VATS pulmonary tractotomy for penetrating lung injury caused by a crossbow: A case report

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  • クロスボウの矢による穿通性肺損傷に対しVATS pulmonary tractotomyを行った1例

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Abstract

<p>For penetrating chest trauma, it is necessary to judge the surgical indication and treat it promptly. Here, we report a case of thoracoscopy-assisted pulmonary tractotomy (PT) Performed for a lung puncture caused by a crossbow. A 50's-year-old man set the crossbow himself and shot an arrow into his left precordial area. He consequently developed chest pain and respiratory distress while maintaining consciousness, and was emergently transported to our hospital with an arrow stuck in his chest. The arrow in the left chest penetrated the left back. Chest CT revealed a left moderate pneumothorax and a small amount of pleural effusion, and the arrow penetrated the left lingular segment and S6. We decided to remove the arrow and repair the damaged part while observing with a thoracoscope. The penetrated part of S6 was partially resected using automatic staplers. Since the penetrated part of the lingular segment was deep and long, PT was performed using automatic staplers and repaired. The postoperative course was without any complications. Thoracoscopy-assisted PT could be used to quickly treat the injured part and was also useful for shortening the operative time.</p>

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