Korean J Thorac Cardiovasc Surg.  2017 Oct;50(5):399-402. 10.5090/kjtcs.2017.50.5.399.

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

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Institute of Health Science, Gyeongsang National University School of Medicine, Korea. dr.sunghwankim@hotmail.com
  • 2Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University Hospital, Korea.
  • 3Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University Changwon Hospital, Korea.

Abstract

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.

Keyword

Lung injury; Trauma; Foreign body

MeSH Terms

Foreign Bodies
Hemorrhage
Humans
Lung Injury*
Lung*
Pneumonectomy
Thoracotomy
Thorax
Tuberculosis, Pulmonary
Wounds, Penetrating
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