Torsion of right upper pulmonary lobe diagnosed after thoracoscopic esophagectomy : a case report Shigeo HARUKI 1 , Tetsuro NISHIKAGE 1 , Yasuaki NAKAJIMA 1 , Kenro KAWADA 1 , Kagami NAGAI 1 , Tatsuyuki KAWANO 1 1Department of Surgery, Tokyo Medical and Dental University Hospital Keyword: 肺葉捻転 , 胸腔鏡下手術 , 食道切除術 pp.693-697
Published Date 2009/12/15
DOI https://doi.org/10.11477/mf.4426100411
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 A sixty-year old woman was diagnosed as having a torsion of the right upper pulmonary lobe, after thoracoscopic esophagectomy for esophageal cancer. Thoracotomy was performed immediately after the diagnosis. The right upper lobe was segmented entirely from the middle lobe, with a long lobar pedicle that was contorted. The torsion was repaired and the lobe improved in color and expanded. Although the patient underwent shock due to ischemiareperfusion after the reoperation, she recovered without any complication. Attention should be paid to lung torsion during esophagectomy, especially thoracoscopic surgery because of its limited visual field.

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