title: Pulmonary tractotomy for a patient with traumatic penetrating lung injury: report of a case.
abstract: We report a case of traumatic hemopneumothorax caused by penetrating lung injury in a 26-year-old man. The patient underwent emergency thoractomy, which revealed hemorrhage in the lingular segment of the left lung. We found the bleeding point and controlled the hemorrhage using pulmonary tractotomy by inserting a linear stapler into the stab wound in the pulmonary parenchyma. The original technique of pulmonary tractotomy was performed for complete through-and-through injury by dividing the bridge of lung tissue between the aortic clamps. We were able to apply this procedure safely to stop bleeding from a stab wound that did not go through the lung. Thus, pulmonary tractotomy is an effective damage-control operation for the lung with obvious advantages over major lung resection.
authors.affiliation: Division of Surgical Oncology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Japan.
authors.forename: Masashi
authors.initials: M
authors.lastname: Muraoka
authors.forename: Shinji
authors.initials: S
authors.lastname: Akamine
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Tagawa
authors.forename: Nobufumi
authors.initials: N
authors.lastname: Sasaki
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Ikuta
authors.forename: Masao
authors.initials: M
authors.lastname: Inoue
authors.forename: Takatomo
authors.initials: T
authors.lastname: Yamayoshi
authors.forename: Satoshi
authors.initials: S
authors.lastname: Hashizume
authors.forename: Tsunenori
authors.initials: T
authors.lastname: Taguchi
authors.forename: Masahito
authors.initials: M
authors.lastname: Nomura
authors.forename: Katsunori
authors.initials: K
authors.lastname: Takagi
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Tagawa
authors.forename: Tadayuki
authors.initials: T
authors.lastname: Oka
authors.forename: Takeshi
authors.initials: T
authors.lastname: Nagayasu
mesh_terms: D000328:Adult; D006468:Hemopneumothorax / Q000209:etiology / Q000601:surgery; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D055370:Lung Injury; D008297:Male; D013510:Pulmonary Surgical Procedures / Q000379:methods*; D014950:Wounds, Penetrating / Q000150:complications / Q000601:surgery*