• Gen Thorac Cardiovasc Surg · May 2007

    Case Reports

    A middle lobe tractotomy of the lung for a stab injury: report of a survival case.

    • Mitsuhiro Kamiyoshihara, Takashi Ibe, and Izumi Takeyoshi.
    • Department of General Thoracic Surgery, Maebashi Red Cross Hospital, 3-21-36 Asahi-Cho, Maebashi, Gunma 371-0014, Japan. m-kamiyoshihara@maebashi.jrc.or.jp
    • Gen Thorac Cardiovasc Surg. 2007 May 1;55(5):193-6.

    AbstractWe report the case of a patient who survived after a pulmonary tractotomy. A 54-year-old man was stabbed in the back with a knife and was admitted to our emergency department. Imaging findings showed that there was hemopneumothorax of the right lung. After inserting a chest tube, a massive air leakage from the chest drain continued, and a serial chest roentgenogram showed progressive lung collapse. The patient therefore underwent an emergency thoracotomy. It was found that the wound penetrated through a middle lobe to the surface of an upper lobe of the right lung. A right middle lobe tractotomy was performed, and the patient's postoperative course was uneventful. Selected patients can be rescued without resection of a massive amount of lung tissue.

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