained fluid and revealing a persistent air leak. Progressive anemia necessitated transfusion, and surgery was planned due to suspected contamination. Thoracoscopy identified a 1.5 cm fistula in the S3 segment of the right upper lobe extending toward S2. A stapler was inserted to perform tractotomy, revealing a bronchial injury, which was sutured. The air leak resolved completely. The postoperative course was uneventful. Empirical antibiotics were administered for 5 days. The chest tube was removed on day 5, and the patient was discharged on day 13.
CONCLUSION: Thoracoscopic PT is considered a safe and effective option for selected penetrating lung injuries, preserving lung function and reducing surgical trauma. Careful preoperative imaging and intraoperative bronchial evaluation are essential for safe and effective thoracoscopic PT.