Evidence map›Paper›PMID 40420151›Full record

ArticleGeneral thoracic and cardiovascular surgery cases2025

Thoracoscopic repair of penetrating lung trauma with pulmonary tractotomy: a case report.

Hiroyasu Koga, Katsuya Watanabe, Aya Saito

Abstract read
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Article in General thoracic and cardiovascular surgery cases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Hiroyasu KogaDepartment of Thoracic Surgery, Yokohama Medical Center, 3-60-2 Harajuku, Totsuka-Ku, Yokohama, Kanagawa, 245-8575, Japan. hirko4682@outlook.jp.ORCID http://orcid.org/0009-0005-4880-4467
Katsuya WatanabeDepartment of Thoracic Surgery, Yokohama Medical Center, 3-60-2 Harajuku, Totsuka-Ku, Yokohama, Kanagawa, 245-8575, Japan.
Aya SaitoDepartment of Surgery, Yokohama City University, 3-9 Fukuura, Kanazawa-Ku, Yokohama, Kanagawa, 236-0004, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPenetrating 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.

conclusionThoracoscopic 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.

Indexed as

Chest traumaContaminated woundHemothoraxPenetrating lung injuryPneumothoraxPulmonary tractotomyThoracoscopic surgery

Identifiers

PMID40420151
PMCPMC12107820

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