[Thoracic surgery for the penetrating lung or tracheal trauma].
Seven cases suffered from a chest trauma (stab wound in 6 and impalement injury in 1) were emergently transferred to our hospital. Open thoracotomy was performed for the intolerable bleeding immediately after admission. Injured lung was treated by lobectomy in 1 patient, lingual segmentectomy in 2, lower basal segmentectomy in 2, partial resection in 4 and direct suture in 2. The penetrating trachea was carefully repaired by direct suture with additional midsternal thoracotomy. To accomplish appropriate partial resection of the injured lung, a metallic straight suction tube inserted into a pulmonary stab wound was retracted and a stapling instrument was applied underneath the suction tube. With the segmentectomy and the partial resection, the volume of the residual lung was maximally saved. As a result, all 7 patients were successfully alive.
Tanaka
Akihiko
A
Department of Thoracic Surgery, Sapporo City General Hospital, Sapporo, Japan.
Miyajima
M
M
Obama
T
T
Kuroda
Y
Y
Harada
R
R
Maeda
T
T
Muraki
S
S
Watanabe
N
N
Matsui
T
T
Makise
H
H
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012128:Respiratory Distress Syndrome / Q000601:surgery*; D014132:Trachea / Q000293:injuries* / Q000601:surgery*; D014950:Wounds, Penetrating / Q000601:surgery*