Sudden hemothorax following lobectomy caused by staple.
A 74-year-old female with lung cancer underwent a right lower lobectomy by video-assisted thoracic surgery (VATS), and suddenly developed hemothorax soon after discharge. The bleeding point was an intercostal artery which faced a stump of the right lower vein divided by a stapler. Operative finding suggested that it was caused by an incidental injury of the artery by a staple.
Motoyama
Hideki
H
Division of Thoracic Surgery, Shizuoka City Hospital, 93-10 Otemachi, Aoi-ku, Shizuoka, 420-8630, Japan. h-motoyama@hotmail.co.jp
Yamashina
Akihiko
A
Chihara
Koji
K
D000368:Aged; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D006489:Hemostatic Techniques; D006490:Hemostatics / Q000627:therapeutic use; D006491:Hemothorax / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D011013:Pneumonectomy; D011859:Radiography; D012086:Reoperation; D013524:Surgical Flaps; D017792:Surgical Stapling / Q000009:adverse effects* / Q000295:instrumentation; D013536:Suture Techniques; D013537:Sutures / Q000009:adverse effects*; D013895:Thoracic Arteries / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted; D016896:Treatment Outcome
D015718:Fibrin Tissue Adhesive; D006490:Hemostatics