Korean Journal of Thoracic and Cardiovascular Surgery 2017; 50(5): 399-402  https://doi.org/10.5090/kjtcs.2017.50.5.399
Successful Tractotomy Technique for a Penetrating Lung Injury in a Patient with One Lung
Dong Hoon Kang, M.D.1,2, Hyun Oh Park, M.D.1,3, Sung Ho Moon, M.D.1,3, In Seok Jang, M.D.1,2, Jung Hoon Byun, M.D.1,3, Sung Hwan Kim, M.D.1,3
1Department of Thoracic and Cardiovascular Surgery, Institute of Health Science, Gyeongsang National University School of Medicine, 2Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University Hospital, 3Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University Changwon Hospital
Sung Hwan Kim
Department of Thoracic and Cardiovascular Surgery, Gyeongsang National University Changwon Hospital, 11 Samjeongja-ro, Seongsan-gu, Changwon 51472, Korea
(Tel) 82-55-214-3846 (Fax) 82-55-214-3260 (E-mail) dr.sunghwankim@hotmail.com
Received: December 12, 2016; Revised: May 18, 2017; Accepted: May 23, 2017.; Published online: October 5, 2017.
© The Korean Journal of Thoracic and Cardiovascular Surgery. All rights reserved.

cc This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
We report the case of a patient with penetrating chest trauma (right chest) who had undergone a left pneumonectomy due to pulmonary tuberculosis 24 years ago. We performed an emergent thoracotomy, finding an opening of the penetrating wound in a lower-lobe basal segment of the right lung. A stapled tractotomy was performed along the tract. Bleeding control and air-leakage control was done easily and rapidly. The patient was discharged without any complications on the seventh day of admission. Tractotomy can be a good option for treating penetrating lung injuries in patients with limited lung function who need emergent surgery.
Keywords: Lung injury, Trauma, Foreign body


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