Primary repair of an iatrogenic bronchial rupture under video mediastinoscopy.
Complications after performing mediastinoscopy are uncommon, but they may occur even for an experienced surgeon. The major complications have the potential to be life-threatening injuries, such as major vascular or airway injury. A 51-year-old man presented to our hospital due to mediastinal node enlargement on follow-up after he had undergone gastric cancer surgery 2 years previously. An iatrogenic bronchial rupture occurred while performing mediastinoscopic biopsy, and this injury was primarily repaired with multiple direct interrupted sutures, along with the aid of a homemade knot pusher under video mediastinoscopy, and we did not have to convert to an open thoracotomy.
Kim
Young-Du
YD
Department of Thoracic and Cardiovascular Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Park
Chan-Beom
CB
Kim
Jae-Jun
JJ
Kim
Chi-Kyung
CK
Moon
Seok-Whan
SW
D001980:Bronchi / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008481:Mediastinoscopy; D008875:Middle Aged; D012421:Rupture; D020535:Video-Assisted Surgery