[Emergency Surgery for Intercostal Lung Hernia after Right Upper Lobe Resection for Lung Cancer;Report of a Case].
We report an operative case of intercostal lung hernia after resection of a Lung cancer. A 60-year-old man with asthma consulted our hospital because of an abnormal shadow on a chest X-ray. A chest computed tomography revealed a tumor in the right upper lobe. A diagnosis of lung cancer was suspected and the patient underwent right upper lobectomy with standard nodal dissection from 4th intercostal space with right anterolateral incision. Intercostal space was directly closed by three stitches. A chest drain was removed on the 5th operative day. On the 6th operative day, the patient suddenly developed asthma attack and radiologically, the middle lobe was found to prolapse from the chest wall. An emergency surgery was performed, and the intercostal space was closed by approximating the ribs with 6 stitches. The patient was discharged from our hospital on the 26th postoperative day.
Department of Thoracic Surgery, Mie General Medical Center, Yokkaichi, Japan.
Shin
S
Shomura
Hitoshi
H
Suzuki
Masaki
M
Yada
Chiaki
C
Kondo
D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000601:surgery*; D004630:Emergencies; D006547:Hernia; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D008171:Lung Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D013902:Radiography, Thoracic; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome