title: Video-assisted thoracoscopic conservative repair of postoperative lobar torsion.
abstract: Postoperative lobar torsion is a rare and life-threatening complication. Several previous cases have been treated with completion lobectomy. We report successful surgical repair of middle lobar torsion after upper lobectomy. On postoperative day 4, the middle lobe was rotated approximately 150 degrees counterclockwise. The surface of the middle lobe appeared congestive, but its surface color, elasticity, and compliance improved 1 h after detorsion. We preserved the middle lobar function and prescribed warfarin for pulmonary vein thrombosis. When preserving a twisted lobe, it is important to consider the damage to the twisted lung, risk of thrombosis, and residual pulmonary function.
authors.affiliation: Department of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan. Electronic address: mitsdoc41@gmail.com.
authors.forename: Mitsuaki
authors.initials: M
authors.lastname: Sakai
authors.affiliation: Department of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
authors.forename: Kou
authors.initials: K
authors.lastname: Kurimori
authors.affiliation: Department of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Saeki
authors.affiliation: Department of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Kitazawa
authors.affiliation: Department of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
authors.forename: Keisuke
authors.initials: K
authors.lastname: Kobayashi
authors.affiliation: Department of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
authors.forename: Kesato
authors.initials: K
authors.lastname: Iguchi
authors.affiliation: Department of Thoracic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
authors.forename: Yukio
authors.initials: Y
authors.lastname: Sato
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery; D011013:Pneumonectomy / Q000009:adverse effects* / Q000379:methods; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*