Iatrogenic bronchial injury findings during video-assisted thoracoscopic surgery
Iatrogenic tracheobronchial injury detected during cardiothoracic surgery should be repaired intraoperatively to ensure safe of postoperative management and stable respiratory conditions. We report herein a patient with lung cancer who underwent video-assisted thoracoscopic surgery right lower lobec...
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| Veröffentlicht in: | General thoracic and cardiovascular surgery 2021-02, Vol.69 (2), p.388-390 |
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| container_title | General thoracic and cardiovascular surgery |
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| creator | Ishikawa, Yuya Yamada, Tetsu Ueda, Mitsuhiro Nagai, Shinjiro Miyamoto, Yoshihiro |
| description | Iatrogenic tracheobronchial injury detected during cardiothoracic surgery should be repaired intraoperatively to ensure safe of postoperative management and stable respiratory conditions. We report herein a patient with lung cancer who underwent video-assisted thoracoscopic surgery right lower lobectomy. During surgery, pneumomediastinum and air leakage from mediastinal fatty tissue were detected. Furthermore, bronchial injury to the membranous part of the left main bronchus was incidentally detected. Hence, we switched from video-assisted thoracoscopic surgery to posterolateral thoracotomy and repaired this bronchial injury using a continuous suture technique under right femoral venoarterial extracorporeal membrane oxygenation support. The intraoperative findings could offer a clue for early detection and development of therapeutic strategy for iatrogenic tracheobronchial injury. |
| doi_str_mv | 10.1007/s11748-020-01468-2 |
| format | Article |
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We report herein a patient with lung cancer who underwent video-assisted thoracoscopic surgery right lower lobectomy. During surgery, pneumomediastinum and air leakage from mediastinal fatty tissue were detected. Furthermore, bronchial injury to the membranous part of the left main bronchus was incidentally detected. Hence, we switched from video-assisted thoracoscopic surgery to posterolateral thoracotomy and repaired this bronchial injury using a continuous suture technique under right femoral venoarterial extracorporeal membrane oxygenation support. The intraoperative findings could offer a clue for early detection and development of therapeutic strategy for iatrogenic tracheobronchial injury.</description><identifier>ISSN: 1863-6705</identifier><identifier>EISSN: 1863-6713</identifier><identifier>DOI: 10.1007/s11748-020-01468-2</identifier><identifier>PMID: 32845450</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Bronchi - diagnostic imaging ; Bronchi - surgery ; Bronchoscopy ; Cardiac Surgery ; Cardiology ; Case Report ; Case reports ; Extracorporeal membrane oxygenation ; Heart surgery ; Humans ; Iatrogenesis ; Iatrogenic Disease ; Injuries ; Intubation ; Lung cancer ; Lung Neoplasms - surgery ; Lungs ; Medicine ; Medicine & Public Health ; Ostomy ; Pneumonectomy - adverse effects ; Respiratory failure ; Surgical Oncology ; Thoracic Surgery ; Thoracic Surgery, Video-Assisted ; Tomography ; Veins & arteries</subject><ispartof>General thoracic and cardiovascular surgery, 2021-02, Vol.69 (2), p.388-390</ispartof><rights>The Japanese Association for Thoracic Surgery 2020</rights><rights>The Japanese Association for Thoracic Surgery 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-d33b182fd00e0850ef945627fcc98a24ba02381d5fe1cca96106051da59b6dfc3</citedby><cites>FETCH-LOGICAL-c399t-d33b182fd00e0850ef945627fcc98a24ba02381d5fe1cca96106051da59b6dfc3</cites><orcidid>0000-0002-5482-4377</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11748-020-01468-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2918740100?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,21367,27901,27902,33721,33722,41464,42533,43781,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32845450$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ishikawa, Yuya</creatorcontrib><creatorcontrib>Yamada, Tetsu</creatorcontrib><creatorcontrib>Ueda, Mitsuhiro</creatorcontrib><creatorcontrib>Nagai, Shinjiro</creatorcontrib><creatorcontrib>Miyamoto, Yoshihiro</creatorcontrib><title>Iatrogenic bronchial injury findings during video-assisted thoracoscopic surgery</title><title>General thoracic and cardiovascular surgery</title><addtitle>Gen Thorac Cardiovasc Surg</addtitle><addtitle>Gen Thorac Cardiovasc Surg</addtitle><description>Iatrogenic tracheobronchial injury detected during cardiothoracic surgery should be repaired intraoperatively to ensure safe of postoperative management and stable respiratory conditions. We report herein a patient with lung cancer who underwent video-assisted thoracoscopic surgery right lower lobectomy. During surgery, pneumomediastinum and air leakage from mediastinal fatty tissue were detected. Furthermore, bronchial injury to the membranous part of the left main bronchus was incidentally detected. Hence, we switched from video-assisted thoracoscopic surgery to posterolateral thoracotomy and repaired this bronchial injury using a continuous suture technique under right femoral venoarterial extracorporeal membrane oxygenation support. The intraoperative findings could offer a clue for early detection and development of therapeutic strategy for iatrogenic tracheobronchial injury.</description><subject>Bronchi - diagnostic imaging</subject><subject>Bronchi - surgery</subject><subject>Bronchoscopy</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Extracorporeal membrane oxygenation</subject><subject>Heart surgery</subject><subject>Humans</subject><subject>Iatrogenesis</subject><subject>Iatrogenic Disease</subject><subject>Injuries</subject><subject>Intubation</subject><subject>Lung cancer</subject><subject>Lung Neoplasms - surgery</subject><subject>Lungs</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ostomy</subject><subject>Pneumonectomy - adverse effects</subject><subject>Respiratory failure</subject><subject>Surgical Oncology</subject><subject>Thoracic Surgery</subject><subject>Thoracic Surgery, Video-Assisted</subject><subject>Tomography</subject><subject>Veins & arteries</subject><issn>1863-6705</issn><issn>1863-6713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kMtKAzEUhoMotl5ewIUMuHEzenKdzFKKl4KgC12HTJJpU9pJTWaEvr3RVgUXrs5ZfP9_Dh9CZxiuMEB1nTCumCyBQAmYCVmSPTTGUtBSVJju_-zAR-gopQUAFxLzQzSiRDLOOIzR81T3Mcxc503RxNCZudfLwneLIW6K1nfWd7NU2CHmWbx760KpU_Kpd7bo5yFqE5IJ65xOQ5y5uDlBB61eJne6m8fo9e72ZfJQPj7dTyc3j6Whdd2XltIGS9JaAAeSg2trxgWpWmNqqQlrNBAqseWtw8boWmAQwLHVvG6EbQ09Rpfb3nUMb4NLvVr5ZNxyqTsXhqQIoxWtK0ZERi_-oIswxC5_p0iNZcUg68wU2VImhpSia9U6-pWOG4VBffpWW98q-1ZfvhXJofNd9dCsnP2JfAvOAN0Caf2p0MXf2__UfgDpJIuQ</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Ishikawa, Yuya</creator><creator>Yamada, Tetsu</creator><creator>Ueda, Mitsuhiro</creator><creator>Nagai, Shinjiro</creator><creator>Miyamoto, Yoshihiro</creator><general>Springer Singapore</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5482-4377</orcidid></search><sort><creationdate>20210201</creationdate><title>Iatrogenic bronchial injury findings during video-assisted thoracoscopic surgery</title><author>Ishikawa, Yuya ; Yamada, Tetsu ; Ueda, Mitsuhiro ; Nagai, Shinjiro ; Miyamoto, Yoshihiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-d33b182fd00e0850ef945627fcc98a24ba02381d5fe1cca96106051da59b6dfc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Bronchi - diagnostic imaging</topic><topic>Bronchi - surgery</topic><topic>Bronchoscopy</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Extracorporeal membrane oxygenation</topic><topic>Heart surgery</topic><topic>Humans</topic><topic>Iatrogenesis</topic><topic>Iatrogenic Disease</topic><topic>Injuries</topic><topic>Intubation</topic><topic>Lung cancer</topic><topic>Lung Neoplasms - surgery</topic><topic>Lungs</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ostomy</topic><topic>Pneumonectomy - adverse effects</topic><topic>Respiratory failure</topic><topic>Surgical Oncology</topic><topic>Thoracic Surgery</topic><topic>Thoracic Surgery, Video-Assisted</topic><topic>Tomography</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ishikawa, Yuya</creatorcontrib><creatorcontrib>Yamada, Tetsu</creatorcontrib><creatorcontrib>Ueda, Mitsuhiro</creatorcontrib><creatorcontrib>Nagai, Shinjiro</creatorcontrib><creatorcontrib>Miyamoto, Yoshihiro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>General thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ishikawa, Yuya</au><au>Yamada, Tetsu</au><au>Ueda, Mitsuhiro</au><au>Nagai, Shinjiro</au><au>Miyamoto, Yoshihiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Iatrogenic bronchial injury findings during video-assisted thoracoscopic surgery</atitle><jtitle>General thoracic and cardiovascular surgery</jtitle><stitle>Gen Thorac Cardiovasc Surg</stitle><addtitle>Gen Thorac Cardiovasc Surg</addtitle><date>2021-02-01</date><risdate>2021</risdate><volume>69</volume><issue>2</issue><spage>388</spage><epage>390</epage><pages>388-390</pages><issn>1863-6705</issn><eissn>1863-6713</eissn><abstract>Iatrogenic tracheobronchial injury detected during cardiothoracic surgery should be repaired intraoperatively to ensure safe of postoperative management and stable respiratory conditions. We report herein a patient with lung cancer who underwent video-assisted thoracoscopic surgery right lower lobectomy. During surgery, pneumomediastinum and air leakage from mediastinal fatty tissue were detected. Furthermore, bronchial injury to the membranous part of the left main bronchus was incidentally detected. Hence, we switched from video-assisted thoracoscopic surgery to posterolateral thoracotomy and repaired this bronchial injury using a continuous suture technique under right femoral venoarterial extracorporeal membrane oxygenation support. The intraoperative findings could offer a clue for early detection and development of therapeutic strategy for iatrogenic tracheobronchial injury.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>32845450</pmid><doi>10.1007/s11748-020-01468-2</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0002-5482-4377</orcidid></addata></record> |
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| subjects | Bronchi - diagnostic imaging Bronchi - surgery Bronchoscopy Cardiac Surgery Cardiology Case Report Case reports Extracorporeal membrane oxygenation Heart surgery Humans Iatrogenesis Iatrogenic Disease Injuries Intubation Lung cancer Lung Neoplasms - surgery Lungs Medicine Medicine & Public Health Ostomy Pneumonectomy - adverse effects Respiratory failure Surgical Oncology Thoracic Surgery Thoracic Surgery, Video-Assisted Tomography Veins & arteries |
| title | Iatrogenic bronchial injury findings during video-assisted thoracoscopic surgery |
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