Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Successful Tractotomy Technique for a Penetrating Lung Injury in a Patient with One Lung

  • Kang, Dong Hoon (Department of Thoracic and Cardiovascular Surgery, Institute of Health Science, Gyeongsang National University School of Medicine) ;
  • Park, Hyun Oh (Department of Thoracic and Cardiovascular Surgery, Institute of Health Science, Gyeongsang National University School of Medicine) ;
  • Moon, Sung Ho (Department of Thoracic and Cardiovascular Surgery, Institute of Health Science, Gyeongsang National University School of Medicine) ;
  • Jang, In Seok (Department of Thoracic and Cardiovascular Surgery, Institute of Health Science, Gyeongsang National University School of Medicine) ;
  • Byun, Jung Hoon (Department of Thoracic and Cardiovascular Surgery, Institute of Health Science, Gyeongsang National University School of Medicine) ;
  • Kim, Sung Hwan (Department of Thoracic and Cardiovascular Surgery, Institute of Health Science, Gyeongsang National University School of Medicine)
  • Received : 2016.12.12
  • Accepted : 2017.05.23
  • Published : 2017.10.05
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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.

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References

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