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A middle lobe tractotomy of the lung for a stab injury: report of a survival case

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Abstract

We report the case of a patient who survived after a pulmonary tractotomy. A 54-year-old man was stabbed in the back with a knife and was admitted to our emergency department. Imaging findings showed that there was hemopneumothorax of the right lung. After inserting a chest tube, a massive air leakage from the chest drain continued, and a serial chest roentgenogram showed progressive lung collapse. The patient therefore underwent an emergency thoracotomy. It was found that the wound penetrated through a middle lobe to the surface of an upper lobe of the right lung. A right middle lobe tractotomy was performed, and the patient's postoperative course was uneventful. Selected patients can be rescued without resection of a massive amount of lung tissue.

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Correspondence to Mitsuhiro Kamiyoshihara MD, PhD.

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Kamiyoshihara, M., Ibe, T. & Takeyoshi, I. A middle lobe tractotomy of the lung for a stab injury: report of a survival case. Gen Thorac Cardiovasc Surg 55, 193–196 (2007). https://doi.org/10.1007/s11748-007-0102-1

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  • DOI: https://doi.org/10.1007/s11748-007-0102-1

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